Nursing homes › California › Royal Oaks Manor-Bradbury Oaks
1763 Royal Oaks Drive, Duarte, CA 91010 · 6263599371 · 48 certified beds
Per CMS filings, this facility is affiliated with Humangood, a group operating 17 facilities in 7 states. Group record: average rating 4.5/5, 1 abuse citation icons, 0 facilities on the Special Focus list, $255,532 in federal fines. This facility rates below its group average (4.5/5).
Total nurse staffing: 4.81 (California median: 4.24). RN hours: 0.61. Weekend total: 4.44. Nursing staff turnover: 31%.
All-time on record: 42 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | 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. | E | Health | corrected 2026-01-21 |
| 2026-01-02 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Health | 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. | E | Health | corrected 2026-02-19 |
| 2026-01-02 | Provide and implement an infection prevention and control program. | E | Health | 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. | D | Health | corrected 2026-01-22 |
| 2026-01-02 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Health | corrected 2026-01-15 |
| 2026-01-02 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | 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. | D | Health | corrected 2026-01-15 |
| 2025-12-01 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | complaint | corrected 2025-12-05 |
| 2025-12-01 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | complaint | 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. | E | Health | 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. | E | Health | 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. | E | Health | corrected 2024-12-15 |
| 2024-11-15 | Provide and implement an infection prevention and control program. | E | Health | corrected 2024-12-15 |
| 2024-11-15 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Health | corrected 2024-12-15 |
| 2024-11-15 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2024-12-15 |
| 2024-11-15 | Provide activities to meet all resident's needs. | D | Health | corrected 2024-12-15 |
| 2024-11-15 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | 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. | D | Health | 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. | D | Health | corrected 2024-12-15 |
| 2024-11-15 | Ensure that residents are free from significant medication errors. | D | Health | 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. | D | Health | corrected 2024-12-15 |
| 2024-11-15 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Health | corrected 2024-12-15 |
| 2024-10-05 | Provide safe, appropriate pain management for a resident who requires such services. | D | complaint | 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. | G | complaint | corrected 2024-05-29 |
| 2024-04-15 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | G | complaint | corrected 2024-05-10 |
| 2023-11-28 | Provide and implement an infection prevention and control program. | D | complaint | 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. | E | Health | 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 | E | Health | 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. | E | Health | corrected 2023-11-10 |
| 2023-11-02 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Health | 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. | E | Health | corrected 2023-11-16 |
| 2023-11-02 | Ensure that residents are free from significant medication errors. | E | Health | 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. | E | Health | corrected 2023-11-14 |
| 2023-11-02 | Provide and implement an infection prevention and control program. | E | Health | corrected 2023-11-02 |
| 2023-11-02 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Health | 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. | D | Health | corrected 2023-11-20 |
| 2023-11-02 | Ensure each resident receives an accurate assessment. | D | Health | 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. | D | Health | 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. | D | Health | corrected 2023-11-20 |
| Date | Type | Amount |
|---|---|---|
| 2024-04-15 | Payment Denial | 15 days payment denial |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| HUMANGOOD SOCAL | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 02/02/1988 |
| HUMANGOOD | 5% Or Greater Indirect Ownership Interest | Organization | 100% | since 05/01/2016 |
| BAKER, JUDITH | Corporate Director | Individual | NOT APPLICABLE | since 04/25/2012 |
| BATTISON, WILLIAM | Corporate Director | Individual | NOT APPLICABLE | since 02/03/2011 |
| BROWN, HERMAN | Corporate Director | Individual | NOT APPLICABLE | since 05/01/2016 |
| CHRISTOPHERSON, JOANNE | Corporate Director | Individual | NOT APPLICABLE | since 03/20/2025 |
| FELLER, IRENE | Corporate Director | Individual | NOT APPLICABLE | since 01/26/2021 |
| GRIFFITH, ALAN | Corporate Director | Individual | NOT APPLICABLE | since 06/30/2019 |
| HOLMES, MICHELLE | Corporate Director | Individual | NOT APPLICABLE | since 05/01/2016 |
| KELLEY, ALBERT | Corporate Director | Individual | NOT APPLICABLE | since 04/21/2008 |
| ROTH, SHARON | Corporate Director | Individual | NOT APPLICABLE | since 12/08/2018 |
| COCHRANE, JOHN | Corporate Officer | Individual | NOT APPLICABLE | since 08/10/2009 |
| GHASSEMI, BETHANY | Corporate Officer | Individual | NOT APPLICABLE | since 05/21/2019 |
| MCDONALD, ANDREW | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2020 |
| OGUS, DANIEL | Corporate Officer | Individual | NOT APPLICABLE | since 08/27/2009 |
| HUMANGOOD NORCAL | Operational/Managerial Control | Organization | NOT APPLICABLE | since 04/15/1992 |
| HUMANGOOD SOCAL | Operational/Managerial Control | Organization | NOT APPLICABLE | since 01/01/1967 |
| AGONIOLLO, JOSE ANTONIO | Operational/Managerial Control | Individual | NOT APPLICABLE | since 03/21/2022 |
| AREVALO, JOCELYN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 09/03/2024 |
| BAKER, JUDITH | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/01/2016 |
| BATTISON, WILLIAM | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/01/2016 |
| BROWN, HERMAN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/10/2013 |
| CHIEN, NORMAN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 11/01/2008 |
| CHRISTOPHERSON, JOANNE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 03/20/2025 |
| COCHRANE, JOHN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/10/2009 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 555503. Corrections: data@carerecords.org.