ROYAL OAKS MANOR-BRADBURY OAKS

1763 ROYAL OAKS DRIVE
DUARTE, CA, 91010
6263599371
CCN: 555503
3
Overall
3
Health
4
Staffing
4
Quality
ChainHUMANGOOD
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
HUMANGOOD SOCAL5% OR GREATER DIRECT OWNERSHIP INTEREST100%
HUMANGOOD5% OR GREATER INDIRECT OWNERSHIP INTEREST100%
U.S. BANK5% OR GREATER SECURITY INTERESTNOT APPLICABLE
BAKER, JUDITHCORPORATE DIRECTORNOT APPLICABLE
BROWN, HERMANCORPORATE DIRECTORNOT APPLICABLE
CHRISTOPHERSON, JOANNECORPORATE DIRECTORNOT APPLICABLE
FELLER, IRENECORPORATE DIRECTORNOT APPLICABLE
GRIFFITH, ALANCORPORATE DIRECTORNOT APPLICABLE
HOLMES, MICHELLECORPORATE DIRECTORNOT APPLICABLE
KELLEY, ALBERTCORPORATE DIRECTORNOT APPLICABLE
ROTH, SHARONCORPORATE DIRECTORNOT APPLICABLE
BATTISON, WILLIAMCORPORATE DIRECTORNOT APPLICABLE
GHASSEMI, BETHANYCORPORATE OFFICERNOT APPLICABLE
MCDONALD, ANDREWCORPORATE OFFICERNOT APPLICABLE
OGUS, DANIELCORPORATE OFFICERNOT APPLICABLE
COCHRANE, JOHNCORPORATE OFFICERNOT APPLICABLE
HOVSEPIAN BEARCE, JEREMIAHOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
KELLEY, ALBERTOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
MCDONALD, ANDREWOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
OGUS, DANIELOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
SMITH, ANDREWOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
VANGELISTO, GWENOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
HUMANGOOD SOCALOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
HUMANGOOD NORCALOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
AGONIOLLO, JOSE ANTONIOOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
AREVALO, JOCELYNOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
BAKER, JUDITHOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
BATTISON, WILLIAMOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
BROWN, HERMANOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
CHIEN, NORMANOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
CHRISTOPHERSON, JOANNEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
COCHRANE, JOHNOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
FELLER, IRENEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
GHASSEMI, BETHANYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
GRIFFITH, ALANOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
HOLMES, MICHELLEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Penalties (1)
DateTypeAmount
2024-04-15Payment Denial15 days
Health Deficiencies (42)
2026-01-02 · Health
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F756 · Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
E
F755 · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
E
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
F644 · Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
E
F578 · Resident Rights Deficiencies
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.
D
F550 · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
2025-12-01 · Health
E
F919 · Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
E
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2024-11-15 · Health
E
F919 · Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
D
F883 · Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
E
F842 · Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
F761 · Pharmacy Service Deficiencies
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
F760 · Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
D
F758 · Pharmacy Service Deficiencies
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.
E
F700 · Quality of Life and Care Deficiencies
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.
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F679 · Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
D
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
2024-10-05 · Health
D
F697 · Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
2024-05-10 · Health
G
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-04-15 · Health
G
F744 · Quality of Life and Care Deficiencies
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
2023-11-28 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
2023-11-02 · Health
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
E
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
F760 · Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
D
F759 · Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
D
F758 · Pharmacy Service Deficiencies
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
F756 · Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
E
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F657 · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
E
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
E
F655 · Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
D
F573 · Resident Rights Deficiencies
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
D
F554 · Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
E
F550 · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
4.88
3.68
RN Hrs/Resident/Day
0.60
0.54
LPN Hrs/Resident/Day
1.59
0.81
CNA Hrs/Resident/Day
2.69
2.33
PT Hrs/Resident/Day
0.12
0.12
Data as of 2026-03-01