PlainNursing
CMS Nursing Home Compare · August 2026

Greenfield Rehab and Nursing Center

3030 Greenfield Ave, Royal Oak, MI 48073

Greenfield Rehab and Nursing Center, a 105-bed for profit - limited liability company nursing facility in Royal Oak, MI, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #370 of 420 rated homes in MI on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 3 inspection findings reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 2482886610

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1 / 5
Much below average · CMS overall · nat'l 3.0
#370 of 420
In-state rank among rated MI homes
3.34
Below average · nurse hrs/day · nat'l 3.86
50
Inspection findings · 3 serious

The verdict

Greenfield Rehab and Nursing Center, a 105-bed for profit - limited liability company nursing facility in Royal Oak, MI, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #370 of 420 rated homes in MI on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 3 inspection findings reached the actual-harm or immediate-jeopardy level.

1 / 5
CMS overall · national 3.0
#370 of 420
In-state rank among rated MI homes
3.34
Nurse hrs/resident-day · national 3.86
50
Inspection findings · 3 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 422 MI nursing homes split by ownership sector

This facility is recorded as For profit - Limited Liability company. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

1/5

Staffing

3/5

Quality Measures

4/5

Long-Stay Quality

3/5

Facility Information

Provider Number
235433
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
105
Residents
81
In Hospital
No
County
Oakland
Last Inspection
Jul 25, 2025
Abuse citation on record

Staffing Data

How the 3.34 total nursing hours per resident-day are staffed:

RN Hours
0.61 (nat'l avg: 0.69)
LPN Hours
0.94
CNA Hours
1.79
Total Nursing Hours
3.34 (nat'l avg: 3.86)
PT Hours
0.00
Nursing Turnover
55.8%
RN Turnover
41.7%

What the CMS Record Reveals About Greenfield Rehab and Nursing Center

According to CMS Nursing Home Compare, Greenfield Rehab and Nursing Center ranks #370 of 420 rated nursing homes in MI on overall stars (tie-broken by health+staffing+quality, then fewer fines). Greenfield Rehab and Nursing Center operates 105 certified beds in Royal Oak, MI with approximately 81 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars (health inspection 1★ · staffing 3★ · quality 4★).

The inspection file contains 50 deficiency records from recent surveys, of which 3 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. This provider has been fined 4 times by CMS, for a combined $368K. Staffing is reported at 3.34 total nursing hours per resident day (national average 3.86), with RN coverage at 0.61 per resident day.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Greenfield Rehab and Nursing Center falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 55.8% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (50 most recent)

D - Isolated - Minimal harm Jun 15, 2026 Tag: 0825

Provide or get specialized rehabilitative services as required for a resident.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 9, 2026

D - Isolated - Minimal harm Jun 15, 2026 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 9, 2026

D - Isolated - Minimal harm Jun 15, 2026 Tag: 0582

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Category: Resident Rights Deficiencies

Corrected: Jul 9, 2026

E - Pattern - Minimal harm Jun 15, 2026 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 9, 2026

F - Widespread - Minimal harm Jun 15, 2026 Tag: 0814

Dispose of garbage and refuse properly.

Category: Nutrition and Dietary Deficiencies

Corrected: Jul 9, 2026

D - Isolated - Minimal harm Apr 29, 2026 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: May 5, 2026

D - Isolated - Minimal harm Mar 10, 2026 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 30, 2026

E - Pattern - Minimal harm Mar 10, 2026 Tag: 0679

Provide activities to meet all resident's needs.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 30, 2026

G - Isolated - Actual harm Oct 7, 2025 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Oct 8, 2025

D - Isolated - Minimal harm Jul 25, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Aug 14, 2025

D - Isolated - Minimal harm Jul 25, 2025 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Aug 14, 2025

D - Isolated - Minimal harm Jul 25, 2025 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 14, 2025

D - Isolated - Minimal harm Jul 25, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 9, 2025

D - Isolated - Minimal harm Jul 25, 2025 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 14, 2025

D - Isolated - Minimal harm Jul 25, 2025 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 14, 2025

D - Isolated - Minimal harm Jul 25, 2025 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 14, 2025

D - Isolated - Minimal harm Jul 25, 2025 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 14, 2025

D - Isolated - Minimal harm Jul 25, 2025 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Aug 14, 2025

D - Isolated - Minimal harm Jul 25, 2025 Tag: 0584

Honor 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.

Category: Resident Rights Deficiencies

Corrected: Aug 14, 2025

D - Isolated - Minimal harm Jul 25, 2025 Tag: 0558

Reasonably accommodate the needs and preferences of each resident.

Category: Resident Rights Deficiencies

Corrected: Aug 26, 2025

E - Pattern - Minimal harm Jul 25, 2025 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 14, 2025

F - Widespread - Minimal harm Jul 25, 2025 Tag: 0838

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.

Category: Administration Deficiencies

Corrected: Aug 14, 2025

F - Widespread - Minimal harm Jul 25, 2025 Tag: 0725

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Category: Nursing and Physician Services Deficiencies

Corrected: Aug 14, 2025

F - Widespread - Minimal harm Jul 25, 2025 Tag: 0680

Ensure the activities program is directed by a qualified professional.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 14, 2025

J - Isolated - Jeopardy Jul 25, 2025 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Aug 14, 2025

E - Pattern - Minimal harm Apr 24, 2025 Tag: 0558

Reasonably accommodate the needs and preferences of each resident.

