Nursing Homes · Duarte, CA
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.
November 15, 2024
Tag F0700Try 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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 15, 2024.
November 15, 2024
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 15, 2024.
November 15, 2024
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 December 15, 2024.
October 5, 2024
Tag F0697Provide safe, appropriate pain management for a resident who requires such services.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 24, 2024.
May 10, 2024
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity G: isolated, actual harm. Corrected May 29, 2024.
April 15, 2024
Tag F0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Severity G: isolated, actual harm. Corrected May 10, 2024.
November 28, 2023
Tag F0880Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 11, 2023.
November 2, 2023
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 November 10, 2023.
November 2, 2023
Tag F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 6, 2023.
November 2, 2023
Tag F0573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 20, 2023.
November 2, 2023
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 November 22, 2023.
November 2, 2023
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 November 20, 2023.
November 2, 2023
Tag F0554Allow residents to self-administer drugs if determined clinically appropriate.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 20, 2023.
November 2, 2023
Tag F0641Ensure each resident receives an accurate assessment.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 10, 2023.
November 2, 2023
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 16, 2023.
November 2, 2023
Tag F0759Ensure medication error rates are not 5 percent or greater.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 14, 2023.
November 2, 2023
Tag F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 9, 2023.
November 2, 2023
Tag F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 10, 2023.
November 2, 2023
Tag F0760Ensure that residents are free from significant medication errors.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 14, 2023.
November 2, 2023
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 November 20, 2023.
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.
Nursing Homes · Duarte, CA
Monte Vista Healthcare Center
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Royal Terrace Healthcare
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
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