Greenfield Rehab and Nursing Center, Royal Oak, Michigan
- 81
- Citations from health inspectionsMichigan average: 32 a home
- 6
- Residents harmed or put in dangerMichigan average: 2.0 a home
- $367,987
- Fines from the federal governmentMichigan average: $29,376 a home
- 1 out of 5
- Overall rating in starsMichigan average: 3.1
The figures come from Medicare Care Compare files released October 8, 2026 by CMS, the federal Medicare agency. The citations span each home's three most recent inspection cycles plus their complaint visits, going back to March 2017 at the earliest; the fines span about three years, beginning September 2023. Browse the CMS files
14 inspection visits produced 81 citations. Residents were in immediate danger in one finding. Residents were found hurt in five cases. Federal fines came to $367,987 (four fines). Two times, Medicare stopped paying for new admissions.
The CMS abuse icon is shown for this home. Care Compare adds it after a citation for abuse or neglect. Either a resident was harmed recently, or harm could have resulted over two inspections in a row.
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- The home's overall star rating
- 1 out of 5
- Rating for health inspections
- 1 out of 5
- Rating for staffing
- 3 out of 5
- Rating for quality of care
- 4 out of 5
- Nurse time for each resident
- 3.34 hours each dayThe Michigan average is 3.99 hours
- Time from registered nurses
- 0.61 hours each dayThe Michigan average is 0.78 hours
- Nursing staff who left during one year
- 55.8%against the Michigan average of 44.1%
- Beds that are certified
- 105
- Ownership
- Limited Liability company (for profit)
- Chain
- Optalis Health & Rehabilitation, with 36 homes
- Street address
- 3030 Greenfield Ave, Royal Oak, Michigan 48073
- County
- Oakland
Each inspection's citations
Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.
Five citations dated June 15, 2026
- F825 Specialized Rehabilitation Services: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F814 Dispose of Garbage Properly: risk of harm, no one found hurt, widespread, found on a complaint visit.
- F692 Enough Food and Fluids: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F582 Notice of Medicare and Medicaid Coverage and Costs: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated April 29, 2026
- F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Two citations dated March 10, 2026
- F684 Quality of Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F679 Activities That Meet Every Resident's Needs: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
One citation dated Oct. 7, 2025
- F760 Significant Medication Errors: residents were harmed, one or a few residents, found on a complaint visit.
16 citations dated July 25, 2025
- F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents.
- F838 Facility Wide Assessment of Needed Resources: risk of harm, no one found hurt, widespread, found on a complaint visit.
- F755 Pharmacy Services: risk of harm, no one found hurt, one or a few residents.
- F725 Enough Nursing Staff: risk of harm, no one found hurt, widespread, found on a complaint visit.
- F695 Breathing and Oxygen Care: risk of harm, no one found hurt, one or a few residents.
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F686 Pressure Ulcer (Bedsore) Care: risk of harm, no one found hurt, one or a few residents.
- F684 Quality of Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F680 Qualified Activities Director: risk of harm, no one found hurt, widespread.
- F677 Help With Daily Living: risk of harm, no one found hurt, one or a few residents.
- F657 Updating the Care Plan on Time: risk of harm, no one found hurt, one or a few residents.
- F641 Accurate Resident Assessments: risk of harm, no one found hurt, a pattern, several residents.
- F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents.
- F600 Freedom From Abuse and Neglect: immediate danger to residents, one or a few residents.
- F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, one or a few residents.
- F558 Meeting Residents' Needs and Preferences: risk of harm, no one found hurt, one or a few residents.
One citation dated April 24, 2025
- F558 Meeting Residents' Needs and Preferences: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
Three citations dated Jan. 15, 2025
- F688 Range of Motion and Mobility: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F684 Quality of Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Two citations dated Oct. 23, 2024
Four citations dated Sept. 18, 2024
- F925 Pest Control Program: risk of harm, no one found hurt, widespread, found on a complaint visit.
- F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
One citation dated July 2, 2024
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
19 citations dated May 15, 2024
- F883 Flu and Pneumonia Vaccines: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F825 Specialized Rehabilitation Services: risk of harm, no one found hurt, one or a few residents.