Category: Resident Rights Deficiencies

Corrected: May 8, 2025

D - Isolated - Minimal harm Jan 15, 2025 Tag: 0688

Provide 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.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 31, 2025

D - Isolated - Minimal harm Jan 15, 2025 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 31, 2025

D - Isolated - Minimal harm Jan 15, 2025 Tag: 0584

Honor 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.

Category: Resident Rights Deficiencies

Corrected: Jan 31, 2025

D - Isolated - Minimal harm Oct 23, 2024 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Nov 13, 2024

G - Isolated - Actual harm Oct 23, 2024 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Nov 13, 2024

D - Isolated - Minimal harm Sep 18, 2024 Tag: 0761

Ensure 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.

Category: Pharmacy Service Deficiencies

Corrected: Oct 15, 2024

D - Isolated - Minimal harm Sep 18, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 15, 2024

E - Pattern - Minimal harm Sep 18, 2024 Tag: 0584

Honor 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.

Category: Resident Rights Deficiencies

Corrected: Oct 15, 2024

F - Widespread - Minimal harm Sep 18, 2024 Tag: 0925

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Category: Environmental Deficiencies

Corrected: Oct 15, 2024

D - Isolated - Minimal harm Jul 2, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 23, 2024

D - Isolated - Minimal harm May 15, 2024 Tag: 0883

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Category: Infection Control Deficiencies

Corrected: Jun 6, 2024

D - Isolated - Minimal harm May 15, 2024 Tag: 0825

Provide or get specialized rehabilitative services as required for a resident.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 6, 2024

D - Isolated - Minimal harm May 15, 2024 Tag: 0791

Provide or obtain dental services for each resident.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 11, 2024

D - Isolated - Minimal harm May 15, 2024 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Jun 6, 2024

D - Isolated - Minimal harm May 15, 2024 Tag: 0745

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 6, 2024

D - Isolated - Minimal harm May 15, 2024 Tag: 0742

Provide 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.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 6, 2024

D - Isolated - Minimal harm May 15, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 10, 2024

D - Isolated - Minimal harm May 15, 2024 Tag: 0688

Provide 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.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 6, 2024

D - Isolated - Minimal harm May 15, 2024 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 6, 2024

D - Isolated - Minimal harm May 15, 2024 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 6, 2024

D - Isolated - Minimal harm May 15, 2024 Tag: 0645

PASARR screening for Mental disorders or Intellectual Disabilities

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 6, 2024

D - Isolated - Minimal harm May 15, 2024 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 6, 2024

D - Isolated - Minimal harm May 15, 2024 Tag: 0602

Protect each resident from the wrongful use of the resident's belongings or money.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jun 10, 2024

D - Isolated - Minimal harm May 15, 2024 Tag: 0582

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Category: Resident Rights Deficiencies

Corrected: Jun 6, 2024

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 9.4% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 1.3% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.7% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 1.6% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 8.8% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 8.9% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 22.8% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents who lose too much weight Long Stay 7.4% No
Percentage of long-stay residents who have depressive symptoms Long Stay 9.6% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 96.8% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 13.1% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 15.6% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 94.6% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 95.0% No

Penalty History 4 penalties totaling $368K

Date Type Amount
Oct 7, 2025 Fine $27K
Jul 25, 2025 Fine $235K
Jul 25, 2025 Payment Denial -
Oct 23, 2024 Fine $40K
Apr 24, 2024 Fine $67K
Apr 24, 2024 Payment Denial -

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Greenfield Rehab and Nursing Center, both outside MI so the neighborhoods are not the same-state geography list below.

What the CMS records show for Greenfield Rehab and Nursing Center

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The MI registry aggregates state averages and the highest-rated homes in this cohort. View MI registry
  • Peer homes near 105 beds show how CMS stars vary at a similar scale in MI. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Greenfield Rehab and Nursing Center?
Greenfield Rehab and Nursing Center has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (1★), staffing levels (3★), and quality measures (4★).
Where does Greenfield Rehab and Nursing Center rank among nursing homes in MI?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Greenfield Rehab and Nursing Center ranks 370th among 420 rated nursing homes in MI (#370 of 420). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Greenfield Rehab and Nursing Center?
Greenfield Rehab and Nursing Center reports 3.34 total nursing hours per resident day (national average: 3.86). RN hours are 0.61 per resident day (national average: 0.69). Nursing staff turnover is 55.8%.
How many beds does Greenfield Rehab and Nursing Center have?
Greenfield Rehab and Nursing Center has 105 certified beds with approximately 81 residents. The facility is located at 3030 Greenfield Ave, Royal Oak, MI 48073.
Does Greenfield Rehab and Nursing Center have any deficiencies on record?
Yes, Greenfield Rehab and Nursing Center has 50 deficiencies on record from recent inspections. Of these, 3 are classified as causing actual harm or jeopardy.
Has Greenfield Rehab and Nursing Center received any fines or penalties?
Yes, Greenfield Rehab and Nursing Center has received 4 penalties totaling $368K.
Who owns Greenfield Rehab and Nursing Center?
Greenfield Rehab and Nursing Center is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was Greenfield Rehab and Nursing Center last inspected?
The most recent health inspection for Greenfield Rehab and Nursing Center was on Jul 25, 2025. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for Greenfield Rehab and Nursing Center?
Greenfield Rehab and Nursing Center is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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