Greenfield Rehab and Nursing Center
3030 Greenfield Ave, Royal Oak MI 48073 · (248) 288-6610 · 74.76% estimated occupancy 1Updated: Aug 1, 2020 · By Nick Reese
Greenfield Rehab and Nursing Center is the sole facility located in Royal Oak, Michigan. Featuring an overall rating of F, we consider this to be a very poor nursing home. Based on our ratings, this facility is not a good fit for anyone. We wouldn't blame you if you're ready to stop reading and find another nursing home. However, if you want to learn more about this facility's category grades, nursing grades are discussed in the next paragraph.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 126 Beds
CCRC :
For profit - Partnership
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Nurse Quality
While we graded this facility incredibly poorly overall, it received a fairly respectable nursing grade this year. We gave it a grade of C in that category. There are a host of datapoints included in this grade. Most of these criteria are tied to staffing levels. This place provides 2.8 hours of nursing care per patient on a daily basis. This is a much lower figure than we were hoping for. Although this facility ranked poorly in terms of the quantity of nursing care offered, it actually performed admirably in a few of our quality measures. It was above average in two of the areas we look at, with favorable scores for minimizing its patients' pressure ulcers and major falls.
Short-term Care Quality
We awarded this nursing home just a D for our short-term care score and that actually turned out to be its second best category. Our short-term care grades are considered to be more important for patients in need of rehabilitation from their nursing home. Rehabilitation generally utilizes more highly-skilled nursing. This means not only nursing, but also physical and speech therapy, as well as other forms of therapy. Not surprisingly, we found that this nursing home provides far less physical therapist and registered nurse hours per resident than the average facility. Finally, we looked at the number of residents who were able to return to the community from this facility. This definitely wasn't a strength for this facility. We found that just 40.4 percent of this nursing home's residents returned home. At most facilities, about half of their patients are able to return home so this is well below average.
Long-term Care Quality
Turning to the category of long-term care, this facility was awarded a grade of just D in this category. Nursing homes that do not score well in this category often do not provide as much nursing care and also may be struggling in a few of the areas of routine personal care we assessed. On top of considering the volume of care provided by aids and other staff, we looked at the number of residents vaccinated against pneumonia. We were a bit worried that this facility vaccinated only 79.479774 percent of its patients. We were also disappointed with the nursing home's hospitalization rate. Here we found that this nursing home had 2.83 hospitalizations per 1,000 long-term resident days, which is nearly double the national average.
Facility Inspections
In our final area of inspections, this facility received an F in this area. Since this data is compiled by independent government inspectors, we heavily weight poor results in this area. For nursing homes with bad inspection ratings, you should focus on any severe deficiencies found on their recent inspection reports. This particular facility had 5 deficiencies by government inspectors. The only positive thing we found is that none of these deficiencies were in the categories that indicate that they created a risk to resident health or safety. Finally, CMS cited this nursing home for possible abuse or neglect. Hopefully, its performance improves in the future, but until then we simply can't recommend this facility.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Greenfield Rehab and Nursing Center Quality Metrics
Minimizes Pressure Ulcers
This tells you the percent of patients who sustained a pressure ulcer. Pressure ulcers are damage to the skin caused by remaining in one position for too long.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This is the percentage of residents who suffered from a major fall. Falls resulting in serious injury are considered to be a barometer of the quality of nursing care . Falls leading to injury are routinely caused by lower quality nursing care.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This indicates the percent of patients who suffered from a urinary tract infection. Urinary tract infections are often caused by facilities with lower levels of hygiene. Better hygiene protocols reduces the number of UTI's sustained by residents in a nursing home. Keep in mind that this statistic is affected by by the fact that facilities have varying reporting standards for UTI's.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This metric measures the percentage of long-term patients receiving antipsychotic drugs. While antipsychotic drugs play an important role in caring for many residents, it is important to ensure these drugs are being used only where medically required. In some cases, excessive reliance on these medications may mean a facility is using these medications to control patient behavior.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This gauges the percentage of long-term care residents which are administered antianxiety drugs. These medications are commonly prescribed to residents suffering from depression and anxiety.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This is the percent of patients who are exhibiting signs of depression. High levels of depression could imply worse patient care.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This indicates the percent of residents that were given the flu and pneumonia vaccines. Higher vaccination rates should be demanded by residents.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This tells you the percentage of residents that needed more assistance with activities of daily living over time. Higher levels of dependence on staff for assistance with ADL's may indicate the decline of a resident's well-being.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
Measures the percent of long-term care patients that remained mobile levels.
Percentage of Residents
Higher is Better
Hospitalizations
This tells you the number of times residents are hospitalized per 1,000 days of patient care.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This indicates the number of rehospitalizations per thousand days of short-term patient care.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
This is the number of emergency room visits per 1,000 days of short-term patient care.
Percentage of Patients
Lower is Better
Short-term Care: Facilitates Functional Improvement
This metric is a measure of the percentage of short-term residents that saw functional improvements, such as with activities of daily living. Some experts believe that this is a reasonable measure of a nursing home's rehabilitation performance.
Percentage of Resident
Higher is Better