nursing home in Duarte, CA
Royal Oaks Manor-Bradbury Oaks
1763 Royal Oaks Drive, Duarte, CA 91010 · (626) 359-9371
★★★★★4
Above average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★5
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Royal Oaks Manor-Bradbury Oaks at a glance
Royal Oaks Manor-Bradbury Oaks is a 48-bed non-profit nursing home in Duarte, California (Los Angeles County).
CMS gives it 4 out of 5 stars on its overall star rating, better than the California average of 3.2.
Residents receive about 4.8 hours of nursing care per day (0.6 of them from registered nurses), better than the state average of 4.5 hours.
Its most recent standard health inspection (January 2, 2026) found 10 health citations. The California average is 15.5.
It has not received a federal fine in the past three years.
Nursing staff turnover is 30.8% per year (state average 36.7%).
Facility details
- Type
- Nursing home
- Ownership
- Non Profit - Corporation
- Beds
- 48
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Humangood
- Medicare-certified since
- April 15, 1992
- Continuing care retirement community
- Yes
- Resident/family council
- Resident
- County
- Los Angeles County
- CMS Certification Number
- 555503
Ratings
| Measure | This facility | California avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 4 / 5 | 3.2 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.8 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 5 / 5 | 3.3 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 4.1 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 2 / 5 | 4.4 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 5 / 5 | 3.6 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | California avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 4.81 hrs | 4.52 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 0.61 hrs | 0.67 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.67 hrs | 2.65 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 4.44 hrs | 4.09 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 30.8% | 36.7% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 37.5% | 38.1% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | California avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 10 | 16 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 2 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 78 | 105.8 | 80.6 | Average |
Penalties
| Measure | This facility | California avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $23,986 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | California avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 48 | 99 | 107 | |
| Average residents per day | 43 | 88 | 86 | |
| Occupancy | 89.8% | 88.4% | 80.9% |
Long-stay residents
| Measure | This facility | California avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 0% | 1.6% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 9.6% | 4.3% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 19.1% | 12% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 3.4% | 1.2% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.8% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 18.6% | 10.2% | 13.9% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 8.3% | 4% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 3.4% | 7.3% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.4% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 3.4% | 13.7% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 31.6% | 10.2% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 98.2% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 99.2% | 98.6% | 93.6% | Better |
Short-stay residents
| Measure | This facility | California avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 2.3% | 1.5% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 93.9% | 93.2% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 89.5% | 94.4% | 82% | Better |
Inspection citations
State inspectors cited this home for 42 health deficiencies and 9 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| January 2, 2026 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | D Potential harm, isolated | Corrected January 22, 2026 |
| January 2, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected January 8, 2026 |
| January 2, 2026 Standard | 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. Resident Rights Deficiencies · Tag F0578 | E Potential harm, pattern | Corrected January 21, 2026 |
| January 2, 2026 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | E Potential harm, pattern | Corrected January 7, 2026 |
| January 2, 2026 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | E Potential harm, pattern | Corrected February 19, 2026 |
| January 2, 2026 Standard | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | D Potential harm, isolated | Corrected January 15, 2026 |
| January 2, 2026 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected January 16, 2026 |
| January 2, 2026 Standard | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected January 15, 2026 |
| January 2, 2026 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected January 22, 2026 |
