{"schema_version":"1.0.0","facility":{"id":"cms-235261","ccn":"235261","name":"Optalis Health & Rehabilitation at Leonard","source_name":"Optalis Health & Rehabilitation at Leonard","facility_types":["skilled_nursing_facility","nursing_home"],"primary_type":"skilled_nursing_facility","universe":"cms_certified_nursing_homes","source_type_label":"Medicare and Medicaid","status":"active","status_label":"Active CMS certification","status_evidence":"VERIFIED","state":"MI","address":{"line1":"1700 Leonard Street NE","city":"Grand Rapids","state":"MI","zip":"49505","county_name":"Kent County","county_fips":"26081","county_method":"name_match","ssa_county_code":"400","urban":true},"location":{"lat":42.9844,"lon":-85.628,"method":"cms_published_coordinates"},"phone":"6168852118","certification":{"authority":"CMS","ccn":"235261","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"1975-10-01","certified_beds":69,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/235261"},"licenses":[],"license_note":"State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.","capacity":{"certified_beds":69,"avg_residents_per_day":62.2},"ownership_type":"For profit - Corporation","ownership_class":"for_profit","legal_business_name":"OPTALIS LEONARD OPCO LLC","flags":{"ccrc":false,"abuse_icon":false,"high_performing":false,"inspection_over_2y":false,"changed_ownership_12mo":false,"resident_family_council":"Resident","sprinklers_all_areas":"Yes"},"ratings":{"overall":{"value":2},"health_inspection":{"value":3},"quality_measures":{"value":4},"long_stay_qm":{"value":4},"short_stay_qm":{"value":4},"staffing":{"value":1},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":1.89184,"lpn_hprd":0.81193,"rn_hprd":0.35911,"licensed_hprd":1.17104,"total_nurse_hprd":3.06288,"weekend_total_nurse_hprd":2.81926,"weekend_rn_hprd":0.14337,"pt_hprd":0.0682,"nursing_turnover_pct":68.8,"rn_turnover_pct":64.3,"administrators_left":3,"case_mix_index":1.27105,"case_mix_index_ratio":0.90129,"case_mix_total_nurse_hprd":3.51581,"adjusted_total_nurse_hprd":3.37165,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2026-04-09","cycle1_deficiencies":11,"cycle1_score":60,"cycle2_date":"2025-02-26","cycle23_deficiencies":11,"cycle23_score":60,"total_weighted_score":60},"cms_penalty_counts":{"fines":0,"fine_total":0,"payment_denials":0,"total":0},"chain":{"id":"cms-chain-601","cms_chain_id":"601","name":"OPTALIS HEALTH & REHABILITATION"},"operator_id":"op-optalis-leonard-opco-llc","first_seen":"2026-11-07T00:15:24.640Z","last_changed":"2026-11-07T00:15:24.640Z","profile_url":"https://www.medicare.gov/care-compare/details/nursing-home/235261","provenance":[{"source_id":"cms_provider_info","source_record_id":"235261","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=235261&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["name","address","phone","certification","certified_beds","ownership_type","legal_business_name","chain"],"evidence_class":"VERIFIED","status":"current"},{"source_id":"cms_provider_info","source_record_id":"235261","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=235261&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["ratings","staffing","health_survey_score"],"evidence_class":"VERIFIED","status":"current","note":"Five-Star ratings and PBJ staffing apply to the CMS-certified universe only."}],"inspection_summary":{"count":8,"health_count":5,"fire_count":3,"complaint_count":5,"latest_date":"2026-04-09","latest_standard_health":"2026-04-09","earliest_date":"2024-03-14","window_note":"CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.","evidence_class":"VERIFIED"},"deficiency_summary":{"count":37,"health_count":27,"fire_count":10,"open_count":0,"actual_harm_count":0,"immediate_jeopardy_count":0,"serious_count":0,"complaint_count":5,"by_severity":{"potential":37},"by_scope_severity":{"E":15,"D":17,"F":5},"by_concept":{"environment_life_safety":10,"food_nutrition":6,"infection_prevention":3,"resident_rights":5,"clinical_care":12,"staffing":1},"type_ids":["cms-k0363","cms-k0372","cms-k0711","cms-f0803","cms-f0806","cms-f0812","cms-f0880","cms-f0550","cms-f0561","cms-f0584","cms-f0628","cms-f0658","cms-f0677","cms-f0686","cms-f0689","cms-k0321","cms-k0511","cms-f0657","cms-f0684","cms-f0688","cms-f0695","cms-f0810","cms-k0232","cms-k0324","cms-k0741","cms-k0918","cms-f0725","cms-f0801","cms-f0602","cms-f0842"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":0,"fines":0,"fine_total":0,"payment_denials":0},"ownership_summary":{"disclosures":20,"organizations":10,"individuals":9,"not_available":false}},"row":{"id":"cms-235261","ccn":"235261","name":"Optalis