SNF

ROYAL OAKS MANOR-BRADBURY OAKS

CCN: 555503 · DUARTE, CA 91010 · Los Angeles County

ℹ CCRC

Overview

Address
1763 ROYAL OAKS DRIVE, DUARTE, CA 91010
Phone
6263599371
Certified beds
48
Avg daily residents
43 (90% of beds filled)
Ownership
Non-profit corporation
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1992-04-15
Setting
Urban
3 /5
★★★★★
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
★★★★★ 3/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
★★★★★ 3/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
★★★★★ 4/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
★★★★★ 4/5
Quality Measures breakdown
Long-Stay Quality Measures ★★★★★ 1/5
Short-Stay Quality Measures ★★★★★ 5/5

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
 4.88 3.84 4.90 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 0.60 0.67 0.60 ≥ 0.55
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 1.59 0.85 1.60 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 2.69 2.32 2.70 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 2.19 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.12 — — —

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
4.35
hrs / resident / day
RN (weekend)
0.47
hrs / resident / day
Total nurse (adjusted, weekend)
4.37
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
31.9%
annual
RN turnover
66.7%
annual
Administrators departed
0
last 12 months

Resident acuity

Nursing Case-Mix Index
1.36
higher acuity than avg
Case-Mix Index Ratio
0.99
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2026-01-02 10 8 2 64 1 64
Cycle 2/3 (prior) 2024-11-15 17 13 4 120 1 120
Total weighted health score
78.0
lower is better
Infection-control citations
0
last cycle

Deficiencies (42)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

40 D/E/F Actual harm — potential for minor
2 G/H/I Actual harm
Tag Description Scope/Severity Survey date Corrected
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2026-01-02 2026-01-22
0578 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. E 2026-01-02 2026-01-21
0644 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. D 2026-01-02 2026-01-15
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. E 2026-01-02 2026-01-07
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2026-01-02 2026-01-16
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. E 2026-01-02 2026-02-19
0756 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. D 2026-01-02 2026-01-15
0880 Provide and implement an infection prevention and control program. E 2026-01-02 2026-01-08
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. E 2025-12-01 2025-12-05
0919 Make sure that a working call system is available in each resident's bathroom and bathing area. E 2025-12-01 2025-12-05
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. E 2024-11-15 2024-12-15
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2024-11-15 2024-12-15
0679 Provide activities to meet all resident's needs. D 2024-11-15 2024-12-15
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2024-11-15 2024-12-15
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2024-11-15 2024-12-15
0700 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. E 2024-11-15 2024-12-15
0758 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 2024-11-15 2024-12-15
0760 Ensure that residents are free from significant medication errors. D 2024-11-15 2024-12-15
0761 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 2024-11-15 2024-12-15
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. E 2024-11-15 2024-12-15
0880 Provide and implement an infection prevention and control program. E 2024-11-15 2024-12-15
0883 Develop and implement policies and procedures for flu and pneumonia vaccinations. D 2024-11-15 2024-12-15
0919 Make sure that a working call system is available in each resident's bathroom and bathing area. E 2024-11-15 2024-12-15
0697 Provide safe, appropriate pain management for a resident who requires such services. D 2024-10-05 2024-10-24
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. G 2024-05-10 2024-05-29
0744 Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. G 2024-04-15 2024-05-10
0880 Provide and implement an infection prevention and control program. D 2023-11-28 2023-12-11
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. E 2023-11-02 2023-11-06
0554 Allow residents to self-administer drugs if determined clinically appropriate. D 2023-11-02 2023-11-20
0573 Let each resident or the resident's legal representative access or purchase copies of all the resident's records. D 2023-11-02 2023-11-20
0641 Ensure each resident receives an accurate assessment. D 2023-11-02 2023-11-10
0655 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted E 2023-11-02 2023-11-10
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. E 2023-11-02 2023-11-10
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. D 2023-11-02 2023-11-09
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. E 2023-11-02 2023-11-22
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. E 2023-11-02 2023-11-16
0756 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. D 2023-11-02 2023-11-20
0758 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 2023-11-02 2023-11-20
0759 Ensure medication error rates are not 5 percent or greater. D 2023-11-02 2023-11-14
0760 Ensure that residents are free from significant medication errors. E 2023-11-02 2023-11-14
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2023-11-02 2023-11-14
0880 Provide and implement an infection prevention and control program. E 2023-11-02 2023-11-02

Penalties (1)

Fines issued
0
last 3 years
Payment denials
1
Date Type Fine amount
2024-04-15 Payment Denial —

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 3.3% Medicaid 1.1% Other 95.6%

Operating performance

Operating Margin
-1.4%
Total Margin
0.4%

Revenue & costs

Net Patient Revenue
$25.1M
Total Costs
$917K
Net Income
$109K

Balance sheet

Total Assets
$34.6M
Total Liabilities
$45.7M
Fund Balance
-$11.0M
Current Ratio
0.05

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: HUMANGOOD

Chain ID
274
Facilities in chain
17
Legal business name
HUMANGOOD SOCAL
Chain-average star ratings (for peer context)
Overall
4.4
Health
3.6
Staffing
4.6
QM
4.2

Owner / manager organizations (5)

Organization Role Association
HUMANGOOD SOCAL 5% OR GREATER DIRECT OWNERSHIP INTEREST since 02/02/1988
HUMANGOOD 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 05/01/2016
HUMANGOOD NORCAL OPERATIONAL/MANAGERIAL CONTROL since 04/15/1992
HUMANGOOD SOCAL OPERATIONAL/MANAGERIAL CONTROL since 01/01/1967
U.S. BANK 5% OR GREATER SECURITY INTEREST since 04/08/2025

Owner / manager individuals (31)

