Greenfield Rehab and Nursing Center
3030 Greenfield Ave · Royal Oak, MI · 48073 · 2482886610
105 certified beds For profit - Limited Liability company Chain: Optalis Health & Rehabilitation
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $274,222 in fines in the last 24 months.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
4 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$274,222 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.60 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.64 | 0.55–0.75 |
| Weekend hours / resident-day | 3.30 | ≈ weekday level |
| Nursing turnover / year | 59% | median 45% |
| Fines (3-yr window) | 3 · $341,302 |
Inspection citations (77 in the current record)
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Potential for harm · D April 29, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 5, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E March 10, 2026 · found via complaint
Provide activities to meet all resident's needs.
Corrected March 30, 2026 · Quality of Life and Care
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Potential for harm · D March 10, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 30, 2026 · Quality of Life and Care
-
Actual harm · G October 7, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected October 8, 2025 · Pharmacy Service
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Immediate jeopardy · J July 25, 2025
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected August 14, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D July 25, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected August 26, 2025 · Resident Rights
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Potential for harm · D July 25, 2025
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.
Corrected August 14, 2025 · Resident Rights
-
Potential for harm · D July 25, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected August 14, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E July 25, 2025
Ensure each resident receives an accurate assessment.
Corrected August 14, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 25, 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 August 14, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 25, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected August 14, 2025 · Quality of Life and Care
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Potential for harm · F July 25, 2025
Ensure the activities program is directed by a qualified professional.
Corrected August 14, 2025 · Quality of Life and Care
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Potential for harm · D July 25, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected August 14, 2025 · Quality of Life and Care
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Potential for harm · D July 25, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected August 14, 2025 · Quality of Life and Care
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Potential for harm · D July 25, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected August 14, 2025 · Pharmacy Service
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Potential for harm · D July 25, 2025
Provide and implement an infection prevention and control program.
Corrected August 14, 2025 · Infection Control
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Potential for harm · D July 25, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 14, 2025 · Quality of Life and Care
-
Potential for harm · D July 25, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 9, 2025 · Quality of Life and Care
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Potential for harm · F July 25, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected August 14, 2025 · Nursing and Physician Services
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Potential for harm · F July 25, 2025 · found via complaint
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.
Corrected August 14, 2025 · Administration
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Potential for harm · E April 24, 2025 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected May 8, 2025 · Resident Rights
-
Potential for harm · D January 15, 2025 · found via complaint
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.
Corrected January 31, 2025 · Resident Rights
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Potential for harm · D January 15, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 31, 2025 · Quality of Life and Care
-
Potential for harm · D January 15, 2025 · found via complaint
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.
Corrected January 31, 2025 · Quality of Life and Care
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Actual harm · G October 23, 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 November 13, 2024 · Freedom from Abuse, Neglect, and Exploitation
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 25, 2025 | Fine | $234,637 |
| July 25, 2025 | Payment Denial | 7 days |
| October 23, 2024 | Fine | $39,585 |
| April 24, 2024 | Fine | $67,080 |
| April 24, 2024 | Payment Denial | 14 days |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 235433 · certified since August 14, 1984. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.