California › Los Angeles County › Alhambra
Royal Gardens Healthcare
2339 W. Valley Blvd., Alhambra, CA 91803
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Royal Gardens Healthcare, in Alhambra, California, is certified for 43 beds under for-profit, individual ownership and belongs to the Serrano Group chain.
CMS gives it 1 of 5 stars overall, below the California median of 3; the health inspection rating is 1, staffing 4 and quality measures 4.
Inspectors recorded 71 health deficiencies across the three most recent survey cycles (32, 16, 23 by cycle, most recent first), none at the actual-harm level. That is 165.1 per 100 beds, more than the state median of 51.1.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 4.5 hours per resident per day (1.2 RN), close to the California median of 4.2; nursing staff turnover is 58.5%.
71health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
4.5nurse hours per resident per daystate median 4.2
90%occupancy (residents ÷ beds)39 residents a day
Compared with county, state and nation
| Measure | This facility | Los Angeles Co. median | California median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 71 | 61 | 44 | 28.7 |
| Citations per 100 beds | 165.1 | 69.1 | 51.1 | 26.8 |
| Total nurse hours per resident day | 4.5 | 4.3 | 4.2 | 3.9 |
| RN hours per resident day | 1.2 | 0.4 | 0.5 | 0.7 |
| Nursing staff turnover | 58.5% | 34.4% | 36.4% | 45.8% |
| Fines listed | $0 | $12,831 | $0 | — |
County and state figures are medians across facilities (369 in the county, 1165 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: California average per facility for the same cycle, as published by CMS. Standard health survey dates: 23 Jan 2026, 5 Dec 2024.
Severity mix: D ×42 E ×25 B ×4
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 16 Apr 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint investigation | 22 Apr 2026 |
| 16 Apr 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 22 Apr 2026 |
| 16 Apr 2026 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 22 Apr 2026 |
| 16 Apr 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 22 Apr 2026 |
| 16 Apr 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 22 Apr 2026 |
| 9 Apr 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 15 Apr 2026 |
| 8 Apr 2026 | F0691 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D | Complaint investigation | 15 Apr 2026 |
| 23 Jan 2026 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Standard survey | 16 Feb 2026 |
| 23 Jan 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Standard survey | 16 Feb 2026 |
| 23 Jan 2026 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | Standard survey | 16 Feb 2026 |
| 23 Jan 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 16 Feb 2026 |
| 23 Jan 2026 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | Standard survey | 16 Feb 2026 |
| 23 Jan 2026 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 16 Feb 2026 |
| 23 Jan 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 16 Feb 2026 |
| 23 Jan 2026 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 16 Feb 2026 |
| 23 Jan 2026 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Complaint investigation | 16 Feb 2026 |
| 23 Jan 2026 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 16 Feb 2026 |
| 23 Jan 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 16 Feb 2026 |
| 23 Jan 2026 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 16 Feb 2026 |
| 23 Jan 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 16 Feb 2026 |
| 23 Jan 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 16 Feb 2026 |
| 23 Jan 2026 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 16 Feb 2026 |
| 23 Jan 2026 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard survey | 16 Feb 2026 |
| 23 Jan 2026 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 16 Feb 2026 |
| 23 Jan 2026 | F0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | Standard survey | 16 Feb 2026 |
| 23 Jan 2026 | F0814 | Dispose of garbage and refuse properly. | D | Standard survey | 16 Feb 2026 |
| 23 Jan 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 16 Feb 2026 |
| 23 Jan 2026 | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | Standard survey | 16 Feb 2026 |
| 13 Jan 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 16 Jan 2026 |
| 21 Aug 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint investigation | 25 Aug 2025 |
| 21 Aug 2025 | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | Complaint investigation | 25 Aug 2025 |
| 11 Aug 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 29 Aug 2025 |
| 22 Jul 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 23 Jul 2025 |
| 22 Apr 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint investigation | 23 Apr 2025 |
| 5 Mar 2025 | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | D | Complaint investigation | 7 Mar 2025 |
| 5 Dec 2024 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Standard survey | 6 Dec 2024 |
| 5 Dec 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Standard survey | 10 Dec 2024 |
| 5 Dec 2024 | F0761 | 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. | E | Standard survey | 6 Dec 2024 |
| 5 Dec 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 6 Dec 2024 |
| 5 Dec 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 6 Dec 2024 |
| 5 Dec 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 6 Dec 2024 |
| 5 Dec 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 6 Dec 2024 |
| 5 Dec 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 6 Dec 2024 |
| 5 Dec 2024 | F0758 | 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 | Standard survey | 6 Dec 2024 |
| 5 Dec 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 6 Dec 2024 |
