Optalis Health and Rehabilitation of Dearborn Heig

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

49.6% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 170 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 68.8% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 48 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.41 therapist hours per resident per day in 2026Q1 — more than 70% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 18% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 124 beds and averages 102.6 residents a day — about 83% occupied, or roughly 21 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.82 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.60 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.96 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.26 hrs/resident/day on weekends vs 4.05 on weekdays — 20% thinner on weekends — a notable drop. RN hours go from 0.72 to 0.32 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 51% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

34 citations, most serious first. The 13 most serious are shown; the remaining 21 are one tap away and print in full.

• Immediate jeopardy · Jcited before2024-11-21 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure one Resident (R132) of one resident reviewed for accidents was served hot beverages in a stable, handled, thermal cup and provided proper meal set-up. This deficient practice resulted in an Immediate Jeopardy, when R132 sustained a second-degree burn (a burn affecting the skin layers, causing redness, pain, swelling, and blisters), and developed increased pain. Findings include: The Immediate Jeopardy was identified on 10/23/24, at 12:00 p.m., when R132 spilled hot scalding water for tea on themself, resulting in a second-degree burn and the likelihood of other residents affected due to lack of assessment and monitoring practices which could lead to serious harm, injury, impairment, or death. The Administrator was notified of the Immediate Jeopardy (IJ) on 11/21/24 at 11:30 a.m The Immediate Jeopardy began on 10/23/24. A plan to remove the immediacy was requested. The IJ was removed on 11/21/24, based on the facility's…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2026-04-30 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, and record review, the facility failed to provide two-person assistance during care for one resident (R302) of three residents reviewed for falls, resulting in a fall from bed, being transferred to the hospital, and returning to the facility with five stitches on their forehead.Findings include: R302R302 was admitted into the facility on [DATE] with the diagnosis of cerebral infarction, vascular dementia, wedge compression fracture of the thoracic spine (T11-T12), Major Depression, anxiety, and adjustment disorder. R302's Brief Interview of Mental Status (BIMS) score dated 2/2/26, was 2/15 indicating severely impaired cognition. The 2/2/26 Minimum Data Set (MDS) section GG functions were uncoded. A Care Plan dated 12/20/2024 for Self-care deficit specified interventions requiring a 2-person assist with toileting at bed level and, with bed mobility.A nurse's notes authored by nurse JW dated 4/4/26 at 9:11 AM, documented: Writer was called to the resident's room by another nurse and observed…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Past Non-Compliance
• Actual harm · G2023-11-20 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to ensure labs were monitored and reported for one resident (R901) of four reviewed for lab values and a change in condition, resulting in mental status changes, vital sign changes, a delay in treatment for dehydration and hospitalization. Findings include: On 11/16/23 at 1:14 PM, a review of the the concerns were conducted with the emergency room physician who reported, I have never seen a sodium this high or a patient this dehydrated. It is unconscionable. Once you get over 160 the regular lab does not work well, so you have to use a process which takes into account how viscous or concentrated the blood is. (R901's) sodium level was at 198 (on 10/30/23) which is a fantastic abnormality. A normal sodium level is 136-145. R901 was severely dehydrated and was admitted to the (Intensive Care Unit) ICU due to the severe dehydration. How could doctor not have sent earlier? How could a nurse have accepted this and not sent (R901) out sooner? R901 was grossly…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-30 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This citation pertains to Intakes 2987085 and 2973371.Based on observation, interview, and record review, the facility failed to ensure call lights were accessible and answered timely for one resident (R304) of five reviewed and failed to provide an adaptive knife for one resident (R305) of five residents reviewed for residents rights.Findings include: R304On 4/29/26, at 4:00 PM, R304 was observed lying on their bed, eyes closed, sleeping in the room. The bed was noted to be in the lowest position. When Registered Nurse (RN)C approached the door of the room, the surveyor asked to see where R304's call light was and found the call light wrapped around the television tucked away and far from the residents reach. At this time, RN C was interviewed and confirmed R304's call light was not within their reach. R304 was admitted into the facility on March 13, 2026, with a diagnosis of displaced intertrochanteric fracture of the right femur, Type 2 diabetes mellitus, deaf, nonverbal, and with difficulty walking.