Royal Oaks Manor-Bradbury Oaks
Nursing Home · Duarte, CA
CMS certification number555503
Contact & location
1763 Royal Oaks DriveDuarte, CA 91010
Los Angeles County
- Phone
- (626) 359-9371
- ZIP code
- 91010 – all care providers
Facility details
- Certified beds
- 48
- Residents per day
- 43.1 (90% occupied)
- Ownership
- Non profit - Corporation
- Legal name
- Humangood Socal
- Chain
- Humangood (17 facilities, avg 4.5★)
- Medicare certified since
- April 15, 1992
- Participates in
- Medicare and Medicaid
- Continuing care
- Part of a continuing care retirement community
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 4.81 (state 4.52 · U.S. 3.86)
- Registered nurses (RN)
- 0.61 (state 0.67 · U.S. 0.69)
- Licensed practical nurses
- 1.53 (state 1.20 · U.S. 0.86)
- Nurse aides
- 2.67 (state 2.65 · U.S. 2.32)
- Weekend total
- 4.44 (state 4.09 · U.S. 3.42)
- Nursing staff turnover
- 30.8 (state 36.7 · U.S. 45.8)%
- RN turnover
- 37.5 (state 38.1 · U.S. 42.9)%
- Administrators who left
- 0 in the last year
Inspections
- Last standard inspection
- January 2, 2026
- Health deficiencies (last cycle)
- 10.0 (state 15.7 · U.S. 9.3)
- From complaints
- 2
- Citations on record (3 years)
- 42 health · 9 fire safety · includes actual harm
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-01-02 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. F0578 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-01-21 |
| 2026-01-02 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-01-07 |
| 2026-01-02 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-02-19 |
| 2026-01-02 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-01-08 |
| 2026-01-02 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-22 |
| 2026-01-02 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-15 |
| 2026-01-02 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-16 |
| 2026-01-02 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-15 |
| 2025-12-01 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-12-05 |
| 2025-12-01 | Make sure that a working call system is available in each resident's bathroom and bathing area. F0919 · Environmental Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-12-05 |
| 2024-11-15 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-12-15 |
| 2024-11-15 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. F0700 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-12-15 |
| 2024-11-15 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-12-15 |
| 2024-11-15 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-12-15 |
| 2024-11-15 | Make sure that a working call system is available in each resident's bathroom and bathing area. F0919 · Environmental Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-12-15 |
| 2024-11-15 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-15 |
| 2024-11-15 | Provide activities to meet all resident's needs. F0679 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-15 |
| 2024-11-15 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-15 |
| 2024-11-15 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-15 |
| 2024-11-15 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. F0758 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-15 |
| 2024-11-15 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-15 |
| 2024-11-15 | 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. F0761 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-15 |
| 2024-11-15 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-15 |
| 2024-10-05 | Provide safe, appropriate pain management for a resident who requires such services. F0697 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-10-24 |
| 2024-05-10 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2024-05-29 |
| 2024-04-15 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. F0744 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2024-05-10 |
| 2023-11-28 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-11 |
| 2023-11-02 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-11-06 |
| 2023-11-02 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-11-10 |
| 2023-11-02 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-11-10 |
| 2023-11-02 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-11-22 |
| 2023-11-02 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-11-16 |
| 2023-11-02 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-11-14 |
| 2023-11-02 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-11-14 |
| 2023-11-02 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-11-02 |
| 2023-11-02 | Allow residents to self-administer drugs if determined clinically appropriate. F0554 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-11-20 |
| 2023-11-02 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. F0573 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-11-20 |
| 2023-11-02 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-11-10 |
| 2023-11-02 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-11-09 |
| 2023-11-02 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-11-20 |
| 2023-11-02 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. F0758 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-11-20 |
| 2023-11-02 | Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-11-14 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
1 penalty in the last three years.
