Skilled Nursing

GARFIELD NEUROBEHAVIORAL CENTER

1451 28TH AVENUE, OAKLAND, CA 94601

96beds
Skilled Nursingcare types
3/5CMS rating
Updated2026

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Inspection & Compliance

Data from CMS (Centers for Medicare & Medicaid Services), updated weekly. Medicare.gov Care Compare

CMS Abuse/Neglect Flag

This facility has been flagged by CMS for substantiated abuse or neglect of residents.

View full report

4.5h

Hrs/resident · weekday

Expected: 6.9h

6.2h

Hrs/resident · weekend

vs 4.5h on weekdays

Not reported

30-day hospital readmission rate

Annual Staff Turnover Rates

High turnover is one of the strongest predictors of care quality. National average CNA turnover is ~75%.

RNs
0%
LPNs
CNAs
14%

Health Inspection Deficiencies · Last 3 Years

SeriousImmediate Jeopardy0600Severity JAug 1, 2025

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

Corrected: Aug 14, 2025

16 standard deficiencies in the last 3 years

View all
0880Severity EAug 1, 2025

Provide and implement an infection prevention and control program.

0812Severity EAug 1, 2025

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

0761Severity EAug 1, 2025

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.

0759Severity EAug 1, 2025

Ensure medication error rates are not 5 percent or greater.

0656Severity DAug 1, 2025

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

0609Severity DAug 1, 2025

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

0607Severity DAug 1, 2025

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

0600Severity GFeb 21, 2025

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

0814Severity EMar 21, 2024

Dispose of garbage and refuse properly.

0812Severity EMar 21, 2024

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

0761Severity EMar 21, 2024

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.

0641Severity DMar 21, 2024

Ensure each resident receives an accurate assessment.

0584Severity DMar 21, 2024

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.

0760Severity DMar 18, 2024

Ensure that residents are free from significant medication errors.

0755Severity DMar 18, 2024

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

0689Severity DMar 18, 2024

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

View full inspection history on Medicare.gov

Civil Monetary Penalties

No civil monetary penalties on record.

Nearby Hospitals

No hospitals found within 10 miles.

Proximity to emergency care is especially important for medically complex residents.

Ownership

Legal Business Name Not Available· For profit - Corporation

Data updated weekly from CMS. Last sync: Jun 26, 2026. Medicare.gov Care Compare →

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Data sourced from the Centers for Medicare & Medicaid Services and state licensing agencies. ← Back to search

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