Optalis Health And Rehabilitation Of Troy
Optalis Health and Rehabilitation of Troy in Troy, MI — inspection on December 30, 2025.
Found 1 citation. 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
facility.
The DON was asked did the facility have a STROKE protocol or policy, she replied, no.
The DON was then asked, why was 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 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 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 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 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 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 R401 newly founded change. It was not until 3/27/25 when 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.
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