Evergreen Health and Rehabilitation CenterCMS ratings, inspections and fines
- Address
- 19933 West Thirteen Mile Road, Southfield, MI 48076
- CCN
- 235582
- Ownership type
- For-profit, corporation
- Certified beds
- 172
- Residents per day
- 157
- CMS flags
- None in the CMS record
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Evergreen Health and Rehabilitation Center an overall rating of 3 of 5 stars. The last standard survey was on 11 Sep 2025. The latest survey cycle has 9 health citations. The median for nursing homes in Michigan is 8. CMS lists 1 fine of $28,815 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Oakland County median | Michigan median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 3 | 2.0 | 3.0 | 3.0 |
| Health inspection rating | 2 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 2 | 3.0 | 4.0 | 2.9 |
| Quality measure rating | 5 | 4.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 43 homes in the county, 422 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Michigan median |
|---|---|---|---|
| Cycle 1 (latest) | 11 Sep 2025 | 9 | 8 |
| Cycle 2 | 7 Aug 2024 | 19 | 9 |
| Cycle 3 | No date | 33 | 10 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 9 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 7 Apr 2026 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 28 Apr 2026 |
| 7 Apr 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 28 Apr 2026 |
| 11 Sep 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 7 Oct 2025 |
| 11 Sep 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 7 Oct 2025 |
| 11 Sep 2025 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Standard survey | 7 Oct 2025 |
| 11 Sep 2025 | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Standard survey | 7 Oct 2025 |
| 11 Sep 2025 | F0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | Standard survey | 7 Oct 2025 |
| 11 Sep 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 7 Oct 2025 |
| 6 Aug 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 22 Aug 2025 |
Survey cycle 2: 19 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 8 Apr 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 30 Apr 2025 |
| 8 Apr 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 30 Apr 2025 |
| 20 Feb 2025 | F0551 | Give the resident's representative the ability to exercise the resident's rights. | D | Complaint investigation | 11 Mar 2025 |
| 20 Feb 2025 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | Complaint investigation | 6 Feb 2025 |
| 10 Dec 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 30 Dec 2024 |
| 10 Dec 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 30 Dec 2024 |
| 7 Aug 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 17 Sep 2024 |
| 7 Aug 2024 | F0555 | Honor the resident's right to choose his or her attending physician. | D | Standard survey | 17 Sep 2024 |
| 7 Aug 2024 | F0559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | Standard survey | 17 Sep 2024 |
| 7 Aug 2024 | F0563 | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | F | Standard survey | 17 Sep 2024 |
| 7 Aug 2024 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard survey | 17 Sep 2024 |
| 7 Aug 2024 | F0624 | Prepare residents for a safe transfer or discharge from the nursing home. | D | Standard survey | 17 Sep 2024 |
| 7 Aug 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 17 Sep 2024 |
| 7 Aug 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 17 Sep 2024 |
| 7 Aug 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 17 Sep 2024 |
| 7 Aug 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 17 Sep 2024 |
| 7 Aug 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 17 Sep 2024 |
| 7 Aug 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 17 Sep 2024 |
| 7 Aug 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 17 Sep 2024 |
Survey cycle 3: 33 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 8 Jul 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 11 Jun 2024 |
| 28 May 2024 | F0584 | 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. | E | Complaint investigation | 14 Jun 2024 |
| 28 May 2024 | F0761 | 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. | D | Complaint investigation | 14 Jun 2024 |
| 14 Mar 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Complaint investigation | 2 Apr 2024 |
| 14 Mar 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 2 Apr 2024 |
| 14 Mar 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 2 Apr 2024 |
| 14 Mar 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 27 Feb 2024 |
| 14 Mar 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint investigation | 2 Apr 2024 |
| 14 Mar 2024 | F0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | E | Complaint investigation | 2 Apr 2024 |
| 14 Mar 2024 | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D | Complaint investigation | 2 Apr 2024 |
| 30 Jan 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 15 Feb 2024 |
| 30 Jan 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 15 Feb 2024 |
| 15 Nov 2023 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Complaint investigation | 8 Dec 2023 |
| 15 Nov 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Complaint investigation | 8 Dec 2023 |
| 15 Nov 2023 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Complaint investigation | 8 Dec 2023 |
| 29 Jun 2023 | F0584 | 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. | E | Standard survey | 28 Jul 2023 |
| 29 Jun 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 28 Jul 2023 |
| 29 Jun 2023 | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | D | Standard survey | 28 Jul 2023 |
