Optalis Health and Rehabilitation of Kingsford
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 56 Google reviews

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Low staffing rating (2/5 stars)
- Above-median deficiencies (16 vs median 8.0)
- High staff turnover (56%)
Bottom 25% in MI · Below recommended RN staffing · Worst in OPTALIS HEALTH & REHABILITATION chain · $139,667 in fines
What this means for your family
This facility's rehabilitation therapy department is highly regarded and often cited as a reason for successful recovery. However, there is a persistent and alarming pattern of reports regarding medication delays and hygiene neglect; we strongly advise families to conduct daily, unscheduled visits to monitor care quality and ensure basic needs are being met.
Google Reviews
Google Reviews
56 reviews on Google“Optalis Health and Rehabilitation of Kingsford receives highly polarized feedback, with many families praising the rehabilitation therapy team and individual staff members for their compassion. However, a recurring pattern of critical complaints describes severe neglect, including failure to administer medication, delayed response to call lights, and poor hygiene standards. Families considering this facility should be aware of these significant inconsistencies in care quality.”
Quality Themes
Tap a score for detailsStrengths
- Highly effective physical and occupational therapy
- Compassionate and attentive individual staff members
- Smooth admissions and transition process
- Engaging activities and social programs
Concerns
- Failure to administer medication on time (mentioned by 5 reviewers)
- Delayed or ignored call light responses (mentioned by 4 reviewers)
- Poor hygiene and failure to change incontinence products (mentioned by 4 reviewers)
- Unprofessional staff behavior and lack of engagement (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 58 analyzed
How They Respond to Reviews
This facility rarely responds to reviews.
Questions for Your Tour
- 1Given that physical and occupational therapy are noted as strengths here, how do you integrate those programs into the daily routines of residents who need consistent rehabilitation?
- 2I noticed some feedback regarding the timeliness of medication administration; what specific protocols or double-check systems do you have in place to ensure medications are delivered exactly as scheduled?
- 3Could you walk me through your current process for monitoring call lights and how you ensure that residents receive a timely response, especially during shift changes or busy periods?
- 4Maintaining hygiene and comfort is a top priority for our family; what is your facility’s standard for checking and changing incontinence products, and how is this documented for each resident?
- 5I appreciate that your team engages with online feedback; how do you use that input to improve communication between the nursing staff and family members regarding a loved one's daily care?
- 6With the current staffing levels, how do you ensure that staff members have enough time to provide not just medical care, but also the personal, compassionate attention that makes residents feel truly at home?
Personalized based on this facility's data
Key Review Excerpts
“The nurses and CNA'S where amazing. But I would like to say that their physical therapy was unsurpassed they helped me muscle through when I didn't think I was capable, with laughter and caring hands”
“My mother has been a resident at this facility for several days, and I have significant concerns about the quality of care she has received. Her basic needs are not being properly addressed, and staff members have been dismissive, unresponsive, and, at times, disrespectful and argumentative toward her.”
“The entire team has been wonderful, but I want to especially recognize Amber, Logan, Ailene, and Michelle for their extraordinary kindness and compassion. They treated my mom with genuine warmth, respect, and attentiveness”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
8
measures
4
measures
5
measures
Residents on anti-anxiety or sleep medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents needing more daily help over time
Residents with pressure sores (bedsores)
Residents whose walking got worse
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have frequently filed reports triggering 28 deficiencies, indicating ongoing concerns about care quality and treatment. The facility shows persistent problems with basic care including wound care, daily living assistance, and accident prevention across multiple surveys. Medication management issues, including error rates, have also recurred. While all deficiencies show correction dates, the pattern of repeated problems in fundamental care areas and high complaint volume suggests families should visit carefully and ask specific questions about improvements.
Feb 3, 2026Complaint1
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.
Sep 16, 2025Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jun 26, 2025Routine14
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Emergency Preparedness Deficiencies
List the names and contact information of those in the facility.
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
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.
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Pharmacy Service Deficiencies
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.
May 1, 2025Complaint3
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies
Honor 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.
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.
Mar 26, 2025Complaint2
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Jan 21, 2025Complaint1
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.
Federal Penalties
Fine
Jun 26, 2025
$17,345
Payment Denial
Jun 26, 2025
14-day denial
Fine
Mar 26, 2025
$9,252
Fine
Oct 30, 2024
$12,841
Fine
May 29, 2024
$91,031
Payment Denial
May 29, 2024
26-day denial
Ownership & Operations
Who Operates This Facility
Optalis Health and Rehabilitation of Kingsford
for profit
Chain Affiliation
Optalis Health & Rehabilitation
37 facilities nationwide
Chain avg rating: 2.5/5 · Rank 37 of 37 (Worst)
Ownership & Management
Owners
Om Holdco 5 LLC
Owner · Organization
Optalis Lp Investors 5 LLC
Owner (parent company) · Organization
Snw LLC
Owner (parent company) · Organization
Optum Management Solutions. INC
Owner (parent company) · Organization
Dunn, Charles
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Shah, Hemant
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
56 reviews from families & visitors
Official Website
Visit optalishealthcare.com
Medicare data downloads
Original nursing home datasets
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