GARFIELD NEUROBEHAVIORAL CENTER

1451 28TH AVENUE, OAKLAND, CA 94601 · CCN 05A396 · 96 certified beds · Data as of 2026-07-01

CMS overall3 of 5CMS inspections2 of 5CMS staffing5 of 5CMS quality3 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 1 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

CMS has flagged this facility with its abuse icon, which marks facilities cited for abuse in recent inspections.

Serious inspection findings

2025-08-01 IMMEDIATE JEOPARDY (tag F0600, severity J)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2025-02-21 ACTUAL HARM (tag F0600, severity G)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Staffing, from payroll records

Nursing hours / resident / day

3.85

state median 3.94

Weekend staffing gap

−2%

fewer nursing hours on weekends · state median −5%

RN hours / resident / day

0.54

registered nurses only

Contract (agency) staff

0%

share of all nursing hours

Nursing staff turnover

13%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

CMS records no penalties for this facility.

Ownership

Ownership type: For profit - Corporation.

Full citation history

By severity: Actual harm: 1 · Potential for more than minimal harm: 15 · Immediate jeopardy: 1

Survey dateTagCategorySeverityCorrected
2025-08-01F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesJnot recorded
2025-08-01F0607Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2025-08-01F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2025-08-01F0656Resident Assessment and Care Planning DeficienciesDnot recorded
2025-08-01F0759Pharmacy Service DeficienciesEnot recorded
2025-08-01F0761Pharmacy Service DeficienciesEnot recorded
2025-08-01F0812Nutrition and Dietary DeficienciesEnot recorded
2025-08-01F0880Infection Control DeficienciesEnot recorded
2025-02-21F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesGnot recorded
2024-03-21F0584Resident Rights DeficienciesDnot recorded
2024-03-21F0641Resident Assessment and Care Planning DeficienciesDnot recorded
2024-03-21F0761Pharmacy Service DeficienciesEnot recorded
2024-03-21F0812Nutrition and Dietary DeficienciesEnot recorded
2024-03-21F0814Nutrition and Dietary DeficienciesEnot recorded
2024-03-18F0689Quality of Life and Care DeficienciesDnot recorded
2024-03-18F0755Pharmacy Service DeficienciesDnot recorded
2024-03-18F0760Pharmacy Service DeficienciesDnot recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “GARFIELD NEUROBEHAVIORAL CENTER, OAKLAND” at medicare.gov/care-compare.