Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Garfield Neurobehavioral Center during CMS and state inspections, most recent first.
A resident with cognitive impairments and dependent on staff for care was sexually abused by a CNA, who was later arrested after evidence was found in their online storage. The facility identified the resident in the videos and confirmed the CNA's employment, violating the resident's right to be free from abuse.
Failure to Protect Resident from Sexual Abuse by CNA
Penalty
Summary
The facility failed to protect a resident from sexual abuse by a Certified Nursing Assistant (CNA). The incident involved a resident who was non-verbal, cognitively impaired, and dependent on staff for all aspects of care due to Huntington's disease and paranoid schizophrenia. The resident was unable to make safe decisions and was conserved by family. On the day of the incident, the CNA was assigned to the resident and worked the evening shift. The abuse was discovered when the police informed the facility that they had arrested the CNA after finding evidence of the abuse in the CNA's online storage account. The police report detailed that the CNA had taken two videos of the resident, where the CNA manipulated the resident's genitals. The facility was able to identify the resident in the videos through specific room features and confirmed the CNA's employment. The CNA was charged with Lewd Acts on a Dependent Adult by a Caretaker. The facility's policy on Resident's Rights, which includes the right to be free from abuse, was not upheld in this instance.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Oakland
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Fruitvale Healthcare Center | 0.1 mi | — | 1 | 0 |
| Mercy Retirement & Care Center | 0.6 mi | — | 2 | 0 |
| Oakland Heights Nursing And Rehabilitation | 1 mi | — | 0 | 0 |
| Bellaken Skilled Nursing Center | 1.1 mi | — | 0 | 0 |
| Bay Marina Post Acute | 1.1 mi | — | 3 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.