| 29 Jun 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 28 Jul 2023 |
| 29 Jun 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 28 Jul 2023 |
| 29 Jun 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 28 Jul 2023 |
| 29 Jun 2023 | F0688 | 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. | E | Standard survey | 28 Jul 2023 |
| 29 Jun 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 28 Jul 2023 |
| 29 Jun 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | G | Standard survey | 28 Jul 2023 |
| 29 Jun 2023 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 28 Jul 2023 |
| 29 Jun 2023 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 28 Jul 2023 |
| 29 Jun 2023 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Standard survey | 28 Jul 2023 |
| 29 Jun 2023 | F0761 | 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. | E | Standard survey | 28 Jul 2023 |
| 29 Jun 2023 | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Standard survey | 28 Jul 2023 |
| 29 Jun 2023 | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | E | Standard survey | 28 Jul 2023 |
| 29 Jun 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 28 Jul 2023 |
| 29 Jun 2023 | F0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | D | Standard survey | 28 Jul 2023 |
| 29 Jun 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 28 Jul 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 14 Mar 2024 | Fine | $28,815 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Michigan median | Michigan average (CMS) |
|---|---|---|---|
| All nurse staff | 3.91 | 3.80 | 3.99 |
| Registered nurses (RN) | 0.46 | 0.70 | 0.78 |
| Licensed practical nurses (LPN) | 1.48 | 0.88 | |
| Nurse aides | 1.97 | 2.33 | |
| All nurse staff, weekends | 3.41 | 3.30 | 3.50 |
- Nurse staff turnover in a year
- 46.0%
- Nurse staff turnover, Michigan median
- 44.6%
- RN turnover in a year
- 39.1%
- Administrators who left in a year
- 1
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Michigan median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 9.2% | 9.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.3% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.8% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.2% | 2.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.4% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 15.2% | 10.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.5% | 4.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 10.2% | 13.5% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, corporation
- Legal business name
- Evergreen Health and Rehabilitation Center LLC
- Chain
- Optalis Health & Rehabilitation (36 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| SNW LLC | 5% or greater indirect ownership interest | 30% | 1 Sep 2019 |
| Optum Management Solutions. Inc | Indirect ownership interest | 1 Sep 2019 | |
| Optum Management Solutions. Inc | Operational/managerial control | 1 Sep 2019 | |
| Optalis Business Solutions LLC | Trustee of the snf | 16 Apr 2026 | |
| Cliftonlarsonallen LLP | Adp of the snf | 1 Jan 2025 | |
| Obs of Mi LLC | Adp of the snf | 28 Jan 2026 | |
| Om Holdco, LLC | Adp of the snf | 1 Sep 2019 | |
| Optalis LP Investors 1, LLC | Adp of the snf | 1 Sep 2019 | |
| Optum Management Solutions. Inc | Adp of the snf | 9 Apr 2025 | |
| Paar 108 LLC | Adp of the snf | 1 Sep 2019 | |
| SNW LLC | Adp of the snf | 1 Sep 2019 |
The site shows organisations only. It does not show the names of persons.
Other homes in Oakland County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Harmony Village of Beverly HillsSpecial Focus Facility | Beverly Hills | Not rated | 6 | $0 | 3 Jun 2026 | |
| Lahser Hills Care Centre | Southfield | 3 of 5 | 8 | $14,898 | 5 Jun 2025 | |
| Medilodge of SouthfieldSpecial Focus candidate | Southfield | 1 of 5 | 19 | $185,734 | 15 Aug 2025 | |
| Greenfield Rehab and Nursing Center | Royal Oak | 1 of 5 | 25 | $367,987 | 25 Jul 2025 | |
| The Lakeland Center | Southfield | 1 of 5 | 22 | $15,926 | 11 Feb 2026 | |
| Regency at Troy | Troy | 1 of 5 | 40 | $0 | 27 Mar 2025 | |
| Harmony Village of Clawson | Clawson | 1 of 5 | 5 | $193,106 | 13 May 2026 | |
| Optalis Health & Rehabilitation of Bloomfield Hill | Bloomfield Hills | 1 of 5 | 27 | $45,935 | 14 Jan 2026 | |
| Woodward Hills Health and Rehabilitation Center | Bloomfield Hills | 2 of 5 | 15 | $56,072 | 4 Mar 2026 | |
| Oakridge Manor Nursing and Rehabilitation Center L | Ferndale | 3 of 5 | 12 | $62,259 | 8 May 2025 | |
| The Manor of Farmington Hills | Farmington Hills | 2 of 5 | 14 | $269,106 | 20 Nov 2025 | |
| Corewell Health Rehab & Nursing Center-Commons Far | Farmington Hills | 4 of 5 | 14 | $15,593 | 18 Dec 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Evergreen Health and Rehabilitation Center (CCN 235582). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/evergreen-health-and-rehabilitation-center-southfield-mi-235582/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Evergreen Health and Rehabilitation Center last inspected?
- The latest inspection with a citation in the CMS record was on 7 Apr 2026. It was a complaint investigation. It gave 2 citations. The standard survey before the last one was on 7 Aug 2024.
- Who operates Evergreen Health and Rehabilitation Center?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain Optalis Health & Rehabilitation. The CMS ownership file names Optum Management Solutions. Inc for operational or managerial control. This site does not show the names of persons.
- Is Evergreen Health and Rehabilitation Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 2 homes in Michigan as Special Focus Facilities and 10 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.