Evergreen Health and Rehabilitation Center
19933 West Thirteen Mile Road · Southfield, MI · 48076 · 2482039000
172 certified beds For profit - Corporation Chain: Optalis Health & Rehabilitation
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- 5 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.04 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.43 | 0.55–0.75 |
| Weekend hours / resident-day | 3.50 | ≈ weekday level |
| Nursing turnover / year | 45% | median 45% |
| Fines (3-yr window) | 2 · $71,130 |
Inspection citations (61 in the current record)
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Potential for harm · D April 7, 2026 · found via complaint
Respond appropriately to all alleged violations.
Corrected April 28, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 7, 2026 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 28, 2026 · Quality of Life and Care
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Potential for harm · D September 11, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected October 7, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 11, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 7, 2025 · Quality of Life and Care
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Potential for harm · D September 11, 2025
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.
Corrected October 7, 2025 · Quality of Life and Care
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Potential for harm · D September 11, 2025
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected October 7, 2025 · Administration
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Potential for harm · D September 11, 2025
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected October 7, 2025 · Nutrition and Dietary
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Potential for harm · F September 11, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 7, 2025 · Nutrition and Dietary
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Potential for harm · D August 6, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 22, 2025 · Quality of Life and Care
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Actual harm · G April 8, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 30, 2025 · Quality of Life and Care
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Potential for harm · D April 8, 2025 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected April 30, 2025 · Quality of Life and Care
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Potential for harm · D February 20, 2025 · found via complaint
Give the resident's representative the ability to exercise the resident's rights.
Corrected March 11, 2025 · Resident Rights
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Potential for harm · D February 20, 2025 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected February 6, 2025 · Environmental
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Potential for harm · D December 10, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected December 30, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 10, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 30, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E August 7, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected September 17, 2024 · Resident Rights
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Potential for harm · D August 7, 2024
Honor the resident's right to choose his or her attending physician.
Corrected September 17, 2024 · Resident Rights
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Potential for harm · D August 7, 2024
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Corrected September 17, 2024 · Resident Rights
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Potential for harm · F August 7, 2024
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Corrected September 17, 2024 · Resident Rights
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Potential for harm · D August 7, 2024
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.
Corrected September 17, 2024 · Resident Rights
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Potential for harm · D August 7, 2024
Prepare residents for a safe transfer or discharge from the nursing home.
Corrected September 17, 2024 · Resident Rights
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Potential for harm · D August 7, 2024
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected September 17, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 7, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected September 17, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 7, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 17, 2024 · Quality of Life and Care
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Potential for harm · D August 7, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected September 17, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 14, 2024 | Fine | $28,815 |
| June 29, 2023 | Fine | $42,315 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 235582 · certified since November 7, 1997. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.