Skilled nursing
GARFIELD NEUROBEHAVIORAL CENTER
0.00 reviews · 0 verifiedOAKLAND, CALic. 05A396
JKLRecent citation with immediate-jeopardy / high severity (J/K/L)Source: CMS Health Citations
ABUSECMS abuse icon presentSource: CMS Provider Information
Provided by facility
Garfield Neurobehavioral Center is a Skilled Nursing Facility (SNF) located in Oakland, California, specializing in providing medical, nursing, and rehabilitative services to individuals with neurobehavioral and mental illnesses. The facility accepts residents who are conserved, have a primary neurological diagnosis, and possess Medi-Cal coverage. With a capacity of 62 beds, Garfield Neurobehavioral Center emphasizes whole person care through a blend of medical and psychiatric expertise, ensuring that residents receive comprehensive support tailored to their needs.
CMS Care CompareView on Medicare.gov →
Medicare overall
3/5Medicare.gov Care Compare stars are shown for context only. They are never part of the Unbeatable composite score.
Staffing (PBJ)
4.32 total HPRDRN 0.80 · weekend 95%Oct 2025 – Dec 2025
Survey history
7 inspections50 deficiencies on record
Federal IDs
CCN 05A396
Overall: 3/5 · Health: 2/5 · Staffing: 5/5 · QM: 4/5
Unbeatable ratings come only from verified family, staff, and professional reviews on this site. CMS stars, staffing, and citations are public regulatory signals — useful for context, not blended into our score.
Recent inspections
Health surveyAug 2025 · CMS8 deficiencies
- F-600SS J — Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- F-607SS D — Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- F-609SS D — Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- F-656SS D — Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F-759SS E — Ensure medication error rates are not 5 percent or greater.
- F-761SS E — 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.
- F-812SS E — Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F-880SS E — Provide and implement an infection prevention and control program.
Fire safetyAug 2025 · STATE FIRE MARSHAL7 deficiencies
- E-39SS F — Conduct testing and exercise requirements.
- K-161SS D — Use approved construction type or materials.
- K-293SS D — Have properly located and lighted "Exit" signs.
- K-353SS C — Inspect, test, and maintain automatic sprinkler systems.
- K-918SS F — Have generator or other power source capable of supplying service within 10 seconds.
- K-919SS D — Meet requirements for the use of electrical equipment.
- K-920SS D — Ensure proper usage of power strips and extension cords.
Health surveyFeb 2025 · CMS1 deficiencies
- F-600SS G — Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Health surveyMar 2024 · CMS5 deficiencies
- F-584SS D — Honor 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.
- F-641SS D — Ensure each resident receives an accurate assessment.
- F-761SS E — 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.
- F-812SS E — Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F-814SS E — Dispose of garbage and refuse properly.
Fire safetyMar 2024 · STATE FIRE MARSHAL12 deficiencies
- E-26SS D — Establish roles under a Waiver declared by secretary.
- E-39SS D — Conduct testing and exercise requirements.
- K-161SS E — Use approved construction type or materials.
- K-321SS D — Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- K-324SS D — Provide properly protected cooking facilities.
- K-345SS D — Have approved installation, maintenance and testing program for fire alarm systems.
- K-353SS D — Inspect, test, and maintain automatic sprinkler systems.
- K-355SS D — Properly select, install, inspect, or maintain portable fire extinguishes.
- K-363SS D — Install corridor and hallway doors that block smoke.
- K-711SS F — Provide a written emergency evacuation plan.
- K-919SS D — Meet requirements for the use of electrical equipment.
- K-920SS D — Ensure proper usage of power strips and extension cords.
Health surveyMar 2024 · CMS3 deficiencies
- F-689SS D — Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F-755SS D — Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- F-760SS D — Ensure that residents are free from significant medication errors.
Fire safetyJan 2022 · STATE FIRE MARSHAL14 deficiencies
- E-23SS D — Establish policies and procedures for medical documentation.
- E-30SS D — List the names and contact information of those in the facility.
- E-31SS D — Provide emergency officials' contact information.
- E-32SS D — Provide primary/alternate means for communication.
- K-211SS D — Keep aisles, corridors, and exits free of obstruction in case of emergency.
- K-321SS D — Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- K-324SS D — Provide properly protected cooking facilities.
- K-353SS D — Inspect, test, and maintain automatic sprinkler systems.
- K-355SS D — Properly select, install, inspect, or maintain portable fire extinguishes.
- K-363SS D — Install corridor and hallway doors that block smoke.
- K-711SS D — Provide a written emergency evacuation plan.
- K-712SS D — Have simulated fire drills held at unexpected times.
- K-918SS D — Have generator or other power source capable of supplying service within 10 seconds.
- K-923SS D — Have proper medical gas storage and administration areas.
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