Optalis Health and Rehabilitation of Ann Arbor

In the surveyor’s words

From the most serious findings on record at Optalis Health and Rehabilitation of Ann Arbor, in the surveyor’s own words.

• Actual harm, patternF684Apr 17, 2023

  Based on observation, interview and record review, the facility failed administer medications as ordered in 7 of 29 residents reviewed for allegations of abuse (Resident #10, #103, #300-3, #300-5, #400-7 & 400-9), resulting in and unmet needs and hospitalization (Resident #64). Findings include: Resident #64 (R64) In review of R64's May 2023's Medication Administration Record (MAR), an order instructed to administer Furosemide (Lasix) 40 milligram (mg) tablet (diuretic to treat fluid retention), 2 tablets by mouth daily at 6:00 AM for congestive heart failure. The same MAR indicated Furosemide was not signed as administered on 5/14/23 at 6:00 AM. […]

• Actual harm, patternF684Apr 17, 2023

  Resident # 300-5 Review of the medical record reflected that Resident # 300-5 (R300-5) was admitted to the facility 9/13/19 with diagnoses including central cord syndrome, cramp and spasm, neuralgia and neuritis, and spastic hemiplegia. Review of the Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 3/21/23 revealed that R300-5 had clear speech, was able to understand others and be understood by others and had a Brief Interview for Mental Status (BIMS-a cognitive screening tool) score of 15 (cognitively intact). In an observation and interview on 6/8/23 at 12:05 PM, R300-5 was observed sitting in his wheelchair in doorway of room and proceeded to self-propel wheelchair in room for interview. […]

• Actual harm, isolatedF600Dec 15, 2025

  Based on interviews and record review, the facility failed to protect the resident's (R4) right to be free from neglect resulting in resident experiencing blunt force trauma and contributing to the resident's death. This citation pertains to intake number 2642837.Per the facility face sheet Resident #4 (R40 was an [AGE] year-old who resided at the facility since [DATE]. Diagnoses included muscle weakness, age related physical disability, and morbid severe) obesity due to excess calories. Review of an incident report dated [DATE] revealed Certified Nurse Aid (CNA) C informed a nurse that while providing a brief change R4 rolled out of bed onto the floor. […]

• Actual harm, isolatedF684Mar 26, 2024

  Based on observation, interview, and record review, the facility failed to ensure coordination and timely follow-up related to medical appointments required for a surgical procedure for one resident (R3) of 26 residents reviewed for quality of care, resulting in an avoidable emergent surgery and overall decline in a resident's health condition and psychosocial harm with increased feelings of anxiety and mistrust. Findings include: Review of the face sheet revealed R3 was initially admitted to the facility on [DATE] and readmitted to the facility on [DATE] with diagnoses that included post-polio syndrome (deterioration of nerve cells called motor neurons over many years that leads to loss of muscle strength and dysfunction), major depressive disorder, anxiety disorder, bipolar disorder,… […]

• Actual harm, isolatedF689Dec 5, 2023

  This citation pertains to intake number MI00141165. Based on observation, interview, and record review the facility failed to prevent a fall for one out of three residents (Resident #3) resulting in right and left tibia (shinbone), and right femur (large upper leg bone) fractures. Findings Included: Per Resident #3's (R3) Minimum Data Set (MDS), R3 was discharged to the hospital on 11/17/2023 with an anticipated return to the facility. Review of an MDS dated [DATE], revealed R3 had a Brief Interview for Mental Status (BIMS) score of 10 out of 15 (moderately impaired cognition). […]