Federal inspection record · CMS data as of October 1, 2026
Optalis Health and Rehabilitation of Three Rivers
517 S Erie St, Three Rivers, MI · (269) 273-8661
- Cited for abuse (CMS abuse icon)
- Certified beds
- 100
- Residents per day
- 78
- Ownership
- For-Profit
- Chain
- Optalis Health & Rehabilitation
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 22, 1979
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Michigan.
-
Staffing
★★★★★no change (already 1)
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among Michigan homes
Optalis Health and Rehabilitation of Three Rivers carries 218 inspection points. That is fewer than 7% of Michigan's 420 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Michigan: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–18 pts
- 4★ 18–46 pts
- 3★ 46–78 pts
- 2★ 78–123 pts
- 1★ over 123 pts
Bars show every rated home in Michigan by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
77 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (4)
-
G
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
-
G
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Everything else, by area of care
Resident Rights19E
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Ensure that residents are fully informed and understand their health status, care and treatments.
- E
Honor the resident's right to organize and participate in resident/family groups in the facility.
- E
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.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- D
Keep residents' personal and medical records private and confidential.
- D
Honor the resident's right to manage his or her financial affairs.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Quality of Life and Care12E
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide medically-related social services to help each resident achieve the highest possible quality of life.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide medically-related social services to help each resident achieve the highest possible quality of life.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide medically-related social services to help each resident achieve the highest possible quality of life.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Resident Assessment and Care Planning12E
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Provide care by qualified persons according to each resident's written plan of care.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Freedom from Abuse, Neglect, and Exploitation10E
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Protect each resident from the wrongful use of the resident's belongings or money.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Protect each resident from the wrongful use of the resident's belongings or money.
- E
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- E
Respond appropriately to all alleged violations.
Infection Control6E
- D
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- E
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
- E
Provide and implement an infection prevention and control program.
Nursing and Physician Services4F
- F
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.
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- E
Observe each nurse aide's job performance and give regular training.
- D
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Nutrition and Dietary4F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Pharmacy Service3E
- D
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.
- E
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.
- E
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.
Environmental2E
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Administration1F
- F
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Inspection history
2025-12-03
32 health deficiencies · 12 fire-safety deficiencies
Top issue: Resident Rights (12 deficiencies)
2024-10-01
26 health deficiencies · 11 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2023-08-02
19 health deficiencies · 9 fire-safety deficiencies
Top issue: Resident Rights (5 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 3 min of nursing staff time a day, 28 min of it from a registered nurse.
This home
3 h 3 min
Michigan average
4 h 2 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 61% of nursing staff and 75% of registered nurses left in the past year, along with 2 administrators.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$26,455 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-10-08 | Fine | $9,110 |
| 2025-10-08 | Fine | $17,345 |
| 2025-02-21 | Payment Denial · 26 day denial | $0 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.6 pts worse | 2.3 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.8 pts worse | 3.4 | 1.6 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.5 pts worse | 92.9% | 95.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine13.7 pts worse | 81.8% | 95.5% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.2 pts worse | 4.2% | 3.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms0.7 pts better | 3.8% | 4.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.6 pts worse | 8.1% | 5.5% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1 pts better | 18.4% | 19.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication2 pts better | 12.7% | 14.7% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened1.7 pts better | 9.4% | 11.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4.2 pts better | 6.5% | 10.7% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts better | 0.0% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infectionAbout the same | 1.5% | 1.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.6 pts worse | 23.0% | 19.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.8 pts worse | 5.8% | 5.0% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine2 pts better | 85.4% | 83.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit11.9 pts worse | 23.6% | 11.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.1 pts better | 0.0% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine1.1 pts worse | 80.4% | 81.5% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission7.6 pts worse | 31.5% | 23.9% | 23.4% |
·
Who owns and runs it
30 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Om Holdco 5 LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 9 facilities |
| Charles Franklin LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 22 facilities |
| Charles Westland LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 20 facilities |
| Cliftonlarsonallen | Adp Of The SNF · Organization | 0% | 124 facilities |
| Conner, Marianne | Adp Of The SNF · Individual | 0% | 11 facilities |
| Dorsey, Jasmine | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Dorsey, Jasmine | Adp Of The SNF · Individual | 0% | 2 facilities |
| Dunn, Charles | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 14 facilities |
| Hemant Shah 2018 Irrevocable Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 23 facilities |
| Keith, Angie | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Keith, Angie | Adp Of The SNF · Individual | 0% | 3 facilities |
| Nona Morgan, Charity Renee | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Optalis LP Investors 5 LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 8 facilities |
| Optum Management Solutions. Inc | Indirect Ownership Interest · Organization | 0% | 24 facilities |
| Optum Management Solutions. Inc | Operational/Managerial Control · Organization | 0% | 24 facilities |
| Optum Management Solutions. Inc | Adp Of The SNF · Organization | 0% | 24 facilities |
| Paar 108 LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 32 facilities |
| Patel, Rajan | Managing Control - Governing Body · Individual | 0% | 17 facilities |
| Patel, Rajan | Operational/Managerial Control · Individual | 0% | 17 facilities |
| Pinal R. Patel 2017 Irrevocable Trust F/B/O Aarna R. Patel | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 30 facilities |
| Pinal R. Patel 2017 Irrevocable Trust F/B/O Ansh R. Patel | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 30 facilities |
| Pinal R. Patel 2020 Irrevocable Family Trust Uad 10-6-2020 | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 30 facilities |
| Rajan G Patel 2020 Irr Fam Tr Uad 12-3-2020 | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 30 facilities |
| Schlaupitz Madhavan | Adp Of The SNF · Organization | 0% | 29 facilities |
| Shah, Hemant | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 14 facilities |
| Sharon, Robert | Managing Control - Governing Body · Individual | 0% | 15 facilities |
| Sharon, Robert | Operational/Managerial Control · Individual | 0% | 15 facilities |
| Sharon, Robert | Adp Of The SNF · Individual | 0% | 15 facilities |
| Siena Lending Group LLC | 5% Or Greater Security Interest · Organization | 0% | 7 facilities |
| Snw LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 23 facilities |
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Fire safety
32 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke13F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Install an approved automatic sprinkler system.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Provide properly protected cooking facilities.
- E
Install corridor and hallway doors that block smoke.
- F
Provide properly protected cooking facilities.
- F
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Have properly sized and located compartments to protect residents from smoke.
- E
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems6F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Have proper medical gas storage and administration areas.
- F
Have proper medical gas storage and administration areas.
- E
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- D
Ensure proper usage of power strips and extension cords.
Emergency Preparedness5F
- F
Address subsistence needs for staff and patients.
- F
Establish staff and initial training requirements.
- F
Develop and maintain an Emergency Preparedness Program (EP).
- F
Address subsistence needs for staff and patients.
- F
Develop and maintain an Emergency Preparedness Program (EP).
Egress4F
- F
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- F
Install emergency lighting that can last at least 1 1/2 hours.
- E
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Services2F
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- E
Have properly installed electrical wiring and gas equipment.
Miscellaneous2F
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
·
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