Evergreen Health and Rehabilitation Center
19933 West Thirteen Mile Road, Southfield, MI 48076 · CCN 235582
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★★★ 5
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 172
- Avg residents/day
- 157.6
- Phone
- 2482039000
Inspection history vs Michigan & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Michigan avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-09-11 | 9 | 9.9 | 9.5 | -0.9 better |
| 2 | 2024-08-07 | 27 | 11.4 | 9.8 | +15.6 worse |
| 3 | 2023-06-29 | 23 | 12.0 | 9.3 | +11.0 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 5 |
| Resident assessment and care planning | 1 |
| Nutrition and dietary | 2 |
| Administration | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.02 | 44.6% |
| RN staffing (reported) | 0.51 | 45.0% |
| Total nurse staffing (adjusted) | 3.85 | — |
Fines & penalties
- Total fines
- $71,130
- Number of fines
- 2
- Number of penalties
- 2
- Payment denials
- 0
Chain
- Chain
- OPTALIS HEALTH & REHABILITATION
- Facilities in chain
- 37
- Chain avg overall
- 2.50 / 5
Inspection citations (59)5 actual harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-09-11 · Health · corrected 2025-10-07
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-09-11 · Health · corrected 2025-10-07
Potential for more than minimal harm
- DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2025-09-11 · Health · corrected 2025-10-07
Potential for more than minimal harm
- DF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2025-09-11 · Health · corrected 2025-10-07
Potential for more than minimal harm
- DF0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.2025-09-11 · Health · corrected 2025-10-07
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-09-11 · Health · corrected 2025-10-07
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-08-06 · Health · corrected 2025-08-22
Potential for more than minimal harm
- GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-04-08 · Health · corrected 2025-04-30
Actual harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-04-08 · Health · corrected 2025-04-30
Potential for more than minimal harm
- DF0551Give the resident's representative the ability to exercise the resident's rights.2025-02-20 · Health · corrected 2025-03-11
Potential for more than minimal harm
- DF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2025-02-20 · Health · corrected 2025-02-06
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-12-10 · Health · corrected 2024-12-30
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-12-10 · Health · corrected 2024-12-30
Potential for more than minimal harm
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-08-07 · Health · corrected 2024-09-17
Potential for more than minimal harm
- DF0555Honor the resident's right to choose his or her attending physician.2024-08-07 · Health · corrected 2024-09-17
Potential for more than minimal harm
- DF0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.2024-08-07 · Health · corrected 2024-09-17
Potential for more than minimal harm
- FF0563Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.2024-08-07 · Health · corrected 2024-09-17
Potential for more than minimal harm
- DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2024-08-07 · Health · corrected 2024-09-17
Potential for more than minimal harm
- DF0624Prepare residents for a safe transfer or discharge from the nursing home.2024-08-07 · Health · corrected 2024-09-17
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-08-07 · Health · corrected 2024-09-17
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-08-07 · Health · corrected 2024-09-17
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-08-07 · Health · corrected 2024-09-17
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-08-07 · Health · corrected 2024-09-17
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-08-07 · Health · corrected 2024-09-17
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-08-07 · Health · corrected 2024-09-17
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-08-07 · Health · corrected 2024-09-17
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-07-08 · Health · corrected 2024-06-11
Potential for more than minimal harm
- EF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2024-05-28 · Health · corrected 2024-06-14
Potential for more than minimal harm
- DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2024-05-28 · Health · corrected 2024-06-14
Potential for more than minimal harm
- EF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-03-14 · Health · corrected 2024-04-02
Potential for more than minimal harm
- GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-03-14 · Health · corrected 2024-04-02
Actual harm
- GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-03-14 · Health · corrected 2024-04-02
Actual harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-03-14 · Health · corrected 2024-02-27
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2024-03-14 · Health · corrected 2024-04-02
Potential for more than minimal harm
