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Nursing homesCalifornia › Garfield Neurobehavioral Center

Garfield Neurobehavioral Center

1451 28Th Avenue, Oakland, CA 94601 · 5102619191 · 96 certified beds

Overall★★★☆☆ 3/5
Health inspections★★☆☆☆ 2/5
Staffing★★★★★ 5/5
Quality measures★★★☆☆ 3/5
Abuse icon: CMS flags this facility for an abuse citation in recent inspections.

Ownership

CMS lists no chain affiliation for this facility. Ownership type on record: For profit - Corporation.

Staffing (hours per resident per day)

Total nurse staffing: 4.58 (California median: 4.24). RN hours: 0.61. Weekend total: 4.15. Nursing staff turnover: 13%.

Inspection deficiencies

All-time on record: 17 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).

Survey dateDeficiencySev.TypeStatus
2025-08-01Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. JHealthcorrected 2025-08-14
2025-08-01Ensure medication error rates are not 5 percent or greater. EHealthcorrected 2025-08-14
2025-08-01Ensure 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. EHealthcorrected 2025-08-14
2025-08-01Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. EHealthcorrected 2025-08-14
2025-08-01Provide and implement an infection prevention and control program. EHealthcorrected 2025-08-14
2025-08-01Develop and implement policies and procedures to prevent abuse, neglect, and theft. DHealthcorrected 2025-08-14
2025-08-01Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. DHealthcorrected 2025-08-14
2025-08-01Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. DHealthcorrected 2025-08-14
2025-02-21Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Gcomplaintcorrected 2025-02-28
2024-03-21Ensure 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. EHealthcorrected 2024-04-06
2024-03-21Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. EHealthcorrected 2024-04-06
2024-03-21Dispose of garbage and refuse properly. EHealthcorrected 2024-04-06
2024-03-21Honor 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. DHealthcorrected 2024-04-06
2024-03-21Ensure each resident receives an accurate assessment. DHealthcorrected 2024-04-06
2024-03-18Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Dcomplaintcorrected 2024-04-06
2024-03-18Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Dcomplaintcorrected 2024-04-06
2024-03-18Ensure that residents are free from significant medication errors. Dcomplaintcorrected 2024-04-06

Federal penalties

No federal fines or payment denials on record.

Ownership & control records (CMS filings)

No detailed ownership records on file.

Compare nearby (Alameda County)

Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 05A396. Corrections: data@carerecords.org.