Optalis Health and Rehabilitation of Three RiversCMS ratings, inspections and fines
- Address
- 517 S Erie St, Three Rivers, MI 49093
- CCN
- 235395
- Ownership type
- For-profit, corporation
- Certified beds
- 100
- Residents per day
- 81
- CMS flags
- CMS abuse icon
Open the watch listCare Compare record (Medicare.gov)
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CMS gives Optalis Health and Rehabilitation of Three Rivers an overall rating of 1 of 5 stars. The last standard survey was on 3 Dec 2025. The latest survey cycle has 32 health citations. The median for nursing homes in Michigan is 8. CMS lists 2 fines with a total of $40,700 for this home in its penalties file. CMS also lists 1 payment denial.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | St. Joseph County median | Michigan median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 2 | 3.0 | 4.0 | 2.9 |
| Quality measure rating | 4 | 4.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 4 homes in the county, 422 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Michigan median |
|---|---|---|---|
| Cycle 1 (latest) | 3 Dec 2025 | 32 | 8 |
| Cycle 2 | 1 Oct 2024 | 26 | 9 |
| Cycle 3 | No date | 19 | 10 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 32 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 30 Jun 2026 | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | G | Complaint investigation | 27 Jul 2026 |
| 30 Jun 2026 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Complaint investigation | 27 Jul 2026 |
| 30 Jun 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 27 Jul 2026 |
| 30 Jun 2026 | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Complaint investigation | 27 Jul 2026 |
| 2 Apr 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 24 Apr 2026 |
| 2 Apr 2026 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 5 Jun 2026 |
| 2 Apr 2026 | F0727 | 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. | F | Complaint investigation | 24 Apr 2026 |
| 2 Apr 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 8 May 2026 |
| 3 Dec 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 10 Jan 2026 |
| 3 Dec 2025 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | E | Standard survey | 10 Jan 2026 |
| 3 Dec 2025 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 10 Jan 2026 |
| 3 Dec 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 10 Jan 2026 |
| 3 Dec 2025 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard survey | 10 Jan 2026 |
| 3 Dec 2025 | F0584 | 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. | E | Standard survey | 10 Jan 2026 |
| 3 Dec 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 10 Jan 2026 |
| 3 Dec 2025 | F0659 | Provide care by qualified persons according to each resident's written plan of care. | D | Standard survey | 10 Jan 2026 |
| 3 Dec 2025 | F0690 | 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 | Standard survey | 10 Jan 2026 |
| 3 Dec 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 10 Jan 2026 |
| 3 Dec 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 10 Jan 2026 |
| 3 Dec 2025 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | Standard survey | 10 Jan 2026 |
| 3 Dec 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 10 Jan 2026 |
| 3 Dec 2025 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Complaint investigation | 10 Jan 2026 |
| 22 Oct 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Complaint investigation | 31 Oct 2025 |
| 22 Oct 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 31 Oct 2025 |
| 8 Oct 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 31 Oct 2025 |
| 8 Oct 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 31 Oct 2025 |
| 8 Oct 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 31 Oct 2025 |
| 8 Oct 2025 | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | G | Complaint investigation | 31 Oct 2025 |
| 8 Oct 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Complaint investigation | 31 Oct 2025 |
| 8 Oct 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 31 Oct 2025 |
| 8 Oct 2025 | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Complaint investigation | 31 Oct 2025 |
| 8 Oct 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 31 Oct 2025 |
Survey cycle 2: 26 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 29 Jul 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 25 Aug 2025 |
| 29 Jul 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 25 Aug 2025 |
| 29 Jul 2025 | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Complaint investigation | 25 Aug 2025 |
| 21 Feb 2025 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 18 Mar 2025 |
| 21 Feb 2025 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | G | Complaint investigation | 18 Mar 2025 |
| 21 Feb 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 15 Apr 2025 |
| 21 Feb 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 18 Mar 2025 |
| 21 Feb 2025 | F0761 | 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. | D | Complaint investigation | 18 Mar 2025 |
| 24 Oct 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 29 Oct 2024 |
| 1 Oct 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 29 Oct 2024 |
| 1 Oct 2024 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 29 Oct 2024 |
| 1 Oct 2024 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Complaint investigation | 29 Oct 2024 |
| 1 Oct 2024 | F0583 | Keep residents' personal and medical records private and confidential. | D | Complaint investigation | 29 Oct 2024 |
| 1 Oct 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 29 Oct 2024 |
| 1 Oct 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 29 Oct 2024 |
| 1 Oct 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 29 Oct 2024 |
| 1 Oct 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 29 Oct 2024 |
| 1 Oct 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 29 Oct 2024 |
