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OPTALIS HEALTH & REHABILITATION

Ownership rollup across 36 nursing homes in 2 states: Michigan, Ohio. The "follow the money" view of an operator’s whole portfolio — the pattern a single facility page can’t show.

Insights

The chain’s homes average 2.4 of 5 stars on the CMS overall rating — about 0.8 stars below the ~3.1 average of the 2 states it operates in. A whole portfolio rating below its own states’ norm is a pattern worth researching, not a single-home fluke. It has been broadly flat, moving -0.06 stars across the same 36 homes rated throughout between 2025-02 and 2026-06. We benchmark against its own states because CMS ranks the health-inspection star within each state, so a national comparison (national average ~3.0) partly measures where a chain operates rather than how it operates.

36
Homes in this chain
4,602
Certified beds128 per home on average
81%
Occupied3,727 residents a day across 4,602 beds
-0.06
Star changeacross the 36 homes rated throughout · 2025-02 to 2026-06
2
States covered
2.4
Average CMS rating~3.1 in its states · ~3.0 nationally

Where the rating comes from

The CMS overall star blends three different things. Split apart across the whole portfolio, they say different things about an operator: thin staffing is a budget decision made above the building, while a weak inspection score is what surveyors actually found inside it.

ComponentChain averageBasis
Health inspection1.9 of 536 rated homesstate surveyors’ findings, ranked within each state
Staffing2.4 of 536 rated homesfrom payroll (PBJ) hours
Quality measures4.3 of 536 rated homeslargely self-reported clinical data

Averaged across this chain’s rated homes. Health-inspection stars are assigned within each state’s own distribution, so for a chain spanning several states this component mixes distributions and is best read alongside each home’s actual citations.

Portfolio red flags

How many of this chain’s homes carry the most serious CMS markers. One flagged home can be local; a pattern across the portfolio is an operator-level signal worth researching.

11 with immediate-jeopardy citations1 Special-Focus candidates9 with an abuse flag24 with federal fines

Follow the money — chain finances

Aggregated from each home’s CMS Medicare cost report (HCRIS). Related-party payments are dollars a home sends to landlords or management companies under common ownership — the main channel through which private-equity and REIT owners can pull money out of a home while its own books still show a thin margin.

$59.7M
Related-party expensesummed across 34 homes · FY2023–2024 cost reports
13%
of operating expensegoes to related companies, across the 34 homes reporting both figures
-7.5%
Operating marginrevenue-weighted across 36 homes with a cost report
$2.1M
Total federal fines24 homes fined

Only homes with a cost report on file are included, so the related-party total is a floor. Cost reports are self-filed, unaudited, and a year or two behind.

Who pays — share of resident-days across this chain
Medicaid 43%Medicare 12%Other / private 45%

Weighted by each home’s average daily census, across the all 36 homes that report both a usable payer mix and a census. Homes whose cost report fails the same validity check the facility pages apply are left out of this figure entirely rather than counted as zero.

Every home in this chain

Lowest-rated first, so the homes most worth a closer look sit at the top. Each links to its full inspection, staffing, fines, and ownership record.

HomeCMS ratingFlags
Greenfield Rehab and Nursing CenterRoyal Oak, MI 1 of 51 immediate-jeopardy Abuse flag $367,987 fined
Optalis Health & Rehabilitation at Kent-CrossingGrand Rapids, MI 1 of 5
Optalis Health & Rehabilitation of Bloomfield HillBloomfield Hills, MI 1 of 5$45,935 fined
Optalis Health & Rehabilitation of WhitehallWhitehall, MI 1 of 5Abuse flag
Optalis Health & Rehabilitation of WyomingWyoming, MI 1 of 5
Optalis Health and Rehabilitation of Grand RapidsGrand Rapids, MI 1 of 53 immediate-jeopardy SFF candidate Abuse flag $136,785 fined
Optalis Health and Rehabilitation of KingsfordKingsford, MI 1 of 51 immediate-jeopardy $130,734 fined
Optalis Health and Rehabilitation of Three RiversThree Rivers, MI 1 of 5Abuse flag $40,700 fined
The Lakeland CenterSouthfield, MI 1 of 51 immediate-jeopardy $15,926 fined
Pickaway Manor Care CenterCircleville, OH 1 of 52 immediate-jeopardy $129,229 fined
West Park Care Center LLCColumbus, OH 1 of 51 immediate-jeopardy $24,115 fined
Optalis Health & Rehabilitation of MuskegonMuskegon, MI 2 of 5
Optalis Health and Rehabilitation at St. FrancisSaginaw, MI 2 of 51 immediate-jeopardy $131,073 fined
Optalis Health and Rehabilitation of CantonCanton, MI 2 of 51 immediate-jeopardy Abuse flag $140,322 fined
Optalis Health and Rehabilitation of Dearborn HeigDearborn Heights, MI 2 of 51 immediate-jeopardy $42,136 fined
Optalis Health and Rehabilitation of TroyTroy, MI 2 of 51 immediate-jeopardy Abuse flag $388,982 fined
Woodward Hills Health and Rehabilitation CenterBloomfield Hills, MI 2 of 5$56,072 fined
Monterey Care CenterGrove City, OH 2 of 5
Belle Fountain Nursing & Rehabilitation CenterRiverview, MI 3 of 5Abuse flag $4,194 fined
Evergreen Health and Rehabilitation CenterSouthfield, MI 3 of 5$28,815 fined
Four Seasons Nursing Center of WestlandWestland, MI 3 of 5Abuse flag $15,593 fined
Optalis Health & Rehabilitation at LeonardGrand Rapids, MI 3 of 5
Optalis Health & Rehabilitation of IoniaIonia, MI 3 of 5
Optalis Health and Rehabilitation of Allen ParkAllen Park, MI 3 of 5
Optalis Health and Rehabilitation of Ann ArborAnn Arbor, MI 3 of 5Abuse flag $15,593 fined
Optalis Health and Rehabilitation of Sterling HeigSterling Heights, MI 3 of 5$4,233 fined
ShorePointe Nursing CenterSt. Clair Shores, MI 3 of 5
Canal Winchester Care CenterCanal Winchester, OH 3 of 5$26,685 fined
Grand TheDublin, OH 3 of 5
Mill Run Care CenterHilliard, OH 3 of 5$91,350 fined
New Albany Care CenterColumbus, OH 3 of 5$12,149 fined
RiverviewColumbus, OH 3 of 51 immediate-jeopardy $168,656 fined
Fountain Bleu Health and Rehabilitation CenterLivonia, MI 4 of 5$8,985 fined
Shelby Health and Rehabilitation CenterShelby Township, MI 4 of 5$41,847 fined
Optalis Health and Rehabilitation of Grosse PointeGrosse Pointe Woods, MI 5 of 5
Abbyshire Place Health And Rehabilitation Center LBidwell, OH 5 of 5
Read this as a floor, not a verdict. CMS chain and ownership data is known to under-report private-equity and REIT ties, and a low chain average can hide strong individual homes (or vice-versa). Use it to know which questions to ask — then read each home’s actual inspection record and confirm current ownership with your state licensing agency.

Source: CMS Provider Data Catalog (nursing-home ratings, deficiencies, penalties, and ownership) and the CMS Medicare cost report (HCRIS) for finances. Chain membership is as reported to CMS. CMS extracts retrieved 30 August 2026; CMS refreshes them monthly, so counts here are as of that date. Verify with the facility and your state regulator.