The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited October 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Heartland Health Care Center-Three Rivers
Registered name: Optalis Health and Rehabilitation of Three Rivers
Three Rivers, MI · Medicare-certified · 100 beds
Needs attention
Abuse citationFor-profitChain member
Data as of July 1, 2026
1 of 5 overall
Heartland Health Care Center-Three Rivers has a 1 out of 5 overall rating, with a 1-star health inspection rating and 2-star staffing rating; reported staffing is 3.02 hours per resident per day, below the 4.1 federal benchmark. It also has $40,700 in fines over the last 24 months and a recent abuse citation, while its quality measures rating is 4 stars.
Facility ratings
Health inspections
Staffing
3.0243 hrs/resident/day
Quality measures
Last inspection: April 2, 2026Penalties, last 24 months: $40,700recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0243.
Staffing detail
- Registered nurses
- 0.62
- Licensed practical nurses
- 0.54
- Nurse aides
- 1.87
- Weekend nursing
- 2.77
Hours per resident per day.
Total staff turnover: 48%
Registered nurse turnover: 53%
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
6.4%11.5%Worsening
Residents with a fall causing major injury
4.2%6.9%Worsening
Residents with pressure ulcers (bedsores)
8.9%4.7%Improving
Residents with a urinary tract infection
2.8%0%Improving
Residents who lost too much weight
4.8%8.6%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
8.6%6.8%Improving
Residents whose ability to walk got worse
22%13.8%Improving
Long-stay residents on antianxiety or sleep medication
17.7%19.4%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
3.1%0%Improving
Residents with new or worsening incontinence
13.2%27.7%Worsening
Residents with depressive symptoms
22.4%3.4%Improving
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
—82.3%—
Long-stay residents given the pneumonia vaccine
94.4%95.8%Improving
Short-stay residents given the seasonal flu vaccine
—80.7%—
Short-stay residents given the pneumonia vaccine
83.3%92.2%Improving
What the inspectors found
The home failed to make sure the resident’s transfer or discharge met their needs and preferences and was safe. Cited October 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 627 — 42 CFR §483.15(c) — S/S: G
The home failed to ensure residents were free from physical restraints unless they were needed for medical treatment. Cited February 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 604 — 42 CFR §483.12 — S/S: G
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited April 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 727 — 42 CFR §483.35 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited December 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — 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 4 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 14 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $26,685 was recorded.
- PENALTY
A federal fine of $14,015 was recorded.
- INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
Penalties & enforcement
On record with Medicare: 2 fines · $40,700 in total fines · 1 payment denial.
- $26,685
Federal fine
Oct 8, 2025
- $14,015
Federal fine
Oct 8, 2025
- 26 days
Medicare/Medicaid payment denial
Feb 21, 2025
Operator & ownership
Recent ownership change · Apr 7, 2023
Now operated by Optalis Health and Rehabilitation of Three Rivers, previously Promedica Skilled Nursing and Rehabilitation (three Rivers).
- Ownership
- For profit - Corporation
- Chain
- Part of OPTALIS HEALTH & REHABILITATION · 37 homes · 2.3 stars avg
- Occupancy
- 80.9 residents on an average day (81% of 100 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 47 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.