The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited April 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
Nursing home report
Evergreen Health and Rehabilitation Center
Southfield, MI · Medicare-certified · 172 beds
In good standing
For-profitChain member
3 of 5 overall
Evergreen Health and Rehabilitation Center in Southfield, MI has a 3 out of 5 overall rating, with weak health inspection and staffing ratings at 2 out of 5 each and a strong 5 out of 5 quality measures rating. Reported nurse staffing is 4.04 hours per resident per day, slightly below the federal benchmark of 4.1, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.0353 hrs/resident/day
Quality measures
Last inspection: September 11, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.0353.
Staffing detail
- Registered nurses
- 0.43
- Licensed practical nurses
- 1.58
- Nurse aides
- 2.03
- Weekend nursing
- 3.50
Hours per resident per day.
Total staff turnover: 45%
Registered nurse turnover: 38%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
10.2%Improving
Residents with a fall causing major injury
0.6%Worsening
Residents with pressure ulcers (bedsores)
4.3%Improving
Residents with a urinary tract infection
1.6%Steady
Residents who lost too much weight
1.8%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
7.9%Improving
Residents whose ability to walk got worse
10.6%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
13.8%Worsening
Short-stay residents newly given an antipsychotic
0.7%Improving
Residents with a long-term catheter
0.3%Worsening
Residents with new or worsening incontinence
13.1%Improving
Residents with depressive symptoms
2.7%Improving
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
99.4%Worsening
Short-stay residents given the seasonal flu vaccine
96.4%Steady
Short-stay residents given the pneumonia vaccine
99.9%Steady
What the inspectors found
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited March 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The home failed to provide proper bladder and bowel care, including catheter care and steps to prevent urinary tract infections. Cited June 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 690 — 42 CFR §483.25(e) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited September 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to honor a resident’s right to receive visitors of their choosing at the time they wanted. Cited August 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 563 — 42 CFR §483.10 — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $71,130 in total fines.
- $28,815
Federal fine
Mar 14, 2024
- $42,315
Federal fine
Jun 29, 2023
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of OPTALIS HEALTH & REHABILITATION · 37 homes · 2.4 stars avg
- Occupancy
- 156.9 residents on an average day (91% of 172 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 28 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.