GARFIELD NEUROBEHAVIORAL CENTER
1451 28TH AVENUE, OAKLAND, CA 94601 · CCN 05A396
Abuse icon
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★★★★ 5
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 96
- Avg residents/day
- 55.4
- Phone
- 5102619191
Inspection history vs California & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | California avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-08-01 | 8 | 15.6 | 9.5 | -7.6 better |
| 2 | 2024-03-21 | 9 | 17.4 | 9.8 | -8.4 better |
| 3 | 2022-01-06 | 0 | 17.1 | 9.3 | -17.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 3 |
| Resident assessment and care planning | 1 |
| Nutrition and dietary | 1 |
| Pharmacy service | 2 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.95 | 14.3% |
| RN staffing (reported) | 0.83 | 0.0% |
| Total nurse staffing (adjusted) | 6.60 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Inspection citations (17)1 immediate jeopardy1 actual harm
- JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-08-01 · Health · corrected 2025-08-14
Immediate jeopardy
- DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-08-01 · Health · corrected 2025-08-14
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-08-01 · Health · corrected 2025-08-14
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-08-01 · Health · corrected 2025-08-14
Potential for more than minimal harm
- EF0759Ensure medication error rates are not 5 percent or greater.2025-08-01 · Health · corrected 2025-08-14
Potential for more than minimal harm
- EF0761Ensure 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.2025-08-01 · Health · corrected 2025-08-14
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-08-01 · Health · corrected 2025-08-14
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2025-08-01 · Health · corrected 2025-08-14
Potential for more than minimal harm
- GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-02-21 · Health · corrected 2025-02-28
Actual harm
- DF0584Honor 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.2024-03-21 · Health · corrected 2024-04-06
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2024-03-21 · Health · corrected 2024-04-06
Potential for more than minimal harm
- EF0761Ensure 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.2024-03-21 · Health · corrected 2024-04-06
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-03-21 · Health · corrected 2024-04-06
Potential for more than minimal harm
- EF0814Dispose of garbage and refuse properly.2024-03-21 · Health · corrected 2024-04-06
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-03-18 · Health · corrected 2024-04-06
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-03-18 · Health · corrected 2024-04-06
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2024-03-18 · Health · corrected 2024-04-06
Potential for more than minimal harm
Ownership
No ownership records.
Other facilities in OAKLAND
| Name | Overall | Beds |
|---|---|---|
| OAKLAND HEALTHCARE & WELLNESS CENTER | ★★★★★ | 98 |
| PRINCETON MANOR HEALTHCARE CENTER, LLC | ★★★★★ | 82 |
| PIEDMONT GARDENS HEALTH FACILITY | ★★★★★ | 94 |
| EXCELL HEALTH CARE CENTER | ★★★★★ | 99 |
| ST PAUL'S TOWERS | ★★★★★ | 43 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.