Optalis Health and Rehabilitation of Sterling Heig

In the surveyor’s words

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

• Actual harm, isolatedF689Jan 21, 2026

  This citation pertains to intake: 2719896Based on observation, interview, and record review, the facility failed to provide two-person assistance with bed mobility for one resident (R701) out of three reviewed for falls, resulting in a right leg femur fracture requiring surgery. Findings include:1/21/2026 at 11:00 AM, R701 was observed lying in bed. R701 was noted to have a right leg immobilizer in place, as well as a perimeter mattress. R701 was noted to be sleeping.A review of the medical record revealed R701 was admitted into the facility on [DATE] with the following medical diagnoses, Cervical Fracture and Muscle Wasting and Atrophy. […]

• Actual harm, isolatedF684Mar 8, 2023

  This citation has two deficient practices. Deficient practice #1. This citation pertains to Intake MI00134465. Based on interview and record review, the facility failed to adequately assess and monitor a skin alteration for one resident (R283) of two reviewed for quality of care, resulting in an unmonitored infection, gangrene, and ultimately, amputation of the right great toe. Findings include: A complaint filed to the State Agency was reviewed and included the following: .On 01/25/23 a podiatrist came to clip [R283's] toe nails. He had an ingrown toe nail that was infected on his right foot, big toe. Antibiotic cream was use (sic) and a dressing applied. […]

• Actual harm, isolatedF690Jan 13, 2022

  This citation pertains to intake # MI 217. Based on observation, interview and record review, the facility failed to maintain bladder function to the fullest potential for two residents (R262 and R268) of three residents reviewed for bladder function, resulting in decreased urinary continence, skin breakdown, a Urinary Tract Infection ([CONDITION(S)]), pain and humiliation. Findings include: R262 On 01/11/2022 at 11:51 AM, during the initial tour, R262 was observed in their room, dressed, and groomed in bed. The resident was alert and oriented to person, place, time, and situation. R262 was asked how their stay was going within the facility. R262 stated, The first night was not so good. I had to use a diaper the first day I was here. […]

• Actual harm, isolatedF689Aug 9, 2021

  This citation pertains to intake numbers MI 479, MI 536 and MI 511. Based on interview and record review the facility failed to implement care planned interventions and maintain a functioning call light system to prevent falls with injuries affecting three residents (R500, R502, and R506) of five residents reviewed for falls, resulting in falls with injuries. Findings include: Resident #500 (R500) On 08/04/2021 at 8:00 AM, R500's confidential complainant was called and interviewed regarding the allegations and stated, [R500] was found on the floor on 07/24/2021 at 6:00 AM, which is questionable because [R500] can hardly move. […]

• Actual harm, isolatedF689Feb 1, 2021

  This citation pertains to Intake number MI 426. Based on interview and record review the facility failed to ensure a two person assist was provided for safe incontinence care affecting one resident (R503) of two residents reviewed for falls resulting in a fall with injury. Findings include: Record review of R503's Electronic Health Record (EHR) revealed R503 was admitted into the facility 12/02/2013 and readmitted on [DATE] with diagnoses that included, Cerebral Infarct (stroke), [CONDITION(S)] (a disease of the brain), and [CONDITION(S)]. The most recent Minimum Data Set (MDS) assessment dated , 12/14/2020 revealed R503 had a severely impaired cognition and needed extensive assistance of two people for Activities of Daily Living (ADLs) including bed mobility, transfers, and toileting. […]