Health & Rehabilitation at Leonard","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"MI","city":"Grand Rapids","zip":"49505","county_fips":"26081","county_name":"Kent County","address":"1700 Leonard Street NE","beds":69,"residents":62.2,"ownership":"for_profit","operator_id":"op-optalis-leonard-opco-llc","operator_name":"Optalis Leonard Opco LLC","chain_id":"cms-chain-601","chain_name":"Optalis Health & Rehabilitation","lat":42.9844,"lon":-85.628,"overall":2,"health_rating":3,"staffing_rating":1,"qm_rating":4,"nurse_hprd":3.06,"turnover":68.8,"inspections":8,"last_inspection":"2026-04-09","deficiencies":37,"serious":0,"ij":0,"open":0,"penalties":0,"fines_total":0,"deficiency_type_ids":["cms-k0363","cms-k0372","cms-k0711","cms-f0803","cms-f0806","cms-f0812","cms-f0880","cms-f0550","cms-f0561","cms-f0584","cms-f0628","cms-f0658","cms-f0677","cms-f0686","cms-f0689","cms-k0321","cms-k0511","cms-f0657","cms-f0684","cms-f0688","cms-f0695","cms-f0810","cms-k0232","cms-k0324","cms-k0741","cms-k0918","cms-f0725","cms-f0801","cms-f0602","cms-f0842"],"universe":"cms","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-optalis-leonard-opco-llc","name":"Optalis Leonard Opco LLC","legal_name":"OPTALIS LEONARD OPCO LLC","facility_count":1,"states":["MI"],"match_method":"exact_normalized_legal_name","evidence_class":"CORROBORATED"},"chain":{"id":"cms-chain-601","name":"Optalis Health & Rehabilitation","cms_chain_id":"601","facility_count":36,"states":["MI","OH"],"cms_reported":{"facility_count":36,"avg_overall_rating":2.5,"avg_health_inspection_rating":2,"avg_staffing_rating":2.4,"avg_qm_rating":4.3}},"ownership":[{"owner_id":"org-om-hold-co-9-llc","owner_type":"organization","owner_name":"Om Hold Co 9 LLC","role":"direct_owner","role_raw":"5% OR GREATER DIRECT OWNERSHIP INTEREST","percentage":100,"percentage_raw":"100%","association_date":"2025-07-01"},{"owner_id":"org-paar-108-llc","owner_type":"organization","owner_name":"Paar 108 LLC","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2025-07-01"},{"owner_id":"org-pinal-r-patel-2017-irrevocable-trust-f-b-o-aarna-r-patel","owner_type":"organization","owner_name":"Pinal R. Patel 2017 Irrevocable Trust F/B/O Aarna R. Patel","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2025-07-01"},{"owner_id":"org-pinal-r-patel-2017-irrevocable-trust-f-b-o-ansh-r-patel","owner_type":"organization","owner_name":"Pinal R. Patel 2017 Irrevocable Trust F/B/O Ansh R. Patel","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2025-07-01"},{"owner_id":"org-pinal-r-patel-2020-irrevocable-family-trust-uad-10-6-2020","owner_type":"organization","owner_name":"Pinal R. Patel 2020 Irrevocable Family Trust Uad 10-6-2020","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2025-07-01"},{"owner_id":"org-rajan-g-patel-2020-irr-fam-tr-uad-12-3-2020","owner_type":"organization","owner_name":"Rajan G Patel 2020 Irr Fam Tr Uad 12-3-2020","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2025-07-01"},{"owner_type":"individual","owner_name":"Rajan Patel","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2025-07-01","owner_name_raw":"PATEL, RAJAN"},{"owner_id":"org-optum-management-solutions-inc","owner_type":"organization","owner_name":"Optum Management Solutions. Inc","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2025-07-01"},{"owner_type":"individual","owner_name":"James Bowers","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2025-07-01","owner_name_raw":"BOWERS, JAMES"},{"owner_type":"individual","owner_name":"Robert Sharon","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2025-07-01","owner_name_raw":"SHARON, ROBERT"},{"owner_type":"individual","owner_name":"Krystyna Solarewicz","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2025-07-01","owner_name_raw":"SOLAREWICZ, KRYSTYNA"},{"owner_type":"individual","owner_name":"Mary Ziomkowski","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2025-07-01","owner_name_raw":"ZIOMKOWSKI, MARY"},{"owner_type":"individual","owner_name":"Rajan Patel","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2025-07-01","owner_name_raw":"PATEL, RAJAN"},{"owner_id":"org-1700-leonard-st-ne-propco-llc","owner_type":"organization","owner_name":"1700 