CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Optalis Health and Rehabilitation of Three Rivers
View the most recent health deficiencies and inspection results for Optalis Health and Rehabilitation of Three Rivers. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Optalis Health and Rehabilitation of Three Rivers. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Address subsistence needs for staff and patients. | Fire Safety | 2026-04-02 | 2026-05-15 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2026-04-02 | 2026-05-08 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2026-04-02 | 2026-04-30 | Y |
| Have proper medical gas storage and administration areas. | Fire Safety | 2026-04-01 | 2026-04-30 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2026-04-02 | 2026-04-24 | Y |
| 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. | Health | 2026-04-02 | 2026-04-24 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2026-04-02 | 2026-04-24 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2026-04-02 | 2026-04-24 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-12-03 | 2026-02-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-12-03 | 2026-01-12 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-12-03 | 2026-01-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-12-03 | 2026-01-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-12-03 | 2026-01-12 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2025-12-03 | 2026-01-12 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2025-12-03 | 2026-01-12 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-12-03 | 2026-01-10 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-12-03 | 2026-01-10 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-12-03 | 2026-01-10 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2025-12-03 | 2026-01-10 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2025-12-03 | 2026-01-10 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2025-12-03 | 2026-01-10 | N |
| 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. | Health | 2025-12-03 | 2026-01-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-12-03 | 2026-01-10 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2025-12-03 | 2026-01-10 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2025-12-03 | 2026-01-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-12-03 | 2026-01-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-12-03 | 2026-01-10 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2025-12-03 | 2026-01-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-12-03 | 2026-01-10 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-10-08 | 2025-10-31 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2025-10-08 | 2025-10-31 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-10-08 | 2025-10-31 | Y |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-10-08 | 2025-10-31 | Y |
| Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | Health | 2025-10-08 | 2025-10-31 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-10-08 | 2025-10-31 | Y |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-10-22 | 2025-10-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-10-22 | 2025-10-31 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-10-08 | 2025-10-31 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-10-08 | 2025-10-31 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-07-29 | 2025-08-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-07-29 | 2025-08-25 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2025-07-29 | 2025-08-25 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-02-21 | 2025-04-15 | Y |
| 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. | Health | 2025-02-21 | 2025-03-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-02-21 | 2025-03-18 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2025-02-21 | 2025-03-18 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2025-02-21 | 2025-03-18 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-10-01 | 2024-10-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-10-01 | 2024-10-29 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-10-01 | 2024-10-29 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-10-01 | 2024-10-29 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-10-01 | 2024-10-29 | Y |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-10-01 | 2024-10-29 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-10-24 | 2024-10-29 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2024-10-01 | 2024-10-29 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-10-01 | 2024-10-29 | N |
| 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. | Health | 2024-10-01 | 2024-10-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-10-01 | 2024-10-29 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-10-01 | 2024-10-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-10-01 | 2024-10-29 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-10-01 | 2024-10-29 | N |
| 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. | Health | 2024-10-01 | 2024-10-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-10-01 | 2024-10-29 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-10-01 | 2024-10-29 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-10-01 | 2024-10-29 | N |
| 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. | Fire Safety | 2024-10-01 | 2024-10-29 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-10-01 | 2024-10-29 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-10-01 | 2024-10-29 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-10-01 | 2024-10-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-10-01 | 2024-10-29 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-10-01 | 2024-10-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-10-01 | 2024-10-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-10-01 | 2024-10-29 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-10-01 | 2024-10-29 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2024-10-01 | 2024-10-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-10-01 | 2024-10-29 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2024-05-30 | 2024-06-21 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-05-30 | 2024-06-21 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-05-30 | 2024-06-21 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-01-04 | 2024-02-09 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-04 | 2024-02-09 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-01-04 | 2024-02-09 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-08-02 | 2023-08-30 | N |
| 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. | Health | 2023-08-02 | 2023-08-30 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-08-02 | 2023-08-30 | Y |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-08-02 | 2023-08-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-02 | 2023-08-30 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-08-02 | 2023-08-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-02 | 2023-08-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-08-02 | 2023-08-30 | N |
| 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. | Health | 2023-08-02 | 2023-08-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-02 | 2023-08-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-02 | 2023-08-30 | N |
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2023-08-02 | 2023-08-30 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-08-02 | 2023-08-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-02 | 2023-08-30 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-08-02 | 2023-08-30 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-08-02 | 2023-08-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-08-02 | 2023-08-30 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-08-02 | 2023-08-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-02 | 2023-08-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-02 | 2023-08-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-08-02 | 2023-08-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-02 | 2023-08-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2026-04-01 | Not Fixed | Y |