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Complaint Investigation

Optalis Health And Rehabilitation Of Three Rivers

October 22, 2025 · Three Rivers, MI · 517 S Erie St
Citations 2
CMS Rating 1/5
Beds 100
Provider ID 235395
Healthcare Facility
Optalis Health And Rehabilitation Of Three Rivers
Three Rivers, MI  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

Optalis Health and Rehabilitation of Three Rivers in Three Rivers, MI — inspection on October 22, 2025.

Found 2 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF0628
Resident Rights Deficiencies

During an interview on 10/22/2025 at 11:36 AM, NHA A stated that she didn't document

need to call the responsible party about the bed hold. NHA A said she wasn't sure what the facility policy said but that AD C was in charge of the bed hold follow up.

Review of the Bed Hold Procedure with a revision date of 4/18/2023 revealed Policy Overview: Upon a resident's transfer for hospitalization, the facility will provide the resident and the resident representative written notice which specifies the duration of the bed hold policy and address information explaining the return of the resident to the next available bed.

Procedure.

Upon discharge for emergency medical treatment the facility's admissions director or designee will attempt to contact the resident and/or the resident's representative within 24 hours and/or the next business day to confirm their decision related to a bed hold and document their attempt(s) and/or the resident's representatives bed hold decision in the resident's record.

The admission Director or designee will also send a copy of the Bed Hold Notice to the resident's representative via e-mail or postal mail and document in the resident's record. If a Medicaid resident has used the maximum allowable bed hold days, the resident and/or their representative may choose to pay privately to continue to hold the bed at their discretion.

235395 10/22/2025

Optalis Health and Rehabilitation of Three Rivers 517 S Erie St Three Rivers, MI 49093

During an interview on 10/22/2025 at 10:39 AM, Director of Nursing (DON) B stated that R1 wandering down the halls and into resident rooms wasn't an issue prior to the incident on 10/11/2025 and if that was the case, they would have put interventions into place prior to the incident. DON B said IDT discussed abnormal behaviors and they did not feel a 1:1 with staff supervision was needed for either R1 or R2. DON B stated she wasn't aware that staff were concerned about their safety while being around R2 in the facility common areas or when going into his room and said other residents would let her know if R2 was bothering them or if they didn't like R1 coming into their room.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Three Rivers, MI, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Optalis Health and Rehabilitation of Three Rivers or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


More Reports

About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.