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
Optalis Health and Rehabilitation of Three Rivers
Three Rivers, MI · Medicare-certified · 100 beds
Needs attention
Abuse citationFor-profitChain member
2 of 5 overall
Optalis Health and Rehabilitation of Three Rivers has a 2-star overall rating, with a 1-star health inspection rating and 2-star staffing rating offset by a 5-star quality measures rating. It reports 3.09 nurse staffing hours per resident per day versus the 4.1 federal benchmark, no fines in the last 24 months, and a recent abuse citation with inspection issues related to accident hazards, transfer/discharge planning, and physical restraints.
Facility ratings
Health inspections
Staffing
3.0944 hrs/resident/day
Quality measures
Last inspection: December 3, 2025Penalties, last 24 months: $0recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0944.
Staffing detail
- Registered nurses
- 0.67
- Licensed practical nurses
- 0.53
- Nurse aides
- 1.89
- Weekend nursing
- 2.84
Hours per resident per day.
Total staff turnover: 47%
Registered nurse turnover: 56%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
8.9%Steady
Residents with a fall causing major injury
3.9%Steady
Residents with pressure ulcers (bedsores)
8.3%Improving
Residents with a urinary tract infection
2.1%Improving
Residents who lost too much weight
5.8%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
6.1%Improving
Residents whose ability to walk got worse
10.4%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
17.6%Improving
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
1.2%Improving
Residents with new or worsening incontinence
20.4%Worsening
Residents with depressive symptoms
17.9%Improving
Long-stay residents given the seasonal flu vaccine
82.3%Steady
Long-stay residents given the pneumonia vaccine
92.6%Steady
Short-stay residents given the seasonal flu vaccine
80.7%Steady
Short-stay residents given the pneumonia vaccine
83.5%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 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
The nursing home failed to make sure its quality review group had the required members and met at least every three months. Cited December 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 868 — 42 CFR §483.75 — 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 14 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
Penalties & enforcement
On record with Medicare: 1 payment denial.
- 26 days
Medicare/Medicaid payment denial
Feb 21, 2025
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of OPTALIS HEALTH & REHABILITATION · 37 homes · 2.4 stars avg
- Occupancy
- 81.9 residents on an average day (82% 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.