ROYAL OAKS MANOR-BRADBURY OAKS
1763 ROYAL OAKS DRIVE
DUARTE, CA, 91010
6263599371
CCN: 555503
3
Overall3
Health4
Staffing4
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
| Name | Role | % |
|---|---|---|
| HUMANGOOD SOCAL | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| HUMANGOOD | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% |
| U.S. BANK | 5% OR GREATER SECURITY INTEREST | NOT APPLICABLE |
| BAKER, JUDITH | CORPORATE DIRECTOR | NOT APPLICABLE |
| BROWN, HERMAN | CORPORATE DIRECTOR | NOT APPLICABLE |
| CHRISTOPHERSON, JOANNE | CORPORATE DIRECTOR | NOT APPLICABLE |
| FELLER, IRENE | CORPORATE DIRECTOR | NOT APPLICABLE |
| GRIFFITH, ALAN | CORPORATE DIRECTOR | NOT APPLICABLE |
| HOLMES, MICHELLE | CORPORATE DIRECTOR | NOT APPLICABLE |
| KELLEY, ALBERT | CORPORATE DIRECTOR | NOT APPLICABLE |
| ROTH, SHARON | CORPORATE DIRECTOR | NOT APPLICABLE |
| BATTISON, WILLIAM | CORPORATE DIRECTOR | NOT APPLICABLE |
| GHASSEMI, BETHANY | CORPORATE OFFICER | NOT APPLICABLE |
| MCDONALD, ANDREW | CORPORATE OFFICER | NOT APPLICABLE |
| OGUS, DANIEL | CORPORATE OFFICER | NOT APPLICABLE |
| COCHRANE, JOHN | CORPORATE OFFICER | NOT APPLICABLE |
| HOVSEPIAN BEARCE, JEREMIAH | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| KELLEY, ALBERT | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| MCDONALD, ANDREW | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| OGUS, DANIEL | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SMITH, ANDREW | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| VANGELISTO, GWEN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| HUMANGOOD SOCAL | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| HUMANGOOD NORCAL | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| AGONIOLLO, JOSE ANTONIO | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| AREVALO, JOCELYN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| BAKER, JUDITH | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| BATTISON, WILLIAM | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| BROWN, HERMAN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| CHIEN, NORMAN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| CHRISTOPHERSON, JOANNE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| COCHRANE, JOHN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| FELLER, IRENE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| GHASSEMI, BETHANY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| GRIFFITH, ALAN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| HOLMES, MICHELLE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
Penalties (1)
| Date | Type | Amount |
|---|---|---|
| 2024-04-15 | Payment Denial | 15 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/Day3.68
4.88
RN Hrs/Resident/Day0.54
0.60
LPN Hrs/Resident/Day0.81
1.59
CNA Hrs/Resident/Day2.33
2.69
PT Hrs/Resident/Day0.12
0.12
Data as of 2026-03-01