All states › California › San Gabriel › Royal Vista Care Center
909 W. Santa Anita Ave San Gabriel, CA 91776 · Los Angeles County
All 7 nursing homes in San Gabriel, CA (7 take Medicaid)
CMS certification number 055105 · See this home on Medicare Care Compare
Is Royal Vista Care Center 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 Vista Care Center 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 3.80 hours per resident per day at Royal Vista Care Center, below the California median of 4.27 (US median: 3.72). About 0.43 of those hours are from registered nurses. On weekends it falls to 3.56 hours, 6% below its all-week average. 36.5% of nursing staff left within a year (California median 36%).
About this nursing home
Paying for care at Royal Vista Care Center: Medicare and Medicaid
Royal Vista Care Center 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 February 12, 2026 and found 25 deficiencies, plus 9 from complaint inspections in the same period. In total, inspectors issued 102 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 102 citations at Royal Vista Care Center across 21 inspection dates, 30 of them from complaint investigations. 1 was at the actual-harm level (G–I), most recently on January 29, 2025. The most common areas cited were quality of life and care (27) and resident assessment and care planning (16). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level G, January 29, 2025). 5 citations were under CMS's abuse, neglect and exploitation rules.
August 28, 2026 · 4 citations · includes complaint inspection
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DMake sure that a working call system is available in each resident's bathroom and bathing area.
July 17, 2026 · 2 citations · includes complaint inspection
EProvide and implement an infection prevention and control program.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
May 13, 2026 · 1 citation · includes complaint inspection
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
April 29, 2026 · 1 citation · includes complaint inspection
EProvide and implement an infection prevention and control program.
February 12, 2026 · 26 citations · includes complaint inspection
EPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
EPASARR screening for Mental disorders or Intellectual Disabilities
EProvide care and assistance to perform activities of daily living for any resident who is unable.
EProvide appropriate pressure ulcer care and prevent new ulcers from developing.
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
EEnsure medication error rates are not 5 percent or greater.
EEnsure that residents are free from significant medication errors.
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.
EDevelop and implement policies and procedures for flu and pneumonia vaccinations.
EEducate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
DHonor 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.
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.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DAssist a resident in gaining access to vision and hearing services.
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.
DProvide safe and appropriate respiratory care for a resident when needed.
DProvide safe, appropriate pain management for a resident who requires such services.
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
DEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
DProvide routine and 24-hour emergency dental care for each resident.
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.
March 13, 2025 · 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.
March 3, 2025 · 3 citations · includes complaint inspection
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.
DProvide and implement an infection prevention and control program.
January 29, 2025 · 1 citation, includes actual harm · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
January 10, 2025 · 2 citations · includes complaint inspection
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide and implement an infection prevention and control program.
December 18, 2024 · 2 citations · includes complaint inspection
EProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
November 21, 2024 · 31 citations
EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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.
EEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
EProvide activities to meet all resident's needs.
EImplement 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.
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.
EProvide and implement an infection prevention and control program.
EMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
DEnsure that residents are fully informed and understand their health status, care and treatments.
DAllow residents to self-administer drugs if determined clinically appropriate.
DReasonably accommodate the needs and preferences of each resident.
DHonor 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.
DKeep residents' personal and medical records private and confidential.
DPASARR screening for Mental disorders or Intellectual Disabilities
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide enough food/fluids to maintain a resident's health.
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 safe, appropriate pain management 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 a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
DEnsure that residents are free from significant medication errors.
DEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
DEnsure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DMake sure that a working call system is available in each resident's bathroom and bathing area.
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.
October 24, 2024 · 1 citation · includes complaint inspection
DLet each resident or the resident's legal representative access or purchase copies of all the resident's records.
October 8, 2024 · 1 citation · includes complaint inspection
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
October 2, 2024 · 1 citation · includes complaint inspection
EProvide appropriate treatment and care according to orders, resident’s preferences and goals.
September 25, 2024 · 1 citation · includes complaint inspection
DKeep residents' personal and medical records private and confidential.
September 23, 2024 · 2 citations · includes complaint inspection
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.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
August 5, 2024 · 1 citation · includes complaint inspection
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
February 2, 2024 · 2 citations · includes complaint inspection
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
January 4, 2024 · 1 citation · includes complaint inspection
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
December 8, 2023 · 16 citations
FElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
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.
EAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
EEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
EProvide appropriate pressure ulcer care and prevent new ulcers from developing.
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.
EProvide and implement an infection prevention and control program.
EMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
DReasonably accommodate the needs and preferences of each resident.
DEnsure each resident receives an accurate assessment.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
DMake sure that a working call system is available in each resident's bathroom and bathing area.
BProvide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
October 12, 2023 · 2 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.
DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
Questions to ask on a tour of Royal Vista Care Center
- Inspectors cited the home at the actual-harm level on January 29, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on May 13, 2026. How are staff trained, and how are concerns reported?
- CMS rates short-stay quality 1 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- 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 | 3/5 | 2/5 |
| August 2026 | 1/5 | 1/5 | 2/5 | 2/5 |
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Location
Hospitals near Royal Vista Care Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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0.5 mi
San Gabriel Valley Medical Center San GabrielEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 18m for patients treated and sent home
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2.0 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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2.1 mi
Garfield Medical Center Monterey ParkEmergency room ★☆☆☆☆ Medicare overall 1 of 5Median ER visit 2h 26m 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 Vista Care Center › All nursing homes in San Gabriel ›
Compare Royal Vista Care Center with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Del Mar Convalescent Hospital · Rosemead · 5 stars · 2.2 mi
- Villa Gardens Health Care Unit · Pasadena · 5 stars · 4.2 mi
- Huntington Healthcare Center · Los Angeles · 5 stars · 4.6 mi
- Fidelity Health Care · El Monte · 5 stars · 5.2 mi
Other Ahmc Healthcare nursing homes in California
- Greater El Monte Community Hos · El Monte · 4 stars
- San Gabriel Valley Medical Center D/P SNF · San Gabriel · 4 stars
- Alhambra Hospital Med Center Dp/Snf · Alhambra · 4 stars
- Ahmc Seton Medical Center · Daly City · 1 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 5 Ahmc Healthcare 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.