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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeCaliforniaGarfield Neurobehavioral Center

Garfield Neurobehavioral Center

1451 28th Avenue, Oakland, CA 946015102619191
3/5Average
Accepts Medicaid Sprinkler System
Health
2/5
Staffing
5/5
Quality
4/5
Beds
96
certified
This facility has been flagged for abuse.

Key Findings

• CMS rates this facility 3/5 stars (average)

• Has 96 certified beds with an average of 55.4 residents per day (58% occupancy)

• Last health inspection found 9 deficiencies (inspected Aug 1, 2025)

• No fines on record

• Total nursing staff: 4.95 hours per resident per day

• Staff turnover rate: 14.3%

Garfield Neurobehavioral Center is a 3-star Medicaid certified nursing home in Oakland, California with 96 certified beds. It has been operating since 1992. The facility scored at average compared to California facilities.

Beds
96
Avg Residents/Day
55.4
Ownership
For profit - Corporation
Provider Type
Medicaid
In Hospital
No
First Approved
Jul 13, 1992
Sprinklers
Yes
Council
Resident
County
Alameda
Last Inspection
Aug 1, 2025
Deficiencies (Cycle 1)
9
Weighted Score
115.3
Infection Citations
0

Deficiency Citations (17)

F0600Actual Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Feb 21, 2025Corrected: NoCycle: 1
F0600Immediate Jeopardy

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Aug 1, 2025Corrected: NoCycle: 1
F0607Potential for Harm

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Survey: Aug 1, 2025Corrected: NoCycle: 1
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Aug 1, 2025Corrected: NoCycle: 1
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Aug 1, 2025Corrected: NoCycle: 1
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: Aug 1, 2025Corrected: NoCycle: 1
F0761Potential for Harm

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.

Survey: Aug 1, 2025Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Aug 1, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Aug 1, 2025Corrected: NoCycle: 1
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Mar 18, 2024Corrected: NoCycle: 2
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Mar 18, 2024Corrected: NoCycle: 2
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: Mar 18, 2024Corrected: NoCycle: 2
F0584Potential for Harm

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.

Survey: Mar 21, 2024Corrected: NoCycle: 2
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Mar 21, 2024Corrected: NoCycle: 2
F0761Potential for Harm

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.

Survey: Mar 21, 2024Corrected: NoCycle: 2
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Mar 21, 2024Corrected: NoCycle: 2
F0814Potential for Harm

Dispose of garbage and refuse properly.

Survey: Mar 21, 2024Corrected: NoCycle: 2
Total Fines
$0
Number of Fines
0
Payment Denials
0
Total Penalties
0

No penalties on record.

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide3.46 hrs
National avg: 2.35 hrs
LPN0.65 hrs
National avg: 0.86 hrs
RN0.83 hrs
National avg: 0.68 hrs
Total Nursing4.95 hrs
National avg: 3.89 hrs
Weekend Total4.38 hrs
National avg: 0.00 hrs
Physical Therapist0.00 hrs
National avg: 0.07 hrs
Total Turnover
14.3%
RN Turnover
0.0%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Corporation
Recent Change
No

Owners & Managers (1)

NameRoleTypeOwnership %Since
Ownership Data Not AvailableN/AN/A

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Frequently Asked Questions

What is the CMS rating for Garfield Neurobehavioral Center?▾
Garfield Neurobehavioral Center has an overall CMS rating of 3 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 5/5, and quality measures rating of 4/5. This facility is rated average.
Has Garfield Neurobehavioral Center had any health inspection violations?▾
Garfield Neurobehavioral Center had 9 deficiency citations in its most recent health inspection (Aug 1, 2025). The facility has no fines on record.
What are the staffing levels at Garfield Neurobehavioral Center?▾
Garfield Neurobehavioral Center provides 4.95 total nursing staff hours per resident per day, including 0.83 RN hours, 0.65 LPN hours, and 3.46 nurse aide hours. The total staff turnover rate is 14.3%.
How many beds does Garfield Neurobehavioral Center have?▾
Garfield Neurobehavioral Center has 96 certified beds with an average of 55.4 residents per day, resulting in approximately 58% occupancy. The facility is For profit - Corporation owned.
Are there other nursing homes near Garfield Neurobehavioral Center?▾
Yes, there are 17 other nursing homes in Oakland, California with an average rating of 3.9/5. You can compare all facilities on the Oakland nursing homes page.