| 5 Dec 2024 | F0732 | Post nurse staffing information every day. | B | Standard survey | 6 Dec 2024 |
| 5 Dec 2024 | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | Standard survey | 6 Dec 2024 |
| 30 Sep 2024 | F0732 | Post nurse staffing information every day. | D | Complaint investigation | 17 Oct 2024 |
| 31 Jul 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Complaint investigation | 20 Aug 2024 |
| 3 Jul 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 24 Jul 2024 |
| 3 Jul 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 24 Jul 2024 |
| 20 Dec 2023 | F0825 | Provide or get specialized rehabilitative services as required for a resident. | E | Complaint investigation | 27 Jan 2024 |
| 20 Dec 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 27 Jan 2024 |
| 20 Dec 2023 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Complaint investigation | 27 Jan 2024 |
| 10 Dec 2023 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | E | Standard survey | 2 Jan 2024 |
| 10 Dec 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Standard survey | 2 Jan 2024 |
| 10 Dec 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 2 Jan 2024 |
| 10 Dec 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 2 Jan 2024 |
| 10 Dec 2023 | F0761 | 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. | E | Standard survey | 2 Jan 2024 |
| 10 Dec 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 2 Jan 2024 |
| 10 Dec 2023 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Standard survey | 2 Jan 2024 |
| 10 Dec 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 2 Jan 2024 |
| 10 Dec 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 2 Jan 2024 |
| 10 Dec 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 2 Jan 2024 |
| 10 Dec 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 2 Jan 2024 |
| 10 Dec 2023 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Standard survey | 2 Jan 2024 |
| 10 Dec 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 2 Jan 2024 |
| 10 Dec 2023 | F0758 | 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 | Standard survey | 2 Jan 2024 |
| 10 Dec 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 2 Jan 2024 |
| 10 Dec 2023 | F0881 | Implement a program that monitors antibiotic use. | D | Standard survey | 2 Jan 2024 |
| 10 Dec 2023 | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | Standard survey | 2 Jan 2024 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the California average. Turnover: nursing staff 58.5%, RNs 45.5%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | California median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 15.7% | 8.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.5% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.8% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.0% | 1.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 14.8% | 8.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.5% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 9.6% | 9.1% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, individual. Chain: Serrano Group (11 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Gardens Licensee 4 LLC | 5% or greater direct ownership interest | 100% | 01/01/2016 |
| Bin Mendel LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 01/01/2016 |
| Bl Cali Partners LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 01/01/2016 |
| Js Fenton LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 01/01/2016 |
| Rgf Consulting LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 01/01/2016 |
| Serrano Group LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 01/01/2016 |
| Serrano Partners LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 01/01/2016 |
| Yaame LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 01/01/2016 |
| Gardens Licensee 4 LLC | Operational/managerial control | NOT APPLICABLE | 01/01/2016 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Los Angeles County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Alcott Rehabilitation Hospital | Los Angeles | 121 | 5 | 4 | 4 | 42 | 34.7 | $9K | 23 Dec 2025 |
| Alden Terrace Convalescent Hospital | Los Angeles | 210 | 5 | 4 | 4 | 35 | 16.7 | — | 20 Nov 2025 |
| Angels Nursing Health Center | Los Angeles | 49 | 5 | 4 | 4 | 37 | 75.5 | $72K | 11 Jun 2026 |
| Ararat Post Acute | Glendale | 28 | 5 | 4 | 5 | 30 | 107.1 | $42K | 23 Jan 2026 |
| Atherton Baptist Home | Alhambra | 113 | 5 | 4 | 4 | 28 | 24.8 | — | 16 Jan 2026 |
| Atlantic Memorial Healthcare Center | Long Beach | 104 | 5 | 5 | 4 | 25 | 24.0 | — | 16 Jun 2026 |
| Beachside Post Acute | Torrance | 110 | 5 | 4 | 4 | 31 | 28.2 | — | 19 Dec 2025 |
| Beacon Healthcare Center | West Covina | 54 | 5 | 4 | 3 | 32 | 59.3 | — | 14 May 2026 |
All 369 facilities in Los Angeles County
Questions and answers
How many deficiencies has Royal Gardens Healthcare been cited for?
71 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The California median is 44 per facility.
Has Royal Gardens Healthcare been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Royal Gardens Healthcare compare?
Reported total nurse staffing is 4.5 hours per resident per day against a California median of 4.2 and a national average of 3.9.
Who operates Royal Gardens Healthcare?
It is part of the Serrano Group chain. Ownership type is for-profit, individual. Organisations in the CMS ownership record include Gardens Licensee 4 LLC, Bin Mendel LLC and Bl Cali Partners LLC. Individual owners and managers are not listed on this site.
When was Royal Gardens Healthcare last inspected?
The most recent survey or investigation in the CMS record is dated 16 Apr 2026; the most recent standard health survey was 23 Jan 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.