| Date | Type | Amount |
|---|---|---|
| 2024-04-15 | Payment Denial | 15 days payment denial |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Humangood Socal (organization) | 5%+ Direct Ownership Interest · 100% | |
| Humangood (organization) | 5%+ Indirect Ownership Interest · 100% | |
| U.S. Bank (organization) | 5%+ Security Interest · NOT APPLICABLE | |
| Agoniollo, Jose Antonio (individual) | Administrator · NOT APPLICABLE | |
| Arevalo, Jocelyn (individual) | Administrator · NOT APPLICABLE | |
| Baker Tilly Advisory Group LP (organization) | Administrator · NOT APPLICABLE | |
| Baker Tilly US LLP (organization) | Administrator · NOT APPLICABLE | |
| Chien, Norman (individual) | Administrator · NOT APPLICABLE | |
| Hansen Hunter LLC (organization) | Administrator · NOT APPLICABLE | |
| Hovsepian Bearce, Jeremiah (individual) | Administrator · NOT APPLICABLE | |
| Humangood (organization) | Administrator · NOT APPLICABLE | |
| Humangood Norcal (organization) | Administrator · NOT APPLICABLE | |
| Humangood Socal (organization) | Administrator · NOT APPLICABLE | |
| U.S. Bank (organization) | Administrator · NOT APPLICABLE | |
| Vangelisto, Gwen (individual) | Administrator · NOT APPLICABLE | |
| Washington Federal (organization) | Administrator · NOT APPLICABLE | |
| Baker, Judith (individual) | Corporate Director · NOT APPLICABLE | |
| Battison, William (individual) | Corporate Director · NOT APPLICABLE | |
| Brown, Herman (individual) | Corporate Director · NOT APPLICABLE | |
| Christopherson, Joanne (individual) | Corporate Director · NOT APPLICABLE | |
| Feller, Irene (individual) | Corporate Director · NOT APPLICABLE | |
| Griffith, Alan (individual) | Corporate Director · NOT APPLICABLE | |
| Holmes, Michelle (individual) | Corporate Director · NOT APPLICABLE | |
| Kelley, Albert (individual) | Corporate Director · NOT APPLICABLE | |
| Roth, Sharon (individual) | Corporate Director · NOT APPLICABLE | |
| Cochrane, John (individual) | Corporate Officer · NOT APPLICABLE | |
| Ghassemi, Bethany (individual) | Corporate Officer · NOT APPLICABLE | |
| McDonald, Andrew (individual) | Corporate Officer · NOT APPLICABLE | |
| Ogus, Daniel (individual) | Corporate Officer · NOT APPLICABLE | |
| Agoniollo, Jose Antonio (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Arevalo, Jocelyn (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Baker, Judith (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Battison, William (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Brown, Herman (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Chien, Norman (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Christopherson, Joanne (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Cochrane, John (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Feller, Irene (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Ghassemi, Bethany (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Griffith, Alan (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Holmes, Michelle (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Hovsepian Bearce, Jeremiah (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Humangood Norcal (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Humangood Socal (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Kelley, Albert (individual) | Operational/managerial Control · NOT APPLICABLE | |
| McDonald, Andrew (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Ogus, Daniel (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Smith, Andrew (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Vangelisto, Gwen (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Royal Oaks Manor-Bradbury Oaks?
Royal Oaks Manor-Bradbury Oaks has a 4-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.2-star average in California.
How many beds does Royal Oaks Manor-Bradbury Oaks have?
It has 48 certified beds and cares for about 43 residents per day.
Has Royal Oaks Manor-Bradbury Oaks been fined?
Yes. CMS lists 1 penalty in the last three years.
Who owns Royal Oaks Manor-Bradbury Oaks?
It is part of Humangood and is classified as non profit - corporation. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Royal Oaks Manor-Bradbury Oaks?
(626) 359-9371. The facility is located at 1763 Royal Oaks Drive, Duarte, CA 91010.
Other nursing homes in Duarte
-
Monrovia Post Acute
Nursing Home · Duarte, CA · 82 beds
★★★ -
Royal Terrace Healthcare
Nursing Home · Duarte, CA · 58 beds
★★★ -
Monte Vista Healthcare Center
Nursing Home · Duarte, CA · 69 beds
★★
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.