California › Los Angeles County › Duarte
Royal Terrace Healthcare
1340 Highland Ave., Duarte, CA 91010
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 Terrace Healthcare, in Duarte, California, is certified for 58 beds under for-profit, limited liability company ownership and belongs to the Serrano Group chain.
CMS gives it 3 of 5 stars overall, equal to the California median; the health inspection rating is 2, staffing 3 and quality measures 5.
Inspectors recorded 40 health deficiencies across the three most recent survey cycles (16, 11, 13 by cycle, most recent first), none at the actual-harm level. That is 69.0 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 4.7 hours per resident per day (0.5 RN), close to the California median of 4.2; nursing staff turnover is 55.6%.
Compared with county, state and nation
| Measure | This facility | Los Angeles Co. median | California median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 40 | 61 | 44 | 28.7 |
| Citations per 100 beds | 69.0 | 69.1 | 51.1 | 26.8 |
| Total nurse hours per resident day | 4.7 | 4.3 | 4.2 | 3.9 |
| RN hours per resident day | 0.5 | 0.4 | 0.5 | 0.7 |
| Nursing staff turnover | 55.6% | 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: 22 May 2026, 30 May 2025.
Severity mix: D ×20 E ×17 F ×1 B ×2
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)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 26 Jun 2026 | F0563 | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | D | Complaint investigation | 23 Jul 2026 |
| 26 Jun 2026 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Complaint investigation | 23 Jul 2026 |
| 22 May 2026 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 29 May 2026 |
| 22 May 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 29 May 2026 |
| 22 May 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 29 May 2026 |
| 22 May 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 | 29 May 2026 |
| 22 May 2026 | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | E | Standard survey | 29 May 2026 |
| 22 May 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 29 May 2026 |
| 22 May 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 8 Jun 2026 |
| 22 May 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 29 May 2026 |
| 23 Dec 2025 | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | Complaint investigation | 16 Jan 2026 |
| 28 Oct 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint investigation | 21 Nov 2025 |
| 19 Sep 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 28 Sep 2025 |
| 19 Sep 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 28 Sep 2025 |
| 19 Sep 2025 | 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 | 19 Nov 2025 |
| 10 Sep 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 25 Sep 2025 |
| 31 Jul 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 20 Aug 2025 |
| 30 May 2025 | F0578 | 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 | Standard survey | 19 Jun 2025 |
| 30 May 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 19 Jun 2025 |
| 30 May 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 19 Jun 2025 |
| 30 May 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 20 Jun 2025 |
| 30 May 2025 | 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 | 19 Jun 2025 |
| 30 May 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 9 Jun 2025 |
| 30 May 2025 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 3 Jun 2025 |
| 30 May 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 19 Jun 2025 |
| 30 May 2025 | 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. | D | Standard survey | 30 May 2025 |
| 30 May 2025 | 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 | 30 May 2025 |
| 16 Jun 2024 | F0578 | 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 | Standard survey | 1 Jul 2024 |
| 16 Jun 2024 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | E | Standard survey | 8 Jul 2024 |
| 16 Jun 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 3 Jul 2024 |
| 16 Jun 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 | 3 Jul 2024 |
| 16 Jun 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 5 Jul 2024 |
| 16 Jun 2024 | F0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | Standard survey | 8 Jul 2024 |
| 16 Jun 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 1 Jul 2024 |
| 16 Jun 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 | 1 Jul 2024 |
| 30 Apr 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | Complaint investigation | 6 Jun 2024 |
| 30 Apr 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint investigation | 6 Jun 2024 |
| 30 Apr 2024 | 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. | E | Complaint investigation | 6 Jun 2024 |
| 30 Apr 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 6 Jun 2024 |
| 30 Apr 2024 | 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 | Complaint investigation | 23 May 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 55.6%, RNs 66.7%; 1 administrator 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 | 9.2% | 8.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.7% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.5% | 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 | 0.8% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 6.5% | 8.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.1% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 6.6% | 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, limited liability company. Legal business name: Royal Terrace Healthcare Llc. Chain: Serrano Group (11 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Terrace Licensee 7 | 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 |
| Terrace Licensee 7 | 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 Terrace Healthcare been cited for?
40 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 Terrace Healthcare been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Royal Terrace Healthcare compare?
Reported total nurse staffing is 4.7 hours per resident per day against a California median of 4.2 and a national average of 3.9.
Who operates Royal Terrace Healthcare?
It is part of the Serrano Group chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Terrace Licensee 7, Bin Mendel LLC and Bl Cali Partners LLC. Individual owners and managers are not listed on this site.
When was Royal Terrace Healthcare last inspected?
The most recent survey or investigation in the CMS record is dated 26 Jun 2026; the most recent standard health survey was 22 May 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.