C

GARFIELD NEUROBEHAVIORAL CENTER

1451 28TH AVENUE, OAKLAND, CA 94601
Score: 66 / 100

Garfield Neurobehavioral Center is an average performer in CMS ratings, earning a C grade with a score of 66/100. Located in Oakland, California, the facility meets baseline standards across most quality metrics.

Garfield Neurobehavioral Center provides above-average staffing with 4.95 total nurse hours per resident per day. Higher staffing levels are generally associated with better care outcomes and more attentive staff.

Recent CMS inspections identified 17 deficiencies at Garfield Neurobehavioral Center, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody..

Score Breakdown

Overall CMS Rating 24 / 40 pts
3 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 20 / 20 pts
5 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 4.95 3.8 Above Average
Registered Nurses (RN) 0.83 0.7 Above Average
Licensed Practical Nurses (LPN) 0.65 0.7 Average
Certified Nursing Assistants (CNA) 3.46 2.4 Above Average
Weekend Total Nursing 4.38 3.8 Above Average
Weekend RN Hours 0.74 0.7 Average

🔍 Inspection & Deficiency History

17
Total Deficiencies
Jul 31, 2025
Most Recent Inspection
🟠 16 Moderate 🔴 1 Serious
View recent deficiencies (5 shown)
  • Tag 0600 Severity J
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    Jul 31, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0759 Severity E
    Ensure medication error rates are not 5 percent or greater.
    Jul 31, 2025 · Pharmacy Service Deficiencies
  • Tag 0761 Severity E
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologi
    Jul 31, 2025 · Pharmacy Service Deficiencies
  • Tag 0812 Severity E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    Jul 31, 2025 · Nutrition and Dietary Deficiencies
  • Tag 0880 Severity E
    Provide and implement an infection prevention and control program.
    Jul 31, 2025 · Infection Control Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 2.2% 4.5% Better
Falls with major injury 2.6% 3.0% Better
On antipsychotic medication 81.7% 14.5% Worse
Urinary tract infections 2.2% 2.5% Better
ADL decline (daily activities) 11.0% 14.0% Better
Excessive weight loss 2.2% 7.5% Better
New/worsened incontinence 9.8% 45.0% Better

How This Grade Was Calculated

This facility's grade of C is based on a score of 66 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 3★ → 24 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 5★ → 20 pts (max 20)
  • Quality Measures Rating: 4★ → 12 pts (max 15)

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Corporation
Certified Beds
96
Provider Type
Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Jul 31, 2025
Deficiencies (Cycle 1)
8