Optalis Health and Rehabilitation of Troy

In the surveyor’s words

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

• Immediate jeopardy, patternF690Mar 3, 2022

  This citation pertains to intake: MI 908. Based on interview, and record review, the facility failed to assess for a removal of a catheter and provide necessary treatment and services to six residents (R701, 708, 709, 710, 711 & 712) of six residents reviewed who required care for indwelling catheters, resulting in an immediate jeopardy when R701 developed a Urinary Tract Infection ([CONDITION(S)]) which caused septic shock, admission into the Intensive Care Unit (ICU) and expired two days after being hospitalized . This deficient practice resulted in R701's death and the potential for serious injury, infection, harm, and/or death to all facility residents with urinary catheters. The Immediate Jeopardy (IJ) started on [DATE]. […]

• Immediate jeopardy, isolatedF689Jun 16, 2026

  This citation pertains to intake: 3040204.Based on observation, interview and record review the facility failed to ensure adequate supervision for a resident with dementia, failed to timely implement adequate elopement interventions and failed to ensure all staff received adequate elopement training for residents that wear a monitoring device, for one (R307) of three residents reviewed for elopements, resulting in an Immediate Jeopardy (IJ). The facility failed to ensure the safety of R307 when the resident was allowed to leave the facility unnoticed wearing a monitoring alarm device, without staff knowledge of the elopement, until notified by the family. […]

• Immediate jeopardy, isolatedF686Nov 17, 2022

  This citation pertains to intake: MI00131520 and MI00132012. Based on observation, interview and record reviews the facility failed to consistently complete accurate Braden assessments, timely implement preventive interventions to prevent pressure ulcers, implement and monitor the effectiveness of physician ordered treatments and timely identify skin changes and/or worsening of pressure ulcers for two (R's 175 and 20) of four residents reviewed for pressure ulcers, resulting in R175 to have been transferred to the hospital, admitted to the Intensive Care Unit (ICU) for sepsis, required Intravenous (IV) empiric antibiotics and ultimately documented on the death certificate as Sepsis due to infected sacral wound as the first cause of death and resulting in R20 to have developed a sacral… […]

• Actual harm, patternF684Apr 9, 2025

  This citation pertains to intake: MI00151683. Based on interviews and record reviews the facility failed to ensure consistency with the timely identification and reporting in changes in condition, ensuring accurate assessments and monitoring for a resident with an identified change of condition, ensure professional nursing standards of practice were consistently followed for medication administration, failed to ensure the implementation of a physician order for oxygen administration and intravenous therapy was administered, failed to ensure accurate and complete documentation of nursing skilled notes and failed to timely transfer to a higher level of care, for one R402 of four residents reviewed for a change of condition and resulting in multiple hospitalization s. […]

• Actual harm, patternF692Apr 9, 2025

  This citation pertains to intake: MI00151683. Based on interview and record reviews several failures were identified regarding the facility's nutritional management and oversight that included- a delayed gastroenterology referral/follow up, delayed nutritional assessment/lack of oversight/monitoring, untimely implementation of nutritional interventions and a communication break down with the facility's Interdisciplinary team to ensure a collaborative approach for one R402 of four residents reviewed for Nutrition and Hydration, resulting in a severe weight loss of 13.27% within two months, hospitalization and the contribution to R402's death. […]