Leonard St NE Propco LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-07-01"},{"owner_id":"org-cliftonlarsonallen","owner_type":"organization","owner_name":"Cliftonlarsonallen","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-07-01"},{"owner_id":"org-optum-management-solutions-inc","owner_type":"organization","owner_name":"Optum Management Solutions. Inc","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-07-01"},{"owner_id":"org-schlaupitz-madhavan","owner_type":"organization","owner_name":"Schlaupitz Madhavan","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-07-01"},{"owner_type":"individual","owner_name":"Marianne Conner","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-07-01","owner_name_raw":"CONNER, MARIANNE"},{"owner_type":"individual","owner_name":"Krystyna Solarewicz","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2026-02-20","owner_name_raw":"SOLAREWICZ, KRYSTYNA"},{"owner_type":"individual","owner_name":"Mary Ziomkowski","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2026-02-20","owner_name_raw":"ZIOMKOWSKI, MARY"}],"inspections":[{"id":"cms-235261-20260409-fire","ccn":"235261","date":"2026-04-09","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":3,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0363","ss":"E","sl":2,"cs":"corrected","cd":"2026-04-24","std":1,"tv":"New"},{"t":"cms-k0372","ss":"E","sl":2,"cs":"corrected","cd":"2026-04-24","std":1,"tv":"New"},{"t":"cms-k0711","ss":"E","sl":2,"cs":"corrected","cd":"2026-04-24","std":1,"tv":"New"}]},{"id":"cms-235261-20260409-health","ccn":"235261","date":"2026-04-09","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint","Health Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":11,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0550","ss":"D","sl":2,"cs":"corrected","cd":"2026-05-05","std":1},{"t":"cms-f0561","ss":"D","sl":2,"cs":"corrected","cd":"2026-05-05","std":1},{"t":"cms-f0584","ss":"D","sl":2,"cs":"corrected","cd":"2026-05-05","std":1},{"t":"cms-f0628","ss":"D","sl":2,"cs":"past_noncompliance","cd":"2026-03-11","std":1},{"t":"cms-f0658","ss":"D","sl":2,"cs":"corrected","cd":"2026-05-05","cmp":1,"std":1},{"t":"cms-f0677","ss":"D","sl":2,"cs":"corrected","cd":"2026-05-05","std":1},{"t":"cms-f0686","ss":"D","sl":2,"cs":"corrected","cd":"2026-05-05","std":1},{"t":"cms-f0803","ss":"E","sl":2,"cs":"corrected","cd":"2026-05-05","std":1},{"t":"cms-f0806","ss":"E","sl":2,"cs":"corrected","cd":"2026-05-05","std":1},{"t":"cms-f0812","ss":"E","sl":2,"cs":"corrected","cd":"2026-05-05","std":1},{"t":"cms-f0880","ss":"E","sl":2,"cs":"corrected","cd":"2026-05-05","std":1}]},{"id":"cms-235261-20250618-health","ccn":"235261","date":"2025-06-18","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0689","ss":"D","sl":2,"cs":"past_noncompliance","cd":"2025-04-03","cmp":1}]},{"id":"cms-235261-20250226-fire","ccn":"235261","date":"2025-02-26","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":2,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0321","ss":"E","sl":2,"cs":"corrected","cd":"2025-03-21","std":1,"tv":"New"},{"t":"cms-k0511","ss":"E","sl":2,"cs":"corrected","cd":"2025-03-21","std":1,"tv":"New"}]},{"id":"cms-235261-20250226-health","ccn":"235261","date":"2025-02-26","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint","Health Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":8,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0657","ss":"D","sl":2,"cs":"corrected","cd":"2025-03-21","std":1},{"t":"cms-f0677","ss":"D","sl":2,"cs":"corrected","cd":"2025-03-21","std":1},{"t":"cms-f0684","ss":"D","sl":2,"cs":"corrected","cd":"2025-03-21","cmp":1,"std":1},{"t":"cms-f0688","ss":"D","sl":2,"cs":"corrected","cd":"2025-03-21","std":1},{"t":"cms-f0695","ss":"D","sl":2,"cs":"corrected","cd":"2025-03-21","std":1},{"t":"cms-f0810","ss":"D","sl":2,"cs":"corrected","cd":"2025-03-21","std":1},{"t":"cms-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2025-03-21","std":1},{"t":"cms-f0880","ss":"E","sl":2,"cs":"corrected","cd":"2025-03-21","std":1}]},{"id":"cms-235261-20240530-health","ccn":"235261","date":"2024-05-30","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0689","ss":"D","sl":2,"cs":"past_noncompliance","cd":"2024-04-29","cmp":1}]},{"id":"cms-235261-20240314-fire","ccn":"235