- EF0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.2024-03-14 · Health · corrected 2024-04-02
Potential for more than minimal harm
- DF0825Provide or get specialized rehabilitative services as required for a resident.2024-03-14 · Health · corrected 2024-04-02
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-01-30 · Health · corrected 2024-02-15
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-01-30 · Health · corrected 2024-02-15
Potential for more than minimal harm
- DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2023-11-15 · Health · corrected 2023-12-08
Potential for more than minimal harm
- EF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-11-15 · Health · corrected 2023-12-08
Potential for more than minimal harm
- DF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2023-11-15 · Health · corrected 2023-12-08
Potential for more than minimal harm
- EF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2023-06-29 · Health · corrected 2023-07-28
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-06-29 · Health · corrected 2023-07-28
Potential for more than minimal harm
- DF0660Plan the resident's discharge to meet the resident's goals and needs.2023-06-29 · Health · corrected 2023-07-28
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-06-29 · Health · corrected 2023-07-28
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-06-29 · Health · corrected 2023-07-28
Potential for more than minimal harm
- GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-06-29 · Health · corrected 2023-07-28
Actual harm
- EF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2023-06-29 · Health · corrected 2023-07-28
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-06-29 · Health · corrected 2023-07-28
Potential for more than minimal harm
- GF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-06-29 · Health · corrected 2023-07-28
Actual harm
- DF0692Provide enough food/fluids to maintain a resident's health.2023-06-29 · Health · corrected 2023-07-28
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2023-06-29 · Health · corrected 2023-07-28
Potential for more than minimal harm
- DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2023-06-29 · Health · corrected 2023-07-28
Potential for more than minimal harm
- EF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2023-06-29 · Health · corrected 2023-07-28
Potential for more than minimal harm
- DF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2023-06-29 · Health · corrected 2023-07-28
Potential for more than minimal harm
- EF0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.2023-06-29 · Health · corrected 2023-07-28
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-06-29 · Health · corrected 2023-07-28
Potential for more than minimal harm
- DF0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.2023-06-29 · Health · corrected 2023-07-28
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-06-29 · Health · corrected 2023-07-28
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| OM HOLDCO, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2019-09-01 |
| CHARLES A. DUNN AGREEMENT OF TRUST 3.14.2001 | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2019-09-01 |
| CHARLES FRANKLIN LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2019-09-01 |
| HEMANT SHAH 2018 IRREVOCABLE TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2019-09-01 |
| OPTALIS LP INVESTORS 1, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2019-09-01 |
| PAAR 108 LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2019-09-01 |
| PINAL R. PATEL 2017 IRREVOCABLE TRUST F/B/O AARNA R. PATEL | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2019-09-01 |
| PINAL R. PATEL 2017 IRREVOCABLE TRUST F/B/O ANSH R. PATEL | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2019-09-01 |
| PINAL R. PATEL 2020 IRREVOCABLE FAMILY TRUST UAD 10-6-2020 | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2019-09-01 |
| RAJAN G PATEL 2020 IRR FAM TR UAD 12-3-2020 | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2019-09-01 |
| SNW LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2019-09-01 |
| OPTUM MANAGEMENT SOLUTIONS. INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-09-01 |
| GOUROV, LYUDMILA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-04-07 |
| IMAM, KHALED | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-04-01 |
| PATEL, RAJAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-09-01 |
| SHARON, ROBERT | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-05-13 |
| SIKORA, KERI | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-03-31 |
| EAST WEST BANK | Organization | 5% OR GREATER SECURITY INTEREST | — | 2019-09-01 |
| MERCHANTS BANK OF INDIANA | Organization | 5% OR GREATER MORTGAGE INTEREST | — | 2019-09-01 |
Other facilities in Southfield
| Name | Overall | Beds |
|---|---|---|
| Oakland Nursing Center | ★★★★☆ | 26 |
| Lahser Hills Care Centre | ★★☆☆☆ | 127 |
| The Lakeland Center | ★★☆☆☆ | 91 |
| Medilodge of Southfield | ★☆☆☆☆ | 182 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.