Optalis Health and Rehabilitation of Dearborn Heig

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Nov 21, 2024

  Based on observation, interview, and record review, the facility failed to ensure one Resident (R132) of one resident reviewed for accidents was served hot beverages in a stable, handled, thermal cup and provided proper meal set-up. This deficient practice resulted in an Immediate Jeopardy, when R132 sustained a second-degree burn (a burn affecting the skin layers, causing redness, pain, swelling, and blisters), and developed increased pain. Findings include: The Immediate Jeopardy was identified on 10/23/24, at 12:00 p.m., when R132 spilled hot scalding water for tea on themself, resulting in a second-degree burn and the likelihood of other residents affected due to lack of assessment and monitoring practices which could lead to serious harm, injury, impairment, or death. […]

• Actual harm, isolatedF689Apr 30, 2026

  Based on interview, and record review, the facility failed to provide two-person assistance during care for one resident (R302) of three residents reviewed for falls, resulting in a fall from bed, being transferred to the hospital, and returning to the facility with five stitches on their forehead.Findings include: R302R302 was admitted into the facility on [DATE] with the diagnosis of cerebral infarction, vascular dementia, wedge compression fracture of the thoracic spine (T11-T12), Major Depression, anxiety, and adjustment disorder. R302's Brief Interview of Mental Status (BIMS) score dated 2/2/26, was 2/15 indicating severely impaired cognition. The 2/2/26 Minimum Data Set (MDS) section GG functions were uncoded. […]

• Actual harm, isolatedF580Nov 20, 2023

  Based on interview and record review the facility failed to ensure labs were monitored and reported for one resident (R901) of four reviewed for lab values and a change in condition, resulting in mental status changes, vital sign changes, a delay in treatment for dehydration and hospitalization . Findings include: On 11/16/23 at 1:14 PM, a review of the the concerns were conducted with the emergency room physician who reported, I have never seen a sodium this high or a patient this dehydrated. It is unconscionable. Once you get over 160 the regular lab does not work well, so you have to use a process which takes into account how viscous or concentrated the blood is. (R901's) sodium level was at 198 (on 10/30/23) which is a fantastic abnormality. A normal sodium level is 136-145. […]

• Actual harm, isolatedF684Oct 14, 2021

  Deficient Practice Statement #2 This citation pertains to Intake: MI 833 Resident #715 (R715) Based on interview and record review, the facility failed to respond to a change in condition in a timely manner for one diabetic resident (R715) of two residents reviewed for a change in condition, resulting in a delay in assessing and monitoring, feelings of being ignored, and symptoms of [CONDITION(S)] (a condition in which your blood sugar level is lower than normal causing symptoms that include shakiness,sweating and dizziness). Findings include: Review of Intake: MI 833 revealed the following, Incident Summary. […]

• No harm, potential for more than minimal, widespreadF880Feb 11, 2025

  This citation pertains to Intake MI00149394. Based on observation, interview, and record review, the facility failed to fill water cups with ice in a sanitary manner. This deficient practice had the potential to affect all 104 residents that drink water in the facility. Findings include: On 2/11/25 at 4:39 PM, Certified Nursing Assistant A (CNA A) was observed to fill empty water cups with ice from a bag. CNA A used another empty cup to first scoop ice out of the bag, and then started to use their bare hand to scoop ice into empty cups. A few empty cups were observed to fall to the floor and subsequently, the CNA was observed to pick the cups up from the floor, filled them with ice, and then with water. […]