Garfield Neurobehavioral Center, Oakland, California
- 18
- Citations from health inspectionsCalifornia average: 50 a home
- 2
- Residents harmed or put in dangerCalifornia average: 1.2 a home
- $0
- Fines from the federal governmentCalifornia average: $23,986 a home
- 3 out of 5
- Overall rating in starsCalifornia average: 3.2
The figures come from Medicare Care Compare files released October 8, 2026 by CMS, the federal Medicare agency. The citations span each home's three most recent inspection cycles plus their complaint visits, going back to March 2017 at the earliest; the fines span about three years, beginning September 2023. Browse the CMS files
Five inspection visits produced 18 citations. Residents were in immediate danger in one finding. Residents were found hurt in one case. Federal fines: none.
The CMS abuse icon is shown for this home. Care Compare adds it after a citation for abuse or neglect. Either a resident was harmed recently, or harm could have resulted over two inspections in a row.
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- The home's overall star rating
- 3 out of 5
- Rating for health inspections
- 2 out of 5
- Rating for staffing
- 5 out of 5
- Rating for quality of care
- 3 out of 5
- Nurse time for each resident
- 4.58 hours each dayThe California average is 4.52 hours
- Time from registered nurses
- 0.61 hours each dayThe California average is 0.67 hours
- Nursing staff who left during one year
- 13.2%against the California average of 36.7%
- Beds that are certified
- 96
- Ownership
- Corporation (for profit)
- Chain
- This home is not part of a chain
- Street address
- 1451 28th Avenue, Oakland, California 94601
- County
- Alameda
Each inspection's citations
Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.
One citation dated July 2, 2026
- F600 Freedom From Abuse and Neglect: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Eight citations dated Aug. 1, 2025
- F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents.
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, a pattern, several residents.
- F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, a pattern, several residents.
- F759 Medication Error Rate of 5 Percent or More: risk of harm, no one found hurt, a pattern, several residents.
- F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents.
- F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents.
- F607 Policies to Prevent Abuse, Neglect, and Theft: risk of harm, no one found hurt, one or a few residents.
- F600 Freedom From Abuse and Neglect: immediate danger to residents, one or a few residents.
One citation dated Feb. 21, 2025
- F600 Freedom From Abuse and Neglect: residents were harmed, one or a few residents, found on a complaint visit.
Five citations dated March 21, 2024
- F814 Dispose of Garbage Properly: risk of harm, no one found hurt, a pattern, several residents.
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, a pattern, several residents.
- F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, a pattern, several residents.
- F641 Accurate Resident Assessments: risk of harm, no one found hurt, one or a few residents.
- F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, one or a few residents.
Three citations dated March 18, 2024
- F760 Significant Medication Errors: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F755 Pharmacy Services: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Payment Denials and Fines
For Garfield Neurobehavioral Center, CMS shows no fines or payment denials.
Ownership and Management of the Home
The CMS ownership file names no owner or operator for this home.
The CMS Care Compare files, updated every month, provide provider information, health deficiencies, penalties, and ownership. The CMS certification number is 05A396. Other homes in California.