Federal inspection record · CMS data as of October 1, 2026
Evergreen Health and Rehabilitation Center
19933 West Thirteen Mile Road, Southfield, MI · (248) 203-9000
- Certified beds
- 172
- Residents per day
- 149
- Ownership
- For-Profit
- Chain
- Optalis Health & Rehabilitation
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- November 7, 1997
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Michigan.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Michigan homes
Evergreen Health and Rehabilitation Center carries 109 inspection points. That is fewer than 23% of Michigan's 420 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Michigan: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–18 pts
- 4★ 18–46 pts
- 3★ 46–78 pts
- 2★ 78–123 pts
- 1★ over 123 pts
Bars show every rated home in Michigan by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
63 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (5)
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
G
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Everything else, by area of care
Quality of Life and Care20E
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide or get specialized rehabilitative services as required for a resident.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
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
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Resident Rights10F
- D
Give the resident's representative the ability to exercise the resident's rights.
- F
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor the resident's right to choose his or her attending physician.
- D
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
- D
Honor 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.
- D
Prepare residents for a safe transfer or discharge from the nursing home.
- E
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.
- D
Honor 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.
- E
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.
Nutrition and Dietary7F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Resident Assessment and Care Planning7E
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Plan the resident's discharge to meet the resident's goals and needs.
Administration4E
- D
Provide timely, quality laboratory services/tests to meet the needs of residents.
- E
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
- D
Provide timely, quality laboratory services/tests to meet the needs of residents.
- D
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Infection Control3E
- E
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation3D
- D
Respond appropriately to all alleged violations.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Pharmacy Service2E
- D
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.
- E
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.
Environmental1D
- D
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Nursing and Physician Services1D
- D
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Inspection history
2025-09-11
10 health deficiencies · 5 fire-safety deficiencies
Top issue: Nutrition and Dietary (3 deficiencies)
2024-08-07
20 health deficiencies · 1 fire-safety deficiencies
Top issue: Resident Rights (7 deficiencies)
2023-06-29
33 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (16 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 50 min of nursing staff time a day, 30 min of it from a registered nurse.
This home
3 h 50 min
Michigan average
4 h 2 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 46% of nursing staff and 35% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$28,815 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-03-14 | Fine | $28,815 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.4 pts better | 1.3 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.8 pts better | 0.8 | 1.6 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.3 pts better | 99.7% | 95.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.2 pts better | 96.7% | 95.5% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.2 pts better | 1.8% | 3.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.4 pts better | 3.1% | 4.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.8 pts better | 3.7% | 5.5% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication7.4 pts better | 12.0% | 19.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication4.9 pts better | 9.8% | 14.7% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened1.3 pts worse | 12.4% | 11.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.4 pts better | 8.3% | 10.7% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.4 pts better | 0.3% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.9 pts worse | 2.4% | 1.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence6.9 pts better | 12.5% | 19.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.2 pts better | 3.8% | 5.0% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine16.5 pts better | 99.9% | 83.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit6 pts better | 5.7% | 11.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.5 pts better | 0.6% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine11.3 pts better | 92.8% | 81.5% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.8 pts worse | 25.7% | 23.9% | 23.4% |
·
Who owns and runs it
30 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Om Holdco, LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 4 facilities |
| Charles Franklin LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 22 facilities |
| Charles Franklin LLC | Adp Of The SNF · Organization | 0% | 22 facilities |
| Charles Westland LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 20 facilities |
| Charles Westland LLC | Adp Of The SNF · Organization | 0% | 20 facilities |
| Cliftonlarsonallen | Adp Of The SNF · Organization | 0% | 124 facilities |
| Gourov, Lyudmila | Adp Of The SNF · Individual | 0% | 1 facilities |
| Hemant Shah 2018 Irrevocable Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 23 facilities |
| Hemant Shah 2018 Irrevocable Trust | Adp Of The SNF · Organization | 0% | 23 facilities |
| Imam, Khaled | Adp Of The SNF · Individual | 0% | 2 facilities |
| Obs Of Mi LLC | Adp Of The SNF · Organization | 0% | 8 facilities |
| Om Holdco, LLC | Adp Of The SNF · Organization | 0% | 4 facilities |
| Optalis LP Investors 1, LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 4 facilities |
| Optalis LP Investors 1, LLC | Adp Of The SNF · Organization | 0% | 4 facilities |
| Optum Management Solutions. Inc | Indirect Ownership Interest · Organization | 0% | 24 facilities |
| Paar 108 LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 32 facilities |
| Paar 108 LLC | Adp Of The SNF · Organization | 0% | 32 facilities |
| Pinal R. Patel 2017 Irrevocable Trust F/B/O Aarna R. Patel | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 30 facilities |
| Pinal R. Patel 2017 Irrevocable Trust F/B/O Aarna R. Patel | Adp Of The SNF · Organization | 0% | 30 facilities |
| Pinal R. Patel 2017 Irrevocable Trust F/B/O Ansh R. Patel | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 30 facilities |
| Pinal R. Patel 2017 Irrevocable Trust F/B/O Ansh R. Patel | Adp Of The SNF · Organization | 0% | 30 facilities |
| Pinal R. Patel 2020 Irrevocable Family Trust Uad 10-6-2020 | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 30 facilities |
| Pinal R. Patel 2020 Irrevocable Family Trust Uad 10-6-2020 | Adp Of The SNF · Organization | 0% | 30 facilities |
| Rajan G Patel 2020 Irr Fam Tr Uad 12-3-2020 | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 30 facilities |
| Rajan G Patel 2020 Irr Fam Tr Uad 12-3-2020 | Adp Of The SNF · Organization | 0% | 30 facilities |
| Rumsey, Dean | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Rumsey, Dean | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Rumsey, Dean | Adp Of The SNF · Individual | 0% | 1 facilities |
| Snw LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 23 facilities |
| Snw LLC | Adp Of The SNF · Organization | 0% | 23 facilities |
·
Fire safety
6 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Egress2F
- F
Have properly located and lighted "Exit" signs.
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Smoke2F
- F
Provide properly protected cooking facilities.
- E
Install a fire alarm system that can be heard throughout the facility.
Emergency Preparedness1F
- F
Implement emergency and standby power systems.
Gas, Vacuum, and Electrical Systems1F
- F
Have generator or other power source capable of supplying service within 10 seconds.
·
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