Michigan › Oakland County › Royal Oak
Greenfield Rehab and Nursing Center
3030 Greenfield Ave, Royal Oak, MI 48073
CMS abuse icon
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 105 beds, Greenfield Rehab and Nursing Center serves Royal Oak in Oakland County, Michigan and has taken Medicare and Medicaid residents since 1984.
CMS gives it 1 of 5 stars overall, below the Michigan median of 3; the health inspection rating is 1, staffing 3 and quality measures 4.
Inspectors recorded 81 health deficiencies across the three most recent survey cycles (25, 29, 27 by cycle, most recent first), 6 of them at the actual-harm or immediate-jeopardy level. That is 77.1 per 100 beds, more than the state median of 29.4.
CMS lists 6 penalties in the period covered: fines totalling $368K and 2 payment denials.
Reported nurse staffing is 3.3 hours per resident per day (0.6 RN), close to the Michigan median of 3.8; nursing staff turnover is 55.8%.
CMS flags that the facility carries the CMS abuse icon.
81health deficiencies, 3 survey cycles6 at actual harm or worse
$368Kfines listed by CMS6 penalties in period
3.3nurse hours per resident per daystate median 3.8
77%occupancy (residents ÷ beds)81 residents a day
Compared with county, state and nation
| Measure | This facility | Oakland Co. median | Michigan median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 81 | 49 | 29 | 28.7 |
| Citations per 100 beds | 77.1 | 40.7 | 29.4 | 26.8 |
| Total nurse hours per resident day | 3.3 | 3.9 | 3.8 | 3.9 |
| RN hours per resident day | 0.6 | 0.6 | 0.7 | 0.7 |
| Nursing staff turnover | 55.8% | 53.0% | 44.6% | 45.8% |
| Fines listed | $367,987 | $36,030 | $0 | — |
County and state figures are medians across facilities (43 in the county, 422 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Michigan average per facility for the same cycle, as published by CMS. Standard health survey dates: 25 Jul 2025, 15 May 2024.
Severity mix: J ×1 G ×5 D ×51 E ×14 F ×10
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 15 Jun 2026 | F0814 | Dispose of garbage and refuse properly. | F | Complaint investigation | 9 Jul 2026 |
| 15 Jun 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint investigation | 9 Jul 2026 |
| 15 Jun 2026 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Complaint investigation | 9 Jul 2026 |
| 15 Jun 2026 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint investigation | 9 Jul 2026 |
| 15 Jun 2026 | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D | Complaint investigation | 9 Jul 2026 |
| 29 Apr 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 5 May 2026 |
| 10 Mar 2026 | F0679 | Provide activities to meet all resident's needs. | E | Complaint investigation | 30 Mar 2026 |
| 10 Mar 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 30 Mar 2026 |
| 7 Oct 2025 | F0760 | Ensure that residents are free from significant medication errors. | G | Complaint investigation | 8 Oct 2025 |
| 25 Jul 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Standard survey | 14 Aug 2025 |
| 25 Jul 2025 | F0680 | Ensure the activities program is directed by a qualified professional. | F | Standard survey | 14 Aug 2025 |
| 25 Jul 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Complaint investigation | 14 Aug 2025 |
| 25 Jul 2025 | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | F | Complaint investigation | 14 Aug 2025 |
| 25 Jul 2025 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 14 Aug 2025 |
| 25 Jul 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 26 Aug 2025 |
| 25 Jul 2025 | 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. | D | Standard survey | 14 Aug 2025 |
| 25 Jul 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 14 Aug 2025 |
| 25 Jul 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 | 14 Aug 2025 |
| 25 Jul 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 14 Aug 2025 |
| 25 Jul 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 14 Aug 2025 |
| 25 Jul 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 14 Aug 2025 |
| 25 Jul 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 9 Jul 2025 |
| 25 Jul 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 14 Aug 2025 |
| 25 Jul 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 14 Aug 2025 |
| 25 Jul 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 14 Aug 2025 |
| 24 Apr 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | Complaint investigation | 8 May 2025 |
| 15 Jan 2025 | 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. | D | Complaint investigation | 31 Jan 2025 |
| 15 Jan 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 31 Jan 2025 |
| 15 Jan 2025 | 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. | D | Complaint investigation | 31 Jan 2025 |
| 23 Oct 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 13 Nov 2024 |
| 23 Oct 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 13 Nov 2024 |
| 18 Sep 2024 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | Complaint investigation | 15 Oct 2024 |
| 18 Sep 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 | 15 Oct 2024 |
| 18 Sep 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 15 Oct 2024 |
| 18 Sep 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 | 15 Oct 2024 |
| 2 Jul 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 23 Jul 2024 |
| 15 May 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 6 Jun 2024 |
| 15 May 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 6 Jun 2024 |
| 15 May 2024 | F0610 | Respond appropriately to all alleged violations. | E | Complaint investigation | 6 Jun 2024 |
| 15 May 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 | 11 Jun 2024 |
| 15 May 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 6 Jun 2024 |
| 15 May 2024 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 6 Jun 2024 |
| 15 May 2024 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 10 Jun 2024 |
| 15 May 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 6 Jun 2024 |
| 15 May 2024 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 6 Jun 2024 |
| 15 May 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 6 Jun 2024 |
| 15 May 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 6 Jun 2024 |
| 15 May 2024 | 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. | D | Standard survey | 6 Jun 2024 |
