Greenfield Rehab and Nursing Center
3030 Greenfield Ave, Royal Oak, MI 48073Map
Medicare/Medicaid certified105 certified beds~84 residents/dayFor profit - Limited Liability company
What the abuse icon means moreless
CMS flags a facility with its abuse icon when inspectors cited it for abuse that harmed a resident within the past year, or for abuse that could have harmed a resident in each of the last two years. CMS shows this same icon on its own Care Compare site, and caps the facility's ratings while it's flagged. The icon is removed when newer inspections come back clean. The deficiency list below will contain the underlying citations — read them.
What to do with this: read the abuse-related citations below, and ask the facility directly what happened and what changed. Verify the current status at medicare.gov/care-compare.
Last standard health inspection: July 25, 2025
Greenfield Rehab and Nursing Center is a 105-bed for-profit, LLC-owned nursing home in Royal Oak, Oakland County, Michigan, serving an average of 84 residents per day. As of CMS data processed June 1, 2026, its overall rating is 2 of 5 stars.
CMS star ratings
CMS scores every nursing home 1–5 stars overall, built from three sub-ratings. moreless
Medicare inspects and measures every certified nursing home, then rolls the results into a 1–5 star overall rating. It combines three parts: health inspections, staffing, and quality measures. Five stars means much better than average — it does not mean perfect. One star means much worse than average — it does not mean every shift is bad. Stars are a screening tool, not a verdict. They can lag reality by months, and they can't see things like how kind the aides are or how the building smells at 7am.
What to do with this: use stars to build a shortlist, then visit in person. Nothing on this site replaces walking the halls.
Health-inspection stars are graded on a curve within each state — never compare stars across state lines. moreless
CMS sets health-inspection star cutoffs separately for each state: roughly the top 10% of homes in a state get 5 stars, the bottom 20% get 1 star, no matter how the state compares to others. That means a 4-star home in one state and a 4-star home in another state may have very different inspection records. The stars tell you how a home compares to its neighbors, not to the whole country. That's why this site shows your state's median next to each star rating — and never a national star comparison.
What to do with this: compare stars only between homes in the same state. To compare across states, use staffing hours — those are real numbers, not curves.
Not all three sub-ratings are equally hard to game: inspections are the most objective, quality measures the least. moreless
The three sub-ratings come from different sources. Health inspections are done on-site by trained state surveyors who show up mostly unannounced — the most objective signal. Staffing comes from payroll records that facilities must submit and CMS audits — quite reliable. Quality measures are partly self-reported by the facility from its own resident assessments — useful, but the facility grades some of its own homework.
What to do with this: when sub-ratings disagree, weigh the inspection star most and the quality-measure star least.
Staffing
Reported hours per resident per day, from payroll records. Hours, unlike stars, can be compared across states.
Hours per resident per day: total staff hours worked, divided by the number of residents. moreless
If a home reports 3.5 total nursing hours per resident per day, that's all nursing staff time across 24 hours — roughly one caregiver-hour every 7 hours per resident, spread across day, evening, and night shifts. On a real floor it decides whether call lights get answered in 5 minutes or 25, whether someone has time to help with dinner, and whether night shift is one aide for a hall or two. Unlike star ratings, hours are actual numbers, so they CAN be compared across state lines.
What to do with this: compare a home's hours to the state and national medians shown, and ask the facility how the hours split across day, evening, and night shifts.
RN (registered nurse) hours
LPN (licensed practical nurse) hours
Nurse aide hours
Total nursing hours
CMS also adjusts these numbers for how sick each home’s residents are — a home with sicker residents needs more staff for the same star. This home’s case-mix-adjusted total: 3.89 (US median, adjusted: 3.78).
CMS also adjusts staffing numbers for how sick each home's residents are. moreless
A home full of short-term rehab patients needs different staffing than a home caring for people with advanced dementia or ventilators. Case-mix adjustment estimates how many hours a home's particular residents need, then scales the reported hours so homes can be compared fairly. A home with sicker residents needs more staff for the same star. This page shows reported (raw payroll) numbers and compares them only to other reported numbers — like with like.
What to do with this: if a home's reported hours look low, check whether its residents may simply need less care — and ask the facility directly.
