All states › California › Duarte › Royal Terrace Healthcare
1340 Highland Ave. Duarte, CA 91010 · Los Angeles County
All 4 nursing homes in Duarte, CA (4 take Medicaid)
CMS certification number 055541 · See this home on Medicare Care Compare
Is Royal Terrace 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 Terrace Healthcare as of October 2026.
CMS rates it 4 out of 5 stars overall, above 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 4.53 hours per resident per day at Royal Terrace Healthcare, above the California median of 4.27 (US median: 3.72). About 0.60 of those hours are from registered nurses. On weekends it falls to 3.83 hours, 15% below its all-week average. Ask how weekends are staffed. 60.6% 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 Terrace Healthcare: Medicare and Medicaid
Royal Terrace 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 May 22, 2026 and found 8 deficiencies, plus 4 from complaint inspections in the same period. In total, inspectors issued 40 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 40 citations at Royal Terrace Healthcare across 10 inspection dates, 14 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 38 were "potential for more than minimal harm" (D–F) and 2 were minimal (A–C). The most common areas cited were quality of life and care (10) and resident assessment and care planning (8). The most serious was cited under the CMS rule to "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" (tag F0727, level F, December 23, 2025). 2 citations were under CMS's abuse, neglect and exploitation rules.
June 26, 2026 · 2 citations · includes complaint inspection
DHonor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
DProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
May 22, 2026 · 8 citations
EEnsure each resident receives an accurate assessment.
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EEnsure services provided by the nursing facility meet professional standards of quality.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EHave a policy regarding use and storage of foods brought to residents by family and other visitors.
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.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
December 23, 2025 · 1 citation · includes complaint inspection
FHave 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.
October 28, 2025 · 1 citation · includes complaint inspection
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
September 19, 2025 · 3 citations · includes complaint inspection
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
September 10, 2025 · 1 citation · includes complaint inspection
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
July 31, 2025 · 1 citation · includes complaint inspection
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
May 30, 2025 · 10 citations
EHonor 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.
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 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.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DEnsure 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.
BProvide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
June 16, 2024 · 8 citations
EHonor 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.
EProvide for the safe, appropriate administration of IV fluids for a resident when needed.
EProvide safe and appropriate respiratory care for a resident when needed.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide special eating equipment and utensils for residents who need them and appropriate assistance.
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.
April 30, 2024 · 5 citations · includes complaint inspection
EReasonably accommodate the needs and preferences of each resident.
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EProvide 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.
EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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.
Questions to ask on a tour of Royal Terrace Healthcare
- CMS cited the home under its abuse and neglect rules on September 19, 2025. How are staff trained, and how are concerns reported?
- Weekend staffing is 15% below the all-week average. Who is on duty on Saturday nights?
- Nursing staff turnover was 60.6% 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 | 4/5 | 3/5 | 3/5 | 5/5 |
| August 2026 | 3/5 | 2/5 | 3/5 | 5/5 |
Add this rating badge to your websiteFree. Shows Royal Terrace Healthcare's Medicare star rating and updates itself.
Size and colour
Preview
Paste it where the badge should appear: in WordPress, a Custom HTML block or a footer widget; on other sites, any spot that accepts HTML. The badge updates itself when CMS publishes new ratings.
Location
Hospitals near Royal Terrace Healthcare
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
- 0.5 mi
-
4.1 mi
USC Arcadia Hospital ArcadiaEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 4h 18m for patients treated and sent home
- 5.1 mi
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 Terrace Healthcare › All nursing homes in Duarte ›
Compare Royal Terrace Healthcare with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Coast Care Convalescent Center · Baldwin Park · 5 stars · 3.2 mi
- Fidelity Health Care · El Monte · 5 stars · 4.3 mi
- Victoria Care Center · Baldwin Park · 5 stars · 4.3 mi
- Harvard Creek Post Acute · Covina · 5 stars · 5.3 mi
Other Serrano Group nursing homes in California
- 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
- Maclay Healthcare Center · Sylmar · 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.