Nursing Homes · Medicare certified
Greenfield Rehab and Nursing Center
3030 Greenfield Ave · Royal Oak, MI 48073 · 105 certified beds
License number not yet on file. We only publish license numbers we can source from an official registry.
NPI 1528251071. Look this up in the CMS NPPES registry (opens in a new tab)
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About Greenfield Rehab and Nursing Center
Greenfield Rehab and Nursing Center is a nursing home in Royal Oak, Michigan. Its reported capacity is 105 beds. It is recorded as a for-profit operator, part of Optalis Health & Rehabilitation. Federal records list it as Medicare certified. Our copy of the inspection record holds 77 citations, the newest dated 29 April 2026. Federal enforcement records add 6 fine or payment denial actions. Staffing reports put it at 3.34 nurse hours per resident per day. Every fact above comes from the public records listed in the sources section on this page. The newest source file we hold for this listing is dated August 2026.
Public record
CMS Care Compare · Source data August 2026
Certification
- Medicare-certified (CMS Certification Number on file)
Ratings
Staffing rating
3.0Quality-measure rating
4.0Inspections on record
2
Cited deficiencies
55
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
3.0Quality-measure rating
5.0Inspections on record
2
Cited deficiencies
56
Staffing rating
3.0Quality-measure rating
4.0Inspections on record
2
Cited deficiencies
60
Inspection history (77)
Records from May 2023 to April 2026.
May 4, 2023 · D
Citation F0690Federal surveyors cited this nursing home on 2023-05-04 under CMS tag F0690 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. The deficiency was recorded as corrected on 2023-05-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-05-04.GOVMay 4, 2023 · D
Citation F0761Federal surveyors cited this nursing home on 2023-05-04 under CMS tag F0761 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2023-05-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-05-04.GOVMay 4, 2023 · F
Citation F0947Federal surveyors cited this nursing home on 2023-05-04 under CMS tag F0947 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. The deficiency was recorded as corrected on 2023-05-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-05-04.GOVMay 4, 2023 · E
Citation F0563Federal surveyors cited this nursing home on 2023-05-04 under CMS tag F0563 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. The deficiency was recorded as corrected on 2023-05-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-05-04.GOVMay 4, 2023 · D
Citation F0645Federal surveyors cited this nursing home on 2023-05-04 under CMS tag F0645 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for PASARR screening for Mental disorders or Intellectual Disabilities. The deficiency was recorded as corrected on 2023-05-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-05-04.GOVMay 4, 2023 · E
Citation F0729Federal surveyors cited this nursing home on 2023-05-04 under CMS tag F0729 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. The deficiency was recorded as corrected on 2023-05-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-05-04.GOVMay 4, 2023 · D
Citation F0688Federal surveyors cited this nursing home on 2023-05-04 under CMS tag F0688 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2023-05-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-05-04.GOVMay 4, 2023 · D
Citation F0578Federal surveyors cited this nursing home on 2023-05-04 under CMS tag F0578 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor 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. The deficiency was recorded as corrected on 2023-05-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-05-04.GOVMay 4, 2023 · E
Citation F0561Federal surveyors cited this nursing home on 2023-05-04 under CMS tag F0561 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. The deficiency was recorded as corrected on 2023-05-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-05-04.GOVMay 4, 2023 · G
Citation F0550Federal surveyors cited this nursing home on 2023-05-04 under CMS tag F0550 (CMS scope/severity G: isolated, actual harm) for Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. The deficiency was recorded as corrected on 2023-05-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-05-04.GOVMay 4, 2023 · E
Citation F0607Federal surveyors cited this nursing home on 2023-05-04 under CMS tag F0607 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop and implement policies and procedures to prevent abuse, neglect, and theft. The deficiency was recorded as corrected on 2023-05-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-05-04.GOVMay 4, 2023 · F
Citation F0727Federal surveyors cited this nursing home on 2023-05-04 under CMS tag F0727 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Have 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. The deficiency was recorded as corrected on 2023-05-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-05-04.GOVMay 4, 2023 · E
Citation F0679Federal surveyors cited this nursing home on 2023-05-04 under CMS tag F0679 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide activities to meet all resident's needs. The deficiency was recorded as corrected on 2023-05-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-05-04.GOVMay 4, 2023 · D
