Greenfield Rehab and Nursing Center
3030 Greenfield Ave, Royal Oak, MI 48073 · CCN 235433
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★★★ 5
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 105
- Avg residents/day
- 88.7
- Phone
- 2482886610
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 | 2025-07-25 | 18 | 9.9 | 9.5 | +8.1 worse |
| 2 | 2024-05-15 | 37 | 11.4 | 9.8 | +25.6 worse |
| 3 | 2023-05-04 | 19 | 12.0 | 9.3 | +7.0 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 2 |
| Quality of life and care | 6 |
| Resident assessment and care planning | 2 |
| Nursing and physician services | 1 |
| Resident rights | 3 |
| Pharmacy service | 2 |
| Administration | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.38 | 57.8% |
| RN staffing (reported) | 0.62 | 43.8% |
| Total nurse staffing (adjusted) | 3.62 | — |
Fines & penalties
- Total fines
- $485,076
- Number of fines
- 5
- Number of penalties
- 7
- Payment denials
- 2
Chain
- Chain
- OPTALIS HEALTH & REHABILITATION
- Facilities in chain
- 37
- Chain avg overall
- 2.50 / 5
Inspection citations (74)2 immediate jeopardy5 actual harm
- GF0760Ensure that residents are free from significant medication errors.2025-10-07 · Health · corrected 2025-10-08
Actual harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2025-07-25 · Health · corrected 2025-08-26
Potential for more than minimal harm
- DF0584Honor 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.2025-07-25 · Health · corrected 2025-08-14
Potential for more than minimal harm
- JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-07-25 · Health · corrected 2025-08-14
Immediate jeopardy
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-07-25 · Health · corrected 2025-08-14
Potential for more than minimal harm
- EF0641Ensure each resident receives an accurate assessment.2025-07-25 · Health · corrected 2025-08-14
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-07-25 · Health · corrected 2025-08-14
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-07-25 · Health · corrected 2025-08-14
Potential for more than minimal harm
- FF0680Ensure the activities program is directed by a qualified professional.2025-07-25 · Health · corrected 2025-08-14
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-07-25 · Health · corrected 2025-08-14
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-07-25 · Health · corrected 2025-08-14
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-07-25 · Health · corrected 2025-07-09
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-07-25 · Health · corrected 2025-08-14
Potential for more than minimal harm
- FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-07-25 · Health · corrected 2025-08-14
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-07-25 · Health · corrected 2025-08-14
Potential for more than minimal harm
- FF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.2025-07-25 · Health · corrected 2025-08-14
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-07-25 · Health · corrected 2025-08-14
Potential for more than minimal harm
- EF0558Reasonably accommodate the needs and preferences of each resident.2025-04-24 · Health · corrected 2025-05-08
Potential for more than minimal harm
- DF0584Honor 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.2025-01-15 · Health · corrected 2025-01-31
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-01-15 · Health · corrected 2025-01-31
Potential for more than minimal harm
- DF0688Provide 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.2025-01-15 · Health · corrected 2025-01-31
Potential for more than minimal harm
- GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-10-23 · Health · corrected 2024-11-13
Actual harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-10-23 · Health · corrected 2024-11-13
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.2024-09-18 · Health · corrected 2024-10-15
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-09-18 · Health · corrected 2024-10-15
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.2024-09-18 · Health · corrected 2024-10-15
Potential for more than minimal harm
- FF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2024-09-18 · Health · corrected 2024-10-15
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-07-02 · Health · corrected 2024-07-23
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.2024-05-15 · Health · corrected 2024-06-11
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-05-15 · Health · corrected 2024-06-06
Potential for more than minimal harm
- DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2024-05-15 · Health · corrected 2024-06-06
Potential for more than minimal harm
- GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-05-15 · Health · corrected 2024-06-06
Actual harm
- DF0602Protect each resident from the wrongful use of the resident's belongings or money.2024-05-15 · Health · corrected 2024-06-10
Potential for more than minimal harm
- EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-05-15 · Health · corrected 2024-06-06
Potential for more than minimal harm
- EF0610Respond appropriately to all alleged violations.2024-05-15 · Health · corrected 2024-06-06
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2024-05-15 · Health · corrected 2024-06-06
