Nursing Homes · Oakland, CA
Nursing Homes · Medicare certified
Garfield Neurobehavioral Center
1451 28th Avenue · Oakland, CA 94601 · 96 certified beds
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About Garfield Neurobehavioral Center
Garfield Neurobehavioral Center is a nursing home in Oakland, California. Its capacity is 96 beds, above the Alameda County median of 75 for nursing homes. It is run by a for-profit operator. It is Medicare certified. Its public inspection record shows 17 citations, the most recent on August 1, 2025. Enforcement records show no fine or payment denial against it. Nurse staffing averages 4.59 hours per resident per day. It is one of 18 nursing homes listed in Oakland. Residents and families can raise concerns with the Office of the State Long-Term Care Ombudsman at 1-800-231-4024. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Certification
Medicare-certified.
Ratings
Overall
3.0Staffing
5.0Quality measures
3.0CMS Care Compare, October 2026.
Inspection history (17)
Records from March 2024 to August 2025.
August 1, 2025
Tag F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 14, 2025.
August 1, 2025
Tag F0761Ensure 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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected August 14, 2025.
August 1, 2025
Tag F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity J: isolated, immediate jeopardy. Corrected August 14, 2025.
August 1, 2025
Tag F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 14, 2025.
August 1, 2025
Tag F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 14, 2025.
August 1, 2025
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected August 14, 2025.
August 1, 2025
Tag F0759Ensure medication error rates are not 5 percent or greater.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected August 14, 2025.
August 1, 2025
Tag F0880Provide and implement an infection prevention and control program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected August 14, 2025.
February 21, 2025
Tag F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity G: isolated, actual harm. Corrected February 28, 2025.
March 21, 2024
Tag F0814Dispose of garbage and refuse properly.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 6, 2024.
March 21, 2024
Tag F0641Ensure each resident receives an accurate assessment.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 6, 2024.
March 21, 2024
Tag F0584Honor 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 6, 2024.
March 21, 2024
Tag F0761Ensure 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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 6, 2024.
March 21, 2024
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 6, 2024.
March 18, 2024
Tag F0760Ensure that residents are free from significant medication errors.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 6, 2024.
March 18, 2024
Tag F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 6, 2024.
March 18, 2024
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 6, 2024.
Penalties
CMS lists no fines or payment denials for this nursing home in the last three years.
Staffing
4.59 nurse hours per resident per day in Q2 2026, down from 5.06 in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
For profit - Corporation
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in California.
Nearby alternatives
Other licensed providers in Oakland.
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Bellaken Skilled Nursing Center
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
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