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-02-06 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review the facility failed to maintain sanitary conditions in the kitchen. Findings include:On 02/04/2026 at 9:30 AM, the initial kitchen observation was conducted with the Dietary Manager. The following items were observed: The terminal end of the drain for the food prep area sink slanted down below the level of the floor drain and did not have a minimum one inch air gap; The inside frame of the microwave opening had visible rust along the bottom edge which extended a half or more from the inside rim; The center area of the microwave also had a quarter size area of rust; Each with a potential to contact food; The freezer had a box of burgers open to the air inside the cooler. These were removed by the Dietary Manager. The dietary manager reported the identified concerns would need to be rectified. A review of the facility policy titled, Food Storage dated 12/26/22 revealed, It is the policy of this facility to provide sufficient storage to keep foods safe, wholesome and appetizing .It is the responsibility of the Dietary staff and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-06 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to ensure a call light was in reach for one dependent resident (R129) of three reviewed for falls. Findings include: On 02/04/2026 at 2:55 PM and 4:39 PM, R129 was observed to be on their back in bed, dressed in a hospital style gown, with the head of the bed up, and the tray table to left side of bed. The call light was not in reach and looped over the headboard of the bed. The gown was hanging down off the bare right shoulder. A review of R129's record revealed a fall onto the knees on 02/03/26. On 02/05/2026 at 8:33 AM, R129 was observed with active arm and leg movements while on their back in bed without nonslip socks on. Breakfast had been eaten. The blanket and sheets were soiled with stool and items from breakfast. The water cup was dated 2/4. The call light was behind the head of the bed, looped partially over the headboard and down between the nightstand and the bed. The call button portion was on the nightstand. At 8:42 AM staff…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-02-06 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to update the care plan related to meal assistance for one sampled resident (R6) of three reviewed for care plans revisions. Findings include:On 2/04/2026 at 12:48 PM, R6 was observed eating lunch in their room without assistance. Observed on R6's plate was chicken tenders, macaroni and cheese, broccoli, and chocolate dessert.On 2/05/2026 at 1:05 PM, R6 was asked what they had for lunch. R6 reported they ate in their room and had chopped up chicken, two soups, and a banana. R6 stated, It was delicious. On 2/06/2026 at 12:53 PM, R6 was observed in their room feeding themselves their lunch.A review of R6's medical record noted R6 was admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses of Nontraumatic acute subdural hemorrhage and Severe-protein-calorie malnutrition. R6's Minimum Data Set (MDS) assessment noted R6 with an impaired cognition and required setup or clean up assistance for eating.A review of R6's orders noted,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-02-06 · tag F0676 — failed to keep up residents' daily-living abilities — isolated
  Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to apply a palm protector per physician order and plan of care for one resident (R96) of one reviewed for range of motion. Findings include:On 02/04/2026 at 10:35 AM, R96 was lying flat on their back asleep. An observation of R96's left hand was observed as contracted. There was no palm protector observed being worn by the resident or noted anywhere near the resident's bed.A review of R96's medical record revealed they were admitted into the facility on 3/16/23 with diagnoses which included Muscle Wasting and Atrophy, Cognitive Communication Deficit, and Diabetes. Further review revealed the resident was severely cognitively impaired and required one-person assist with activities of daily living (ADLs).Further review of R96's medical record revealed the following care plan, Focus: Resident has an ADL self-care performance deficit r/t (related to): Confusion, Impaired balance, Significant Mobility Impairments, reduced ROM LUE (left upper extremity) Date Initiated: 06/05/2024 .left hand palm protector to wear…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-02-06 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review, the facility failed to maintain appropriate grooming and skin care for one resident (R104), of four reviewed for Activities of Daily Living (ADLs). Findings include: On 02/04/2026 at 12:58 PM, R104 was observed lying in bed. The skin on their face was observed as white and scaly, with the residue covering the front of the resident's black t-shirt. On 02/05/26 at 9:24 AM, R104 was observed in bed finishing their breakfast. They were observed wearing the same black t-shirt they wore the previous day. They continued to have dry scaling skin on their face with the scaling residue covering the neck/chest area of their shirt. On 02/06/2026 at 10:25 AM, R104 was observed at bedside. The chest of their shirt was covered with dry skin residue. On 02/06/2026 at 10:39 AM, Licensed Practical Nurse, LPN E was interviewed and asked if they would expect residents with dry skin to have their skin moisturized/treated during daily care or only on shower days. LPN E reported