Optalis Health and Rehabilitation of Three Rivers
517 S Erie St · Three Rivers, MI · 49093 · 2692738661
100 certified beds For profit - Corporation Chain: Optalis Health & Rehabilitation
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- 3 citations involved actual harm to residents.
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
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.
1 abuse-related citation 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.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
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: 2 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.09 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.67 | 0.55–0.75 |
| Weekend hours / resident-day | 2.84 | ≈ weekday level |
| Nursing turnover / year | 47% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (73 in the current record)
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Potential for harm · D April 2, 2026 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 24, 2026 · Resident Rights
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Potential for harm · D April 2, 2026 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected April 30, 2026 · Resident Assessment and Care Planning
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Potential for harm · F April 2, 2026 · found via complaint
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected April 24, 2026 · Nursing and Physician Services
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Potential for harm · D April 2, 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 8, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 3, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected January 10, 2026 · Resident Rights
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Potential for harm · E December 3, 2025
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected January 10, 2026 · Resident Rights
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Potential for harm · D December 3, 2025
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected January 10, 2026 · Resident Rights
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Potential for harm · D December 3, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected January 10, 2026 · Resident Rights
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Potential for harm · E December 3, 2025
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected January 10, 2026 · Resident Rights
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Potential for harm · E December 3, 2025
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected January 10, 2026 · Resident Rights
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Potential for harm · D December 3, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 10, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 3, 2025
Provide care by qualified persons according to each resident's written plan of care.
Corrected January 10, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 3, 2025
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 10, 2026 · Quality of Life and Care
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Potential for harm · D December 3, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected January 10, 2026 · Quality of Life and Care
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Potential for harm · F December 3, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 10, 2026 · Nutrition and Dietary
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Potential for harm · F December 3, 2025
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected January 10, 2026 · Administration
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Potential for harm · D December 3, 2025
Provide and implement an infection prevention and control program.
Corrected January 10, 2026 · Infection Control
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Potential for harm · D December 3, 2025 · found via complaint
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected January 10, 2026 · Infection Control
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Actual harm · G October 22, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 31, 2025 · Quality of Life and Care
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Potential for harm · D October 22, 2025 · found via complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected October 31, 2025 · Resident Rights
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Actual harm · G October 8, 2025 · found via complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected October 31, 2025 · Resident Rights
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Potential for harm · D October 8, 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 October 31, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 8, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected October 31, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 8, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected October 31, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 8, 2025 · found via complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected October 31, 2025 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 21, 2025 | Payment Denial | 26 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 235395 · certified since January 22, 1979. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.