Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 235267

Optalis Health And Rehabilitation Of Kingsford

55 federal citations on record , including 1 at the Immediate Jeopardy level, and 6 federal enforcement actions totaling $139,667.

1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
55
Total citations
55
Last 3 years
4
Actual harm+
6
Federal penalties
$139,667
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care21 Resident Rights11 Nutrition & Dietary6 Medication & Pharmacy5 Administration5

Most common F-tags at this facility

F6894 F6844 F5853 F6903 F7553

Citation history

55 on record
SurveyF-TagViolationSeveritySource
Sep 16, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Jun 26, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Jun 26, 2025F761Ensure 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.DStandard
Jun 26, 2025F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
Jun 26, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Jun 26, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GStandard
Jun 26, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Jun 26, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Jun 26, 2025F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DStandard
Jun 26, 2025F584Honor 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.EStandard
Jun 26, 2025F554Allow residents to self-administer drugs if determined clinically appropriate.DStandard
May 1, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
May 1, 2025F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.DComplaint
May 1, 2025F554Allow residents to self-administer drugs if determined clinically appropriate.DComplaint
Mar 26, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.GComplaint
Mar 26, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Jan 21, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Jan 2, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
Jan 2, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Jan 2, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Nov 12, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint
Oct 30, 2024F880Provide and implement an infection prevention and control program.DComplaint
Oct 30, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Sep 25, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Sep 25, 2024F692Provide enough food/fluids to maintain a resident's health.DComplaint
Jul 24, 2024F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DComplaint
Jul 24, 2024F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.DComplaint
May 29, 2024F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.FComplaint
May 29, 2024F759Ensure medication error rates are not 5 percent or greater.DComplaint
May 29, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
May 29, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FComplaint
May 29, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
May 29, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.KComplaint
May 29, 2024F565Honor the resident's right to organize and participate in resident/family groups in the facility.EComplaint
May 29, 2024F944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.EStandard
May 29, 2024F908Keep all essential equipment working safely.FStandard
May 29, 2024F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyFStandard
May 29, 2024F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.FStandard
May 29, 2024F838Conduct 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.FStandard
May 29, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
May 29, 2024F808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.FStandard
May 29, 2024F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.FStandard
May 29, 2024F803Ensure 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.FStandard
May 29, 2024F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.FStandard
May 29, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Nov 22, 2023F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.EComplaint
Nov 22, 2023F558Reasonably accommodate the needs and preferences of each resident.EComplaint
Jul 14, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Jul 14, 2023F711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.DComplaint
Jul 14, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard
Jul 14, 2023F692Provide enough food/fluids to maintain a resident's health.DStandard
Jul 14, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Jul 14, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Jul 14, 2023F552Ensure that residents are fully informed and understand their health status, care and treatments.EStandard
Jul 14, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard

Federal enforcement history

Federal regulators have imposed 6 enforcement actions against this facility, including 4 civil money penalties totaling $139,667 and 2 payment-denial actions spanning 40 days.

DateTypeFinePayment denial
Jun 26, 2025Fine$26,685—
Jun 26, 2025Payment Denial—Jul 25, 2025 · 14 days
Mar 26, 2025Fine$9,110—
Oct 30, 2024Fine$12,841—
May 29, 2024Fine$91,031—
May 29, 2024Payment Denial—Jun 27, 2024 · 26 days
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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