| 1 Oct 2024 | F0730 | Observe each nurse aide's job performance and give regular training. | E | Standard survey | 29 Oct 2024 |
| 1 Oct 2024 | F0761 | 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 | Standard survey | 29 Oct 2024 |
| 1 Oct 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 29 Oct 2024 |
| 1 Oct 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 29 Oct 2024 |
| 1 Oct 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 29 Oct 2024 |
| 1 Oct 2024 | F0887 | 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. | D | Standard survey | 29 Oct 2024 |
| 1 Oct 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard survey | 29 Oct 2024 |
| 1 Oct 2024 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | Standard survey | 29 Oct 2024 |
Survey cycle 3: 19 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 30 May 2024 | F0567 | Honor the resident's right to manage his or her financial affairs. | D | Complaint investigation | 21 Jun 2024 |
| 30 May 2024 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 21 Jun 2024 |
| 30 May 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Complaint investigation | 21 Jun 2024 |
| 4 Jan 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Complaint investigation | 9 Feb 2024 |
| 4 Jan 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 9 Feb 2024 |
| 4 Jan 2024 | F0610 | Respond appropriately to all alleged violations. | E | Complaint investigation | 9 Feb 2024 |
| 2 Aug 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 30 Aug 2023 |
| 2 Aug 2023 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 30 Aug 2023 |
| 2 Aug 2023 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 30 Aug 2023 |
| 2 Aug 2023 | F0625 | 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. | D | Standard survey | 30 Aug 2023 |
| 2 Aug 2023 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 30 Aug 2023 |
| 2 Aug 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 30 Aug 2023 |
| 2 Aug 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 30 Aug 2023 |
| 2 Aug 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 30 Aug 2023 |
| 2 Aug 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 30 Aug 2023 |
| 2 Aug 2023 | F0761 | 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 | Standard survey | 30 Aug 2023 |
| 2 Aug 2023 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Complaint investigation | 30 Aug 2023 |
| 2 Aug 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 30 Aug 2023 |
| 2 Aug 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 30 Aug 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 8 Oct 2025 | Fine | $26,685 | |
| 8 Oct 2025 | Fine | $14,015 | |
| 21 Feb 2025 | Payment denial | 26 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Michigan median | Michigan average (CMS) |
|---|---|---|---|
| All nurse staff | 3.02 | 3.80 | 3.99 |
| Registered nurses (RN) | 0.62 | 0.70 | 0.78 |
| Licensed practical nurses (LPN) | 0.54 | 0.88 | |
| Nurse aides | 1.87 | 2.33 | |
| All nurse staff, weekends | 2.77 | 3.30 | 3.50 |
- Nurse staff turnover in a year
- 47.7%
- Nurse staff turnover, Michigan median
- 44.6%
- RN turnover in a year
- 52.6%
- Administrators who left in a year
- 1
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Michigan median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 5.2% | 9.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.8% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.8% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.6% | 2.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 11.9% | 10.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 7.0% | 4.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 9.7% | 13.5% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, corporation
- Legal business name
- Optalis Three Rivers Opco LLC
- Chain
- Optalis Health & Rehabilitation (36 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Om Holdco 5 LLC | 5% or greater direct ownership interest | 100% | 7 Apr 2023 |
| Optalis LP Investors 5 LLC | 5% or greater indirect ownership interest | 10% | 7 Apr 2025 |
| SNW LLC | 5% or greater indirect ownership interest | 30% | 7 Apr 2023 |
| Optum Management Solutions. Inc | Indirect ownership interest | 7 Apr 2023 | |
| Siena Lending Group LLC | 5% or greater security interest | 7 Apr 2023 | |
| Optum Management Solutions. Inc | Operational/managerial control | 7 Apr 2023 | |
| Cliftonlarsonallen LLP | Adp of the snf | 1 Jan 2025 | |
| Optum Management Solutions. Inc | Adp of the snf | 28 Nov 2025 |
The site shows organisations only. It does not show the names of persons.
Other homes in St. Joseph County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| The Orchards at Three RiversSpecial Focus candidate | Three Rivers | 1 of 5 | 45 | $137,535 | 5 Mar 2026 | |
| Fairview Nursing and Rehabilitation Community | Centreville | 4 of 5 | 5 | $55,738 | 24 Jul 2025 | |
| Froh Community Home | Sturgis | 3 of 5 | 4 | $0 | 21 May 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Optalis Health and Rehabilitation of Three Rivers (CCN 235395). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/optalis-health-and-rehabilitation-of-three-rivers-three-rivers-mi-235395/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Optalis Health and Rehabilitation of Three Rivers last inspected?
- The latest inspection with a citation in the CMS record was on 30 Jun 2026. It was a complaint investigation. It gave 4 citations. The standard survey before the last one was on 1 Oct 2024.
- Who operates Optalis Health and Rehabilitation of Three Rivers?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain Optalis Health & Rehabilitation. The CMS ownership file names Optum Management Solutions. Inc for operational or managerial control. This site does not show the names of persons.
- Is Optalis Health and Rehabilitation of Three Rivers a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 2 homes in Michigan as Special Focus Facilities and 10 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.