Greenfield Rehab And Nursing Center has received an F grade based on CMS data, with a score of 23/100 — placing it among the lowest-rated nursing facilities in Michigan. Families considering this Royal Oak facility should carefully review its inspection history and quality metrics.
With 3.38 total nurse hours per resident per day, Greenfield Rehab And Nursing Center falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent CMS inspections identified 74 deficiencies at Greenfield Rehab And Nursing Center, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure that residents are free from significant medication errors..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.38 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.62 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.90 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.86 | 2.4 | Below Average |
| Weekend Total Nursing | 3.05 | 3.8 | Below Average |
| Weekend RN Hours | 0.41 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0760 Severity GEnsure that residents are free from significant medication errors.Oct 6, 2025 · Pharmacy Service Deficiencies
- Tag 0600 Severity JProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Jul 24, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0680 Severity FEnsure the activities program is directed by a qualified professional.Jul 24, 2025 · Quality of Life and Care Deficiencies
- Tag 0725 Severity FProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Jul 24, 2025 · Nursing and Physician Services Deficiencies
- Tag 0838 Severity FConduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day opeJul 24, 2025 · Administration Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 8.5% | 4.5% | Worse |
| Falls with major injury | 1.0% | 3.0% | Better |
| On antipsychotic medication | 27.0% | 14.5% | Worse |
| Urinary tract infections | 0.7% | 2.5% | Better |
| ADL decline (daily activities) | 7.2% | 14.0% | Better |
| Excessive weight loss | 6.3% | 7.5% | Better |
| New/worsened incontinence | 10.0% | 45.0% | Better |
⚠️ Penalties & Fines
5 penalties recorded by CMS
Total fines: $485,076
How This Grade Was Calculated
This facility's grade of F is based on a score of 23 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 3★ → 12 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -10 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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