Nursing home
Greenfield Rehab and Nursing Center
3030 Greenfield Ave, Royal Oak, MI 48073 · Map
For profit - Limited Liability company · Part of Optalis Health & Rehabilitation (37 facilities) · 105 certified beds
Greenfield Rehab and Nursing Center is a Medicare-certified nursing home in Royal Oak, Michigan. CMS rates it 2 out of 5 stars overall (3/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.38 hours per resident per day, below the Michigan average of 4.03. Its most recent inspection on Jul 25, 2025 cited 17 deficiencies.
- 5 fines totaling $485,076In CMS records: 7 total penalties, 2 Medicare payment denials.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Greenfield Rehab and Nursing Center compares
This facility vs. the Michigan and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Michigan avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.38 | 4.03 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.62 | 0.77 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.86 | 2.38 | 2.34 | below avg |
| Nursing staff turnover | 57.8% | 44.4% | 46.4% | above avg |
| Deficiencies cited, last inspection | 17.0 | 9.8 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 5 fines totaling $485,076, 7 total penalties, 2 Medicare payment denials.
What inspectors found at Greenfield Rehab and Nursing Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · Mar 10, 2026 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Mar 10, 2026 · Full report (PDF) - Actual harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Oct 7, 2025 · Full report (PDF) - Immediate jeopardy
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jul 25, 2025 · Full report (PDF) - Potential for harm
Conduct 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.
Administration Deficiencies · Jul 25, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · Jul 25, 2025 · Full report (PDF) - Potential for harm
Ensure the activities program is directed by a qualified professional.
Quality of Life and Care Deficiencies · Jul 25, 2025 · Full report (PDF) - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Jul 25, 2025 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Jul 25, 2025 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Jul 25, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jul 25, 2025 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Jul 25, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 3030 Greenfield Ave
Royal Oak, MI 48073 - CMS certification #
- 235433
- Ownership
- For profit - Limited Liability company
- Certified beds
- 105
- Avg residents/day
- 88.7
- Provider type
- Medicare and Medicaid
- First certified
- 1984-08-14
- Chain
- Optalis Health & Rehabilitation (37 facilities)
- Setting
- Urban
Part of Optalis Health & Rehabilitation
Optalis Health & Rehabilitation operates 37 nursing facilities across the United States. View all Optalis Health & Rehabilitation facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Greenfield Rehab and Nursing Center using Google Maps.
Other public records
- Staff pay 2 federal wage cases with violations found, since 2019
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for Feb 26, 2023 to Feb 22, 2025. Violations found: Overtime. Back wages: $15,534 owed to 50 employees. DOL marked the employer as a repeat violator. Employer as DOL recorded it: Greenfield Rehab and Nursing Center (Diversified Rehab Services, LLC). Case 1997867.
- Findings for Mar 18, 2019 to Mar 17, 2021. Violations found: Overtime. Back wages: $6,379 owed to 30 employees. Employer as DOL recorded it: Greenfield Rehab and Nursing Center (Diversified Rehab Services, LLC). Case 1935538.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby care
- Nearest hospital with an emergency room
- Beaumont Hospital Royal Oak, Royal Oak. 0.7 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Mission Point Nursing & Physical Rehabilitation Ce, Beverly Hills. 1.1 miles away, straight line.
- Nearest home health agency office
- Eastern Michigan Home Healthcare, Royal Oak. 0.5 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 0.6 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 48073 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita Starrwood Dialysis, Royal Oak, 1.0 mile away, straight line (CMS rating 3 of 5 stars)
Davita Starrwood Ht At Home, Royal Oak, 1.0 mile away, straight line
Michigan Metropolitan Dialysis, L.L.C., Berkley, 1.4 miles away, straight line (CMS rating 4 of 5 stars) - Hospice
- 42 Medicare hospices tell CMS they serve ZIP code 48073.
Michigan Community Vna Hospice, office in Bingham Farms, 3.1 miles away, straight line (CMS family survey rating 3 of 5 stars)
Inhouse Hospice, LLC, office in Bingham Farms, 3.1 miles away, straight line
Brighton Hospice Michigan, LLC, office in Huntington Woods, 3.2 miles away, straight line (CMS family survey rating 3 of 5 stars) - Nearest geriatric medicine practice
- William Beaumont Hospital, Royal Oak. 0.7 miles away, straight line. 5 geriatric medicine doctors listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane very low, inland flooding relatively low, wildfire very low, tornado relatively high, heat wave relatively low, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is Greenfield Rehab and Nursing Center a good nursing home?
CMS gives Greenfield Rehab and Nursing Center an overall rating of 2 out of 5 stars, including 3/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Greenfield Rehab and Nursing Center staffed?
Greenfield Rehab and Nursing Center reports 3.38 total nurse hours per resident per day, compared with the Michigan average of 4.03.
Has Greenfield Rehab and Nursing Center had inspection problems?
Its most recent CMS inspection cited 17 deficiencies.
How many beds does Greenfield Rehab and Nursing Center have?
Greenfield Rehab and Nursing Center is certified for 105 beds.