Staff turnover
Total nursing staff turnover: 59% · MI median: 44% · RN turnover: 46.7% (MI median: 40%)
The share of nursing staff who left within the year. Lower is steadier. moreless
Total nursing staff turnover is the percentage of the home's nurses and aides who stopped working there during the year. Around half of nursing-home staff leaving annually is sadly common in this industry. High turnover means residents are cared for by people who don't know them — which matters enormously for dementia care, pain management, and noticing the small changes that catch problems early. Low turnover usually means staff are treated well enough to stay.
What to do with this: when you visit, ask aides how long they've worked there. Long-tenured aides are the best sign a building has.
Inspections & deficiencies
The last 3 inspection cycles, from CMS’s federal health-survey file. State-only citations and fire-safety surveys are not included — an empty list means nothing federal is in this file, not that nothing ever happened.
Each deficiency gets a letter A–L: how severe it was × how widespread it was. moreless
Surveyors grade every deficiency on a grid. Severity runs from 'potential for minimal harm' up to 'immediate jeopardy to resident health or safety.' Scope runs from isolated (one or a few residents) to pattern to widespread. A and B are paperwork-level; D–F caused no actual harm but had the potential; G–I caused actual harm; J, K, and L mean immediate jeopardy — the most serious finding a surveyor can make. Most citations nationally are D–E.
What to do with this: scan for G or higher. One J/K/L tells you more than ten D's.
Standard surveys are routine; complaint surveys happen because someone reported a problem. moreless
A standard survey is the routine top-to-bottom inspection every home gets on a recurring cycle. A complaint survey happens because a resident, family member, or staff member reported something to the state — surveyors come specifically to investigate it. Infection-control surveys focus on practices like hand hygiene and isolation procedures. A deficiency found during a complaint survey means someone cared enough to report it and a surveyor confirmed enough to cite it.
What to do with this: note which deficiencies came from complaints — they show you what residents and families actually experienced.
The F-number on each deficiency is CMS's code for which federal requirement was violated. moreless
Every federal nursing-home requirement has a tag number. F0686, for example, is the pressure-ulcer requirement; F0600 is freedom from abuse. The tag tells you exactly which rule was broken, and the description next to it is CMS's own plain-language summary of that rule. The same tag appearing across multiple inspections is a pattern worth noticing.
What to do with this: if the same tag repeats across surveys, ask the facility what changed since the last citation.
This data shows federal health surveys only — state-only citations and fire-safety surveys aren't included. moreless
CMS's public deficiency file contains federal health-survey citations. It does not include citations issued under state-only rules, fire-safety (Life Safety Code) surveys, or anything older than three inspection cycles. A facility with no rows here may still have state citations or fire-safety findings. 'No deficiencies in this file' never means 'no violations ever.'
What to do with this: for the full picture, check your state health department's site and medicare.gov/care-compare, which shows fire-safety results separately.
77 deficiencies across the last 3 inspection cycles, in CMS’s federal health-survey file:
- Quality of Life and Care: 27
- Freedom from Abuse, Neglect, and Exploitation: 14
- Resident Rights: 13
- Resident Assessment and Care Planning: 6
- Pharmacy Service: 5
- Nursing and Physician Services: 5
- Administration: 3
- Infection Control: 2
- Environmental: 1
- Nutrition and Dietary: 1
April 29, 2026Complaint surveyTag F0609D — no actual harm, potential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Deficient, Provider has date of correction · corrected May 5, 2026
March 10, 2026Complaint surveyTag F0679E — no actual harm, potential for more than minimal harm, pattern
Provide activities to meet all resident's needs.
Deficient, Provider has date of correction · corrected March 30, 2026
March 10, 2026Complaint surveyTag F0684D — no actual harm, potential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Deficient, Provider has date of correction · corrected March 30, 2026
October 7, 2025Complaint surveyTag F0760G — actual harm, isolated
Ensure that residents are free from significant medication errors.
Deficient, Provider has date of correction · corrected October 8, 2025
July 25, 2025Standard surveyTag F0558D — no actual harm, potential for more than minimal harm, isolated
Reasonably accommodate the needs and preferences of each resident.
Deficient, Provider has date of correction · corrected August 26, 2025
July 25, 2025Standard surveyTag F0584D — no actual harm, potential for more than minimal harm, isolated
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.
Deficient, Provider has date of correction · corrected August 14, 2025
July 25, 2025Standard surveyTag F0600J — immediate jeopardy to resident health or safety, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Deficient, Provider has date of correction · corrected August 14, 2025
July 25, 2025Standard surveyTag F0609D — no actual harm, potential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Deficient, Provider has date of correction · corrected August 14, 2025
July 25, 2025Standard surveyTag F0641E — no actual harm, potential for more than minimal harm, pattern
Ensure each resident receives an accurate assessment.
