
Report
TheVardellReport
Optalis Health and Rehabilitation of Kingsford
Skilled nursing facility and nursing facility
1225 Woodward Avenue
Kingsford, MI 49801

TheVardellReport
Skilled nursing facility and nursing facility
1225 Woodward Avenue
Kingsford, MI 49801
Life by Vardell Presents
The deeper story, beautifully organized. Available records, historical context, and questions worth asking.
This report is free. Vardell does not certify, grade or endorse; it shows what the record documents.
The Essentials
Across 16 inspections from July 2023 to August 2026, state surveyors documented 61 findings at Optalis Health and Rehabilitation of Kingsford; 61 have a recorded correction; CMS lists 6 enforcement actions in the window.
* Partial year, through October 1, 2026.
| Year | Inspections | Findings | Of which, actual harm (level G or above) |
|---|---|---|---|
| 2023 | 2 | 10 | 0 |
| 2024 | 5 | 25 | 2 |
| 2025 | 6 | 20 | 2 |
| 2026 | 3 | 6 | 0 |
Chronology
Every inspection in the record window, newest first. A finding is a deficiency an inspector cited. CMS publishes what a complaint investigation cited, not what the complaint alleged.
3 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
2 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
1 finding
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
1 finding
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
10 findings
Enforcement Action
Civil money penalty, $17,610 imposed June 26, 2025. CMS publishes the fine, not whether it has been paid. CMS does not tie a penalty to a survey; listed with the standard health inspection of June 26, 2025, the nearest before the penalty date.
Enforcement Action
Denial of payment imposed June 26, 2025. Status: Closed, August 8, 2025. CMS does not tie a penalty to a survey; listed with the standard health inspection of June 26, 2025, the nearest before the penalty date.
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
3 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
2 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
1 finding
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
3 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
1 finding
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
2 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
2 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
2 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
18 findings
The same visit included a complaint investigation.
Enforcement Action
Civil money penalty, $91,031 imposed May 29, 2024. CMS publishes the fine, not whether it has been paid. CMS does not tie a penalty to a survey; listed with the standard health inspection of May 29, 2024, the nearest before the penalty date.
Enforcement Action
Denial of payment imposed May 29, 2024. Status: Closed, July 23, 2024. CMS does not tie a penalty to a survey; listed with the standard health inspection of May 29, 2024, the nearest before the penalty date.
Enforcement Action
Civil money penalty, $12,841 imposed October 30, 2024. CMS publishes the fine, not whether it has been paid. CMS does not tie a penalty to a survey; listed with the standard health inspection of May 29, 2024, the nearest before the penalty date.
Enforcement Action
Civil money penalty, $9,252 imposed March 26, 2025. CMS publishes the fine, not whether it has been paid. CMS does not tie a penalty to a survey; listed with the standard health inspection of May 29, 2024, the nearest before the penalty date.
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
2 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
8 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
Severity levels follow the CMS scope and severity grid. A–C: potential for minimal harm. D–F: no actual harm, potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy.
Context
A repeated citation can merit attention, but context and corrective action must be reviewed before drawing a conclusion.
Inspectors cited F684 in July 2023, November 2024, January 2025 and June 2025. This citation covers whether residents receive the treatment their orders, preferences and goals call for. The most serious of these was recorded at level G (actual harm). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F689 in July 2023, October 2024, June 2025 and September 2025. This citation covers whether residents are protected from accident hazards and supervised closely enough to prevent accidents, including falls. The most serious of these was recorded at level G (actual harm). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F690 in May 2024, January 2025, May 2025 and February 2026. This citation covers continence care, catheter care and preventing urinary tract infections. None rose above level D (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F755 in July 2023, May 2024, September 2024 and May 2026. This citation covers pharmacy services and the licensed pharmacist who oversees them. None rose above level E (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F585 in November 2023, July 2024 and May 2025. This citation covers residents’ right to voice grievances without reprisal, and the home’s process for resolving them. None rose above level E (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F725 in May 2024, March 2025 and August 2026. This citation covers whether there are enough nurses and aides to meet residents’ needs, with a licensed nurse in charge on each shift. The most serious of these was recorded at level G (actual harm). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F842 in July 2023, January 2025 and May 2026. This citation covers whether resident records are complete, accurate and kept confidential. None rose above level D (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F554 in May 2025 and June 2025. This citation covers whether a resident who keeps and takes their own medication has been assessed as safe to do so. None rose above level D (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F677 in March 2025 and June 2025. This citation covers help with bathing, dressing, eating and toileting for residents who cannot manage alone. None rose above level D (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F686 in May 2024 and January 2025. This citation covers how the home prevents and treats pressure injuries (bedsores). The most serious of these was recorded at level K (immediate jeopardy). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F692 in July 2023 and September 2024. This citation covers whether residents get enough food and fluids to stay healthy. None rose above level D (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F695 in May 2024 and June 2025. This citation covers oxygen, breathing treatments and other respiratory care. None rose above level D (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F812 in May 2024 and June 2025. This citation covers how food is stored, prepared and served. None rose above level F (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
For Your Next Visit
Bring these to the tour. Each one comes from something in the record; the reason is under the question.
