Optalis Health And Rehabilitation Of Troy
Inspection Findings
F-Tag F0684
F 0684 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
facility. The DON was asked did the facility have a STROKE protocol or policy, she replied, no. The DON was then asked, why was Resident R401 not sent to the hospital if they had stated they were having a stroke the DON reported, that they should have been sent out for further evaluations since the facility did not have the proper equipment to treat such acute conditions. The DON was also asked where the documentation (the added blood pressure monitoring) that was recommended by the NP found? The DON reported that the facility did not do any follow up on the suspected change in condition. The DON was asked about Resident R40's missed scheduled neurology appointments. The DON reported they would investigate the missed appointments. On 12/30/25 at 1:22 PM, the NP B was called via telephone and interviewed. The NP B was askedif someone complains of having a stroke, what would be done? The NP B reported that they would assess them and see if there were any signs of a stroke. The NP was then asked, for Resident R401, who has a history of strokes and felt as though they were having one, with new onset of left sided weakness, if they should have been further evaled? The NP B explained a new onset of left sided weakness was not considered a stroke symptom and that there needed to be more than one change to be considered a stroke. The NP B was then asked did she reassess or inform the medical provider of Resident R401's new change in condition. The NP B replied I do not know. A Review of the Hospital paper work documented that on 3/27/25 at 6:32 PM a CT of the brain was completed it read in parts Provided History: [AGE] years old Male Neuro deficit, acute, stroke suspectedTechnique: CT imaging of the brain was performed from the skull base to the vertex without contrast.Findings:1. No acute intracranial hemorrhage, mass effect, midline shift, orhydrocephalus.2. Approximately 7 mm (millimeters) chronic appearing lacunar infarct within the posteriorlimb of the right internal capsule is new since 11/22/24. Mild chronicischemic demyelination changes involve both cerebral hemispheres, similar to11/22/2024. Age-appropriate cerebral volume A
review of the record revealed that Resident R401 was identified with a change in condition on 2/27/25 with a new onset of left sided weakness. The change in functional ability was identified by the therapy department on 2/28/25. The record also revealed that Resident R401 was not reassessed after the initial change in condition as identified as the NP recommended and the NP did not follow up on the status of Resident R401 newly founded change. It was not until 3/27/25 when Resident R401 was sent to the emergency department by the neurologist (after missing two previously scheduled appointments 3/11/25 and 3/12/25) because there was suspected stroke.
There was no additional information provided by the exit of survey.
Event ID:
Facility ID:
If continuation sheet
Optalis Health and Rehabilitation of Troy in Troy, MI inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 Troy, 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 Troy or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.