The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited January 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
Nursing home report
Four Seasons - An Optalis Health and Rehabilitation
Registered name: Four Seasons Nursing Center of Westland
Westland, MI · Medicare-certified · 180 beds
Needs attention
Abuse citationFor-profitChain member
Data as of July 1, 2026
3 of 5 overall
Four Seasons - An Optalis Health and Rehabilitation has an overall rating of 3 out of 5 stars, with a 2-star health inspection rating and 3-star staffing rating; quality measures are 5 stars. It reports 3.40 nurse staffing hours per resident per day versus the 4.1-hour federal benchmark, has no fines in the last 24 months, and has a recent abuse citation.
Facility ratings
Health inspections
Staffing
3.4013 hrs/resident/day
Quality measures
Last inspection: April 9, 2026Penalties, last 24 months: $0recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4013.
Staffing detail
- Registered nurses
- 0.60
- Licensed practical nurses
- 0.95
- Nurse aides
- 1.85
- Weekend nursing
- 2.97
Hours per resident per day.
Total staff turnover: 32%
Registered nurse turnover: 35%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
11.3%12.4%Worsening
Residents with a fall causing major injury
2%2.9%Worsening
Residents with pressure ulcers (bedsores)
4.8%3.2%Improving
Residents with a urinary tract infection
0.7%2.2%Worsening
Residents who lost too much weight
5.8%8.6%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
6.3%4.3%Improving
Residents whose ability to walk got worse
6.4%8.1%Worsening
Long-stay residents on antianxiety or sleep medication
20%24.8%Worsening
Short-stay residents newly given an antipsychotic
0%1.4%Worsening
Residents with a long-term catheter
0.5%0.6%No change
Residents with new or worsening incontinence
10%12.1%Worsening
Residents with depressive symptoms
1.4%5.5%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
99.3%100%Improving
Short-stay residents given the seasonal flu vaccine
—95.1%—
Short-stay residents given the pneumonia vaccine
96.7%93%Worsening
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited October 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The nursing home failed to properly screen residents for mental health or intellectual disability needs before or during admission. Cited April 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 645 — 42 CFR §483.20 — S/S: F
The home failed to ensure residents received food prepared in a form that met their individual needs. Cited February 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 805 — 42 CFR §483.60 — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited December 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $15,593 in total fines.
- $15,593
Federal fine
Oct 9, 2023
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of OPTALIS HEALTH & REHABILITATION · 37 homes · 2.3 stars avg
- Occupancy
- 151 residents on an average day (84% of 180 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 29 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.