01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-12-03 | 32 | 2025-12-03 | 12 |
| Cycle 2 | 2024-10-01 | 26 | 2024-10-01 | 11 |
| Cycle 3 | 2023-08-02 | 19 | 2023-08-02 | 9 |
CMS CCN 2353952026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Optalis Health And Rehabilitation Of Three Rivers
517 S Erie St · Three Rivers, MI 49093 · St. Joseph County
Certified beds100CMS provider file
Recent citation rows109current CMS citation release
Penalty rows3current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
109 rows in the current release
4 rows carry G–L scope/severity codes; 0 carry J–L. 30 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-06-30 · HEALTHF0627Severity G · isolated actual harm
Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Correction field: Deficient, Provider has plan of correction · 2026-07-27 · complaint2026-06-30 · HEALTHF0628Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Correction field: Deficient, Provider has plan of correction · 2026-07-27 · complaint2026-06-30 · HEALTHF0686Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has plan of correction · 2026-07-27 · complaint2026-06-30 · HEALTHF0745Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Correction field: Deficient, Provider has plan of correction · 2026-07-27 · complaint2026-04-02 · FIREE0004Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Correction field: Deficient, Provider has date of correction · 2026-04-24 · complaint2026-04-02 · FIREE0015Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Address subsistence needs for staff and patients.
Correction field: Deficient, Provider has date of correction · 2026-05-15 · complaint2026-04-02 · FIREE0037Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Establish staff and initial training requirements.
Correction field: Deficient, Provider has date of correction · 2026-04-24 · complaint2026-04-02 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2026-04-24 · complaint2026-04-02 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2026-06-05 · complaint2026-04-02 · HEALTHF0727Severity F · widespread; potential for more than minimal harm
Nursing and Physician Services Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2026-04-24 · complaint2026-04-02 · HEALTHF0842Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction field: Deficient, Provider has date of correction · 2026-05-08 · complaint2026-04-01 · FIREK0918Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has plan of correction · 2026-08-17 · complaint2026-04-01 · FIREK0923Severity E · pattern; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Correction field: Deficient, Provider has date of correction · 2026-04-30 · complaint2025-12-03 · FIREE0015Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Address subsistence needs for staff and patients.
Correction field: Deficient, Provider has date of correction · 2026-01-122025-12-03 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2026-01-102025-12-03 · HEALTHF0552Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Correction field: Deficient, Provider has date of correction · 2026-01-102025-12-03 · HEALTHF0554Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Correction field: Deficient, Provider has date of correction · 2026-01-102025-12-03 · HEALTHF0558Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Correction field: Deficient, Provider has date of correction · 2026-01-102025-12-03 · HEALTHF0565Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Correction field: Deficient, Provider has date of correction · 2026-01-102025-12-03 · HEALTHF0584Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2026-01-102025-12-03 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2026-01-102025-12-03 · HEALTHF0659Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Provide care by qualified persons according to each resident's written plan of care.
Correction field: Deficient, Provider has date of correction · 2026-01-102025-12-03 · HEALTHF0690Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Correction field: Deficient, Provider has date of correction · 2026-01-102025-12-03 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2026-01-1003 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2025-10-08 | Fine | $14,015 | 0 |
| 2025-10-08 | Fine | $26,685 | 0 |
| 2025-02-21 | Payment Denial | $0 | 26 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- OM HOLDCO 5 LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 04/07/2023
- OPTALIS LP INVESTORS 5 LLCOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST10% · since 04/07/2025
- SNW LLCOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST30% · since 04/07/2023
- OPTUM MANAGEMENT SOLUTIONS. INCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 04/07/2023
- SIENA LENDING GROUP LLCOrganization · 5% OR GREATER SECURITY INTERESTNOT APPLICABLE · since 04/07/2023
- PATEL, RAJANIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 04/07/2023
- SHARON, ROBERTIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 05/13/2024
- OPTUM MANAGEMENT SOLUTIONS. INCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/07/2023
- DORSEY, JASMINEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2025
- KEITH, ANGIEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/01/2025
- NONA MORGAN, CHARITY RENEEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2025
- PATEL, RAJANIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/07/2023
- SHARON, ROBERTIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 05/13/2024
- DUNN, CHARLESIndividual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE · since 11/28/2025
- SHAH, HEMANTIndividual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE · since 11/28/2025
- CLIFTONLARSONALLEN LLPOrganization · ADP OF THE SNFNOT APPLICABLE · since 01/01/2025
- OPTUM MANAGEMENT SOLUTIONS. INCOrganization · ADP OF THE SNFNOT APPLICABLE · since 11/28/2025
- SCHLAUPITZ MADHAVANOrganization · ADP OF THE SNFNOT APPLICABLE · since 01/01/2025
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.02per resident day
RN hours0.62per resident day
Weekend nurse hours2.77per resident day
Staff turnover47.7%CMS reported field
06 / LOCAL RECORDS
Open the Three Rivers ledger →