Shelby Health and Rehabilitation Center

46100 Schoenherr Road · Shelby Township, MI · 48315 · 5865661100

212 certified beds For profit - Corporation Chain: Optalis Health & Rehabilitation

Why this verdict

  • Federal penalties on record: $41,847 in fines in the last 24 months.
  • 6 citations involved actual harm to residents.
  • Inspection results have improved across recent cycles.

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.

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Red flags

Medicare/Medicaid payments were denied

CMS refused payment for new admissions for a period — one of its strongest enforcement tools.

Score breakdown

Inspection record 30% of score 43
Serious harm & abuse 20% 70
Staffing 20% 63
Federal penalties 15% 49
Trend 10% 77
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.703.48 min · 4.1 strong
RN hours / resident-day0.470.55–0.75
Weekend hours / resident-day3.21≈ weekday level
Nursing turnover / year58%median 45%
Fines (3-yr window)1 · $41,847

Inspection citations (50 in the current record)

  • Potential for harm · D April 30, 2026 · found via complaint

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    Corrected May 26, 2026 · Resident Rights

  • Potential for harm · E September 4, 2025 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected September 19, 2025 · Quality of Life and Care

  • Potential for harm · D July 10, 2025 · found via complaint

    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 July 18, 2025 · Resident Rights

  • Actual harm · G April 2, 2025 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected May 1, 2025 · Quality of Life and Care

  • Potential for harm · D April 2, 2025 · found via complaint

    Allow residents to self-administer drugs if determined clinically appropriate.

    Corrected May 1, 2025 · Resident Rights

  • Potential for harm · D March 5, 2025

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected April 1, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D March 5, 2025

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected April 1, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D March 5, 2025

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    Corrected April 1, 2025 · Quality of Life and Care

  • Potential for harm · E March 5, 2025

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Corrected April 1, 2025 · Environmental

  • Potential for harm · D March 5, 2025 · found via complaint

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Corrected April 1, 2025 · Resident Rights

  • Potential for harm · D March 5, 2025 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected April 1, 2025 · Quality of Life and Care

  • Potential for harm · D March 5, 2025 · found via complaint

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Corrected April 1, 2025 · Pharmacy Service

  • Potential for harm · E March 5, 2025 · found via complaint

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Corrected April 1, 2025 · Pharmacy Service

  • Potential for harm · D March 5, 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 April 1, 2025 · Nutrition and Dietary

  • Potential for harm · F March 5, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected April 1, 2025 · Infection Control

  • Potential for harm · D March 5, 2025 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected April 1, 2025 · Quality of Life and Care

  • Actual harm · G November 13, 2024 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected November 27, 2024 · Quality of Life and Care

  • Potential for harm · D February 21, 2024 · found via complaint

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected March 19, 2024 · Resident Rights

  • Potential for harm · D February 21, 2024 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected March 19, 2024 · Quality of Life and Care

  • Potential for harm · D January 23, 2024

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

    Corrected February 27, 2024 · Resident Rights

  • Potential for harm · D January 23, 2024

    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 February 27, 2024 · Resident Rights

  • Potential for harm · D January 23, 2024

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected February 27, 2024 · Quality of Life and Care

  • Potential for harm · D January 23, 2024

    Provide appropriate foot care.

    Corrected February 27, 2024 · Quality of Life and Care

  • Potential for harm · D January 23, 2024

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

    Corrected February 27, 2024 · Quality of Life and Care

  • Potential for harm · D January 23, 2024

    Provide and implement an infection prevention and control program.

    Corrected February 27, 2024 · Infection Control

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
March 5, 2025Fine$41,847
March 5, 2025Payment Denial6 days

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 235506 · certified since July 2, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.