| 15 May 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 10 Jun 2024 |
| 15 May 2024 | F0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | D | Standard survey | 6 Jun 2024 |
| 15 May 2024 | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Standard survey | 6 Jun 2024 |
| 15 May 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 6 Jun 2024 |
| 15 May 2024 | F0791 | Provide or obtain dental services for each resident. | D | Standard survey | 11 Jun 2024 |
| 15 May 2024 | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D | Standard survey | 6 Jun 2024 |
| 15 May 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Complaint investigation | 6 Jun 2024 |
| 2 May 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 6 Jun 2024 |
| 2 May 2024 | F0895 | Have a Compliance and Ethics Program. | F | Complaint investigation | 23 May 2024 |
| 2 May 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Complaint investigation | 23 May 2024 |
| 2 May 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 6 Jun 2024 |
| 2 May 2024 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Complaint investigation | 23 May 2024 |
| 2 May 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 10 Jun 2024 |
| 24 Apr 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 16 May 2024 |
| 24 Apr 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 16 May 2024 |
| 4 May 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | G | Standard survey | 31 May 2023 |
| 4 May 2023 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Standard survey | 31 May 2023 |
| 4 May 2023 | F0727 | 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. | F | Standard survey | 31 May 2023 |
| 4 May 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 | 31 May 2023 |
| 4 May 2023 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | F | Standard survey | 31 May 2023 |
| 4 May 2023 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | Standard survey | 31 May 2023 |
| 4 May 2023 | F0563 | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | E | Standard survey | 31 May 2023 |
| 4 May 2023 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard survey | 31 May 2023 |
| 4 May 2023 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 31 May 2023 |
| 4 May 2023 | F0729 | Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | E | Standard survey | 31 May 2023 |
| 4 May 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 | Standard survey | 31 May 2023 |
| 4 May 2023 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 31 May 2023 |
| 4 May 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 31 May 2023 |
| 4 May 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. | D | Standard survey | 31 May 2023 |
| 4 May 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. | D | Standard survey | 31 May 2023 |
| 4 May 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. | D | Standard survey | 31 May 2023 |
| 4 May 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 31 May 2023 |
| 4 May 2023 | F0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | D | Standard survey | 31 May 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 7 Oct 2025 | Fine | $26,685 | |
| 25 Jul 2025 | Payment denial | — | 7 days |
| 25 Jul 2025 | Fine | $234,637 | |
| 23 Oct 2024 | Fine | $39,585 | |
| 24 Apr 2024 | Payment denial | — | 14 days |
| 24 Apr 2024 | Fine | $67,080 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Michigan average. Turnover: nursing staff 55.8%, RNs 41.7%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Michigan median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 9.4% | 9.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.3% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.7% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.6% | 2.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 8.8% | 10.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 8.9% | 4.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 22.8% | 13.5% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Diversified Rehab Services, Llc. Chain: Optalis Health & Rehabilitation (36 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Optum Management Solutions. Inc | Operational/managerial control | NOT APPLICABLE | 10/01/2007 |
| Cliftonlarsonallen LLP | Adp of the snf | NOT APPLICABLE | 01/01/2025 |
| Optum Management Solutions. Inc | Adp of the snf | NOT APPLICABLE | 12/01/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Oakland County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Bellbrook | Rochester Hills | 36 | 5 | 5 | 5 | 8 | 22.2 | — | 18 Feb 2026 |
| Fox Run Village | Novi | 44 | 5 | 4 | 5 | 21 | 47.7 | $12K | 29 Apr 2026 |
| Lourdes Rehabilitation and Healthcare Center | Waterford | 80 | 5 | 5 | 4 | 12 | 15.0 | $16K | 29 Jun 2026 |
| Novi Lakes Health Campus | Novi | 54 | 5 | 4 | 4 | 20 | 37.0 | — | 18 Jun 2025 |
| The Neighborhoods of White Lake | White Lake | 39 | 5 | 5 | 5 | 6 | 15.4 | — | 27 Feb 2025 |
| Corewell Health Rehab & Nursing Center-Commons Far | Farmington Hills | 179 | 4 | 2 | 5 | 49 | 27.4 | $16K | 21 Apr 2026 |
| Maple Manor Rehab Center of Novi Inc | Novi | 72 | 4 | 3 | 5 | 20 | 27.8 | — | 29 Apr 2026 |
| Medilodge of Milford | Milford | 111 | 4 | 3 | 4 | 25 | 22.5 | — | 25 Sep 2025 |
All 43 facilities in Oakland County
Questions and answers
How many deficiencies has Greenfield Rehab and Nursing Center been cited for?
81 health deficiencies across the three most recent survey cycles, 6 at the actual-harm or immediate-jeopardy level. The Michigan median is 29 per facility.
Has Greenfield Rehab and Nursing Center been fined?
Yes. CMS lists fines totalling $368K in the period covered, plus 2 payment denials.
How does staffing at Greenfield Rehab and Nursing Center compare?
Reported total nurse staffing is 3.3 hours per resident per day against a Michigan median of 3.8 and a national average of 3.9.
Who operates Greenfield Rehab and Nursing Center?
It is part of the Optalis Health & Rehabilitation chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Optum Management Solutions. Inc. Individual owners and managers are not listed on this site.
When was Greenfield Rehab and Nursing Center last inspected?
The most recent survey or investigation in the CMS record is dated 15 Jun 2026; the most recent standard health survey was 25 Jul 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.