Greenfield Rehab and Nursing Center

3030 Greenfield Ave, Royal Oak, MI 48073 · CCN 235433 · 105 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections1 of 5CMS staffing3 of 5CMS quality4 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 1 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

CMS has flagged this facility with its abuse icon, which marks facilities cited for abuse in recent inspections.

Serious inspection findings

2025-10-07 ACTUAL HARM (tag F0760, severity G)
Pharmacy Service Deficiencies · correction not recorded in CMS data
Ensure that residents are free from significant medication errors.
2025-07-25 IMMEDIATE JEOPARDY (tag F0600, severity J)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2024-10-23 ACTUAL HARM (tag F0600, severity G)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2024-05-15 ACTUAL HARM (tag F0600, severity G)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2024-05-02 ACTUAL HARM (tag F0600, severity G)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2023-05-04 ACTUAL HARM (tag F0550, severity G)
Resident Rights Deficiencies · correction not recorded in CMS data
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Staffing, from payroll records

Nursing hours / resident / day

3.13

state median 3.44

Weekend staffing gap

−8%

fewer nursing hours on weekends · state median −6%

RN hours / resident / day

0.50

registered nurses only

Contract (agency) staff

0%

share of all nursing hours

Nursing staff turnover

56%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

6 enforcement action(s), totaling $367,987 in fines.

DateTypeAmount
2025-10-07Fine$26,685
2025-07-25Fine$234,637
2025-07-25Payment Denialpayment denial
2024-10-23Fine$39,585
2024-04-24Fine$67,080
2024-04-24Payment Denialpayment denial

Ownership

Ownership type: For profit - Limited Liability company. Part of the OPTALIS HEALTH & REHABILITATION chain.

Other facilities under the same ownership, with their CMS overall ratings:

Full citation history

By severity: Actual harm: 5 · Potential for more than minimal harm: 70 · Immediate jeopardy: 1

Survey dateTagCategorySeverityCorrected
2026-04-29F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2026-03-10F0679Quality of Life and Care DeficienciesEnot recorded
2026-03-10F0684Quality of Life and Care DeficienciesDnot recorded
2025-10-07F0760Pharmacy Service DeficienciesGnot recorded
2025-07-25F0558Resident Rights DeficienciesDnot recorded
2025-07-25F0584Resident Rights DeficienciesDnot recorded
2025-07-25F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesJnot recorded
2025-07-25F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2025-07-25F0641Resident Assessment and Care Planning DeficienciesEnot recorded
2025-07-25F0657Resident Assessment and Care Planning DeficienciesDnot recorded
2025-07-25F0677Quality of Life and Care DeficienciesDnot recorded
2025-07-25F0680Quality of Life and Care DeficienciesFnot recorded
2025-07-25F0684Quality of Life and Care DeficienciesDnot recorded
2025-07-25F0686Quality of Life and Care DeficienciesDnot recorded
2025-07-25F0689Quality of Life and Care DeficienciesDnot recorded
2025-07-25F0695Quality of Life and Care DeficienciesDnot recorded
2025-07-25F0725Nursing and Physician Services DeficienciesFnot recorded
2025-07-25F0755Pharmacy Service DeficienciesDnot recorded
2025-07-25F0838Administration DeficienciesFnot recorded
2025-07-25F0880Infection Control DeficienciesDnot recorded
2025-04-24F0558Resident Rights DeficienciesEnot recorded
2025-01-15F0584Resident Rights DeficienciesDnot recorded
2025-01-15F0684Quality of Life and Care DeficienciesDnot recorded
2025-01-15F0688Quality of Life and Care DeficienciesDnot recorded
2024-10-23F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesGnot recorded
2024-10-23F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2024-09-18F0584Resident Rights DeficienciesEnot recorded
2024-09-18F0689Quality of Life and Care DeficienciesDnot recorded
2024-09-18F0761Pharmacy Service DeficienciesDnot recorded
2024-09-18F0925Environmental DeficienciesFnot recorded
2024-07-02F0689Quality of Life and Care DeficienciesDnot recorded
2024-05-15F0578Resident Rights DeficienciesDnot recorded
2024-05-15F0580Resident Rights DeficienciesDnot recorded
2024-05-15F0582Resident Rights DeficienciesDnot recorded
2024-05-15F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesGnot recorded
2024-05-15F0602Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2024-05-15F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesEnot recorded
2024-05-15F0610Freedom from Abuse, Neglect, and Exploitation DeficienciesEnot recorded
2024-05-15F0641Resident Assessment and Care Planning DeficienciesDnot recorded
2024-05-15F0645Resident Assessment and Care Planning DeficienciesDnot recorded
2024-05-15F0684Quality of Life and Care DeficienciesDnot recorded
2024-05-15F0686Quality of Life and Care DeficienciesDnot recorded
2024-05-15F0688Quality of Life and Care DeficienciesDnot recorded
2024-05-15F0689Quality of Life and Care DeficienciesDnot recorded
2024-05-15F0742Quality of Life and Care DeficienciesDnot recorded
2024-05-15F0745Quality of Life and Care DeficienciesDnot recorded
2024-05-15F0755Pharmacy Service DeficienciesDnot recorded
2024-05-15F0791Quality of Life and Care DeficienciesDnot recorded
2024-05-15F0825Quality of Life and Care DeficienciesDnot recorded
2024-05-15F0883Infection Control DeficienciesDnot recorded
2024-05-02F0552Resident Rights DeficienciesDnot recorded
2024-05-02F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesGnot recorded
2024-05-02F0607Freedom from Abuse, Neglect, and Exploitation DeficienciesEnot recorded
2024-05-02F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesEnot recorded
2024-05-02F0689Quality of Life and Care DeficienciesDnot recorded
2024-05-02F0895Administration DeficienciesFnot recorded
2024-04-24F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2024-04-24F0689Quality of Life and Care DeficienciesDnot recorded
2023-05-04F0550Resident Rights DeficienciesGnot recorded
2023-05-04F0561Resident Rights DeficienciesEnot recorded
2023-05-04F0563Resident Rights DeficienciesEnot recorded
2023-05-04F0578Resident Rights DeficienciesDnot recorded
2023-05-04F0607Freedom from Abuse, Neglect, and Exploitation DeficienciesEnot recorded
2023-05-04F0645Resident Assessment and Care Planning DeficienciesDnot recorded
2023-05-04F0679Quality of Life and Care DeficienciesEnot recorded
2023-05-04F0684Quality of Life and Care DeficienciesDnot recorded
2023-05-04F0688Quality of Life and Care DeficienciesDnot recorded
2023-05-04F0690Quality of Life and Care DeficienciesDnot recorded
2023-05-04F0725Nursing and Physician Services DeficienciesFnot recorded
2023-05-04F0727Nursing and Physician Services DeficienciesFnot recorded
2023-05-04F0729Nursing and Physician Services DeficienciesEnot recorded
2023-05-04F0761Pharmacy Service DeficienciesDnot recorded
2023-05-04F0812Nutrition and Dietary DeficienciesFnot recorded
2023-05-04F0842Resident Assessment and Care Planning DeficienciesDnot recorded
2023-05-04F0847Administration DeficienciesDnot recorded
2023-05-04F0947Nursing and Physician Services DeficienciesFnot recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Greenfield Rehab and Nursing Center, Royal Oak” at medicare.gov/care-compare.