All states › California › Alhambra › Royal Gardens Healthcare
2339 W. Valley Blvd. Alhambra, CA 91803 · Los Angeles County
All 5 nursing homes in Alhambra, CA (5 take Medicaid)
CMS certification number 055818 · See this home on Medicare Care Compare
Is Royal Gardens Healthcare a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Royal Gardens Healthcare as of October 2026.
CMS rates it 1 out of 5 stars overall, below the California average of 3.2.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 4.45 hours per resident per day at Royal Gardens Healthcare, above the California median of 4.27 (US median: 3.72). About 1.03 of those hours are from registered nurses. On weekends it falls to 3.86 hours, 13% below its all-week average. 55% of nursing staff left within a year (California median 36%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at Royal Gardens Healthcare: Medicare and Medicaid
Royal Gardens Healthcare is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet California's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on January 23, 2026 and found 17 deficiencies, plus 14 from complaint inspections in the same period. In total, inspectors issued 73 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 73 citations at Royal Gardens Healthcare across 18 inspection dates, 27 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 69 were "potential for more than minimal harm" (D–F) and 4 were minimal (A–C). The most common areas cited were quality of life and care (17) and pharmacy service (11). The most serious was cited under the CMS rule to "make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public" (tag F0921, level E, August 27, 2026). 6 citations were under CMS's abuse, neglect and exploitation rules.
August 27, 2026 · 1 citation · includes complaint inspection
EMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
August 21, 2026 · 1 citation · includes complaint inspection
EReasonably accommodate the needs and preferences of each resident.
April 16, 2026 · 5 citations · includes complaint inspection
EProvide appropriate treatment and care according to orders, resident’s preferences and goals.
EProvide and implement an infection prevention and control program.
DReasonably accommodate the needs and preferences of each resident.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
April 9, 2026 · 1 citation · includes complaint inspection
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
April 8, 2026 · 1 citation · includes complaint inspection
DProvide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
January 23, 2026 · 21 citations · includes complaint inspection
EHonor 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.
EProvide appropriate pressure ulcer care and prevent new ulcers from developing.
EEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
EEnsure each resident’s drug regimen must be free from unnecessary drugs.
EEnsure medication error rates are not 5 percent or greater.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DReasonably accommodate the needs and preferences of each resident.
DHonor 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.
DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DRespond appropriately to all alleged violations.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide activities to meet all resident's needs.
DProvide 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.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DProvide special eating equipment and utensils for residents who need them and appropriate assistance.
DDispose of garbage and refuse properly.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
BProvide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
January 13, 2026 · 1 citation · includes complaint inspection
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
August 21, 2025 · 2 citations · includes complaint inspection
ESafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DEnsure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
August 11, 2025 · 1 citation · includes complaint inspection
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
July 22, 2025 · 1 citation · includes complaint inspection
EProvide and implement an infection prevention and control program.
April 22, 2025 · 1 citation · includes complaint inspection
ESafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
March 5, 2025 · 1 citation · includes complaint inspection
DProvide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
December 5, 2024 · 12 citations
EHonor 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.
EProvide appropriate pressure ulcer care and prevent new ulcers from developing.
EEnsure 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.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide and implement an infection prevention and control program.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DReasonably accommodate the needs and preferences of each resident.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DImplement 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.
DEnsure medication error rates are not 5 percent or greater.
BPost nurse staffing information every day.
BProvide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
September 30, 2024 · 1 citation · includes complaint inspection
DPost nurse staffing information every day.
July 31, 2024 · 1 citation · includes complaint inspection
EProvide appropriate pressure ulcer care and prevent new ulcers from developing.
July 3, 2024 · 2 citations · includes complaint inspection
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
December 20, 2023 · 3 citations · includes complaint inspection
EProvide or get specialized rehabilitative services as required for a resident.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
December 10, 2023 · 17 citations
EEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.
EProvide appropriate pressure ulcer care and prevent new ulcers from developing.
EProvide safe and appropriate respiratory care for a resident when needed.
EEnsure medication error rates are not 5 percent or greater.
EEnsure 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.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DHonor 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.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DEnsure 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.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DImplement 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.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DImplement a program that monitors antibiotic use.
BProvide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Questions to ask on a tour of Royal Gardens Healthcare
- CMS cited the home under its abuse and neglect rules on April 9, 2026. How are staff trained, and how are concerns reported?
- Nursing staff turnover was 55% a year. How many of the staff come from agencies?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 4/5 | 4/5 |
| August 2026 | 1/5 | 1/5 | 4/5 | 4/5 |
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Location
Hospitals near Royal Gardens Healthcare
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
-
1.0 mi
Alhambra Hospital Medical Center AlhambraEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 13m for patients treated and sent home
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1.7 mi
Garfield Medical Center Monterey ParkEmergency room ★☆☆☆☆ Medicare overall 1 of 5Median ER visit 2h 26m for patients treated and sent home
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2.0 mi
Monterey Park Hospital Monterey ParkEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 1h 27m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Royal Gardens Healthcare › All nursing homes in Alhambra ›
Compare Royal Gardens Healthcare with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Huntington Healthcare Center · Los Angeles · 5 stars · 2.3 mi
- Del Mar Convalescent Hospital · Rosemead · 5 stars · 3.0 mi
- East Los Angeles Doctors Hospital · Los Angeles · 5 stars · 4.1 mi
- Villa Gardens Health Care Unit · Pasadena · 5 stars · 5.5 mi
Other Serrano Group nursing homes in California
- Royal Terrace Healthcare · Duarte · 4 stars
- Palazzo Post Acute · Los Angeles · 4 stars
- Monrovia Post Acute · Duarte · 3 stars
- Rialto Post Acute Center · Rialto · 2 stars
- Hollywood Premier Healthcare Center · Los Angeles · 2 stars
- California Post Acute · Los Angeles · 2 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 11 Serrano Group nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.