Garfield Neurobehavioral Cente
Nursing Home Facility
1451 28th Avenue, Oakland, CA 94601
Garfield Neurobehavioral Cente is a senior care community located in Oakland, CA. It provides nursing home care and senior living for older adults in the Oakland area. To learn more or schedule a tour, call (510) 261-9191.
With 96 beds, Garfield Neurobehavioral Cente is one of the larger communities in the area, senior care communities in Oakland average about 46 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.
Federal reporting puts occupancy at about 59% of its licensed beds, so availability is more likely here than at busier communities nearby. That is below the Oakland average of roughly 89%.
Medicare rates this community 3 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Oakland average about 4.1 stars. The individual scores differ noticeably: 5 stars for staffing against 2 stars for health inspections, so it is worth reading both before deciding. Its most recent standard health inspection was in August 2025 and recorded 9 deficiencies.
Residents receive about 4.6 hours of nursing care per day on average, including 0.6 hours from a registered nurse. Nursing staff turnover over the past year was about 13%.
The community is located in Alameda County, CA.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 18 problems at Garfield Neurobehavioral Cente. 2 findings involved harm to a resident, including 1 that put residents in immediate danger. 5 came from investigating complaints by residents or families.
Findings from the most recent inspection cycle
-
Put residents in immediate danger, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
Could cause more than minimal harm, a pattern
Pharmacy Service
Ensure medication error rates are not 5 percent or greater.
-
Could cause more than minimal harm, a pattern
Pharmacy Service
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.
-
Could cause more than minimal harm, a pattern
Nutrition and Dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
-
Could cause more than minimal harm, a pattern
Infection Control
Provide and implement an infection prevention and control program.
-
Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
-
Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Show 1 more
-
Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
Garfield Neurobehavioral Cente offers nursing home care and senior living.
Facility details
- Organization type for-profit corporation
- Beds / units 96
- Occupancy 59%
- Nursing hours per resident/day 4.6
- Annual staff turnover 13%
- Last health inspection August 2025
Resident & family reviews
No one has shared a review of Garfield Neurobehavioral Cente yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.