dry skin should be treated daily on residents as needed. On 02/06/2026 at…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-06 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review the facility failed to implement interventions for heel pressure sores for one resident (R80) of three reviewed for skin management. Findings include: On 02/04/2026 at 2:44 PM and at 4:45 PM, R80 was observed to be on their back in bed with the head of the bed up 45-60 degrees. R80 reported they had boots on in the morning, but they were taken off and not put back on. The boots were not observed to be in place. The low air loss mattress was active and set on alternating with a setting for the resident's weight of 450 pounds. R80 did not look to weigh 450 pounds. R80 was not observed to be out of bed during the hours of the survey on 02/04/26. On 02/05/2026 at 1:00 PM, R80 was observed to be on their back in bed with their heels on the bed and no device under the lower legs to elevate the heels off the bed surface. R80 reported no pain in heels this day but did have pain off and on. The heel boots were off and had been put on the windowsill toward the foot of the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-06 · tag F0687 — failed to care for feet properly — isolated
  Provide appropriate foot care.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review, the facility failed to provide podiatry services to one resident (R4) of one reviewed for foot care. Findings include:On 02/06/2026 at 10:29 AM, R4 was observed lying in bed. R4's toenails on their left foot were observed as yellow, extremely elongated measuring the length of the nail bed and curling over. Attempts to ask the resident if they had seen a podiatrist however, due to their cognition, they were unable to respond. A review of R4's medical record revealed the resident was admitted into the facility on 2/21/25 with diagnoses which included Cerebral Infarction, Vascular Dementia, and Epilepsy. Further review revealed the resident had a severe cognitive impairment and required assistance with activities of daily living. On 02/06/2026 at 12:08 PM, all podiatry notes for R4 were requested from the facility however, the surveyor was provided with a list of residents scheduled to be seen on 2/18/26. On 02/06/2026 at 3:05 PM, an interview was completed with the Director of Nursing (DON) regarding R4 not being provided with…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-06 · tag F0757 — failed to avoid unnecessary drugs — isolated
  Ensure each resident’s drug regimen must be free from unnecessary drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review the facility failed to ensure appropriate monitoring for lactulose (laxative medication) administered for elevated ammonia levels for one resident (R96) of four residents observed during the medication pass observation. Findings include: On 02/05/26 at 11:19 PM, an observation of a medication pass for R96 was conducted with Licensed Practical Nurse (LPN) I. It was noted by LPN I that the lactulose was not available for administration. The indication for the lactulose was documented as for an ammonia level. The record was reviewed with LPN I who confirmed the last level they found was from July of 2025. A review of the order revealed, Lactulose Oral Solution, Give 30 ml via PEG-Tube two times a day for Ammonia Level with an original order date of 01/20/25. A review of the record indicated the ammonia level was last drawn on 07/25/25. The level was 79 with a normal range of 31-169 indicated. The note on the lab dated 07/28/25 indicated no new orders were given.A review of the medication administration records (MARs) documented administration of the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-06 · tag F0761 — failed to label and store drugs safely — isolated
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to ensure medication was not left at the bedside with a cognitively impaired resident for one resident (R118) of four reviewed for medication administration. Findings include: On 02/04/2026 at 10:18 AM, R118 was observed to have a bottle of Saline Nasal Spray on the overbed table. R118 stated they administer it to themself. On 02/05/2026 at 4:03 PM, R118 was observed to have a bottle of Saline Nasal Spray on the overbed table.On 02/06/2026 at 8:45 AM, R118 was observed to have a bottle of Saline Nasal Spray on the overbed table with the breakfast tray. A review of the record documented R118 to lack capacity to make medical decisions. No medication self-assessment was located in the medical record. On 02/06/2026 at 8:47 AM, Licensed Practical Nurse (LPN) G LPN reported they knew of only one resident with self-administration for medication. This was not R118.On 02/06/2026 at 8:58 AM, the Director of Nursing (DON) reported if a resident was…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$42,136 in federal fines across 1 penalty.

• $42,136 — penalty dated 2024-11-21

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to OPTALIS HEALTH & REHABILITATION — 36 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 23 rows in the source record cover these 19 parties — each is shown once here with every role it holds. Nothing is omitted.

16 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $1.7M paid to related parties — landlords or management companies under common ownership — equal to about 12% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2024). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

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