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Nursing HomeMedicaid Investigative

Optalis Health and Rehabilitation of Kingsford

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

1225 Woodward Avenue, Kingsford, MI 49801107 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.1/5

based on 56 Google reviews

5
4
3
2
1
Optalis Health and Rehabilitation of Kingsford Nursing Home in Kingsford, MI — Street View
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5/ 10
high Risk

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

Source: Medicare data

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 details
Food8.0Staff5.0Clean3.0Activities9.0Meds1.0MemoryN/AComms4.0ValueN/A

Strengths

  • 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

2345.0'18(3)3.95.0'20(1)1.05.0'23(15)3.24.6'25(11)3.3'26(4)

Distribution · 58 analyzed

5
43
4
2
3
0
2
2
1
11

How They Respond to Reviews

10%response rate

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

Rehab patient · 2019★★★★★

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.

Long-term resident's family · 2024☆☆☆☆

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

Long-term resident's family · 2025★★★★★
Source: 56 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.63hrs
85%
Registered nurses for medical care
Total Nursing
3.28hrs
80%
All nurses + aides combined
Staff Turnover
51%
Lower is better (< 30% = good)
RN Turnover
47%
Lower is better (< 30% = good)

Both 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

Medicare Rating
5/ 5
Better Than Avg

8

measures

Worse Than Avg

4

measures

Mixed Results

5

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility14.3%
Better than Avg
Here
14.3%
US
19.5%
MI
19.5%
Dickinson
23.5%
😔

Residents with depression symptoms

↓ Lower is better
This Facility4.3%
Mixed vs Avgs
Here
4.3%
US
12.1%
MI
4.2%
Dickinson
2.6%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility22.7%
Worse than Avg
Here
22.7%
US
15.5%
MI
15.0%
Dickinson
19.7%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility12.5%
Mixed vs Avgs
Here
12.5%
US
14.4%
MI
11.2%
Dickinson
19.7%
🩹

Residents with pressure sores (bedsores)

↓ Lower is better
This Facility11.9%
Worse than Avg
Here
11.9%
US
4.9%
MI
5.4%
Dickinson
5.0%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility14.3%
Mixed vs Avgs
Here
14.3%
US
15.3%
MI
13.1%
Dickinson
20.3%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility98.1%
Better than Avg
Here
98.1%
US
79.8%
MI
79.5%
Dickinson
88.1%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility96.6%
Better than Avg
Here
96.6%
US
81.8%
MI
83.0%
Dickinson
88.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.5%
Mixed vs Avgs
Here
1.5%
US
1.6%
MI
1.2%
Dickinson
1.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

12deficiencies
6penalties
Above state avg (9.8)
29 complaint-triggered
$139,667 in fines

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, 2026Complaint
1
0690Potential for harm · IsolatedCorrected

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, 2025Complaint
1
0689Potential for harm · IsolatedCorrected

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, 2025Routine
14
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0004Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0030Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

List the names and contact information of those in the facility.

0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0584Potential for harm · PatternCorrected

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.

0554Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

0628Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0697Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

0761Potential for harm · IsolatedCorrected

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, 2025Complaint
3
0554Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

0585Potential for harm · IsolatedCorrected

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.

0690Potential for harm · IsolatedCorrected

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, 2025Complaint
2
0725Actual harm · IsolatedCorrected

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.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

Jan 21, 2025Complaint
1
0842Potential for harm · IsolatedCorrected

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

Owner / Operator

Optalis Health and Rehabilitation of Kingsford

Organization Type

for profit

Chain Affiliation

Chain Name

Optalis Health & Rehabilitation

Chain Size

37 facilities nationwide

Chain avg rating: 2.5/5 · Rank 37 of 37 (Worst)

Ownership & Management

Owners

Om Holdco 5 LLC

Owner · Organization

100%

Optalis Lp Investors 5 LLC

Owner (parent company) · Organization

10%

Snw LLC

Owner (parent company) · Organization

30%

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

Siena Lending Group LLC5% or Greater Security InterestPatel, RajanManaging Control - Governing BodySharon, RobertManaging Control - Governing BodyOptum Management Solutions. INCManagerIrish, ColinManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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