Citation F0684Federal surveyors cited this nursing home on 2023-05-04 under CMS tag F0684 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2023-05-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-05-04.GOVMay 4, 2023 · F
Citation F0812Federal surveyors cited this nursing home on 2023-05-04 under CMS tag F0812 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2023-05-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-05-04.GOVMay 4, 2023 · D
Citation F0842Federal surveyors cited this nursing home on 2023-05-04 under CMS tag F0842 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. The deficiency was recorded as corrected on 2023-05-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-05-04.GOVMay 4, 2023 · D
Citation F0847Federal surveyors cited this nursing home on 2023-05-04 under CMS tag F0847 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. The deficiency was recorded as corrected on 2023-05-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-05-04.GOV
Penalties (6)
Total fines on file: $367,987
October 7, 2025 · Fine
Citation FINE-139375CMS recorded a civil money penalty of $26,685 against this nursing home on 2025-10-07 (Fine ID: 139375). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-10-07.GOVJuly 25, 2025 · Fine
Citation FINE-136448CMS recorded a civil money penalty of $234,637 against this nursing home on 2025-07-25 (Fine ID: 136448). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-07-25.GOVJuly 25, 2025 · Payment Denial
Citation PAYDEN-2025-08-22CMS recorded a Medicare/Medicaid payment denial for new admissions starting 2025-08-22, lasting 7 days (triggered by inspection on 2025-07-25). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-07-25.GOVOctober 23, 2024 · Fine
Citation FINE-59063CMS recorded a civil money penalty of $39,585 against this nursing home on 2024-10-23 (Fine ID: 59063). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-10-23.GOVApril 24, 2024 · Fine
Citation FINE-58988CMS recorded a civil money penalty of $67,080 against this nursing home on 2024-04-24 (Fine ID: 58988). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-04-24.GOVApril 24, 2024 · Payment Denial
Citation PAYDEN-2024-05-28CMS recorded a Medicare/Medicaid payment denial for new admissions starting 2024-05-28, lasting 14 days (triggered by inspection on 2024-04-24). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-04-24.GOV
Staffing
Latest: 3.34 nurse staffing hours per resident per day (2026Q1)
Staffing trend (5 periods)
- 2025Q43.60 hrs/resident/day
- 2026-06-013.60 hrs/resident/day
- 2026-07-013.34 hrs/resident/day
- 2026-08-013.34 hrs/resident/day
- 2026Q13.34 hrs/resident/day
Most recent period is lower than 2025Q4 (-0.26 hrs/resident/day). Figures are CMS-reported nurse staffing hours, not our estimate.
Ownership
For profit
CMS Care Compare chain: Optalis Health & Rehabilitation
Chain ID 601 · 36 facilities in chain (CMS)
- Chain average overall rating: 2.4
- Chain average health inspection rating: 1.9
- Chain average staffing rating: 2.4
- Chain average quality measure rating: 4.3
Chain averages are CMS-published figures for facilities sharing this Chain ID (formerly Affiliated Entity). They are not ElderCareCosts scores.
A separate ownership filing names a different organization for this listing. We are not publishing that name while the two government records disagree.
Recent changes to this listing
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Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.
Sep 1, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Sep 1, 2026Ownership changed
The source now records ownership as "For profit - Limited Liability company".
Reported by CMS nursing homes (provider info)
Aug 6, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Jul 23, 2026First appeared in our data
This listing first appeared in the government file we read. That is usually when it entered the file, not the day it opened.
Reported by CMS nursing homes (provider info)
Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.
Typical cost
Genworth CareScout Cost of Care Survey · 2025
This provider doesn't publish a specific price to us. Below is the typical MI range for the care type(s) it offers. Use it as context, not a quote.
Nursing Homes
Median · MI$11,254/moNearby alternatives
No other listed providers in Royal Oak yet.
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
Check availability and pricing at Greenfield Rehab and Nursing Center
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Trust & methodology
Where this information came from
Each block below is one file we read, the date on that file, and the fields on this page that came from it. The date is when the source published or we retrieved it, not the day we last looked at this listing.
- CMS nursing homes (provider info)as of August 2026
- Chain identifier, Chain name, City, CMS Special Focus status, County, Licensed capacity, Map location, Medicare certification number, Name, Phone number, State, Street address, ZIP code
- CMS nursing homes (ownership)as of July 2026
- Ownership type, Parent organization
- CMS enrollmentas of July 2026
- NPI
- CMS nursing homes (payroll-based journal staffing)as of June 2026
- Staffing hours per resident day
Read how we handle every file on the data sources page.