Name Role Association
AGONIOLLO, JOSE ANTONIO OPERATIONAL/MANAGERIAL CONTROL since 03/21/2022
AREVALO, JOCELYN OPERATIONAL/MANAGERIAL CONTROL since 09/03/2024
BAKER, JUDITH OPERATIONAL/MANAGERIAL CONTROL since 05/01/2016
BATTISON, WILLIAM OPERATIONAL/MANAGERIAL CONTROL since 05/01/2016
BROWN, HERMAN OPERATIONAL/MANAGERIAL CONTROL since 02/10/2013
CHIEN, NORMAN OPERATIONAL/MANAGERIAL CONTROL since 11/01/2008
CHRISTOPHERSON, JOANNE OPERATIONAL/MANAGERIAL CONTROL since 03/20/2025
COCHRANE, JOHN OPERATIONAL/MANAGERIAL CONTROL since 08/10/2009
FELLER, IRENE OPERATIONAL/MANAGERIAL CONTROL since 01/26/2021
GHASSEMI, BETHANY OPERATIONAL/MANAGERIAL CONTROL since 05/21/2019
GRIFFITH, ALAN OPERATIONAL/MANAGERIAL CONTROL since 06/30/2019
HOLMES, MICHELLE OPERATIONAL/MANAGERIAL CONTROL since 05/01/2016
HOVSEPIAN BEARCE, JEREMIAH OPERATIONAL/MANAGERIAL CONTROL since 11/24/2024
KELLEY, ALBERT OPERATIONAL/MANAGERIAL CONTROL since 05/01/2016
MCDONALD, ANDREW OPERATIONAL/MANAGERIAL CONTROL since 01/01/2020
OGUS, DANIEL OPERATIONAL/MANAGERIAL CONTROL since 10/17/1995
SMITH, ANDREW OPERATIONAL/MANAGERIAL CONTROL since 09/15/2024
VANGELISTO, GWEN OPERATIONAL/MANAGERIAL CONTROL since 08/30/2021
BAKER, JUDITH CORPORATE DIRECTOR since 04/25/2012
BATTISON, WILLIAM CORPORATE DIRECTOR since 02/03/2011
BROWN, HERMAN CORPORATE DIRECTOR since 05/01/2016
CHRISTOPHERSON, JOANNE CORPORATE DIRECTOR since 03/20/2025
FELLER, IRENE CORPORATE DIRECTOR since 01/26/2021
GRIFFITH, ALAN CORPORATE DIRECTOR since 06/30/2019
HOLMES, MICHELLE CORPORATE DIRECTOR since 05/01/2016

Showing 25 of 31 individuals. Full list in CSV.

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
Yes
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

Download CSV

Show 111 rows
Source Metric Value Raw key
Cost Report Current Ratio 0.05 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 1.1% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 3.3% metrics.medicare_day_share
Cost Report Net Income ($) $109,096 metrics.net_income
Cost Report Net Patient Revenue ($) $25,139,056 metrics.net_patient_revenue
Cost Report Operating Margin (%) -1.4% metrics.operating_margin
Cost Report Total Assets ($) $34,616,888 metrics.total_assets
Cost Report Total Costs ($) $917,464 metrics.total_costs
Cost Report Total Fund Balances ($) $-11,048,341 metrics.fund_balance
Cost Report Total Liabilities ($) $45,665,229 metrics.total_liabilities
Cost Report Total Margin (%) 0.4% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 1.59767 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.70233 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.60302 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 4.90302 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 4.36824 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote — Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 43.0 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote — Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.85317 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.31872 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.67248 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.84437 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.38841 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 3.6 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 4.4 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 4.2 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 4.6 Chain Average Staffing Rating
Provider Information Chain ID 274 Chain ID
Provider Information Chain Name HUMANGOOD Chain Name
Provider Information City/Town DUARTE City/Town
Provider Information CMS Certification Number (CCN) 555503 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community Y Continuing Care Retirement Community
Provider Information County/Parish Los Angeles County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1992-04-15 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating 3 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 34.1437 Latitude
Provider Information Legal Business Name HUMANGOOD SOCAL Legal Business Name
Provider Information Location 1763 ROYAL OAKS DRIVE,DUARTE,CA,91010 Location
Provider Information Long-Stay QM Rating 1 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote — Long-Stay QM Rating Footnote
Provider Information Longitude -117.97 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 0 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 48 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections 0 Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 17 Number of Facilities in Chain
Provider Information Number of Fines 0 Number of Fines
Provider Information Number of Payment Denials 1 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.36189 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.98856 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 3 Overall Rating
Provider Information Overall Rating Footnote — Overall Rating Footnote
Provider Information Ownership Type Non profit - Corporation Ownership Type
Provider Information Physical Therapist Staffing Footnote — Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 1763 ROYAL OAKS DRIVE Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name ROYAL OAKS MANOR-BRADBURY OAKS Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 200 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 4 QM Rating
Provider Information QM Rating Footnote — QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 64 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 2 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 8 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2026-01-02 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 64 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 10 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 13 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2024-11-15 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 120 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 4 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 120 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 17 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.46640 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 66.7 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 2.19125 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 1.59082 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.69074 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.12459 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.60044 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote — Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 4.88200 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 5 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote — Short-Stay QM Rating Footnote
Provider Information Special Focus Status — Special Focus Status
Provider Information Staffing Rating 4 Staffing Rating
Provider Information Staffing Rating Footnote — Staffing Rating Footnote
Provider Information State CA State
Provider Information Telephone Number 6263599371 Telephone Number
Provider Information Total Amount of Fines in Dollars 0.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 4.34951 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 1 Total Number of Penalties
Provider Information Total nursing staff turnover 31.9 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 78.000 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 91010 ZIP Code