Optalis Health and Rehabilitation of Grand Rapids
1950 32nd Street Se · Grand Rapids, MI · 49508 · 6164525900
120 certified beds For profit - Individual Chain: Optalis Health & Rehabilitation
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $128,989 in fines in the last 24 months.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
2 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$128,989 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
65% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.88 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.49 | 0.55–0.75 |
| Weekend hours / resident-day | 3.57 | ≈ weekday level |
| Nursing turnover / year | 65% | median 45% |
| Fines (3-yr window) | 2 · $136,785 |
Inspection citations (101 in the current record)
-
Potential for harm · D April 30, 2026 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected May 14, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D April 30, 2026 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 14, 2026 · Quality of Life and Care
-
Potential for harm · D April 30, 2026 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected May 14, 2026 · Resident Assessment and Care Planning
-
Actual harm · G March 5, 2026 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected March 24, 2026 · Quality of Life and Care
-
Potential for harm · D March 5, 2026 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected March 24, 2026 · Resident Rights
-
Potential for harm · D March 5, 2026 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected March 24, 2026 · Resident Assessment and Care Planning
-
Immediate jeopardy · J December 29, 2025 · found via complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected January 27, 2026 · Quality of Life and Care
-
Potential for harm · D December 29, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected January 27, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D December 29, 2025 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected January 27, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D December 29, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected January 27, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D December 29, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected January 27, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D December 29, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 27, 2026 · Quality of Life and Care
-
Potential for harm · D December 29, 2025 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected January 27, 2026 · Quality of Life and Care
-
Potential for harm · D December 29, 2025 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected February 10, 2026 · Quality of Life and Care
-
Potential for harm · D December 29, 2025 · found via complaint
Post nurse staffing information every day.
Corrected January 27, 2026 · Nursing and Physician Services
-
Potential for harm · D December 29, 2025 · found via complaint
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected January 27, 2026 · Nutrition and Dietary
-
Immediate jeopardy · J November 24, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected October 19, 2025 · Pharmacy Service
-
Potential for harm · F November 24, 2025 · found via complaint
Observe each nurse aide's job performance and give regular training.
Corrected December 12, 2025 · Nursing and Physician Services
-
Potential for harm · F November 24, 2025 · found via complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected December 12, 2025 · Administration
-
Potential for harm · F November 24, 2025 · found via complaint
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected December 12, 2025 · Administration
-
Potential for harm · F November 24, 2025 · found via complaint
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected December 12, 2025 · Nursing and Physician Services
-
Actual harm · G September 4, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 26, 2025 · Quality of Life and Care
-
Potential for harm · D September 4, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected September 22, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D September 4, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected September 26, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D September 4, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected September 26, 2025 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| November 24, 2025 | Payment Denial | 13 days |
| August 18, 2025 | Payment Denial | 51 days |
| January 14, 2025 | Fine | $128,989 |
| January 14, 2025 | Payment Denial | 63 days |
| December 5, 2023 | Fine | $7,796 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 235458 · certified since January 1, 1987. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.