How do nurses make sure a doctor’s orders are carried out, and how are families told when something is missed?
Quality of Care: cited in four inspections, most seriously at level G.
What changed in fall prevention and supervision after the last citation, and how do you check that it is still working?
Accident Hazards and Supervision: cited in four inspections, most seriously at level G.
How is continence care scheduled, and how do you prevent urinary infections?
Continence and Catheter Care: cited in four inspections, most seriously at level D.
How often does the consultant pharmacist review each resident’s medications?
Pharmacy Services: cited in four inspections, most seriously at level E.
How do we file a grievance, who answers it, and how quickly?
Grievances: cited in three inspections, most seriously at level E.
How many nurses and aides are on each shift, including nights and weekends, for the unit we are considering?
Nursing Staff Levels: cited in three inspections, most seriously at level G.
How can a family request a resident’s records, and how are they kept accurate?
Medical Records: cited in three inspections, most seriously at level D.
How do you decide whether a resident may keep and take their own medications?
Residents Taking Their Own Medication: cited in two inspections, most seriously at level D.
How long do residents usually wait for help with bathing, dressing or the bathroom, and how is that tracked?
Help With Daily Living: cited in two inspections, most seriously at level D.
How often are residents checked for pressure injuries and repositioned, and who is responsible for it?
Pressure Injury Care: cited in two inspections, most seriously at level K.
How are weight and fluid intake tracked, and what happens when a resident starts losing weight?
Nutrition and Hydration: cited in two inspections, most seriously at level D.
Who manages oxygen and breathing treatments on each shift, and how is the equipment checked?
Respiratory Care: cited in two inspections, most seriously at level D.
May we see the kitchen, and what do your own sanitation checks look like week to week?
Kitchen and Food Safety: cited in two inspections, most seriously at level F.
What led to the 2025 fine, and has it been paid?
A $17,610 civil money penalty was imposed June 26, 2025. CMS publishes the fine, not whether it has been paid. The record holds six enforcement actions in the window.
The Evidence
Inspection results and penalties are published by the Centers for Medicare & Medicaid Services from surveys conducted by the Michigan state survey agency.
Michigan state survey agency
Inspection Jul 14, 2023 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Michigan state survey agency
Inspection Nov 22, 2023 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Michigan state survey agency
Inspection May 29, 2024 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Michigan state survey agency
Inspection Jul 24, 2024 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Michigan state survey agency
Inspection Sep 25, 2024 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Michigan state survey agency
Inspection Oct 30, 2024 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Michigan state survey agency
Inspection Nov 12, 2024 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Michigan state survey agency
Inspection Jan 2, 2025 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Michigan state survey agency
Inspection Jan 21, 2025 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Michigan state survey agency
Inspection Mar 26, 2025 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Michigan state survey agency
Inspection May 1, 2025 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Michigan state survey agency
Inspection Jun 26, 2025 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Michigan state survey agency
Inspection Sep 16, 2025 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Michigan state survey agency
Inspection Feb 3, 2026 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Michigan state survey agency
Inspection May 13, 2026 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Michigan state survey agency
Inspection Aug 19, 2026 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Centers for Medicare & Medicaid Services
Published Oct 1, 2026 · Retrieved Nov 1, 2026
Centers for Medicare & Medicaid Services · 235267
Published Oct 1, 2026 · Retrieved Nov 1, 2026
Record windowJuly 14, 2023 – October 1, 2026
Historical coverage varies by agency and location. Missing records do not mean that no complaint or violation occurred.
Data architecture: Cierto supplies the source-backed machine-readable bundle. Life by Vardell independently creates the narrative, design, and consumer report.