Home›Browse›California›Duarte›Royal Oaks Manor-bradbury Oaks

Nursing homeFAID #13653

Royal Oaks Manor-bradbury Oaks

1763 ROYAL OAKS DRIVE, DUARTE, CA, 91010

(626) 359-9371

humangood.org

48 licensed beds

★★★★★4/5CMS Five-Star overall3/5 health inspections5/5 staffing4/5 quality measuresSource: CMS Care Compare

Generate this report

Primary Report$79 Advanced Report$99

Delivered within 24–48 hours

Address

1763 Royal Oaks Drive

Duarte, CA 91010

Get directions

Map facilities in this area

All facilities in Duarte

Public record summary

What we can show you for free.

Bed capacity

State license

191502216

CMS facility ID

555503

Care type

Nursing home

Facility name

Royal Oaks Manor-bradbury Oaks

Street address

1763 ROYAL OAKS DRIVE

City / state / ZIP

Duarte, CA 91010

Phone

(626) 359-9371

Website

humangood.org

State license #

191502216

About this facility — Royal Oaks Manor-bradbury Oaks

Royal Oaks Manor-bradbury Oaks is a Medicare/Medicaid-certified skilled nursing facility in Duarte, California. It is licensed for 48 beds — well below the median for skilled nursing facilities in California (98 beds).

It is one of 10 senior care facilities in Duarte and 1,165 skilled nursing facilities across California. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Royal Oaks Manor-bradbury Oaks 51 times across 12 inspections in the last three years, including 1 food-safety citation; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

Humangood

Ownership type

Non profit - Corporation

Registered owners & officers

Humangood

Indirect owner · Additional disclosable party — 100% stake — since 2016

Humangood Socal

Direct owner · Operational control · Additional disclosable party — 100% stake — since 1967

Agoniollo, Jose Antonio

Operational control · Additional disclosable party — since 2022

Arevalo, Jocelyn

Operational control · Additional disclosable party — since 2024

Baker Tilly Advisory Group Lp

Additional disclosable party — since 2025

Baker Tilly Us Llp

Additional disclosable party — since 2024

Baker, Judith

Director · Operational control — since 2012

Battison, William

Director · Operational control — since 2011

Brown, Herman

Director · Operational control — since 2013

Chien, Norman

Operational control · Additional disclosable party — since 2008

Christopherson, Joanne

Director · Operational control — since 2025

Cochrane, John

Officer · Operational control — since 2009

Feller, Irene

Director · Operational control — since 2021

Ghassemi, Bethany

Officer · Operational control — since 2019

Griffith, Alan

Director · Operational control — since 2019

Hansen Hunter Llc

Additional disclosable party — since 2017

Holmes, Michelle

Director · Operational control — since 2016

Hovsepian Bearce, Jeremiah

Operational control · Additional disclosable party — since 2024

Humangood Norcal

Operational control · Additional disclosable party — since 1992

Kelley, Albert

Director · Operational control — since 2008

Mcdonald, Andrew

Officer · Operational control — since 2020

Ogus, Daniel

Officer · Operational control — since 1995

Roth, Sharon

Director — since 2018

Smith, Andrew

Operational control — since 2024

U.s. Bank

Security-interest holder · Additional disclosable party — since 2025

Vangelisto, Gwen

Operational control · Additional disclosable party — since 2021

Washington Federal

Additional disclosable party — since 2020

Regulatory standing

Federal court records

4 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

1992-04-15

CMS overall rating

4 of 5 stars

Health deficiencies

10 at the last standard inspection

Federal fines

None on record

Last standard inspection

2026-01-02

Nurse staffing

4.8 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$268 per day (≈ $8,150/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

1% Medicaid · 3% Medicare · 96% private/other

Occupancy

100% (fiscal year 2023)

Vs. state median

48% below the CA median of $514/day — full state cost breakdown

Services & coverage

Licensed beds

Licensed as

RCFE

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 1 food-safety citation on its three-year record — flagged below among the inspections.

2026-01-02Health inspection8 citations

F-0550

D · No harm found

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2026-01-22

F-0578

E · No harm found

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.

Corrected 2026-01-21

F-0644

D · No harm found

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2026-01-15

F-0677

E · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2026-01-07

F-0684

D · No harm found

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2026-01-16

F-0755

E · No harm found

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2026-02-19

F-0756

D · No harm found

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2026-01-15

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2026-01-08

2025-12-01Health inspectionComplaint-triggered2 citations

F-0684

E · No harm foundFrom a complaint

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-12-05

F-0919

E · No harm foundFrom a complaint

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2025-12-05

9 earlier / fire-safety inspections (41 citations)

2024-11-15Health inspection13 citations

F-0656

E · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-12-15

F-0677

D · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-12-15

F-0679

D · No harm found

Provide activities to meet all resident's needs.

Corrected 2024-12-15

F-0684

D · No harm found

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-12-15

F-0689

D · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-12-15

F-0700

E · No harm found

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.

Corrected 2024-12-15

F-0758

D · No harm found

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.

Corrected 2024-12-15

F-0760

D · No harm found

Ensure that residents are free from significant medication errors.

Corrected 2024-12-15

F-0761

D · No harm found

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.

Corrected 2024-12-15

F-0842

E · No harm found

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-12-15

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-12-15

F-0883

D · No harm found

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2024-12-15

F-0919

E · No harm found

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2024-12-15

2024-10-05Health inspectionComplaint-triggered1 citation

F-0697

D · No harm foundFrom a complaint

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2024-10-24

2024-05-10Health inspectionComplaint-triggered1 citation

F-0689

G · Actual harmFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-05-29

2024-04-15Health inspectionComplaint-triggered1 citation

F-0744

G · Actual harmFrom a complaint

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Corrected 2024-05-10

2023-11-28Health inspectionComplaint-triggered1 citation

F-0880

D · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2023-12-11

2023-11-02Health inspection15 citations

F-0550

E · No harm found

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2023-11-06

F-0554

D · No harm found

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2023-11-20

F-0573

D · No harm found

Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

Corrected 2023-11-20

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2023-11-10

F-0655

E · No harm found

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2023-11-10

F-0656

E · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-11-10

F-0657

D · No harm found

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2023-11-09

F-0684

E · No harm found

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-11-22

F-0689

E · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-11-16

F-0756

D · No harm found

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2023-11-20

F-0758

D · No harm found

Corrected 2023-11-20

F-0759

D · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2023-11-14

F-0760

E · No harm found

Ensure that residents are free from significant medication errors.

Corrected 2023-11-14

F-0812

E · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-11-14

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2023-11-02

2026-01-02Fire-safety inspection1 citation

K-0355

D · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2026-01-22

2024-11-15Fire-safety inspection5 citations

K-0345

D · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-12-13

K-0355

D · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-12-13

K-0363

D · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2024-12-13

K-0511

D · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2024-12-13

K-0920

D · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2024-12-13

2023-11-02Fire-safety inspection3 citations

K-0331

D · No harm found

Construct fire resistant interior walls.

Corrected 2023-12-02

K-0361

D · No harm found

Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.

Corrected 2023-12-02

K-0372

D · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-12-02

Federal penalties

2024-04-15Medicare payment denial — 15 days

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 555503.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 51 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

Unlock the full file

Citations, owner history, lawsuits — decoded into one PDF.

$79 $99 Advanced

Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-08-31

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered