Skilled nursing · OAKLAND, CA

GARFIELD NEUROBEHAVIORAL CENTER

1451 28TH AVENUE, OAKLAND, CA 94601

96 bedsFor profit - Corporation
1.9Clarity

▲ 0.3 since Aug

Score history
Oct 20261.9▲ 0.3 flagged
Sep 20261.6 flagged
Aug 20261.6 flagged

Rescored monthly from the federal and state record.

The Palmelle ReadUpdated 3 Aug 2026

The record on Garfield Neurobehavioral Center cuts both ways. On one side, staff turnover is roughly half the U.S. rate. On the other, CMS has placed an abuse icon on the record, and antipsychotic use runs 5.9 times the national median. The sections below show exactly where each number comes from — read them before you tour.

palmelle

Written by Palmelle from federal and state records. Last updated 3 Aug 2026. Not paid for or edited by the facility.

In their own words

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The record

CMS Care Compare · Aug 2026
Federal ratings
Overall★★★☆☆ 3 of 5
Health inspection★★☆☆☆ 2 of 5
Staffing★★★★★ 5 of 5
Quality measures★★★☆☆ 3 of 5

Staffing · hours per resident per day

Registered-nurse time with each resident, dailyhigher is better

This home
36 min
National
47 min

All nursing time with each resident, dailyhigher is better

This home
4 hr 35 min
National
3 hr 37 min

Nurses who quit each yearlower is better

This home
13.2%
National
53%

Medication & safety · share of long-stay residents

On antipsychotic medicationlower is bettersee why ↓

This home
82.5%
National
14%

On sedatives / sleep medicationlower is better

This home
40.4%
National
15%

Falls causing major injurylower is better

This home
1.3%
National
1.6%

Physically restrainedlower is better

This home
0%
National
1.1%
Penalties & citations · last 36 months
Federal fines$0 · zero penalties
Abuse icon⚠ Present
Conflict flags in latest reconcile7

CA does not publish a state inspection feed Palmelle can verify. This record is built from federal data only.

What the pattern says

Palmelle pattern checks · v1

Warehouse warning signs — read the findings below before touring.

  • A sedation pattern. Antipsychotic use (82%) and sleep-medication use (40%) are BOTH far above national norms — the pattern associated with medicating residents instead of staffing for them.
  • CMS has placed an abuse icon on this facility. A substantiated finding of abuse, neglect, or exploitation is on the federal record.

These checks are computed the same way for every facility. Good patterns and bad ones both print.

Nearby & comparable

Same records, same rules

Questions families ask

What is the CMS rating for GARFIELD NEUROBEHAVIORAL CENTER?
GARFIELD NEUROBEHAVIORAL CENTER has an overall CMS Care Compare rating of 3 out of 5 stars.
Has GARFIELD NEUROBEHAVIORAL CENTER been cited for resident harm?
CMS has placed an abuse icon on GARFIELD NEUROBEHAVIORAL CENTER, indicating a substantiated finding of abuse, neglect, or exploitation.
What should I ask on a tour?
Ask about staff-to-resident ratios by shift, weekend coverage, and any measure flagged red in the record above — those are the places this facility's numbers leave open questions.

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