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 Health & Rehabilitation Center
Registered name: Greenfield Rehab and Nursing Center
Royal Oak, MI · Medicare-certified · 105 beds
Needs attention
Abuse citationFor-profitChain member
Data as of July 1, 2026
1 of 5 overall
Greenfield Health & Rehabilitation Center in Royal Oak, MI has an overall rating of 1 out of 5 stars, with a 1-star health inspection rating and a recent abuse citation. Reported nurse staffing is 3.34 hours per resident per day, below the federal benchmark of 4.1, and the facility has had $300,907 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.3423 hrs/resident/day
Quality measures
Last inspection: April 29, 2026Penalties, last 24 months: $300,907recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3423.
Staffing detail
- Registered nurses
- 0.61
- Licensed practical nurses
- 0.94
- Nurse aides
- 1.79
- Weekend nursing
- 3.01
Hours per resident per day.
Total staff turnover: 56%
Registered nurse turnover: 42%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
22.2%21.2%Improving
Residents with a fall causing major injury
1.4%1.4%No change
Residents with pressure ulcers (bedsores)
7.7%10.7%Worsening
Residents with a urinary tract infection
1.4%0%Improving
Residents who lost too much weight
4.4%10.1%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
1.5%11.9%Worsening
Residents whose ability to walk got worse
14.9%0%Improving
Long-stay residents on antianxiety or sleep medication
14.5%11.3%Improving
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%1.6%Worsening
Residents with new or worsening incontinence
8.2%23.2%Worsening
Residents with depressive symptoms
3.8%10.5%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%86.5%Worsening
Short-stay residents given the seasonal flu vaccine
—95%—
Short-stay residents given the pneumonia vaccine
100%84.5%Worsening
What the inspectors found
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
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited July 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — 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 1 health deficiency.
See what inspectors found
- 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
- PENALTY
A federal fine of $26,685 was recorded.
- 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: 4 fines · $367,987 in total fines · 2 payment denials.
- $26,685
Federal fine
Oct 7, 2025
- 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 · 2.3 stars avg
- Occupancy
- 81.1 residents on an average day (77% of 105 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 42 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.