261","date":"2024-03-14","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":5,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0232","ss":"F","sl":2,"cs":"corrected","cd":"2024-04-05","std":1,"tv":"New"},{"t":"cms-k0324","ss":"F","sl":2,"cs":"corrected","cd":"2024-04-05","std":1,"tv":"New"},{"t":"cms-k0363","ss":"E","sl":2,"cs":"corrected","cd":"2024-04-05","std":1,"tv":"New"},{"t":"cms-k0741","ss":"F","sl":2,"cs":"corrected","cd":"2024-04-05","std":1,"tv":"New"},{"t":"cms-k0918","ss":"F","sl":2,"cs":"corrected","cd":"2024-04-05","std":1,"tv":"New"}]},{"id":"cms-235261-20240314-health","ccn":"235261","date":"2024-03-14","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint","Health Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":6,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0602","ss":"D","sl":2,"cs":"past_noncompliance","cd":"2023-02-20","cmp":1,"std":1},{"t":"cms-f0677","ss":"E","sl":2,"cs":"corrected","cd":"2024-04-05","std":1},{"t":"cms-f0725","ss":"E","sl":2,"cs":"corrected","cd":"2024-04-05","std":1},{"t":"cms-f0801","ss":"E","sl":2,"cs":"corrected","cd":"2024-04-05","std":1},{"t":"cms-f0842","ss":"D","sl":2,"cs":"corrected","cd":"2024-04-05","std":1},{"t":"cms-f0880","ss":"E","sl":2,"cs":"corrected","cd":"2024-04-05","std":1}]}],"deficiency_types":{"cms-k0363":{"code":"K-0363","title":"Install corridor and hallway doors that block smoke.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0372":{"code":"K-0372","title":"Ensure smoke barriers are constructed to a 1 hour fire resistance rating.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0711":{"code":"K-0711","title":"Provide a written emergency evacuation plan.","category":"Miscellaneous Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0803":{"code":"F-0803","title":"Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0806":{"code":"F-0806","title":"Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0812":{"code":"F-0812","title":"Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0880":{"code":"F-0880","title":"Provide and implement an infection prevention and control program.","category":"Infection Control Deficiencies","concept":"infection_prevention","concept_label":"Infection prevention"},"cms-f0550":{"code":"F-0550","title":"Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0561":{"code":"F-0561","title":"Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0584":{"code":"F-0584","title":"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.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0628":{"code":"F-0628","title":"Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0658":{"code":"F-0658","title":"Ensure services provided by the nursing facility meet professional standards of quality.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0677":{"code":"F-0677","title":"Provide care and assistance to perform activities of daily living for any resident who is unable.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0686":{"code":"F-0686","title":"Provide appropriate pressure ulcer care and prevent new ulcers from developing.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0689":{"code":"F-0689","title":"Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-k0321":{"code":"K-0321","title":"Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0511":{"code":"K-0511","title":"Have properly installed electrical wiring and gas equipment.","category":"Services Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0657":{"code":"F-0657","title":"Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0684":{"code":"F-0684","title":"Provide appropriate treatment and care according to orders, resident’s preferences and goals.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0688":{"code":"F-0688","title":"Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0695":{"code":"F-0695","title":"Provide safe and appropriate respiratory care for a resident when needed.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0810":{"code":"F-0810","title":"Provide special eating equipment and utensils for residents who need them and appropriate assistance.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-k0232":{"code":"K-0232","title":"Have corridors or aisles that are unobstructed and are at least 8 feet in width.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0324":{"code":"K-0324","title":"Provide properly protected cooking facilities.