All states › Michigan › Royal Oak › Greenfield Rehab and Nursing Center
3030 Greenfield Ave Royal Oak, MI 48073 · Oakland County
CMS certification number 235433 · See this home on Medicare Care Compare
Is Greenfield Rehab and Nursing Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Greenfield Rehab and Nursing Center as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Michigan average of 3.2.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.50 hours per resident per day at Greenfield Rehab and Nursing Center, below the Michigan median of 3.86 (US median: 3.72). About 0.71 of those hours are from registered nurses. On weekends it falls to 3.08 hours, 12% below its all-week average. 53.3% of nursing staff left within a year (Michigan median 43.8%).
About this nursing home
Paying for care at Greenfield Rehab and Nursing Center: Medicare and Medicaid
Greenfield Rehab and Nursing Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Michigan's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on August 12, 2026 and found 9 deficiencies, plus 15 from complaint inspections in the same period. In total, inspectors issued 78 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 78 citations at Greenfield Rehab and Nursing Center across 14 inspection dates, 45 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on July 25, 2025. The most common areas cited were quality of life and care (27) and resident rights (15). The most serious was cited under the CMS rule to "protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody" (tag F0600, level J, July 25, 2025). 13 citations were under CMS's abuse, neglect and exploitation rules.
August 12, 2026 · 15 citations · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FProvide and implement an infection prevention and control program.
FMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
EHonor 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.
EEnsure 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.
DReasonably accommodate the needs and preferences of each resident.
DLet each resident or the resident's legal representative access or purchase copies of all the resident's records.
DHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
DEnsure each resident receives an accurate assessment.
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide safe and appropriate respiratory care for a resident when needed.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DProvide timely, quality laboratory services/tests to meet the needs of residents.
June 15, 2026 · 5 citations · includes complaint inspection
FDispose of garbage and refuse properly.
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
DProvide enough food/fluids to maintain a resident's health.
DProvide or get specialized rehabilitative services as required for a resident.
April 29, 2026 · 1 citation · includes complaint inspection
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
March 10, 2026 · 2 citations · includes complaint inspection
EProvide activities to meet all resident's needs.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
October 7, 2025 · 1 citation, includes actual harm · includes complaint inspection
GEnsure that residents are free from significant medication errors.
July 25, 2025 · 16 citations, includes immediate jeopardy · includes complaint inspection
JProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
FEnsure the activities program is directed by a qualified professional.
FProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
FConduct 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.
EEnsure each resident receives an accurate assessment.
DReasonably accommodate the needs and preferences of each resident.
DHonor 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.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide safe and appropriate respiratory care for a resident when needed.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DProvide and implement an infection prevention and control program.
April 24, 2025 · 1 citation · includes complaint inspection
EReasonably accommodate the needs and preferences of each resident.
January 15, 2025 · 3 citations · includes complaint inspection
DHonor 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.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide 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.
October 23, 2024 · 2 citations, includes actual harm · includes complaint inspection
GProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
September 18, 2024 · 4 citations · includes complaint inspection
FMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
EHonor 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.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DEnsure 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.
July 2, 2024 · 1 citation · includes complaint inspection
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
May 15, 2024 · 19 citations, includes actual harm · includes complaint inspection
GProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
ETimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
ERespond appropriately to all alleged violations.
DHonor 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.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
DProtect each resident from the wrongful use of the resident's belongings or money.
DEnsure each resident receives an accurate assessment.
DPASARR screening for Mental disorders or Intellectual Disabilities
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DProvide 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.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide 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.
DProvide medically-related social services to help each resident achieve the highest possible quality of life.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DProvide or obtain dental services for each resident.
DProvide or get specialized rehabilitative services as required for a resident.
DDevelop and implement policies and procedures for flu and pneumonia vaccinations.
May 2, 2024 · 6 citations, includes actual harm · includes complaint inspection
GProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
FHave a Compliance and Ethics Program.
EDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
ETimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DEnsure that residents are fully informed and understand their health status, care and treatments.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
April 24, 2024 · 2 citations · includes complaint inspection
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Questions to ask on a tour of Greenfield Rehab and Nursing Center
- Inspectors cited the home at the immediate-jeopardy level on July 25, 2025 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on April 29, 2026. How are staff trained, and how are concerns reported?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
6 penalties in the last three years, including $358,647 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Oct 7, 2025 | Fine | $17,345 |
| Jul 25, 2025 | Fine | $234,637 |
| Jul 25, 2025 | Payment Denial | 7 days of payments denied |
| Oct 23, 2024 | Fine | $39,585 |
| Apr 24, 2024 | Fine | $67,080 |
| Apr 24, 2024 | Payment Denial | 14 days of payments denied |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 4/5 | 4/5 |
| August 2026 | 1/5 | 1/5 | 3/5 | 4/5 |
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Location
Hospitals near Greenfield Rehab and Nursing Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
-
0.6 mi
William Beaumont Hospital Royal OakEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 4h 26m for patients treated and sent home
- 3.8 mi
-
3.8 mi
Providence Hospital and Medical Centers SouthfieldEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 3h 16m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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Compare Greenfield Rehab and Nursing Center with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Oakpointe Senior Care and Rehab Center · Detroit · 5 stars · 6.0 mi
- West Oaks Senior Care & Rehab Center · Detroit · 5 stars · 6.6 mi
- Pomeroy Living Sterling Skilled Rehabilitation · Sterling Heights · 5 stars · 6.6 mi
- Regency Heights-Detroit · Detroit · 4 stars · 5.8 mi
Other Optalis Health & Rehabilitation nursing homes in Michigan
- Optalis Health and Rehabilitation of Allen Park · Allen Park · 4 stars
- Fountain Bleu Health and Rehabilitation Center · Livonia · 4 stars
- Optalis Health and Rehabilitation of Grosse Pointe · Grosse Pointe Woods · 4 stars
- Optalis Health & Rehabilitation of Ionia · Ionia · 4 stars
- Belle Fountain Nursing & Rehabilitation Center · Riverview · 3 stars
- Optalis Health and Rehabilitation of Sterling Heig · Sterling Heights · 3 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 36 Optalis Health & Rehabilitation nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.