The nursing home failed to protect residents from abuse and neglect by others. Cited July 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: J
Nursing home report
Greenfield Rehab and Nursing Center
Royal Oak, MI · Medicare-certified · 105 beds
Needs attention
Abuse citationFor-profitChain member
2 of 5 overall
Greenfield Rehab and Nursing Center in Royal Oak, MI has a 2-star overall rating, with a 1-star health inspection rating and 3-star staffing rating; reported nurse staffing is 3.60 hours per resident per day, below the 4.1-hour federal benchmark. It also has $274,222 in fines over the last 24 months and a recent abuse citation, while its quality measures rating is 5 stars.
Facility ratings
Health inspections
Staffing
3.6002 hrs/resident/day
Quality measures
Last inspection: March 10, 2026Penalties, last 24 months: $274,222recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6002.
Staffing detail
- Registered nurses
- 0.64
- Licensed practical nurses
- 1.01
- Nurse aides
- 1.95
- Weekend nursing
- 3.30
Hours per resident per day.
Total staff turnover: 59%
Registered nurse turnover: 47%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
22.7%Worsening
Residents with a fall causing major injury
1.6%Worsening
Residents with pressure ulcers (bedsores)
8.7%Improving
Residents with a urinary tract infection
0.6%Steady
Residents who lost too much weight
6.2%Steady
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
8.8%Improving
Residents whose ability to walk got worse
11.9%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
13.9%Improving
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0.9%Worsening
Residents with new or worsening incontinence
14.1%Worsening
Residents with depressive symptoms
9%Worsening
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
95%Steady
Short-stay residents given the pneumonia vaccine
98%Steady
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2023 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to ensure residents were free from significant medication errors. Cited October 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: G
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited May 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 550 — 42 CFR §483.10(a) — S/S: G
The nursing home failed to make sure its activities program was led by a qualified professional. Cited July 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 680 — 42 CFR §483.24 — 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 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $234,637 was recorded.
- INSPECTION
Health inspection found 16 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $39,585 was recorded.
Penalties & enforcement
On record with Medicare: 3 fines · $341,302 in total fines · 2 payment denials.
- 7 days
Medicare/Medicaid payment denial
Jul 25, 2025
- $234,637
Federal fine
Jul 25, 2025
- $39,585
Federal fine
Oct 23, 2024
- 14 days
Medicare/Medicaid payment denial
Apr 24, 2024
- $67,080
Federal fine
Apr 24, 2024
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of OPTALIS HEALTH & REHABILITATION · 37 homes · 2.4 stars avg
- Occupancy
- 84.3 residents on an average day (80% of 105 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 41 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.