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
Data as of July 1, 2026
2 of 5 overall
Optalis Health and Rehabilitation of Troy has an overall rating of 2 out of 5 stars, with a 1-star health inspection rating and 2-star staffing rating, though quality measures are rated 5 stars. It also has a recent abuse citation, $292,224 in fines over the last 24 months, and reported nurse staffing of 3.94 hours per resident per day, below the 4.1-hour federal benchmark.
Facility ratings
Health inspections
Staffing
3.9374 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 3.9374.
Staffing detail
- Registered nurses
- 0.49
- Licensed practical nurses
- 1.46
- Nurse aides
- 1.98
- Weekend nursing
- 3.33
Hours per resident per day.
Total staff turnover: 58%
Registered nurse turnover: 61%
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
36.4%22.5%Improving
Residents with a fall causing major injury
3.1%5.2%Worsening
Residents with pressure ulcers (bedsores)
6.7%1.2%Improving
Residents with a urinary tract infection
0%1.8%Worsening
Residents who lost too much weight
7.7%18.8%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
18.2%29.3%Worsening
Residents whose ability to walk got worse
21.5%26.3%Worsening
Long-stay residents on antianxiety or sleep medication
26.9%19.6%Improving
Short-stay residents newly given an antipsychotic
0.9%2%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
24.1%21.6%Improving
Residents with depressive symptoms
16.7%6%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
—100%—
Long-stay residents given the pneumonia vaccine
96.9%98.3%Improving
Short-stay residents given the seasonal flu vaccine
—97%—
Short-stay residents given the pneumonia vaccine
98.9%98.1%Worsening
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 was below the federal recommendation of 4.1 hours per resident per day.
- 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
Recent ownership change · Apr 7, 2023
Now operated by Optalis Health and Rehabilitation of Troy, previously Promedica Skilled Nursing and Rehabilitation (oakland).
- Ownership
- For profit - Corporation
- Chain
- Part of OPTALIS HEALTH & REHABILITATION · 37 homes · 2.3 stars avg
- Occupancy
- 118 residents on an average day (74% 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.