Greenfield Rehab and Nursing Center: Staffing, Turnover, and Inspection Record
Greenfield Rehab and Nursing Center is a 105-bed for-profit nursing home in Royal Oak, Michigan, part of Optalis Health & Rehabilitation. In the CMS August 2026 release it reported 1.79 nurse aide hours per resident per day, 23% below the Michigan average of 2.33, and 55.8% nursing staff turnover (Michigan average 44.1%).
Greenfield Rehab and Nursing Center
3030 Greenfield AveRoyal Oak, MI 48073
Oakland County
CMS Care Compare, August 2026 release
Cited for abuse or neglect. CMS marks this home with its abuse icon: it was cited for abuse or neglect that caused harm on its most recent inspection cycle, or for abuse or neglect with potential for harm on each of its last two cycles.
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Greenfield Rehab and Nursing Center, nurse aides logged 1.79 hours per resident per day, 23% below the Michigan average. With about 81 residents a day, that works out to roughly 145 aide hours a day, or about 18 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 10% below the all-days figure.
| Hours per resident per day | This home | Michigan avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.79 | 2.33 | 2.32 |
| Licensed practical nurses | 0.94 | 0.88 | 0.86 |
| Registered nurses | 0.61 | 0.78 | 0.69 |
| All nursing staff | 3.34 | 3.99 | 3.86 |
| All nursing staff, weekends | 3.01 | 3.50 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
55.8% of nursing staff at Greenfield Rehab and Nursing Center left over the year CMS measured, against a Michigan average of 44.1% and a US average of 45.8%. Registered nurse turnover was 41.7%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Jul 25, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 25 health deficiencies (Michigan average 10.1). CMS lists 4 fines totaling $367,987 and 2 payment denials in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Oct 7, 2025 | Fine | $26,685 |
| Jul 25, 2025 | Fine | $234,637 |
| Jul 25, 2025 | Payment Denial | 7 days from Aug 22, 2025 |
| Oct 23, 2024 | Fine | $39,585 |
| Apr 24, 2024 | Fine | $67,080 |
| Apr 24, 2024 | Payment Denial | 14 days from May 28, 2024 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Greenfield Rehab and Nursing Center holds 1 of 5 overall; the Michigan average is 3.1.
About Greenfield Rehab and Nursing Center
- Ownership: For profit - Limited Liability company
- Chain: Optalis Health & Rehabilitation, 36 homes
- Legal name: Diversified Rehab Services, LLC
- Medicare and Medicaid certified since: Aug 14, 1984
- Councils: resident council
- Area: urban
Nursing homes near Greenfield Rehab and Nursing Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Harmony Village of Beverly Hills Beverly Hills · Special Focus Facility | 1.1 | 96 | 2.19 | 3.93 | 24.2% | — | None |
| Medilodge of Southfield Southfield · SFF candidate · abuse citation | 1.8 | 182 | 2.37 | 4.23 | 53.0% | 1 | $185,734 |
| Evergreen Health and Rehabilitation Center Southfield | 1.8 | 172 | 1.97 | 3.91 | 46.0% | 3 | $28,815 |
| Regency at Troy Troy | 2.7 | 154 | 2.01 | 3.94 | 56.3% | 1 | None |
| Harmony Village of Clawson Clawson · abuse citation | 3.4 | 120 | 2.42 | 4.23 | 57.0% | 1 | $193,106 |
| Lahser Hills Care Centre Southfield | 3.4 | 127 | 2.22 | 3.84 | 53.9% | 3 | $14,898 |
| Optalis Health & Rehabilitation of Bloomfield Hill Bloomfield Hills | 4.4 | 159 | 1.82 | 3.58 | 91.2% | 1 | $45,935 |
| The Lakeland Center Southfield | 4.8 | 91 | 1.73 | 3.69 | 62.4% | 1 | $15,926 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.