| December 1, 2025 Complaint | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Tag F0919 | E Potential harm, pattern | Corrected December 5, 2025 |
| December 1, 2025 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | E Potential harm, pattern | Corrected December 5, 2025 |
| November 15, 2024 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | D Potential harm, isolated | Corrected December 13, 2024 |
| November 15, 2024 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected December 13, 2024 |
| November 15, 2024 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | D Potential harm, isolated | Corrected December 13, 2024 |
| November 15, 2024 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected December 13, 2024 |
| November 15, 2024 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | D Potential harm, isolated | Corrected December 13, 2024 |
| November 15, 2024 Standard | 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. Quality of Life and Care Deficiencies · Tag F0700 | E Potential harm, pattern | Corrected December 15, 2024 |
| November 15, 2024 Standard | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Tag F0919 | E Potential harm, pattern | Corrected December 15, 2024 |
| November 15, 2024 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | E Potential harm, pattern | Corrected December 15, 2024 |
| November 15, 2024 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | E Potential harm, pattern | Corrected December 15, 2024 |
| November 15, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected December 15, 2024 |
| November 15, 2024 Standard | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | D Potential harm, isolated | Corrected December 15, 2024 |
| November 15, 2024 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | D Potential harm, isolated | Corrected December 15, 2024 |
| November 15, 2024 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected December 15, 2024 |
| November 15, 2024 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected December 15, 2024 |
| November 15, 2024 Standard | 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. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected December 15, 2024 |
| November 15, 2024 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected December 15, 2024 |
| November 15, 2024 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected December 15, 2024 |
| November 15, 2024 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected December 15, 2024 |
| October 5, 2024 Complaint | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0697 | D Potential harm, isolated | Corrected October 24, 2024 |
| May 10, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected May 29, 2024 |
| April 15, 2024 Complaint | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of Life and Care Deficiencies · Tag F0744 | G Actual harm, isolated | Corrected May 10, 2024 |
| November 28, 2023 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected December 11, 2023 |
| November 2, 2023 Fire safety | Construct fire resistant interior walls. Smoke Deficiencies · Tag K0331 | D Potential harm, isolated | Corrected December 2, 2023 |
| November 2, 2023 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | D Potential harm, isolated | Corrected December 2, 2023 |
| November 2, 2023 Fire safety | Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected. Smoke Deficiencies · Tag K0361 | D Potential harm, isolated | Corrected December 2, 2023 |
| November 2, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected November 14, 2023 |
| November 2, 2023 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | E Potential harm, pattern | Corrected November 16, 2023 |
| November 2, 2023 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | E Potential harm, pattern | Corrected November 22, 2023 |
| November 2, 2023 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | E Potential harm, pattern | Corrected November 10, 2023 |
| November 2, 2023 Standard | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | E Potential harm, pattern | Corrected November 10, 2023 |
| November 2, 2023 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | E Potential harm, pattern | Corrected November 6, 2023 |
| November 2, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected November 2, 2023 |
| November 2, 2023 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | E Potential harm, pattern | Corrected November 14, 2023 |
| November 2, 2023 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected November 14, 2023 |
| November 2, 2023 Standard | 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. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected November 20, 2023 |
| November 2, 2023 Standard | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | D Potential harm, isolated | Corrected November 20, 2023 |
| November 2, 2023 Standard | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Tag F0554 | D Potential harm, isolated | Corrected November 20, 2023 |
| November 2, 2023 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected November 10, 2023 |
