Nursing Homes · Medicare certified
Royal Oaks Manor-Bradbury Oaks
1763 Royal Oaks Drive · Duarte, CA 91010 · 48 certified beds
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About Royal Oaks Manor-Bradbury Oaks
Royal Oaks Manor-Bradbury Oaks is a nursing home in Duarte, California. Its capacity is 48 beds, below the Los Angeles County median of 99 for nursing homes. It is run by a nonprofit operator and is part of Humangood. It is Medicare certified. Its public inspection record shows 42 citations, the most recent on January 2, 2026. CMS also lists 1 fine or payment denial against it. Nurse staffing averages 4.81 hours per resident per day. It is one of 4 nursing homes listed in Duarte. Residents and families can raise concerns with the Office of the State Long-Term Care Ombudsman at 1-800-231-4024. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Certification
Medicare-certified.
Ratings
Overall
4.0Staffing
5.0Quality measures
4.0CMS Care Compare, October 2026.
Inspection history (42)
Records from November 2023 to January 2026.
January 2, 2026
Tag F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 15, 2026.
January 2, 2026
Tag F0578Honor 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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected January 21, 2026.
January 2, 2026
Tag F0880Provide and implement an infection prevention and control program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected January 8, 2026.
January 2, 2026
Tag F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 22, 2026.
January 2, 2026
Tag F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 19, 2026.
January 2, 2026
Tag F0677Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected January 7, 2026.
January 2, 2026
Tag F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 15, 2026.
January 2, 2026
Tag F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 16, 2026.
December 1, 2025
Tag F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 5, 2025.
December 1, 2025
Tag F0919Make sure that a working call system is available in each resident's bathroom and bathing area.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 5, 2025.
November 15, 2024
Tag F0880Provide and implement an infection prevention and control program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 15, 2024.
November 15, 2024
Tag F0919Make sure that a working call system is available in each resident's bathroom and bathing area.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 15, 2024.
November 15, 2024
Tag F0758Implement 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 l….
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 15, 2024.
November 15, 2024
Tag F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 15, 2024.
November 15, 2024
Tag F0679Provide activities to meet all resident's needs.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 15, 2024.
November 15, 2024
Tag F0677Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 15, 2024.
November 15, 2024
Tag F0761Ensure 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 15, 2024.
November 15, 2024
Tag F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 15, 2024.
November 15, 2024
Tag F0760Ensure that residents are free from significant medication errors.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 15, 2024.
November 15, 2024
Tag F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 15, 2024.
Penalties (1)
April 15, 2024 · Payment Denial
CMS recorded a Medicare/Medicaid payment denial for new admissions starting May 14, 2024, lasting 15 days (triggered by inspection on April 15, 2024).
Staffing
4.81 nurse hours per resident per day in Q2 2026, up from 4.74 in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
Non profit
Part of Humangood, a chain of 17 nursing homes.
Average CMS star ratings across the chain: 4.5 overall, 3.6 for health inspections, 4.9 for staffing, 4.2 for quality measures.
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in California.
Nearby alternatives
Other licensed providers in Duarte.
Monte Vista Healthcare Center
Royal Terrace Healthcare
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
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