Optalis Health and Rehabilitation of Three Rivers

In the surveyor’s words

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

• Actual harm, isolatedF627Jun 30, 2026

  This citation pertains to intake #3051796Based on observation, interview and record review, the facility failed to a safe and orderly discharge was in place for 1 of 1 resident (Resident #100) reviewed for discharge, resulting in Resident #100 being abruptly discharged from the facility without adequate outpatient services, community resources, and/or training on medical needs causing increased anxiety, agitation and emotional distress. Findings include:Resident #100: Review of an admission Record revealed Resident #100 was a female, with pertinent diagnoses which included dysphagia (difficulty swallowing), COPD (chronic obstructive pulmonary disease - lung disease that block airflow and makes breathing difficult), depression, anxiety, emphysema (progressive irreversible lung disease in… […]

• Actual harm, isolatedF689Oct 22, 2025

  This citation pertains to intake #2641096.Based on observation, interview, and record review, the facility failed to ensure adequate supervision to prevent resident to resident abuse for 1 resident (Resident #1) of 3 residents reviewed for abuse, resulting in Resident #2 who had a history of delusions, hallucinations and aggression, pushed Resident #1. Resident #1 fell and sustained a closed left femoral neck (hip bone) fracture and subsequent surgical intervention. Findings include: Review of the Facility Report Incident (FRI) initial report to the State Agency on 10/11/2025 revealed {Licensed Practical Nurse (LPN) M} notified the Administrator that at approximately 11:30 AM resident (Resident #1) was observed on the floor near the doorway of resident (Resident #2's) room. […]

• Actual harm, isolatedF627Oct 8, 2025

  This citation pertains to intake #2616813Based on observation, interview and record review, the facility failed to prevent an unnecessary discharge by providing individualized care for 1 of 1 resident (Resident #101) reviewed for discharge, resulting in Resident #101 being abruptly discharged from the setting in which he was familiar, to an unfamiliar locked memory care unit and subsequently experiencing increased anxiety, agitation and emotional distress requiring pharmacological treatment.Findings include:Review of an admission Record revealed Resident #101 was originally admitted to the facility on [DATE] with pertinent diagnoses which included: dementia (general term used for loss of memory, language, thinking skills that interfere with daily life) with behavioral disturbance.Review of… […]

• Actual harm, isolatedF604Feb 21, 2025

  This citation pertains to intake MI00150239. Based on interview and record review, the facility failed to prevent the use of physical restraint/confinement for 1 (Resident #100) of 3 residents reviewed for abuse, resulting in Resident #100 being confined by a locked wheelchair placed against the nurse's station and restrained into a seated position. Findings include: Review of an Admission Record revealed Resident #100 was originally admitted to the facility on [DATE] with pertinent diagnoses which included: unspecified psychosis (a mental disorder characterized by a disconnection from reality), vascular dementia (progressive disease resulting in loss of cognitive abilities), and generalized anxiety disorder. […]

• Actual harm, isolatedF686Apr 6, 2022

  This citation pertains to intake MI 301. Based on interview and record review, the facility failed to prevent the development and worsening of pressure ulcers and implement treatments and monitoring for pressure ulcer prevention and healing for 1 of 2 residents (Resident #104) reviewed for wounds/pressure ulcers, resulting in the development of an Unstageable Pressure Ulcer on sacrum (tailbone), hospitalization due to wound infection, surgical intervention and [CONDITION(S)] (bone infection). […]