Optalis Health & Rehabilitation of Ionia

In the surveyor’s words

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

• Actual harm, isolatedF684Apr 25, 2022

  Based on observation, interview, and record review, the facility failed to: 1.) ensure residents received consistent and comprehensive physician led wound care, 2.) notify the physician of a change of condition and medication errors, and 3.) ensure residents received care in accordance with professional standards for medication administration in 3 (Resident #11, #35, and #37) reviewed for quality of care, resulting in the potential for the decline of a physical condition and the worsening of symptoms and the potential for wound complications and infection. […]

• No harm, potential for more than minimal, widespreadF880Mar 6, 2025

  Based on observation, interview, and record review, the facility failed to implement a) Accurate monthly infection surveillance, b) Conduct an outbreak investigation, and c) Properly store oxygen supplies according to the facility Infection Control plan, program and policies for one resident (R25) of six residents reviewed for Infection Control. Findings: During a comprehensive interview pertaining to the facility Infection Control Program, on 3/6/25 beginning at 9:30 AM, Infection Control (IC)/Licensed Practical Nurse (LPN) reported that he organized a monthly infection report and presented the findings during the monthly Quality Assurance Process Improvement (QAPI) meetings. […]

• No harm, potential for more than minimal, widespreadF880Mar 6, 2024

  This citation has 2 Deficient Practice Statements (DPS) DPS 1 Based on interview and record review, the facility failed to implement an effective and current system of surveillance of staff illnesses to identify possible communicable diseases and infections to prevent the spread of an illness/outbreak. Findings: An infection control program interview on 3/6/24 at 10:07 AM with Unit Manager/Infection Control Preventionist (UM/ICP) B and Director of Nursing (DON) revealed the following: DON reported that she was responsible for the tracking/surveillance of facility employee illnesses. DON reported that employee illnesses were tracked on the Respiratory Surveillance Line List only if they tested positive for COVID. […]

• No harm, potential for more than minimal, widespreadF812Mar 23, 2023

  Based on observation, interview, and record review, the facility failed to properly label and store chemicals, properly store personal items, and maintain clean food contact surfaces, resulting in the potential contamination on equipment and food, affecting all residents in the facility. Findings include: On 3/21/23 at 5:54 AM, a water pitcher was observed to be sitting in the sink basin of the handwashing sink, located next to the walk-in cooler. According to the 2017 FDA Food Code Section 5-205.11 Using a Handwashing Sink. (A) A HANDWASHING SINK shall be maintained so that it is accessible at all times for EMPLOYEE use. Pf (B) A HANDWASHING SINK may not be used for purposes other than handwashing. […]

• No harm, potential for more than minimal, patternF689Mar 6, 2025

  Based on observation, interview, and record review, the facility failed to investigate, analyze, and implement meaningful interventions to prevent repeated falls for two Residents (R32 and R117) of three residents reviewed for accident hazards. Findings include: R32 Review of R32's face sheet dated 3/5/25 revealed she was an [AGE] year-old female admitted to the facility on [DATE] with diagnoses that included dementia, lack of coordination, falls, restlessness and agitation. She was not her own responsible party. R32 was observed in bed on 03/04/25 at 10:04 AM. R32 had her eyes open, she was holding a hairbrush. R32 did not respond to her name or any questions. […]