California › Los Angeles County › Duarte
Royal Oaks Manor-Bradbury Oaks
1763 Royal Oaks Drive, Duarte, CA 91010
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 48 beds, Royal Oaks Manor-Bradbury Oaks serves Duarte in Los Angeles County, California and has taken Medicare and Medicaid residents since 1992.
CMS gives it 4 of 5 stars overall, above the California median of 3; the health inspection rating is 3, staffing 5 and quality measures 4.
Inspectors recorded 42 health deficiencies across the three most recent survey cycles (10, 14, 18 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 87.5 per 100 beds, more than the state median of 51.1.
CMS lists 1 penalty in the period covered: no fines and 1 payment denial.
Reported nurse staffing is 4.8 hours per resident per day (0.6 RN), close to the California median of 4.2; nursing staff turnover is 30.8%.
Compared with county, state and nation
| Measure | This facility | Los Angeles Co. median | California median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 42 | 61 | 44 | 28.7 |
| Citations per 100 beds | 87.5 | 69.1 | 51.1 | 26.8 |
| Total nurse hours per resident day | 4.8 | 4.3 | 4.2 | 3.9 |
| RN hours per resident day | 0.6 | 0.4 | 0.5 | 0.7 |
| Nursing staff turnover | 30.8% | 34.4% | 36.4% | 45.8% |
| Fines listed | $0 | $12,831 | $0 | — |
County and state figures are medians across facilities (369 in the county, 1165 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: California average per facility for the same cycle, as published by CMS. Standard health survey dates: 2 Jan 2026, 15 Nov 2024.
Severity mix: G ×2 D ×21 E ×19
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 2 Jan 2026 | F0578 | 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 | Standard survey | 21 Jan 2026 |
| 2 Jan 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 7 Jan 2026 |
| 2 Jan 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 19 Feb 2026 |
| 2 Jan 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 8 Jan 2026 |
| 2 Jan 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 22 Jan 2026 |
| 2 Jan 2026 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 15 Jan 2026 |
| 2 Jan 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 16 Jan 2026 |
| 2 Jan 2026 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 15 Jan 2026 |
| 1 Dec 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint investigation | 5 Dec 2025 |
| 1 Dec 2025 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Complaint investigation | 5 Dec 2025 |
| 15 Nov 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 15 Dec 2024 |
| 15 Nov 2024 | F0700 | 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 | Standard survey | 15 Dec 2024 |
| 15 Nov 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 15 Dec 2024 |
| 15 Nov 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 15 Dec 2024 |
| 15 Nov 2024 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Standard survey | 15 Dec 2024 |
| 15 Nov 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 15 Dec 2024 |
| 15 Nov 2024 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 15 Dec 2024 |
| 15 Nov 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 15 Dec 2024 |
| 15 Nov 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 15 Dec 2024 |
| 15 Nov 2024 | F0758 | 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 | Standard survey | 15 Dec 2024 |
| 15 Nov 2024 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 15 Dec 2024 |
| 15 Nov 2024 | F0761 | 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 | Standard survey | 15 Dec 2024 |
| 15 Nov 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 15 Dec 2024 |
| 5 Oct 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint investigation | 24 Oct 2024 |
| 10 May 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 29 May 2024 |
| 15 Apr 2024 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | G | Complaint investigation | 10 May 2024 |
| 28 Nov 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 11 Dec 2023 |
| 2 Nov 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 6 Nov 2023 |
| 2 Nov 2023 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Standard survey | 10 Nov 2023 |
| 2 Nov 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 10 Nov 2023 |
| 2 Nov 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 22 Nov 2023 |
| 2 Nov 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 16 Nov 2023 |
| 2 Nov 2023 | F0760 | Ensure that residents are free from significant medication errors. | E | Standard survey | 14 Nov 2023 |
| 2 Nov 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 14 Nov 2023 |
| 2 Nov 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 2 Nov 2023 |
| 2 Nov 2023 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 20 Nov 2023 |
| 2 Nov 2023 | F0573 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | D | Standard survey | 20 Nov 2023 |
| 2 Nov 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 10 Nov 2023 |
| 2 Nov 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 9 Nov 2023 |
| 2 Nov 2023 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 20 Nov 2023 |
| 2 Nov 2023 | F0758 | 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 | Standard survey | 20 Nov 2023 |
| 2 Nov 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 14 Nov 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 15 Apr 2024 | Payment denial | — | 15 days |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the California average. Turnover: nursing staff 30.8%, RNs 37.5%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | California median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 18.6% | 8.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.4% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.0% | 1.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.3% | 0.8% | 1.0% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 9.6% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 19.1% | 9.1% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, corporation. Chain: Humangood (17 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Humangood | 5% or greater indirect ownership interest | 100% | 05/01/2016 |
| U.S. Bank | 5% or greater security interest | NOT APPLICABLE | 04/08/2025 |
| Baker Tilly Advisory Group LP | Adp of the snf | NOT APPLICABLE | 03/21/2025 |
| Baker Tilly Us LLP | Adp of the snf | NOT APPLICABLE | 10/15/2024 |
| Hansen Hunter LLC | Adp of the snf | NOT APPLICABLE | 03/27/2017 |
| Humangood | Adp of the snf | NOT APPLICABLE | 04/10/2025 |
| U.S. Bank | Adp of the snf | NOT APPLICABLE | 04/08/2025 |
| Washington Federal | Adp of the snf | NOT APPLICABLE | 11/06/2020 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Los Angeles County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Alcott Rehabilitation Hospital | Los Angeles | 121 | 5 | 4 | 4 | 42 | 34.7 | $9K | 23 Dec 2025 |
| Alden Terrace Convalescent Hospital | Los Angeles | 210 | 5 | 4 | 4 | 35 | 16.7 | — | 20 Nov 2025 |
| Angels Nursing Health Center | Los Angeles | 49 | 5 | 4 | 4 | 37 | 75.5 | $72K | 11 Jun 2026 |
| Ararat Post Acute | Glendale | 28 | 5 | 4 | 5 | 30 | 107.1 | $42K | 23 Jan 2026 |
| Atherton Baptist Home | Alhambra | 113 | 5 | 4 | 4 | 28 | 24.8 | — | 16 Jan 2026 |
| Atlantic Memorial Healthcare Center | Long Beach | 104 | 5 | 5 | 4 | 25 | 24.0 | — | 16 Jun 2026 |
| Beachside Post Acute | Torrance | 110 | 5 | 4 | 4 | 31 | 28.2 | — | 19 Dec 2025 |
| Beacon Healthcare Center | West Covina | 54 | 5 | 4 | 3 | 32 | 59.3 | — | 14 May 2026 |
All 369 facilities in Los Angeles County
Questions and answers
How many deficiencies has Royal Oaks Manor-Bradbury Oaks been cited for?
42 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The California median is 44 per facility.
Has Royal Oaks Manor-Bradbury Oaks been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Royal Oaks Manor-Bradbury Oaks compare?
Reported total nurse staffing is 4.8 hours per resident per day against a California median of 4.2 and a national average of 3.9.
Who operates Royal Oaks Manor-Bradbury Oaks?
It is part of the Humangood chain. Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Humangood. Individual owners and managers are not listed on this site.
When was Royal Oaks Manor-Bradbury Oaks last inspected?
The most recent survey or investigation in the CMS record is dated 2 Jan 2026; the most recent standard health survey was 2 Jan 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.