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-05-15 · Health · corrected 2024-06-06
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-05-15 · Health · corrected 2024-06-06
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-05-15 · Health · corrected 2024-06-06
Potential for more than minimal harm
- DF0688Provide 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.2024-05-15 · Health · corrected 2024-06-06
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-05-15 · Health · corrected 2024-06-10
Potential for more than minimal harm
- DF0742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.2024-05-15 · Health · corrected 2024-06-06
Potential for more than minimal harm
- DF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2024-05-15 · Health · corrected 2024-06-06
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-05-15 · Health · corrected 2024-06-06
Potential for more than minimal harm
- DF0791Provide or obtain dental services for each resident.2024-05-15 · Health · corrected 2024-06-11
Potential for more than minimal harm
- DF0825Provide or get specialized rehabilitative services as required for a resident.2024-05-15 · Health · corrected 2024-06-06
Potential for more than minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-05-15 · Health · corrected 2024-06-06
Potential for more than minimal harm
- DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2024-05-02 · Health · corrected 2024-05-23
Potential for more than minimal harm
- GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-05-02 · Health · corrected 2024-06-06
Actual harm
- EF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-05-02 · Health · corrected 2024-05-23
Potential for more than minimal harm
- EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-05-02 · Health · corrected 2024-06-06
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-05-02 · Health · corrected 2024-06-10
Potential for more than minimal harm
- FF0895Have a Compliance and Ethics Program.2024-05-02 · Health · corrected 2024-05-23
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-04-24 · Health · corrected 2024-05-16
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-04-24 · Health · corrected 2024-05-16
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-06-01 · Health · corrected 2023-05-22
Immediate jeopardy
- GF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-05-04 · Health · corrected 2023-05-31
Actual harm
- EF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2023-05-04 · Health · corrected 2023-05-31
Potential for more than minimal harm
- EF0563Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.2023-05-04 · Health · corrected 2023-05-31
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.2023-05-04 · Health · corrected 2023-05-31
Potential for more than minimal harm
- EF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-05-04 · Health · corrected 2023-05-31
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2023-05-04 · Health · corrected 2023-05-31
Potential for more than minimal harm
- EF0679Provide activities to meet all resident's needs.2023-05-04 · Health · corrected 2023-05-31
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-05-04 · Health · corrected 2023-05-31
Potential for more than minimal harm
- DF0688Provide 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.2023-05-04 · Health · corrected 2023-05-31
Potential for more than minimal 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.2023-05-04 · Health · corrected 2023-05-31
Potential for more than minimal harm
- FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-05-04 · Health · corrected 2023-05-31
Potential for more than minimal harm
- FF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2023-05-04 · Health · corrected 2023-05-31
Potential for more than minimal harm
- EF0729Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.2023-05-04 · Health · corrected 2023-05-31
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.2023-05-04 · Health · corrected 2023-05-31
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.2023-05-04 · Health · corrected 2023-05-31
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-05-04 · Health · corrected 2023-05-31
Potential for more than minimal harm
- DF0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.2023-05-04 · Health · corrected 2023-05-31
Potential for more than minimal harm
- FF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2023-05-04 · Health · corrected 2023-05-31
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| PATEL, PINAL | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | 2007-10-01 |
| SHAH, NAYANA | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | 2018-10-01 |
| OPTUM MANAGEMENT SOLUTIONS. INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2007-10-01 |
| KIMANI, DANIEL NDUNGU | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-01 |
| MISHULIN, SVETLANA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-01 |
| NKEMATA, ATABONG ALEXANDRA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-01 |
| PATEL, RAJAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2007-10-01 |
| SHARON, ROBERT | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-05-13 |
Other facilities in Royal Oak
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.