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0741":{"code":"K-0741","title":"Have posted \"No-smoking\" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.","category":"Miscellaneous Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0918":{"code":"K-0918","title":"Have generator or other power source capable of supplying service within 10 seconds.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0725":{"code":"F-0725","title":"Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.","category":"Nursing and Physician Services Deficiencies","concept":"staffing","concept_label":"Staffing & supervision"},"cms-f0801":{"code":"F-0801","title":"Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0602":{"code":"F-0602","title":"Protect each resident from the wrongful use of the resident's belongings or money.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0842":{"code":"F-0842","title":"Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"}},"penalties":[],"state_actions":[],"record_urls":{"cms_provider_info":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=235261&conditions%5B0%5D%5Boperator%5D=%3D","cms_ownership":"https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=235261&conditions%5B0%5D%5Boperator%5D=%3D","cms_health_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=235261&conditions%5B0%5D%5Boperator%5D=%3D","cms_fire_safety_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=235261&conditions%5B0%5D%5Boperator%5D=%3D","cms_penalties":"https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=235261&conditions%5B0%5D%5Boperator%5D=%3D","cms_inspection_dates":"https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=235261&conditions%5B0%5D%5Boperator%5D=%3D"},"compact_keys":{"t":"deficiency_type_id","ss":"scope_severity_code","sl":"severity_level (1–4)","cs":"correction_status","cd":"correction_date","cmp":"complaint","std":"standard survey","ic":"infection control","idr":"under IDR","iidr":"under IIDR","tv":"tag version"},"benchmarks":{"state":{"key":"MI","overall_rating":3.2,"health_inspection_rating":2.8,"qm_rating":3.9,"staffing_rating":3.6,"avg_residents_per_day":85.2,"cycle1_health_deficiencies":9.9,"cycle1_fire_deficiencies":4.8,"nurse_aide_hprd":2.36,"lpn_hprd":0.89,"rn_hprd":0.77975,"licensed_hprd":1.67,"total_nurse_hprd":4.02916,"weekend_total_nurse_hprd":3.50463,"weekend_rn_hprd":0.49,"pt_hprd":0.07,"nursing_turnover_pct":44.6,"rn_turnover_pct":39.2,"administrators_left":0.4,"case_mix_index":1.29957,"fines":0.6,"fine_amount":28400,"processing_note":"CMS State and US Averages"},"nation":{"key":"NATION","overall_rating":3,"health_inspection_rating":2.8,"qm_rating":3.7,"staffing_rating":3,"avg_residents_per_day":85.7,"cycle1_health_deficiencies":9.2,"cycle1_fire_deficiencies":4.4,"nurse_aide_hprd":2.35,"lpn_hprd":0.86,"rn_hprd":0.69164,"licensed_hprd":1.55,"total_nurse_hprd":3.90085,"weekend_total_nurse_hprd":3.43303,"weekend_rn_hprd":0.48,"pt_hprd":0.07,"nursing_turnover_pct":45.3,"rn_turnover_pct":42.5,"administrators_left":0.5,"case_mix_index":1.41025,"fines":0.9,"fine_amount":30351,"processing_note":"CMS State and US Averages"}},"geo":{"state":{"code":"MI","name":"Michigan"},"county":{"fips":"26081","name":"Kent County"},"zip":"49505","city":"Grand Rapids"},"related":{"same_operator":[],"same_operator_total":0,"same_chain":[{"id":"cms-235004","ccn":"235004","name":"Optalis Health & Rehabilitation of Muskegon","address":"1061 West Hackley Avenue","city":"Muskegon","state":"MI","zip":"49441","beds":107,"overall":1,"inspections":11,"last_inspection":"2026-08-20","deficiencies":74,"serious":1,"ij":0,"open":2,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-235032","ccn":"235032","name":"Optalis Health & Rehabilitation of Ionia","address":"814 East Lincoln Avenue","city":"Ionia","state":"MI","zip":"48846","beds":107,"overall":4,"inspections":7,"last_inspection":"2026-03-25","deficiencies":35,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-235103","ccn":"235103","name":"Optalis Health & Rehabilitation at Kent-Crossing","address":"2320 E Beltline SE","city":"Grand Rapids","state":"MI","zip":"49546","beds":182,"overall":1,"inspections":12,"last_inspection":"2026-08-18","deficiencies":101,"serious":2,"ij":0,"open":0,"fines_total":0,"abuse":true,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-235109","ccn":"235109","name":"Optalis