Gardenia Garden
State licensed1708 Royal Oaks Dr., Duarte, CA 91010
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Royal Oaks provides compassionate assisted living for seniors in Duarte, California, where trained staff support daily activities while residents maintain independence. Our community prioritizes dignity, safety, and meaningful connections for those seeking personalized care.
Capacity
250 residents
State license
#191502216, Licensed
Location
Duarte, CA
Status
Listed in a public registry
1763 Royal Oaks Drive, Duarte, California 91010
From the California Department of Social Services, Community Care Licensing Division, which licenses and inspects Royal Oaks. Checked October 8, 2026. See the state's record and reports
State inspectors last visited Royal Oaks on July 30, 2026.
Since November 2021, California's Community Care Licensing Division has made 5 routine inspections and 9 complaint visits.
Inspectors issued 2 Type A citations. A Type A citation means an immediate risk to residents' health, safety or personal rights.
Across 7,137 licensed communities in California, the average in the state's record is 5.9 citations and 27% have none.
The state investigated 6 complaints, and substantiated none of the allegations.
Last visit
Jul 30, 2026
Routine inspections
5
Type A citations
2
Type B citations
0
| Kind of visit | Visits | Type A | Type B |
|---|---|---|---|
| Routine inspections | 5 | 0 | 0 |
| Complaint investigations | 9 | 0 | 0 |
| Other visits | 0 | 2 | 0 |
Type A: an immediate risk to residents' health, safety or personal rights. Type B: a potential risk if not corrected. Routine inspections on Oct 14, 2025, Oct 14, 2024, Oct 24, 2023, Dec 9, 2022, Nov 9, 2021.
Royal Oaks includes Royal Oaks Manor-Bradbury Oaks, a Medicare-certified nursing home at the same address. Everything below is Medicare's record for that nursing home. It does not rate Royal Oaks's other levels of care, which the state licenses and inspects separately.
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on January 2, 2026, state inspectors cited 10 health deficiencies (the California average is 15.5).
Nurses and nurse aides spend 4 hours 48 minutes with each resident a day, above the California average of 4 hours 31 minutes.
Medicare has not fined Royal Oaks Manor-Bradbury Oaks in the last three years.
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 4 hours 48 minutesAbove the California average |
| Registered nurse time per resident, per day | 36 minutesBelow the California average |
| Nursing staff who left in the past year | 31%Below the California average |
42 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
January 2, 2026 · Standard inspection · 8 citations
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.
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.
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.
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
December 1, 2025 · Complaint investigation · 2 citations
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.
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.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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.
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 a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Ensure that residents are free from significant medication errors.
Provide activities to meet all resident's needs.
Provide safe, appropriate pain management for a resident who requires such services.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Provide and implement an infection prevention and control program.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Provide and implement an infection prevention and control program.
Ensure medication error rates are not 5 percent or greater.
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.
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.
Allow residents to self-administer drugs if determined clinically appropriate.
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.
1 Medicare payment denial in the last three years.
1763 Royal Oaks DriveDuarte, CA 91010
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California's Community Care Licensing Division has issued Royal Oaks 2 Type A citations and 0 Type B citations since November 2021. Type A means an immediate risk to residents' health, safety or personal rights; Type B means a potential risk if not corrected.
State inspectors last visited on July 30, 2026. Each visit's report is public on the state's facility search.
The state investigated 6 complaints since November 2021. Of the allegations, 0 were substantiated, 0 inconclusive, 17 unsubstantiated and 1 unfounded.
Yes. Royal Oaks Manor-Bradbury Oaks is a Medicare-certified nursing home on the same campus. Its Medicare record of inspections, staffing and fines is below. That record covers the nursing home only, not Royal Oaks's other levels of care.
State inspectors visited on January 2, 2026 and cited 10 health deficiencies, 2 of them from complaint investigations. The California average is 15.5.
Nurses and aides spend 4 hours 48 minutes with each resident per day, including 36 minutes from registered nurses. 31% of nursing staff left over the past year.
Medicare's records show no fines against Royal Oaks Manor-Bradbury Oaks in the last three years.
The national median is around $6,200 per month, though it ranges from roughly $4,500 to $11,800 depending on location, apartment size, and level of care.
Medicare does not cover the room-and-board cost of assisted living. Medicaid may help in many states through waivers, and VA benefits can offset costs for eligible veterans.
Assisted living is for people who need help with daily tasks but are largely independent. Nursing homes (skilled nursing) provide 24-hour medical and rehabilitative care.