ROYAL OAKS MANOR-BRADBURY OAKS
1763 ROYAL OAKS DRIVE, DUARTE, CA 91010 · CCN 555503
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- Non profit - Corporation
- Certified beds
- 48
- Avg residents/day
- 43.0
- Phone
- 6263599371
Inspection history vs California & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | California avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2026-01-02 | 10 | 15.6 | 9.5 | -5.6 better |
| 2 | 2024-11-15 | 16 | 17.4 | 9.8 | -1.4 better |
| 3 | 2023-11-02 | 16 | 17.1 | 9.3 | -1.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 3 |
| Resident assessment and care planning | 1 |
| Resident rights | 2 |
| Pharmacy service | 2 |
| Environmental | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.88 | 31.9% |
| RN staffing (reported) | 0.60 | 66.7% |
| Total nurse staffing (adjusted) | 4.90 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 1
- Payment denials
- 1
Chain
- Chain
- HUMANGOOD
- Facilities in chain
- 17
- Chain avg overall
- 4.40 / 5
Inspection citations (42)2 actual harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2026-01-02 · Health · corrected 2026-01-22
Potential for more than minimal harm
- EF0578Honor 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.2026-01-02 · Health · corrected 2026-01-21
Potential for more than minimal harm
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2026-01-02 · Health · corrected 2026-01-15
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2026-01-02 · Health · corrected 2026-01-07
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2026-01-02 · Health · corrected 2026-01-16
Potential for more than minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2026-01-02 · Health · corrected 2026-02-19
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2026-01-02 · Health · corrected 2026-01-15
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2026-01-02 · Health · corrected 2026-01-08
Potential for more than minimal harm
- EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-12-01 · Health · corrected 2025-12-05
Potential for more than minimal harm
- EF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2025-12-01 · Health · corrected 2025-12-05
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-11-15 · Health · corrected 2024-12-15
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-11-15 · Health · corrected 2024-12-15
Potential for more than minimal harm
- DF0679Provide activities to meet all resident's needs.2024-11-15 · Health · corrected 2024-12-15
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-11-15 · Health · corrected 2024-12-15
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-11-15 · Health · corrected 2024-12-15
Potential for more than minimal harm
- EF0700Try 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.2024-11-15 · Health · corrected 2024-12-15
Potential for more than minimal harm
- DF0758Implement 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.2024-11-15 · Health · corrected 2024-12-15
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2024-11-15 · Health · corrected 2024-12-15
Potential for more than minimal harm
- DF0761Ensure 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.2024-11-15 · Health · corrected 2024-12-15
Potential for more than minimal harm
- EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-11-15 · Health · corrected 2024-12-15
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2024-11-15 · Health · corrected 2024-12-15
Potential for more than minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-11-15 · Health · corrected 2024-12-15
Potential for more than minimal harm
- EF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2024-11-15 · Health · corrected 2024-12-15
Potential for more than minimal harm
- DF0697Provide safe, appropriate pain management for a resident who requires such services.2024-10-05 · Health · corrected 2024-10-24
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-05-10 · Health · corrected 2024-05-29
Actual harm
- GF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2024-04-15 · Health · corrected 2024-05-10
Actual harm
- DF0880Provide and implement an infection prevention and control program.2023-11-28 · Health · corrected 2023-12-11
Potential for more than minimal harm
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-11-02 · Health · corrected 2023-11-06
Potential for more than minimal harm
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2023-11-02 · Health · corrected 2023-11-20
Potential for more than minimal harm
- DF0573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.2023-11-02 · Health · corrected 2023-11-20
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2023-11-02 · Health · corrected 2023-11-10
Potential for more than minimal harm
- EF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-11-02 · Health · corrected 2023-11-10
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-11-02 · Health · corrected 2023-11-10
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-11-02 · Health · corrected 2023-11-09
Potential for more than minimal harm
- EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-11-02 · Health · corrected 2023-11-22
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-11-02 · Health · corrected 2023-11-16
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-11-02 · Health · corrected 2023-11-20
Potential for more than minimal harm
- DF0758Implement 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.2023-11-02 · Health · corrected 2023-11-20
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2023-11-02 · Health · corrected 2023-11-14
Potential for more than minimal harm
- EF0760Ensure that residents are free from significant medication errors.2023-11-02 · Health · corrected 2023-11-14
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-11-02 · Health · corrected 2023-11-14
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-11-02 · Health · corrected 2023-11-02
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| HUMANGOOD SOCAL | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 1988-02-02 |
| HUMANGOOD | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2016-05-01 |
| HUMANGOOD NORCAL | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 1992-04-15 |
| HUMANGOOD SOCAL | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 1967-01-01 |
| AGONIOLLO, JOSE ANTONIO | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-03-21 |
| AREVALO, JOCELYN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-09-03 |
| BAKER, JUDITH | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-05-01 |
| BATTISON, WILLIAM | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-05-01 |
| BROWN, HERMAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2013-02-10 |
| CHIEN, NORMAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2008-11-01 |
| CHRISTOPHERSON, JOANNE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-03-20 |
| COCHRANE, JOHN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2009-08-10 |
| FELLER, IRENE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-01-26 |
| GHASSEMI, BETHANY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-05-21 |
| GRIFFITH, ALAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-06-30 |
| HOLMES, MICHELLE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-05-01 |
| HOVSEPIAN BEARCE, JEREMIAH | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-11-24 |
| KELLEY, ALBERT | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-05-01 |
| MCDONALD, ANDREW | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-01-01 |
| OGUS, DANIEL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 1995-10-17 |
| SMITH, ANDREW | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-09-15 |
| VANGELISTO, GWEN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-08-30 |
| BAKER, JUDITH | Individual | CORPORATE DIRECTOR | — | 2012-04-25 |
| BATTISON, WILLIAM | Individual | CORPORATE DIRECTOR | — | 2011-02-03 |
| BROWN, HERMAN | Individual | CORPORATE DIRECTOR | — | 2016-05-01 |
| CHRISTOPHERSON, JOANNE | Individual | CORPORATE DIRECTOR | — | 2025-03-20 |
| FELLER, IRENE | Individual | CORPORATE DIRECTOR | — | 2021-01-26 |
| GRIFFITH, ALAN | Individual | CORPORATE DIRECTOR | — | 2019-06-30 |
| HOLMES, MICHELLE | Individual | CORPORATE DIRECTOR | — | 2016-05-01 |
| KELLEY, ALBERT | Individual | CORPORATE DIRECTOR | — | 2008-04-21 |
| ROTH, SHARON | Individual | CORPORATE DIRECTOR | — | 2018-12-08 |
| COCHRANE, JOHN | Individual | CORPORATE OFFICER | — | 2009-08-10 |
| GHASSEMI, BETHANY | Individual | CORPORATE OFFICER | — | 2019-05-21 |
| MCDONALD, ANDREW | Individual | CORPORATE OFFICER | — | 2020-01-01 |
| OGUS, DANIEL | Individual | CORPORATE OFFICER | — | 2009-08-27 |
| U.S. BANK | Organization | 5% OR GREATER SECURITY INTEREST | — | 2025-04-08 |
Other facilities in DUARTE
| Name | Overall | Beds |
|---|---|---|
| ROYAL TERRACE HEALTHCARE | ★★★★☆ | 58 |
| MONROVIA POST ACUTE | ★★★☆☆ | 82 |
| COMMUNITY CARE CENTER | ★★★☆☆ | 145 |
| MONTE VISTA HEALTHCARE CENTER | ★★☆☆☆ | 69 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.