Greenfield Rehab and Nursing Center

CMS abuse icon · Oakland · MI · For profit - Limited Liability company · OPTALIS HEALTH & REHABILITATION chain · 105 certified beds · CCN 235433 · DIVERSIFIED REHAB SERVICES, LLC


Greenfield Rehab and Nursing Center operates 105 certified beds in Royal Oak, Michigan. Its Medicare and Medicaid certification dates to 1984-08-14. It averages 81.1 residents a day.

What harm was found in the violations cited at Greenfield Rehab and Nursing Center?

CMS lists 81 health-inspection deficiencies for Greenfield Rehab and Nursing Center since 2023-05-04, 63 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-06-15.

Survey dateTagDeficiencySeverity
2026-06-15F0814Dispose of garbage and refuse properly.F
2026-06-15F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E
2026-06-15F0582, F0692, F0825Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Provide enough food/fluids to maintain a resident's health. / Provide or get specialized rehabilitative services as required for a resident.D
2026-04-29F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D
2026-03-10F0679Provide activities to meet all resident's needs.E
2026-03-10F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2025-10-07F0760Ensure that residents are free from significant medication errors.G
2025-07-25F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.J
2025-07-25F0680, F0725, F0838Ensure the activities program is directed by a qualified professional. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / 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.F
2025-07-25F0641Ensure each resident receives an accurate assessment.E
2025-07-25F0558, F0584, F0609, F0657, F0677, F0684, F0686, F0689, F0695, F0755, F0880Reasonably accommodate the needs and preferences of each resident. / 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. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe and appropriate respiratory care for a resident when needed. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Provide and implement an infection prevention and control program.D
2025-04-24F0558Reasonably accommodate the needs and preferences of each resident.E
2025-01-15F0584, F0684, F0688Honor 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. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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.D
2024-10-23F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G
2024-10-23F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D
2024-09-18F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.F
2024-09-18F0584Honor 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.E
2024-09-18F0689, F0761Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / 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.D
2024-07-02F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2024-05-15F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G
2024-05-15F0609, F0610Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations.E
2024-05-15F0578, F0580, F0582, F0602, F0641, F0645, F0684, F0686, F0688, F0689, F0742, F0745, F0755, F0791, F0825, F0883Honor 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. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Protect each resident from the wrongful use of the resident's belongings or money. / Ensure each resident receives an accurate assessment. / PASARR screening for Mental disorders or Intellectual Disabilities / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / 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. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / 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. / Provide medically-related social services to help each resident achieve the highest possible quality of life. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Provide or obtain dental services for each resident. / Provide or get specialized rehabilitative services as required for a resident. / Develop and implement policies and procedures for flu and pneumonia vaccinations.D
2024-05-02F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G
2024-05-02F0895Have a Compliance and Ethics Program.F
2024-05-02F0607, F0609Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.E
2024-05-02F0552, F0689Ensure that residents are fully informed and understand their health status, care and treatments. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2024-04-24F0609, F0689Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2023-05-04F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.G
2023-05-04F0725, F0727, F0812, F0947Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.F
2023-05-04F0561, F0563, F0607, F0679, F0729Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Provide activities to meet all resident's needs. / Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.E
2023-05-04F0578, F0645, F0684, F0688, F0690, F0761, F0842, F0847Honor 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. / PASARR screening for Mental disorders or Intellectual Disabilities / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.D

Why was Greenfield Rehab and Nursing Center fined 4 times?

DateTypeAmount
2025-10-07Fine$26,685
2025-07-25Fine$234,637
2024-10-23Fine$39,585
2024-04-24Fine$67,080

Has Greenfield Rehab and Nursing Center had payment denied by Medicare more than once?

Payment denial startLength in days
2025-08-227
2024-05-2814

How is Greenfield Rehab and Nursing Center staffed relative to the MI average?

MeasureThis facilityMI average
Total nurse staffing hours per resident per day3.342283.99072
Total nursing staff turnover (%)55.844.1
Average number of residents per day81.185.9

Who owns Greenfield Rehab and Nursing Center, and what chain is it in?

Greenfield Rehab and Nursing Center is registered with CMS as For profit - Limited Liability company, operates under the legal business name DIVERSIFIED REHAB SERVICES, LLC and belongs to the OPTALIS HEALTH & REHABILITATION chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTPATEL, PINAL, SHAH, NAYANAsince 10/01/2007
MANAGING CONTROL - GOVERNING BODYPATEL, RAJAN, SHARON, ROBERTsince 05/13/2024
OPERATIONAL/MANAGERIAL CONTROLOPTUM MANAGEMENT SOLUTIONS. INC, KIMANI, DANIEL NDUNGU, MISHULIN, SVETLANA, NKEMATA, ATABONG ALEXANDRA, PATEL, RAJAN, SHARON, ROBERTsince 01/01/2025
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFDUNN, CHARLES, SHAH, HEMANTsince 01/29/2026
ADP OF THE SNFCLIFTONLARSONALLEN LLP, OPTUM MANAGEMENT SOLUTIONS. INC, SCHLAUPITZ MADHAVAN, CONNER, MARIANNE, KIMANI, DANIEL NDUNGU, MISHULIN, SVETLANA, PATEL, PINAL, SHAH, NAYANA, SHARON, ROBERTsince 01/01/2007

Were you or a family member harmed at Greenfield Rehab and Nursing Center?