California › Alameda County › Oakland
Garfield Neurobehavioral Center
1451 28th Avenue, Oakland, CA 94601
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Garfield Neurobehavioral Center, in Oakland, California, is certified for 96 beds under for-profit, corporation ownership.
CMS gives it 3 of 5 stars overall, equal to the California median; the health inspection rating is 2, staffing 5 and quality measures 3.
Inspectors recorded 18 health deficiencies across the three most recent survey cycles (9, 6, 3 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 18.8 per 100 beds, fewer than the state median of 51.1.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 4.6 hours per resident per day (0.6 RN), close to the California median of 4.2; nursing staff turnover is 13.2%.
CMS flags that the facility carries the CMS abuse icon.
Compared with county, state and nation
| Measure | This facility | Alameda Co. median | California median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 18 | 25 | 44 | 28.7 |
| Citations per 100 beds | 18.8 | 39.4 | 51.1 | 26.8 |
| Total nurse hours per resident day | 4.6 | 4.2 | 4.2 | 3.9 |
| RN hours per resident day | 0.6 | 0.6 | 0.5 | 0.7 |
| Nursing staff turnover | 13.2% | 34.8% | 36.4% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (69 in the county, 1165 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: California average per facility for the same cycle, as published by CMS. Standard health survey dates: 1 Aug 2025, 21 Mar 2024.
Severity mix: J ×1 G ×1 D ×9 E ×7
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 2 Jul 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | Deficient, Provider has no plan of correction |
| 1 Aug 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Standard survey | 14 Aug 2025 |
| 1 Aug 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 14 Aug 2025 |
| 1 Aug 2025 | F0761 | 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 | Standard survey | 14 Aug 2025 |
| 1 Aug 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 14 Aug 2025 |
| 1 Aug 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 14 Aug 2025 |
| 1 Aug 2025 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard survey | 14 Aug 2025 |
| 1 Aug 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 14 Aug 2025 |
| 1 Aug 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 14 Aug 2025 |
| 21 Feb 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 28 Feb 2025 |
| 21 Mar 2024 | F0761 | 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 | Standard survey | 6 Apr 2024 |
| 21 Mar 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 6 Apr 2024 |
| 21 Mar 2024 | F0814 | Dispose of garbage and refuse properly. | E | Standard survey | 6 Apr 2024 |
| 21 Mar 2024 | F0584 | 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 | Standard survey | 6 Apr 2024 |
| 21 Mar 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 6 Apr 2024 |
| 18 Mar 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 6 Apr 2024 |
| 18 Mar 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 6 Apr 2024 |
| 18 Mar 2024 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 6 Apr 2024 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the California average. Turnover: nursing staff 13.2%, RNs 11.1%; — administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | California median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 10.4% | 8.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.7% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.6% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.3% | 1.3% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 8.3% | 8.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.5% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 82.5% | 9.1% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Legal Business Name Not Available.
No organisations are listed in the CMS ownership record for this facility.
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Alameda County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Alameda County Medical Center D/P SNF | San Leandro | 109 | 5 | 5 | 5 | 18 | 16.5 | — | 22 Aug 2024 |
| Bay Area Healthcare Center | Oakland | 99 | 5 | 5 | 5 | 10 | 10.1 | — | 9 Feb 2026 |
| Baywood Court Health Center | Castro Valley | 56 | 5 | 5 | 5 | 12 | 21.4 | — | 11 Oct 2024 |
| Bellaken Skilled Nursing Center | Oakland | 61 | 5 | 5 | 4 | 17 | 27.9 | — | 16 Apr 2026 |
| Chaparral House | Berkeley | 49 | 5 | 4 | 4 | 25 | 51.0 | — | 30 Jun 2026 |
| Creekview Skilled Nursing | Pleasanton | 73 | 5 | 5 | 5 | 12 | 16.4 | — | 27 Feb 2025 |
| Crestwood Manor - Fremont | Fremont | 126 | 5 | 5 | 5 | 17 | 13.5 | — | 10 Jun 2025 |
| Crestwood Treatment Center | Fremont | 88 | 5 | 4 | 5 | 11 | 12.5 | — | 22 May 2026 |
All 69 facilities in Alameda County
Questions and answers
How many deficiencies has Garfield Neurobehavioral Center been cited for?
18 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The California median is 44 per facility.
Has Garfield Neurobehavioral Center been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Garfield Neurobehavioral Center compare?
Reported total nurse staffing is 4.6 hours per resident per day against a California median of 4.2 and a national average of 3.9.
Who operates Garfield Neurobehavioral Center?
Ownership type is for-profit, corporation. Individual owners and managers are not listed on this site.
When was Garfield Neurobehavioral Center last inspected?
The most recent survey or investigation in the CMS record is dated 2 Jul 2026; the most recent standard health survey was 1 Aug 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.