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Nursing HomeMedicaid Investigative

Greenfield Rehab and Nursing Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

3030 Greenfield Ave, Royal Oak, MI 48073105 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.4/5

based on 73 Google reviews

5
4
3
2
1
Greenfield Rehab and Nursing Center Nursing Home in Royal Oak, MI — Street View
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4/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • Above-median deficiencies (17 vs median 8.0)
  • High staff turnover (58%)

Below average in MI · Below recommended RN staffing · Below chain average · $485,076 in fines

Source: Medicare data

What this means for your family

While some families report positive experiences with specific staff members and the physical therapy team, the frequency of reports regarding neglect, understaffing, and poor facility maintenance is alarming. We strongly advise you to conduct an unannounced visit during evening or weekend hours to observe staffing levels and cleanliness for yourself before making a decision.

Google Reviews

Google Reviews

73 reviews on Google
Greenfield Rehab and Nursing Center receives highly polarized feedback, with some families praising specific staff members for their compassion and others reporting severe neglect and unprofessionalism. Common complaints include chronic understaffing, poor communication from management, and concerns regarding the physical condition of the facility. While some residents report successful rehabilitation, others describe substandard care, including delayed medication and hygiene issues.

Quality Themes

Tap a score for details
Food3.0Staff4.0Clean2.0Activities1.0Meds2.0MemoryN/AComms2.0ValueN/A

Strengths

  • Dedicated individual staff members
  • Effective physical therapy department
  • Responsive concierge and admissions staff
  • Cleanliness in specific areas

Concerns

  • Severe understaffing leading to neglect (mentioned by 9 reviewers)
  • Poor communication and lack of responsiveness from management (mentioned by 6 reviewers)
  • Unsanitary facility conditions and maintenance issues (mentioned by 5 reviewers)
  • Inconsistent or cold food quality (mentioned by 4 reviewers)
  • Delayed medication administration (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'14(1)'17(3)'19(6)'22(2)'24(12)'26(14)

Distribution · 75 analyzed

5
38
4
7
3
3
2
0
1
27

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1I've heard wonderful things about your physical therapy department; could you tell me more about how the therapists work with residents to maintain their mobility?
  • 2With the admissions team being so responsive, what is the process for keeping families updated on any changes in a resident's condition?
  • 3How does the nursing team ensure that medications are administered accurately and on a consistent schedule every day?
  • 4What specific steps is the facility taking to address recent maintenance and cleanliness concerns to ensure a comfortable environment for residents?
  • 5Could you describe the daily activity calendar and how you ensure residents stay engaged and socially connected?
  • 6How does the management team handle communication with families to ensure we are always kept in the loop regarding care plans?

Personalized based on this facility's data


Key Review Excerpts

My 93 year old Dad was transferred here from the hospital for rehabilitation in July. Substandard does not begin to describe his experience. He was there for 9 days and physical therapy was only done once after I questioned why he wasn’t being treated.

Long-term resident's family · 2025☆☆☆☆

The nurses and staff were all incredibly knowledgeable and skilled, and they took the time to explain everything to me in terms that I could understand.

Grandchild of patient · 2023★★★★★

My husband was a resident for almost a year. I was immediately impressed by the professionalism, compassion and excellent care provided by the staff. This facility is organized with staff who 'works as a team' to provide comfort and care for the residents.

Spouse of resident · 2026★★★★★
Source: 73 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.64hrs
85%
Registered nurses for medical care
Total Nursing
3.60hrs
88%
All nurses + aides combined
Staff Turnover
59%
Lower is better (< 30% = good)
RN Turnover
47%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

12

measures

Worse Than Avg

4

measures

Mixed Results

1

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility22.7%
Worse than Avg
Here
22.7%
US
15.4%
MI
15.0%
Oakland
14.6%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility13.9%
Better than Avg
Here
13.9%
US
19.5%
MI
19.5%
Oakland
21.0%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
MI
95.2%
Oakland
93.1%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility14.1%
Better than Avg
Here
14.1%
US
19.4%
MI
20.2%
Oakland
16.4%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility8.8%
Better than Avg
Here
8.8%
US
14.4%
MI
11.2%
Oakland
10.9%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
MI
95.0%
Oakland
94.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility95.0%
Better than Avg
Here
95.0%
US
79.7%
MI
79.5%
Oakland
75.7%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility98.0%
Better than Avg
Here
98.0%
US
81.8%
MI
83.0%
Oakland
78.7%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
MI
1.2%
Oakland
1.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

19deficiencies
5penalties
Well above state avg (9.8)
38 complaint-triggered
$485,076 in fines

Greenfield Rehab and Nursing Center has a concerning pattern of repeated problems in critical areas, with families filing 33 complaints triggering federal inspections. The facility repeatedly struggles with protecting residents from abuse and neglect, maintaining safe environments, and proper medication management. Most troubling, the same safety and abuse protection issues persist across multiple years and complaint investigations, suggesting ongoing systemic problems despite correction claims.

Mar 10, 2026Complaint
2
0679Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Oct 7, 2025Complaint
1
0760Actual harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Jul 25, 2025Routine
13
0600Immediate jeopardy · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0680Potential for harm · WidespreadCorrected

Quality of Life and Care Deficiencies

Ensure the activities program is directed by a qualified professional.

0211Potential for harm · PatternCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0641Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jul 25, 2025Complaint
4
0725Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

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

0838Potential for harm · WidespreadCorrected

Administration Deficiencies

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.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0689Potential for harm · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

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

Apr 24, 2025Complaint
2
0558Potential for harm · PatternCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0558Potential for harm · PatternCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

Jan 15, 2025Complaint
3
0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0688Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

Federal Penalties

Fine

Jul 25, 2025

$234,637

Payment Denial

Jul 25, 2025

7-day denial

Fine

Oct 23, 2024

$39,585

Fine

Apr 24, 2024

$67,080

Payment Denial

Apr 24, 2024

14-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Greenfield Rehab and Nursing Center

Organization Type

for profit

Chain Affiliation

Chain Name

Optalis Health & Rehabilitation

Chain Size

37 facilities nationwide

Chain avg rating: 2.5/5 · Rank 30 of 37

Ownership & Management

Owners

Patel, Pinal

Owner

50%

Shah, Nayana

Owner

50%

Dunn, Charles

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Shah, Hemant

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

Patel, RajanManaging Control - Governing BodySharon, RobertManaging Control - Governing BodyOptum Management Solutions. INCManagerKimani, Daniel NdunguManagerMishulin, SvetlanaManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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