Deficient, Provider has date of correction · corrected August 14, 2025
July 25, 2025Standard surveyTag F0657D — no actual harm, potential for more than minimal harm, isolated
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Deficient, Provider has date of correction · corrected August 14, 2025
Show 67 more deficiencies
July 25, 2025Standard surveyTag F0677D — no actual harm, potential for more than minimal harm, isolated
Provide care and assistance to perform activities of daily living for any resident who is unable.
Deficient, Provider has date of correction · corrected August 14, 2025
July 25, 2025Standard surveyTag F0680F — no actual harm, potential for more than minimal harm, widespread
Ensure the activities program is directed by a qualified professional.
Deficient, Provider has date of correction · corrected August 14, 2025
July 25, 2025Standard + Complaint surveyTag F0684D — no actual harm, potential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Deficient, Provider has date of correction · corrected August 14, 2025
July 25, 2025Standard surveyTag F0686D — no actual harm, potential for more than minimal harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Deficient, Provider has date of correction · corrected August 14, 2025
July 25, 2025Standard + Complaint surveyTag F0689D — no actual harm, potential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Past Non-Compliance · corrected July 9, 2025
July 25, 2025Standard surveyTag F0695D — no actual harm, potential for more than minimal harm, isolated
Provide safe and appropriate respiratory care for a resident when needed.
Deficient, Provider has date of correction · corrected August 14, 2025
July 25, 2025Standard + Complaint surveyTag F0725F — no actual harm, potential for more than minimal harm, widespread
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Deficient, Provider has date of correction · corrected August 14, 2025
July 25, 2025Standard surveyTag F0755D — no actual harm, potential for more than minimal harm, isolated
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Deficient, Provider has date of correction · corrected August 14, 2025
July 25, 2025Standard + Complaint surveyTag F0838F — no actual harm, potential for more than minimal harm, widespread
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.
Deficient, Provider has date of correction · corrected August 14, 2025
July 25, 2025Standard surveyTag F0880D — no actual harm, potential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Deficient, Provider has date of correction · corrected August 14, 2025
April 24, 2025Complaint surveyTag F0558E — no actual harm, potential for more than minimal harm, pattern
Reasonably accommodate the needs and preferences of each resident.
Deficient, Provider has date of correction · corrected May 8, 2025
January 15, 2025Complaint surveyTag F0584D — no actual harm, potential for more than minimal harm, isolated
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.
Deficient, Provider has date of correction · corrected January 31, 2025
January 15, 2025Complaint surveyTag F0684D — no actual harm, potential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Deficient, Provider has date of correction · corrected January 31, 2025
January 15, 2025Complaint surveyTag F0688D — no actual harm, potential for more than minimal harm, isolated
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.
Deficient, Provider has date of correction · corrected January 31, 2025
October 23, 2024Complaint surveyTag F0600G — actual harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Deficient, Provider has date of correction · corrected November 13, 2024
October 23, 2024Complaint surveyTag F0609D — no actual harm, potential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Deficient, Provider has date of correction · corrected November 13, 2024
September 18, 2024Complaint surveyTag F0584E — no actual harm, potential for more than minimal harm, pattern
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.
Deficient, Provider has date of correction · corrected October 15, 2024
September 18, 2024Complaint surveyTag F0689D — no actual harm, potential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Deficient, Provider has date of correction · corrected October 15, 2024
September 18, 2024Complaint surveyTag F0761D — no actual harm, potential for more than minimal harm, isolated
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.
Deficient, Provider has date of correction · corrected October 15, 2024
September 18, 2024Complaint surveyTag F0925F — no actual harm, potential for more than minimal harm, widespread
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Deficient, Provider has date of correction · corrected October 15, 2024
July 2, 2024Complaint surveyTag F0689D — no actual harm, potential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Deficient, Provider has date of correction · corrected July 23, 2024
May 15, 2024Standard surveyTag F0578D — no actual harm, potential for more than minimal harm, isolated
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.
