Birch Meadows Afc
State licensed710 N. Douglas Avenue, Three Rivers, MI 49093
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Optalis Health and Rehabilitation of Three Rivers provides compassionate skilled nursing and rehabilitation services designed to help patients regain strength and independence. Our Three Rivers, Michigan team combines medical expertise with personalized care planning to support recovery goals at every stage.
Capacity
100 residents
Location
Three Rivers, MI
Status
Listed in a public registry
517 S Erie St, Three Rivers, Michigan 49093
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on December 3, 2025, state inspectors cited 32 health deficiencies (the Michigan average is 9.9).
Nurses and nurse aides spend 3 hours 1 minute with each resident a day, below the Michigan average of 3 hours 59 minutes.
Medicare fined Optalis Health and Rehabilitation of Three Rivers 2 times in the last three years, $40,700 in total.
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 1 minuteBelow the Michigan average |
| Registered nurse time per resident, per day | 37 minutesBelow the Michigan average |
| Nursing staff who left in the past year | 48%Above the Michigan average |
1 administrator has left the home in the past year.
64 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
June 30, 2026 · Complaint investigation · 4 citations
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
April 2, 2026 · Complaint investigation · 4 citations
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.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Honor the resident's right to organize and participate in resident/family groups in the facility.
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.
Ensure that residents are fully informed and understand their health status, care and treatments.
Provide and implement an infection prevention and control program.
Provide safe and appropriate respiratory care for a resident when needed.
Provide care by qualified persons according to each resident's written plan of care.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Reasonably accommodate the needs and preferences of each resident.
Allow residents to self-administer drugs if determined clinically appropriate.
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Respond appropriately to all alleged violations.
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Ensure services provided by the nursing facility meet professional standards of quality.
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.
Protect each resident from the wrongful use of the resident's belongings or money.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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.
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Provide and implement an infection prevention and control program.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Observe each nurse aide's job performance and give regular training.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
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.
Allow residents to self-administer drugs if determined clinically appropriate.
Keep residents' personal and medical records private and confidential.
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Protect each resident from the wrongful use of the resident's belongings or money.
Showing the 60 most recent. The full list is on Medicare.gov.
2 fines totaling $40,700 and 1 Medicare payment denial in the last three years.
517 S Erie StThree Rivers, MI 49093
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State inspectors visited on December 3, 2025 and cited 32 health deficiencies, 19 of them from complaint investigations. The Michigan average is 9.9.
Nurses and aides spend 3 hours 1 minute with each resident per day, including 37 minutes from registered nurses. 48% of nursing staff left over the past year.
Yes. Medicare fined Optalis Health and Rehabilitation of Three Rivers 2 times in the last three years, totaling $40,700.
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.