Nursing Care Index

Royal Oaks Manor-Bradbury Oaks

Duarte, Los Angeles County, California · CCN 555503 · Non-profit (Corporation) · part of Humangood (17 facilities, chain average 4.5 stars)

CMS rates Royal Oaks Manor-Bradbury Oaks 4 of 5 overall as of August 2026. 48 certified beds, 43 residents a day on average. 42 citations on record from the current inspection cycles, 2 involving actual harm; no fines on record and 1 payment denial.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★★★☆ 4 of 5
Health inspections★★★☆☆ 3 of 5
Staffing★★★★★ 5 of 5
Quality measures★★★★☆ 4 of 5
Quality: long-stay / short-stay2 / 5 of 5

Staffing

Total nurse staffing4.80728 hours per resident per day
Registered nurses0.60567 hours per resident per day
Weekend total4.43949 hours per resident per day
Nursing staff turnover30.8% (registered nurses 37.5%)
Administrators who left0

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2026-01-02 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.
Resident Rights Deficiencies · tag F0578
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-01-21
2026-01-02 Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · tag F0677
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-01-07
2026-01-02 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · tag F0755
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-02-19
2026-01-02 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-01-08
2026-01-02 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · tag F0550
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-01-22
2026-01-02 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · tag F0644
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-01-15
2026-01-02 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-01-16
2026-01-02 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · tag F0756
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-01-15
2025-12-01
complaint survey
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-12-05
2025-12-01
complaint survey
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies · tag F0919
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-12-05
2024-11-15 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · tag F0656
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-12-15
2024-11-15 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.
Quality of Life and Care Deficiencies · tag F0700
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-12-15
2024-11-15 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · tag F0842
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-12-15
2024-11-15 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-12-15
2024-11-15 Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies · tag F0919
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-12-15
2024-11-15 Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · tag F0677
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-12-15
2024-11-15 Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · tag F0679
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-12-15
2024-11-15 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-12-15
2024-11-15 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-12-15
2024-11-15 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.
Pharmacy Service Deficiencies · tag F0758
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-12-15
2024-11-15 Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · tag F0760
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-12-15
2024-11-15 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.
Pharmacy Service Deficiencies · tag F0761
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-12-15
2024-11-15 Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · tag F0883
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-12-15
2024-10-05
complaint survey
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · tag F0697
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-10-24
2024-05-10
complaint survey
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2024-05-29
2024-04-15
complaint survey
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Quality of Life and Care Deficiencies · tag F0744
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2024-05-10
2023-11-28
complaint survey
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-12-11
2023-11-02 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · tag F0550
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-11-06
2023-11-02 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · tag F0655
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-11-10
2023-11-02 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · tag F0656
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-11-10
2023-11-02 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-11-22
2023-11-02 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-11-16
2023-11-02 Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · tag F0760
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-11-14
2023-11-02 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-11-14
2023-11-02 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-11-02
2023-11-02 Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · tag F0554
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-11-20
2023-11-02 Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Resident Rights Deficiencies · tag F0573
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-11-20
2023-11-02 Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · tag F0641
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-11-10
2023-11-02 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · tag F0657
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-11-09
2023-11-02 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · tag F0756
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-11-20
2023-11-02 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.
Pharmacy Service Deficiencies · tag F0758
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-11-20
2023-11-02 Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · tag F0759
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-11-14

Fines and payment denials

DatePenaltyAmount
2024-04-15Payment denial for 15 days from 2024-05-14

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Humangood Socal
Organization
5% or greater direct ownership interest100%1988-02-02
Humangood
Organization
5% or greater indirect ownership interest100%2016-05-01
U.S. Bank
Organization
5% or greater security interest2025-04-08
Baker Tilly Advisory Group Lp
Organization
adp of the snf2025-03-21
Baker Tilly US LLP
Organization
adp of the snf2024-10-15
Hansen Hunter LLC
Organization
adp of the snf2017-03-27
Humangood
Organization
adp of the snf2025-04-10
Humangood Norcal
Organization
adp of the snf1992-04-15
Humangood Socal
Organization
adp of the snf1967-01-01
U.S. Bank
Organization
adp of the snf2025-04-08
Washington Federal
Organization
adp of the snf2020-11-06
Humangood Norcal
Organization
operational/managerial control1992-04-15
Humangood Socal
Organization
operational/managerial control1967-01-01
Agoniollo, Jose Antonio
Individual
adp of the snf2022-03-21
Arevalo, Jocelyn
Individual
adp of the snf2024-09-03
Chien, Norman
Individual
adp of the snf2008-11-01
Hovsepian Bearce, Jeremiah
Individual
adp of the snf2024-11-24
Vangelisto, Gwen
Individual
adp of the snf2021-08-30
Baker, Judith
Individual
corporate director2012-04-25
Battison, William
Individual
corporate director2011-02-03
Brown, Herman
Individual
corporate director2016-05-01
Christopherson, Joanne
Individual
corporate director2025-03-20
Feller, Irene
Individual
corporate director2021-01-26
Griffith, Alan
Individual
corporate director2019-06-30
Holmes, Michelle
Individual
corporate director2016-05-01
Kelley, Albert
Individual
corporate director2008-04-21
Roth, Sharon
Individual
corporate director2018-12-08
Cochrane, John
Individual
corporate officer2009-08-10
Ghassemi, Bethany
Individual
corporate officer2019-05-21
Mcdonald, Andrew
Individual
corporate officer2020-01-01
Ogus, Daniel
Individual
corporate officer2009-08-27
Agoniollo, Jose Antonio
Individual
operational/managerial control2022-03-21
Arevalo, Jocelyn
Individual
operational/managerial control2024-09-03
Baker, Judith
Individual
operational/managerial control2016-05-01
Battison, William
Individual
operational/managerial control2016-05-01
Brown, Herman
Individual
operational/managerial control2013-02-10
Chien, Norman
Individual
operational/managerial control2008-11-01
Christopherson, Joanne
Individual
operational/managerial control2025-03-20
Cochrane, John
Individual
operational/managerial control2009-08-10
Feller, Irene
Individual
operational/managerial control2021-01-26
Ghassemi, Bethany
Individual
operational/managerial control2019-05-21
Griffith, Alan
Individual
operational/managerial control2019-06-30
Holmes, Michelle
Individual
operational/managerial control2016-05-01
Hovsepian Bearce, Jeremiah
Individual
operational/managerial control2024-11-24
Kelley, Albert
Individual
operational/managerial control2016-05-01
Mcdonald, Andrew
Individual
operational/managerial control2020-01-01
Ogus, Daniel
Individual
operational/managerial control1995-10-17
Smith, Andrew
Individual
operational/managerial control2024-09-15
Vangelisto, Gwen
Individual
operational/managerial control2021-08-30

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Los Angeles County.