Health and Rehabilitation of Grosse Pointe","address":"21401 Mack Avenue","city":"Grosse Pointe Woods","state":"MI","zip":"48236","beds":80,"overall":4,"inspections":8,"last_inspection":"2025-09-29","deficiencies":47,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-235206","ccn":"235206","name":"Optalis Health & Rehabilitation of Whitehall","address":"916 East Lewis Street","city":"Whitehall","state":"MI","zip":"49461","beds":125,"overall":1,"inspections":12,"last_inspection":"2026-03-05","deficiencies":67,"serious":3,"ij":0,"open":0,"fines_total":0,"abuse":true,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-235217","ccn":"235217","name":"Optalis Health & Rehabilitation of Bloomfield Hill","address":"2975 N Adams Road","city":"Bloomfield Hills","state":"MI","zip":"48304","beds":159,"overall":1,"inspections":17,"last_inspection":"2026-08-24","deficiencies":100,"serious":4,"ij":0,"open":0,"fines_total":45935,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-235249","ccn":"235249","name":"Optalis Health and Rehabilitation at St. Francis","address":"915 North River Road","city":"Saginaw","state":"MI","zip":"48609","beds":94,"overall":2,"inspections":16,"last_inspection":"2026-06-09","deficiencies":72,"serious":4,"ij":1,"open":0,"fines_total":131073,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-235267","ccn":"235267","name":"Optalis Health and Rehabilitation of Kingsford","address":"1225 Woodward Avenue","city":"Kingsford","state":"MI","zip":"49801","beds":107,"overall":1,"inspections":19,"last_inspection":"2026-08-19","deficiencies":77,"serious":4,"ij":1,"open":3,"fines_total":130734,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]}],"same_chain_total":35,"same_site_review":[],"nearby":[{"id":"cms-235038","ccn":"235038","name":"Medilodge of Grand Rapids","address":"2000 Leonard NE","city":"Grand Rapids","state":"MI","zip":"49505","beds":55,"overall":1,"inspections":11,"last_inspection":"2026-06-23","deficiencies":93,"serious":9,"ij":3,"open":0,"fines_total":67985,"sff":"SFF Candidate","status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":0.7},{"id":"cms-235075","ccn":"235075","name":"Corewell Health Grand Rapids Hospitals Rehabilitat","address":"1226 Cedar Street NE","city":"Grand Rapids","state":"MI","zip":"49503","beds":120,"overall":5,"inspections":8,"last_inspection":"2026-01-15","deficiencies":28,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":1},{"id":"cms-235731","ccn":"235731","name":"Corewell Health Rehabilitation & Nursing Center -","address":"1001 Leffingwell Avenue NE","city":"Grand Rapids","state":"MI","zip":"49525","beds":80,"overall":5,"inspections":6,"last_inspection":"2025-07-09","deficiencies":4,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":2.3},{"id":"cms-235708","ccn":"235708","name":"Mary Free Bed Sub-Acute Rehabilitation","address":"235 Wealthy Street SE, 5th Floor","city":"Grand Rapids","state":"MI","zip":"49503","beds":48,"overall":4,"inspections":7,"last_inspection":"2026-05-13","deficiencies":14,"serious":1,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility"],"distance_km":3.5},{"id":"cms-235401","ccn":"235401","name":"Clark Retirement Community","address":"1551 Franklin Street SE","city":"Grand Rapids","state":"MI","zip":"49506","beds":39,"overall":1,"inspections":8,"last_inspection":"2025-07-30","deficiencies":37,"serious":2,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":4},{"id":"cms-235729","ccn":"235729","name":"Michigan Veteran Homes at Grand Rapids","address":"2950 Monroe NE","city":"Grand Rapids","state":"MI","zip":"49505","beds":128,"overall":5,"inspections":8,"last_inspection":"2026-06-11","deficiencies":15,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":4.5},{"id":"cms-235310","ccn":"235310","name":"Porter Hills Health Center","address":"3600 Fulton St E","city":"Grand Rapids","state":"MI","zip":"49546","beds":39,"overall":5,"inspections":6,"last_inspection":"2025-07-24","deficiencies":14,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":4.8},{"id":"cms-235649","ccn":"235649","name":"Valley Health Center","address":"1015 E Paris Ave SE","city":"Grand Rapids","state":"MI","zip":"49546","beds":20,"overall":5,"inspections":6,"last_inspection":"2025-07-31","deficiencies":10,"serious":1,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":6.3}]}}