| November 2, 2023 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected November 9, 2023 |
| November 2, 2023 Standard | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. Resident Rights Deficiencies · Tag F0573 | D Potential harm, isolated | Corrected November 20, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $0 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| April 15, 2024 | Payment Denial | 15 days from May 14, 2024 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| HUMANGOOD SOCAL Organization | 5% or greater direct ownership interest | 100% | 02/02/1988 |
| HUMANGOOD Organization | 5% or greater indirect ownership interest | 100% | 05/01/2016 |
| U.S. BANK Organization | 5% or greater security interest | NOT APPLICABLE | 04/08/2025 |
| AGONIOLLO, JOSE ANTONIO Individual | adp of the snf | NOT APPLICABLE | 03/21/2022 |
| AREVALO, JOCELYN Individual | adp of the snf | NOT APPLICABLE | 09/03/2024 |
| BAKER TILLY ADVISORY GROUP LP Organization | adp of the snf | NOT APPLICABLE | 03/21/2025 |
| BAKER TILLY US LLP Organization | adp of the snf | NOT APPLICABLE | 10/15/2024 |
| CHIEN, NORMAN Individual | adp of the snf | NOT APPLICABLE | 11/01/2008 |
| HANSEN HUNTER LLC Organization | adp of the snf | NOT APPLICABLE | 03/27/2017 |
| HOVSEPIAN BEARCE, JEREMIAH Individual | adp of the snf | NOT APPLICABLE | 11/24/2024 |
| HUMANGOOD Organization | adp of the snf | NOT APPLICABLE | 04/10/2025 |
| HUMANGOOD NORCAL Organization | adp of the snf | NOT APPLICABLE | 04/15/1992 |
| HUMANGOOD SOCAL Organization | adp of the snf | NOT APPLICABLE | 01/01/1967 |
| U.S. BANK Organization | adp of the snf | NOT APPLICABLE | 04/08/2025 |
| VANGELISTO, GWEN Individual | adp of the snf | NOT APPLICABLE | 08/30/2021 |
| WASHINGTON FEDERAL BANK Organization | adp of the snf | NOT APPLICABLE | 11/06/2020 |
| BAKER, JUDITH Individual | corporate director | NOT APPLICABLE | 04/25/2012 |
| BATTISON, WILLIAM Individual | corporate director | NOT APPLICABLE | 02/03/2011 |
| BROWN, HERMAN Individual | corporate director | NOT APPLICABLE | 05/01/2016 |
| CHRISTOPHERSON, JOANNE Individual | corporate director | NOT APPLICABLE | 03/20/2025 |
| FELLER, IRENE Individual | corporate director | NOT APPLICABLE | 01/26/2021 |
| GRIFFITH, ALAN Individual | corporate director | NOT APPLICABLE | 06/30/2019 |
| HOLMES, MICHELLE Individual | corporate director | NOT APPLICABLE | 05/01/2016 |
| KELLEY, ALBERT Individual | corporate director | NOT APPLICABLE | 04/21/2008 |
| ROTH, SHARON Individual | corporate director | NOT APPLICABLE | 12/08/2018 |
| COCHRANE, JOHN Individual | corporate officer | NOT APPLICABLE | 08/10/2009 |
| GHASSEMI, BETHANY Individual | corporate officer | NOT APPLICABLE | 05/21/2019 |
| MCDONALD, ANDREW Individual | corporate officer | NOT APPLICABLE | 01/01/2020 |
| OGUS, DANIEL Individual | corporate officer | NOT APPLICABLE | 08/27/2009 |
| AGONIOLLO, JOSE ANTONIO Individual | operational/managerial control | NOT APPLICABLE | 03/21/2022 |
| AREVALO, JOCELYN Individual | operational/managerial control | NOT APPLICABLE | 09/03/2024 |
| BAKER, JUDITH Individual | operational/managerial control | NOT APPLICABLE | 05/01/2016 |
| BATTISON, WILLIAM Individual | operational/managerial control | NOT APPLICABLE | 05/01/2016 |
| BROWN, HERMAN Individual | operational/managerial control | NOT APPLICABLE | 02/10/2013 |
| CHIEN, NORMAN Individual | operational/managerial control | NOT APPLICABLE | 11/01/2008 |
| CHRISTOPHERSON, JOANNE Individual | operational/managerial control | NOT APPLICABLE | 03/20/2025 |
| COCHRANE, JOHN Individual | operational/managerial control | NOT APPLICABLE | 08/10/2009 |
| FELLER, IRENE Individual | operational/managerial control | NOT APPLICABLE | 01/26/2021 |
| GHASSEMI, BETHANY Individual | operational/managerial control | NOT APPLICABLE | 05/21/2019 |
| GRIFFITH, ALAN Individual | operational/managerial control | NOT APPLICABLE | 06/30/2019 |
Showing 40 of 49 records.
Other nursing homes near Royal Oaks Manor-Bradbury Oaks
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★★★★★4Above averageSanta Fe Lodge
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Frequently asked questions
What is Royal Oaks Manor-Bradbury Oaks's rating?
Royal Oaks Manor-Bradbury Oaks has 4 out of 5 stars on the CMS overall star rating. The average for California nursing homes is 3.2 stars.
How many inspection citations did Royal Oaks Manor-Bradbury Oaks receive?
Its most recent standard health inspection found 10 citations, compared with a California average of 15.5. Every citation is listed on this page with its severity.
Does Royal Oaks Manor-Bradbury Oaks accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Royal Oaks Manor-Bradbury Oaks?
It is non profit - corporation and part of Humangood. The ownership section on this page lists the owners and managers reported to CMS.
Where is Royal Oaks Manor-Bradbury Oaks and how do I contact it?
Royal Oaks Manor-Bradbury Oaks is at 1763 Royal Oaks Drive, Duarte, CA 91010. Phone: (626) 359-9371.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.