Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Shelby Health and Rehabilitation Center

Shelby Township, MI · 212 certified beds · Last Life Safety survey April 30, 2026

CMS Certification Number 235506 · first certified July 1991

Ownership

Operated by OPTALIS HEALTH & REHABILITATION · For profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

22
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
3
Tags cited more than once
Across separate surveys
13
Inspection & testing records
Of the citations on file

Position within MI

22 citations — more than 77% of the 422 certified nursing homes in MI. Compared within MI rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 4 citations; the earlier surveys in the window averaged 9. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens April 2027 — about 7 months from now. This facility’s last Life Safety survey was April 2026. Facilities in MI are typically surveyed 12–14 months after the last one (median 13), measured over 723 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

3 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

5 of the 22 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

8 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 22 Life Safety citations above. The Physical Environment Index

  • F-0584 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.
  • F-0880 Provide and implement an infection prevention and control program.
  • F-0919 Make sure that a working call system is available in each resident's bathroom and bathing area.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

How that compares

Citations on file over three years

Compared with the median facility in MI, and nationally. Surveyors differ markedly between states, so the MI figure is the meaningful one.

This facility22MI median14National median11
Citations on file over three years, compared
MeasureCitations
This facility22
Median facility in MI14
Median facility nationally11

Survey history

Citations at each Life Safety survey
72024-01112025-0342026-04
Citations at each Life Safety survey
Survey dateCitations
January 23, 20247
March 5, 202511
April 30, 20264

Most-cited tags

Most-cited tags at this facility
K-03453K-03533K-09232K-05111E-00261K-02221E-00041E-00391
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0345Have approved installation, maintenance and testing program for fire alarm systems.32026-04-30
K-0353Inspect, test, and maintain automatic sprinkler systems.32026-04-30
K-0923Have proper medical gas storage and administration areas.22025-03-05
K-0511Have properly installed electrical wiring and gas equipment.12025-03-05
E-0026Establish roles under a Waiver declared by secretary.12025-03-05
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.12024-01-23
E-0004Develop and maintain an Emergency Preparedness Program (EP).12025-03-05
E-0039Conduct testing and exercise requirements.12025-03-05

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 11
  • Emergency Preparedness Deficiencies 5
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Miscellaneous Deficiencies 1
  • Other 2
Citations by CMS category
CategoryCitations
Smoke Deficiencies11
Emergency Preparedness Deficiencies5
Gas, Vacuum, and Electrical Systems Deficiencies3
Miscellaneous Deficiencies1
Egress Deficiencies1
Services Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

April 30, 2026 — 4 citations

Citations issued on April 30, 2026
TagWhat the surveyor checksStatus
K-0342Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.Deficient, Provider has date of correction (May 26, 2026)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (May 26, 2026)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (May 26, 2026)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (May 26, 2026)

March 5, 2025 — 11 citations

Citations issued on March 5, 2025
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (April 8, 2025)
E-0024Establish policies and procedures for volunteers.Deficient, Provider has date of correction (April 8, 2025)
E-0026Establish roles under a Waiver declared by secretary.Deficient, Provider has date of correction (April 8, 2025)
E-0031Provide emergency officials' contact information.Deficient, Provider has date of correction (April 8, 2025)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (April 8, 2025)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (April 16, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (April 8, 2025)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (April 8, 2025)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (April 8, 2025)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (April 8, 2025)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (April 8, 2025)

January 23, 2024 — 7 citations

Citations issued on January 23, 2024
TagWhat the surveyor checksStatus
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (February 27, 2024)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (February 27, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (February 27, 2024)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (March 7, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (February 27, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (February 27, 2024)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (February 27, 2024)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.