Deficient, Provider has date of correction · corrected June 11, 2024
May 15, 2024Standard + Complaint surveyTag F0580D — no actual harm, potential for more than minimal harm, isolated
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Deficient, Provider has date of correction · corrected June 6, 2024
May 15, 2024Standard surveyTag F0582D — no actual harm, potential for more than minimal harm, isolated
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Deficient, Provider has date of correction · corrected June 6, 2024
May 15, 2024Standard + Complaint surveyTag F0600G — actual harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Deficient, Provider has date of correction · corrected June 6, 2024
May 15, 2024Standard + Complaint surveyTag F0602D — no actual harm, potential for more than minimal harm, isolated
Protect each resident from the wrongful use of the resident's belongings or money.
Deficient, Provider has date of correction · corrected June 10, 2024
May 15, 2024Standard + Complaint surveyTag F0609E — no actual harm, potential for more than minimal harm, pattern
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Deficient, Provider has date of correction · corrected June 6, 2024
May 15, 2024Standard + Complaint surveyTag F0610E — no actual harm, potential for more than minimal harm, pattern
Respond appropriately to all alleged violations.
Deficient, Provider has date of correction · corrected June 6, 2024
May 15, 2024Standard surveyTag F0641D — no actual harm, potential for more than minimal harm, isolated
Ensure each resident receives an accurate assessment.
Deficient, Provider has date of correction · corrected June 6, 2024
May 15, 2024Standard surveyTag F0645D — no actual harm, potential for more than minimal harm, isolated
PASARR screening for Mental disorders or Intellectual Disabilities
Deficient, Provider has date of correction · corrected June 6, 2024
May 15, 2024Standard surveyTag F0684D — no actual harm, potential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Deficient, Provider has date of correction · corrected June 6, 2024
May 15, 2024Standard + Complaint surveyTag F0686D — no actual harm, potential for more than minimal harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Deficient, Provider has date of correction · corrected June 6, 2024
May 15, 2024Standard surveyTag F0688D — no actual harm, potential for more than minimal harm, isolated
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.
Deficient, Provider has date of correction · corrected June 6, 2024
May 15, 2024Standard surveyTag F0689D — no actual harm, potential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Deficient, Provider has date of correction · corrected June 10, 2024
May 15, 2024Standard surveyTag F0742D — no actual harm, potential for more than minimal harm, isolated
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.
Deficient, Provider has date of correction · corrected June 6, 2024
May 15, 2024Standard surveyTag F0745D — no actual harm, potential for more than minimal harm, isolated
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Deficient, Provider has date of correction · corrected June 6, 2024
May 15, 2024Standard surveyTag F0755D — no actual harm, potential for more than minimal harm, isolated
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Deficient, Provider has date of correction · corrected June 6, 2024
May 15, 2024Standard surveyTag F0791D — no actual harm, potential for more than minimal harm, isolated
Provide or obtain dental services for each resident.
Deficient, Provider has date of correction · corrected June 11, 2024
May 15, 2024Standard surveyTag F0825D — no actual harm, potential for more than minimal harm, isolated
Provide or get specialized rehabilitative services as required for a resident.
Deficient, Provider has date of correction · corrected June 6, 2024
May 15, 2024Standard + Complaint surveyTag F0883D — no actual harm, potential for more than minimal harm, isolated
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Deficient, Provider has date of correction · corrected June 6, 2024
May 2, 2024Complaint surveyTag F0552D — no actual harm, potential for more than minimal harm, isolated
Ensure that residents are fully informed and understand their health status, care and treatments.
Deficient, Provider has date of correction · corrected May 23, 2024
May 2, 2024Complaint surveyTag F0600G — actual harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Deficient, Provider has date of correction · corrected June 6, 2024
May 2, 2024Complaint surveyTag F0607E — no actual harm, potential for more than minimal harm, pattern
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Deficient, Provider has date of correction · corrected May 23, 2024
May 2, 2024Complaint surveyTag F0609E — no actual harm, potential for more than minimal harm, pattern
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Deficient, Provider has date of correction · corrected June 6, 2024
May 2, 2024Complaint surveyTag F0689D — no actual harm, potential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Deficient, Provider has date of correction · corrected June 10, 2024
May 2, 2024Complaint surveyTag F0895F — no actual harm, potential for more than minimal harm, widespread
Have a Compliance and Ethics Program.
