The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited April 2025 — limited pattern, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: H
Nursing home report
Optalis Health and Rehabilitation of Troy
Troy, MI · Medicare-certified · 160 beds
Needs attention
Abuse citationFor-profitChain member
2 of 5 overall
Optalis Health and Rehabilitation of Troy has a 2-star overall rating, with a 1-star health inspection rating and 2-star staffing rating, though quality measures are 5 stars. It reports nurse staffing slightly above the federal benchmark (4.19 vs 4.1 hours per resident per day), $292,224 in fines over the last 24 months, and a recent abuse citation.
Facility ratings
Health inspections
Staffing
4.1943 hrs/resident/day
Quality measures
Last inspection: March 11, 2026Penalties, last 24 months: $292,224recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.1943.
Staffing detail
- Registered nurses
- 0.44
- Licensed practical nurses
- 1.69
- Nurse aides
- 2.07
- Weekend nursing
- 3.66
Hours per resident per day.
Total staff turnover: 55%
Registered nurse turnover: 68%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
27.5%Improving
Residents with a fall causing major injury
2.6%Improving
Residents with pressure ulcers (bedsores)
4.7%Steady
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
12.4%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
15.8%Steady
Residents whose ability to walk got worse
13.7%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
24%Improving
Short-stay residents newly given an antipsychotic
1.6%Worsening
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
26.8%Improving
Residents with depressive symptoms
13.3%Worsening
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
99.3%Steady
Short-stay residents given the seasonal flu vaccine
97%Steady
Short-stay residents given the pneumonia vaccine
98.1%Steady
What the inspectors found
The home failed to provide enough food and fluids to keep residents healthy. Cited April 2025 — limited pattern, actual harm.
View the original federal record
F-Tag 692 — 42 CFR §483.25(g) — S/S: H
The nursing home failed to protect residents from abuse and neglect by others. Cited March 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited April 2025 — 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 provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited September 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $67,909 was recorded.
- PENALTY
A federal fine of $224,315 was recorded.
Penalties & enforcement
On record with Medicare: 5 fines · $388,982 in total fines · 1 payment denial.
- $67,909
Federal fine
Jun 25, 2025
- $224,315
Federal fine
Apr 9, 2025
- $6,293
Federal fine
Oct 23, 2023
- 19 days
Medicare/Medicaid payment denial
Sep 28, 2023
- $87,291
Federal fine
Sep 28, 2023
- $3,174
Federal fine
Sep 18, 2023
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of OPTALIS HEALTH & REHABILITATION · 37 homes · 2.4 stars avg
- Occupancy
- 99.5 residents on an average day (62% of 160 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 19 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.