Data / Nursing homes / California / Royal Oaks Manor-Bradbury Oaks
Royal Oaks Manor-Bradbury Oaks, Duarte, CA: 4 star rating, no fines but 1 payment denial
Royal Oaks Manor-Bradbury Oaks in Duarte, CA is owned by Humangood, is rated 4 of 5 stars by Medicare, and had no fines but 1 payment denial in the three years to October 1, 2026. CMS lists 42 health citations from inspections in that time, the latest survey on January 2, 2026, and 2 of them found actual harm or immediate jeopardy.
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- Address
- 1763 Royal Oaks Drive, Duarte, CA 91010
- Overall rating
- 4 of 5 stars
- Health inspection rating
- 3 of 5
- Staffing rating
- 5 of 5
- Quality measure rating
- 4 of 5
- Certified beds
- 48
- Residents per day
- 42 on average
- Ownership type
- Nonprofit, corporation
- Legal business name
- Humangood Socal
- Chain
- Humangood, 17 facilities
- Fines
- $0 across 0 fines, three years to October 1, 2026
- Payment denials
- 1
- Health citations
- 42, of which 2 with actual harm or immediate jeopardy
- Latest survey
- January 2, 2026
- CMS Certification Number
- 555503
- On Care Compare
- Medicare Care Compare
Fines and payment denials
Every fine and payment denial CMS lists for this facility in the three years, newest first.
| Date | Type | Fine amount | Denial starts | Denial days | Source |
|---|---|---|---|---|---|
| April 15, 2024 | Payment denial | Not listed | May 14, 2024 | 15 | data.cms.gov |
Recent health citations
Citations from health inspections, newest first.
| Survey date | Tag | What CMS cited | Scope and severity | Status | Corrected on | Source |
|---|---|---|---|---|---|---|
| January 2, 2026 | F880 | Provide and implement an infection prevention and control program. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | January 8, 2026 | data.cms.gov |
| January 2, 2026 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | January 15, 2026 | data.cms.gov |
| January 2, 2026 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | February 19, 2026 | data.cms.gov |
| January 2, 2026 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | January 16, 2026 | data.cms.gov |
| January 2, 2026 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | January 7, 2026 | data.cms.gov |
| January 2, 2026 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | January 15, 2026 | data.cms.gov |
| January 2, 2026 | F578 | 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: pattern, no actual harm, potential for more than minimal harm | Corrected | January 21, 2026 | data.cms.gov |
| January 2, 2026 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | January 22, 2026 | data.cms.gov |
| December 1, 2025 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | December 5, 2025 | data.cms.gov |
| December 1, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | December 5, 2025 | data.cms.gov |
| November 15, 2024 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | December 15, 2024 | data.cms.gov |
| November 15, 2024 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | December 15, 2024 | data.cms.gov |
| November 15, 2024 | F880 | Provide and implement an infection prevention and control program. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | December 15, 2024 | data.cms.gov |
| November 15, 2024 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | December 15, 2024 | data.cms.gov |
| November 15, 2024 | F761 | 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: isolated, no actual harm, potential for more than minimal harm | Corrected | December 15, 2024 | data.cms.gov |
| November 15, 2024 | F760 | Ensure that residents are free from significant medication errors. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | December 15, 2024 | data.cms.gov |
| November 15, 2024 | F758 | 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: isolated, no actual harm, potential for more than minimal harm | Corrected | December 15, 2024 | data.cms.gov |
| November 15, 2024 | F700 | 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: pattern, no actual harm, potential for more than minimal harm | Corrected | December 15, 2024 | data.cms.gov |
| November 15, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | December 15, 2024 | data.cms.gov |
| November 15, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | December 15, 2024 | data.cms.gov |
| November 15, 2024 | F679 | Provide activities to meet all resident's needs. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | December 15, 2024 | data.cms.gov |
| November 15, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | December 15, 2024 | data.cms.gov |
| November 15, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | December 15, 2024 | data.cms.gov |
| October 5, 2024 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | October 24, 2024 | data.cms.gov |
| May 10, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G: isolated, actual harm | Corrected | May 29, 2024 | data.cms.gov |
| April 15, 2024 | F744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | G: isolated, actual harm | Corrected | May 10, 2024 | data.cms.gov |
| November 28, 2023 | F880 | Provide and implement an infection prevention and control program. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | December 11, 2023 | data.cms.gov |
| November 2, 2023 | F880 | Provide and implement an infection prevention and control program. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | November 2, 2023 | data.cms.gov |
| November 2, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | November 14, 2023 | data.cms.gov |
| November 2, 2023 | F760 | Ensure that residents are free from significant medication errors. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | November 14, 2023 | data.cms.gov |
| November 2, 2023 | F759 | Ensure medication error rates are not 5 percent or greater. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | November 14, 2023 | data.cms.gov |
| November 2, 2023 | F758 | 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: isolated, no actual harm, potential for more than minimal harm | Corrected | November 20, 2023 | data.cms.gov |
| November 2, 2023 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | November 20, 2023 | data.cms.gov |
| November 2, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | November 16, 2023 | data.cms.gov |
| November 2, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | November 22, 2023 | data.cms.gov |
| November 2, 2023 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | November 9, 2023 | data.cms.gov |
| November 2, 2023 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | November 10, 2023 | data.cms.gov |
| November 2, 2023 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E: pattern, no actual harm, potential for more than minimal harm | Corrected | November 10, 2023 | data.cms.gov |
| November 2, 2023 | F641 | Ensure each resident receives an accurate assessment. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | November 10, 2023 | data.cms.gov |
| November 2, 2023 | F573 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | November 20, 2023 | data.cms.gov |
| November 2, 2023 | F554 | Allow residents to self-administer drugs if determined clinically appropriate. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | November 20, 2023 | data.cms.gov |
| November 2, 2023 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | November 6, 2023 | data.cms.gov |
Owners and managers
Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 41 individual or personal trusts (1 owners, 20 managers, 13 officers, directors or trustees, 7 other disclosable parties). Their names are not shown on this page.
| Organization | Role | Share | Since | Source |
|---|---|---|---|---|
| Humangood | Indirect owner | 100% | May 1, 2016 | data.cms.gov |
| U.S. Bank | Security interest | Not listed | April 8, 2025 | data.cms.gov |
| Baker Tilly Advisory Group LP | Additional disclosable party | Not listed | March 21, 2025 | data.cms.gov |
| Baker Tilly US LLP | Additional disclosable party | Not listed | October 15, 2024 | data.cms.gov |
| Hansen Hunter LLC | Additional disclosable party | Not listed | March 27, 2017 | data.cms.gov |
| Humangood | Additional disclosable party | Not listed | April 10, 2025 | data.cms.gov |
| U.S. Bank | Additional disclosable party | Not listed | April 8, 2025 | data.cms.gov |
| Washington Federal Bank | Additional disclosable party | Not listed | November 6, 2020 | data.cms.gov |
Also on SpecStream
- All nursing homes in California
- Every nursing home Humangood owns or manages
- Every nursing home Baker Tilly Advisory Group LP owns or manages
- Every nursing home Baker Tilly US LLP owns or manages
- Every nursing home Hansen Hunter LLC owns or manages
- This facility on Medicare Care Compare
Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.