Deficient, Provider has date of correction · corrected May 23, 2024
April 24, 2024Complaint surveyTag F0609D — no actual harm, potential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Deficient, Provider has date of correction · corrected May 16, 2024
April 24, 2024Complaint surveyTag F0689D — no actual harm, potential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Deficient, Provider has date of correction · corrected May 16, 2024
June 1, 2023Complaint surveyTag F0689J — immediate jeopardy to resident health or safety, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Past Non-Compliance · corrected May 22, 2023
May 4, 2023Standard surveyTag F0550G — actual harm, isolated
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Deficient, Provider has date of correction · corrected May 31, 2023
May 4, 2023Standard surveyTag F0561E — no actual harm, potential for more than minimal harm, pattern
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Deficient, Provider has date of correction · corrected May 31, 2023
May 4, 2023Standard surveyTag F0563E — no actual harm, potential for more than minimal harm, pattern
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Deficient, Provider has date of correction · corrected May 31, 2023
May 4, 2023Standard surveyTag F0578D — no actual harm, potential for more than minimal harm, isolated
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.
Deficient, Provider has date of correction · corrected May 31, 2023
May 4, 2023Standard surveyTag F0607E — no actual harm, potential for more than minimal harm, pattern
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Deficient, Provider has date of correction · corrected May 31, 2023
May 4, 2023Standard surveyTag F0645D — no actual harm, potential for more than minimal harm, isolated
PASARR screening for Mental disorders or Intellectual Disabilities
Deficient, Provider has date of correction · corrected May 31, 2023
May 4, 2023Standard surveyTag F0679E — no actual harm, potential for more than minimal harm, pattern
Provide activities to meet all resident's needs.
Deficient, Provider has date of correction · corrected May 31, 2023
May 4, 2023Standard surveyTag F0684D — no actual harm, potential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Deficient, Provider has date of correction · corrected May 31, 2023
May 4, 2023Standard surveyTag F0688D — no actual harm, potential for more than minimal harm, isolated
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.
Deficient, Provider has date of correction · corrected May 31, 2023
May 4, 2023Standard surveyTag F0690D — no actual harm, potential for more than minimal harm, isolated
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Deficient, Provider has date of correction · corrected May 31, 2023
May 4, 2023Standard surveyTag F0725F — no actual harm, potential for more than minimal harm, widespread
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Deficient, Provider has date of correction · corrected May 31, 2023
May 4, 2023Standard surveyTag F0727F — no actual harm, potential for more than minimal harm, widespread
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.
Deficient, Provider has date of correction · corrected May 31, 2023
May 4, 2023Standard surveyTag F0729E — no actual harm, potential for more than minimal harm, pattern
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
Deficient, Provider has date of correction · corrected May 31, 2023
May 4, 2023Standard surveyTag F0761D — no actual harm, potential for more than minimal harm, isolated
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.
Deficient, Provider has date of correction · corrected May 31, 2023
May 4, 2023Standard surveyTag F0812F — no actual harm, potential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Deficient, Provider has date of correction · corrected May 31, 2023
May 4, 2023Standard surveyTag F0842D — no actual harm, potential for more than minimal harm, isolated
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Deficient, Provider has date of correction · corrected May 31, 2023
May 4, 2023Standard surveyTag F0847D — no actual harm, potential for more than minimal harm, isolated
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Deficient, Provider has date of correction · corrected May 31, 2023
May 4, 2023Standard surveyTag F0947F — no actual harm, potential for more than minimal harm, widespread
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Deficient, Provider has date of correction · corrected May 31, 2023
Fines & penalties
CMS can fine a home or stop paying for new admissions. Shown per CMS's current data window (~3 years) — not all-time. moreless
When deficiencies are serious or aren't fixed, CMS can impose a fine (a civil money penalty) or a payment denial — refusing to pay for new Medicare/Medicaid admissions until the home fixes the problem. Payment denials hit harder than most fines because they stop revenue. CMS's public dataset covers a rolling window of roughly the last three years, so the totals here are recent history, not an all-time record. Many facilities have no penalties in the window — that's common, not remarkable.
What to do with this: a recent large fine deserves a direct question on your visit — what happened, and what changed?
Fines: 3 totaling $341,302 · Payment denials: 2 — per CMS data (rolling ~3-year window).
| Date | Type | Amount / length |
|---|---|---|
| July 25, 2025 | Fine | $234,637 |
| July 25, 2025 | Payment Denial | 7 days, from August 22, 2025 |
| October 23, 2024 | Fine | $39,585 |
| April 24, 2024 | Fine | $67,080 |
| April 24, 2024 | Payment Denial | 14 days, from May 28, 2024 |
Ownership & chain
Who actually owns and controls the facility — individuals, companies, and their stakes. moreless
Nursing homes are often owned through layers: an operating company, a property company, management companies, and individual investors with percentage stakes. CMS publishes who holds 5%-or-greater interests and who has operational control. Ownership matters because it sets the budget: research has linked some ownership structures, especially certain chains and investment vehicles, to lower staffing. That's a pattern across the industry, not a verdict on any one building.