- F791 Dental Services for Residents: risk of harm, no one found hurt, one or a few residents.
- F755 Pharmacy Services: risk of harm, no one found hurt, one or a few residents.
- F745 Medically Related Social Services: risk of harm, no one found hurt, one or a few residents.
- F742 Mental Health and Trauma Treatment: risk of harm, no one found hurt, one or a few residents.
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents.
- F688 Range of Motion and Mobility: risk of harm, no one found hurt, one or a few residents.
- F686 Pressure Ulcer (Bedsore) Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F684 Quality of Care: risk of harm, no one found hurt, one or a few residents.
- F645 Screening for Mental Illness or Intellectual Disability: risk of harm, no one found hurt, one or a few residents.
- F641 Accurate Resident Assessments: risk of harm, no one found hurt, one or a few residents.
- F610 Investigating Abuse Allegations: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F609 Reporting Suspected Abuse: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F602 Protect Residents' Money and Belongings From Misuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F600 Freedom From Abuse and Neglect: residents were harmed, one or a few residents, found on a complaint visit.
- F582 Notice of Medicare and Medicaid Coverage and Costs: risk of harm, no one found hurt, one or a few residents.
- F580 Telling the Family About a Change: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F578 The Right to Refuse Treatment: risk of harm, no one found hurt, one or a few residents.
Six citations dated May 2, 2024
- F895 Compliance and Ethics Program: risk of harm, no one found hurt, widespread, found on a complaint visit.
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F609 Reporting Suspected Abuse: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F607 Policies to Prevent Abuse, Neglect, and Theft: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F600 Freedom From Abuse and Neglect: residents were harmed, one or a few residents, found on a complaint visit.
- F552 Keep Residents Informed About Health and Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Two citations dated April 24, 2024
18 citations dated May 4, 2023
- F947 Nurse Aide Skills, Dementia, and Abuse Training: risk of harm, no one found hurt, widespread.
- F847 Right to Refuse Binding Arbitration: risk of harm, no one found hurt, one or a few residents.
- F842 Medical Records and Privacy: risk of harm, no one found hurt, one or a few residents.
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, widespread.
- F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, one or a few residents.
- F729 Verify Nurse Aide Training and Retraining: risk of harm, no one found hurt, a pattern, several residents.
- F727 Required Registered Nurse and Nursing Director: risk of harm, no one found hurt, widespread.
- F725 Enough Nursing Staff: risk of harm, no one found hurt, widespread.
- F690 Bladder, Bowel and Catheter Care: risk of harm, no one found hurt, one or a few residents.
- F688 Range of Motion and Mobility: risk of harm, no one found hurt, one or a few residents.
- F684 Quality of Care: risk of harm, no one found hurt, one or a few residents.
- F679 Activities That Meet Every Resident's Needs: risk of harm, no one found hurt, a pattern, several residents.
- F645 Screening for Mental Illness or Intellectual Disability: risk of harm, no one found hurt, one or a few residents.
- F607 Policies to Prevent Abuse, Neglect, and Theft: risk of harm, no one found hurt, a pattern, several residents.
- F578 The Right to Refuse Treatment: risk of harm, no one found hurt, one or a few residents.
- F563 Right to Visitors of Own Choosing: risk of harm, no one found hurt, a pattern, several residents.
- F561 Respect Resident Choices and Self Determination: risk of harm, no one found hurt, a pattern, several residents.
- F550 Dignity and Resident Rights: residents were harmed, one or a few residents.
Payment Denials and Fines
| Date | Penalty | Amount |
|---|---|---|
| Oct. 7, 2025 | Fine | $26,685 |
| July 25, 2025 | Fine | $234,637 |
| July 25, 2025 | Payment denial for new admissions | seven days |
| Oct. 23, 2024 | Fine | $39,585 |
| April 24, 2024 | Fine | $67,080 |
| April 24, 2024 | Payment denial for new admissions | 14 days |
Ownership and Management of the Home
- The home is run by Optum Management Solutions. Inc. (operational or managerial control).
Two people with an ownership stake are also listed by CMS.
The CMS Care Compare files, updated every month, provide provider information, health deficiencies, penalties, and ownership. The CMS certification number is 235433. Other homes in Michigan.