ROYAL OAKS MANOR-BRADBURY OAKS
ROYAL OAKS MANOR-BRADBURY OAKS operates 48 certified beds in DUARTE, California. Its Medicare and Medicaid certification dates to 1992-04-15. It averages 43.1 residents a day.
What harm was found in the violations cited at ROYAL OAKS MANOR-BRADBURY OAKS?
CMS lists 42 health-inspection deficiencies for ROYAL OAKS MANOR-BRADBURY OAKS, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-01-02.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-01-02 | F0578, F0677, F0755, F0880 | 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. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Provide and implement an infection prevention and control program. | E |
| 2026-01-02 | F0550, F0644, F0684, F0756 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D |
| 2025-12-01 | F0684, F0919 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Make sure that a working call system is available in each resident's bathroom and bathing area. | E |
| 2024-11-15 | F0656, F0700, F0842, F0880, F0919 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program. / Make sure that a working call system is available in each resident's bathroom and bathing area. | E |
| 2024-11-15 | F0677, F0679, F0684, F0689, F0758, F0760, F0761, F0883 | Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide activities to meet all resident's needs. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / 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. / Ensure that residents are free from significant medication errors. / 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. / Develop and implement policies and procedures for flu and pneumonia vaccinations. | D |
| 2024-10-05 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D |
| 2024-05-10 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2024-04-15 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | G |
| 2023-11-28 | F0880 | Provide and implement an infection prevention and control program. | D |
| 2023-11-02 | F0550, F0655, F0656, F0684, F0689, F0760, F0812, F0880 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Ensure that residents are free from significant medication errors. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. | E |
| 2023-11-02 | F0554, F0573, F0641, F0657, F0756, F0758, F0759 | Allow residents to self-administer drugs if determined clinically appropriate. / Let each resident or the resident's legal representative access or purchase copies of all the resident's records. / Ensure each resident receives an accurate assessment. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / 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. / Ensure medication error rates are not 5 percent or greater. | D |
Has ROYAL OAKS MANOR-BRADBURY OAKS had payment denied by Medicare?
| Payment denial start | Length in days |
|---|---|
| 2024-05-14 | 15 |
How is ROYAL OAKS MANOR-BRADBURY OAKS staffed?
| Measure | This facility | CA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 4.80728 | 4.51570 |
| Total nursing staff turnover (%) | 30.8 | 36.7 |
| Average number of residents per day | 43.1 | 87.9 |
Who owns ROYAL OAKS MANOR-BRADBURY OAKS, and what chain is it in?
ROYAL OAKS MANOR-BRADBURY OAKS is registered with CMS as Non profit - Corporation, operates under the legal business name HUMANGOOD SOCAL and belongs to the HUMANGOOD chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | HUMANGOOD SOCAL | since 02/02/1988 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | HUMANGOOD | since 05/01/2016 |
| 5% OR GREATER SECURITY INTEREST | U.S. BANK | since 04/08/2025 |
| CORPORATE DIRECTOR | BAKER, JUDITH, BATTISON, WILLIAM, BROWN, HERMAN, CHRISTOPHERSON, JOANNE, FELLER, IRENE, GRIFFITH, ALAN, HOLMES, MICHELLE, KELLEY, ALBERT, ROTH, SHARON | since 01/26/2021 |
| CORPORATE OFFICER | COCHRANE, JOHN, GHASSEMI, BETHANY, MCDONALD, ANDREW, OGUS, DANIEL | since 01/01/2020 |
| OPERATIONAL/MANAGERIAL CONTROL | HUMANGOOD NORCAL, HUMANGOOD SOCAL, AGONIOLLO, JOSE ANTONIO, AREVALO, JOCELYN, BAKER, JUDITH, BATTISON, WILLIAM, BROWN, HERMAN, CHIEN, NORMAN, CHRISTOPHERSON, JOANNE, COCHRANE, JOHN, FELLER, IRENE, GHASSEMI, BETHANY, GRIFFITH, ALAN, HOLMES, MICHELLE, HOVSEPIAN BEARCE, JEREMIAH, KELLEY, ALBERT, MCDONALD, ANDREW, OGUS, DANIEL, SMITH, ANDREW, VANGELISTO, GWEN | since 01/01/1967 |
| ADP OF THE SNF | BAKER TILLY ADVISORY GROUP LP, BAKER TILLY US LLP, HANSEN HUNTER LLC, HUMANGOOD, HUMANGOOD NORCAL, HUMANGOOD SOCAL, U.S. BANK, WASHINGTON FEDERAL, AGONIOLLO, JOSE ANTONIO, AREVALO, JOCELYN, CHIEN, NORMAN, HOVSEPIAN BEARCE, JEREMIAH, VANGELISTO, GWEN | since 01/01/1967 |
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