For profit - Corporation ·
96 certified beds ·
Medicaid
3
Overall CMS Rating
★★★☆☆
Garfield Neurobehavioral Center is a Medicare-certified nursing home in Oakland, California. CMS rates it 3 out of 5 stars overall (5/5 for staffing, 2/5 for health inspections). Nurse staffing is 4.95 hours per resident per day, above the California average of 4.51. Its most recent inspection on Aug 1, 2025 cited 8 deficiencies. Note: it carries a CMS abuse icon.
CMS Abuse Icon: this facility has an active abuse icon on its CMS record.
Not SLA EnrolledThis facility hasn't enrolled in resident survey verification. Learn about enrollment →
CMS Quality Ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars = highest quality.
Overall Rating
★★★☆☆ 3/5
Health Inspections
★★☆☆☆ 2/5
Staffing
★★★★★ 5/5
Quality Measures
★★★★☆ 4/5
Long-Stay QM
★★★★☆ 4/5
Short-Stay QM
No data
How Garfield Neurobehavioral Center compares
This facility vs. the California and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
Metric
This facility
California avg
National avg
Total nurse staffing (hrs/resident/day)
4.95
4.51
3.89
above avg
RN staffing (hrs/resident/day)
0.83
0.65
0.68
above avg
Aide staffing (hrs/resident/day)
3.46
2.64
2.34
above avg
Nursing staff turnover
14.3%
38.1%
46.4%
below avg
Deficiencies cited, last inspection
8.0
15.4
9.5
below avg
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
4.95
Total Nurse Hrs/Resident/Day
0.83
RN Hrs/Resident/Day
0.65
LPN Hrs/Resident/Day
3.46
Aide Hrs/Resident/Day
4.38
Weekend Nurse Hrs/Resident/Day
Staff Turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is ~60%.
Total Nursing Staff
14.3%
Registered Nurses
0.0%
Administrator Changes—
Recent Health Inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Aug 1, 2025
Most Recent Inspection Date
8
Total Deficiencies Found
119
Health Inspection Score
0
Number of Fines
What inspectors found at Garfield Neurobehavioral Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
Immediate jeopardy
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Freedom from Abuse, Neglect, and Exploitation Deficiencies · Aug 1, 2025
Potential for harm
Provide and implement an infection prevention and control program.Infection Control Deficiencies · Aug 1, 2025
Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and Dietary Deficiencies · Aug 1, 2025
Potential 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.Pharmacy Service Deficiencies · Aug 1, 2025
Potential for harm
Ensure medication error rates are not 5 percent or greater.Pharmacy Service Deficiencies · Aug 1, 2025
Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Resident Assessment and Care Planning Deficiencies · Aug 1, 2025
Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Freedom from Abuse, Neglect, and Exploitation Deficiencies · Aug 1, 2025
Potential for harm
Develop and implement policies and procedures to prevent abuse, neglect, and theft.Freedom from Abuse, Neglect, and Exploitation Deficiencies · Aug 1, 2025
Actual harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Freedom from Abuse, Neglect, and Exploitation Deficiencies · Feb 21, 2025
Potential for harm
Dispose of garbage and refuse properly.Nutrition and Dietary Deficiencies · Mar 21, 2024
Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and Dietary Deficiencies · Mar 21, 2024
Potential 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.Pharmacy Service Deficiencies · Mar 21, 2024
About This Facility
Address
1451 28Th Avenue Oakland, CA 94601
CMS Certification #
05A396
Ownership
For profit - Corporation
Certified Beds
96
Avg Residents/Day
55.4
Provider Type
Medicaid
First Certified
1992-07-13
Setting
Urban
Location & Nearby
Explore the area around Garfield Neurobehavioral Center using Google Maps.
CMS gives Garfield Neurobehavioral Center an overall rating of 3 out of 5 stars, including 5/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
Garfield Neurobehavioral Center reports 4.95 total nurse hours per resident per day, compared with the California average of 4.51.
Its most recent CMS inspection cited 8 deficiencies.
Garfield Neurobehavioral Center is certified for 96 beds.
Admissions at Garfield Neurobehavioral Center
For admissions, availability and rehab questions, call (510) 261-9191. If a parent is leaving the hospital, the hospital discharge planner can also check which nursing homes have a bed.
Looking for assisted living or memory care instead?