What to do with this: know who owns the home before you sign anything, and ask the administrator who actually sets the staffing budget.
Part of Optalis Health & Rehabilitation (37 facilities). Chain average overall rating: 2.4★ — this facility: 2★.
Most US nursing homes belong to a chain. The chain's average rating is context for this home's rating. moreless
A chain is a group of facilities sharing an owner or operator. Chains share budgets, policies, and management practices, so a chain's average rating tells you something about the company behind the building. A home rating well above its chain's average may have an unusually strong local team; one below it may be the chain's neglected building. Either way, the chain sets the constraints the local staff work within.
What to do with this: if the chain average is low, ask the administrator what this building does differently.
| Owner / manager | Role | Stake | Since |
|---|---|---|---|
| Patel, Pinal (Individual) | 5% or greater direct ownership interest | 50% | 10/01/2007 |
| Shah, Nayana (Individual) | 5% or greater direct ownership interest | 50% | 10/01/2018 |
| Cliftonlarsonallen LLP (Organization) | Adp of the snf | NOT APPLICABLE | 01/01/2025 |
| Conner, Marianne (Individual) | Adp of the snf | NOT APPLICABLE | 05/13/2024 |
| Kimani, Daniel Ndungu (Individual) | Adp of the snf | NOT APPLICABLE | 12/01/2025 |
| Mishulin, Svetlana (Individual) | Adp of the snf | NOT APPLICABLE | 12/01/2025 |
| Optum Management Solutions. Inc (Organization) | Adp of the snf | NOT APPLICABLE | 12/01/2025 |
| Patel, Pinal (Individual) | Adp of the snf | NOT APPLICABLE | 01/01/2007 |
| Schlaupitz Madhavan (Organization) | Adp of the snf | NOT APPLICABLE | 01/01/2025 |
| Shah, Nayana (Individual) | Adp of the snf | NOT APPLICABLE | 10/01/2007 |
| Sharon, Robert (Individual) | Adp of the snf | NOT APPLICABLE | 05/13/2024 |
| Dunn, Charles (Individual) | Individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 01/29/2026 |
| Shah, Hemant (Individual) | Individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 01/29/2026 |
| Patel, Rajan (Individual) | Managing control - governing body | NOT APPLICABLE | 10/01/2007 |
| Sharon, Robert (Individual) | Managing control - governing body | NOT APPLICABLE | 05/13/2024 |
| Kimani, Daniel Ndungu (Individual) | Operational/managerial control | NOT APPLICABLE | 01/01/2025 |
| Mishulin, Svetlana (Individual) | Operational/managerial control | NOT APPLICABLE | 01/01/2025 |
| Nkemata, Atabong Alexandra (Individual) | Operational/managerial control | NOT APPLICABLE | 01/01/2025 |
| Optum Management Solutions. Inc (Organization) | Operational/managerial control | NOT APPLICABLE | 10/01/2007 |
| Patel, Rajan (Individual) | Operational/managerial control | NOT APPLICABLE | 10/01/2007 |
| Sharon, Robert (Individual) | Operational/managerial control | NOT APPLICABLE | 05/13/2024 |
Nearby facilities in Oakland County
Most families compare 2–3 homes. Same county, sorted by overall rating:
Visiting? Go in with questions.
Built from this facility’s own CMS data — bring them on the tour.
- CMS has applied its abuse icon to this facility — ask what happened, what the corrective plan was, and how staff are trained now.
- Their reported RN hours (0.64/resident/day) are below the MI median (0.71) — ask how nights and weekends are staffed.
- Their total nursing staff turnover (59%) is above the MI median (44%) — ask how long the aides on your person's unit have worked there.
- CMS data shows 3 fines totaling $341,302 in its current data window — ask what the citations were for and what changed afterward.
- Their weekend total nurse staffing (3.30/resident/day) is lower than their overall figure (3.60) — ask who covers weekends and how shifts are filled when someone calls out.
- Their last standard health inspection was July 25, 2025 — ask what's improved since then.
- CMS records that this facility has a resident council — ask to speak with a council member before deciding.
Data: Centers for Medicare & Medicaid Services (data.cms.gov), processing date June 1, 2026. This site is not affiliated with CMS or any government agency.