California ›Duarte

Royal Terrace Healthcare

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1340 Highland Ave., Duarte, CA 91010 (opens Google Maps) · Los Angeles County · (626) 256-4654· 58 certified beds · avg 50 residents/day · certified since May 30, 1996 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

Part of chain: SERRANO GROUP (11 facilities, chain avg rating 1.9★)

2/5
Health inspection rating (on-site)
inspected May 22, 2026
0
Serious findings on record
$0
Fines, last 3 years
4.58
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5 · how star ratings work →

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.

Inspection findings in the public record

Showing the latest 3 of 40 inspection findings. Open the full record below to read every finding.

  1. D · Potential for more than minimal harm, isolated

    The facility did not honor residents' right to receive the visitors they choose, at the times they choose. · from a complaint F-0563

  2. D · Potential for more than minimal harm, isolated

    The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint F-0725

  3. E · Potential for more than minimal harm, pattern

    The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. F-0641

View all 40 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
Jun 26, 2026D · Potential for more than minimal harm, isolatedThe facility did not honor residents' right to receive the visitors they choose, at the times they choose. · from a complaint · F-0563
Jun 26, 2026D · Potential for more than minimal harm, isolatedThe facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint · F-0725
May 22, 2026E · Potential for more than minimal harm, patternThe facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641
May 22, 2026E · Potential for more than minimal harm, patternThe facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656
May 22, 2026E · Potential for more than minimal harm, patternThe facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658
May 22, 2026E · Potential for more than minimal harm, patternThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
May 22, 2026E · Potential for more than minimal harm, patternThe facility did not have a policy covering how food brought in by family and visitors is used and stored safely. · F-0813
May 22, 2026E · Potential for more than minimal harm, patternThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880
May 22, 2026D · Potential for more than minimal harm, isolatedThe facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · F-0550
May 22, 2026D · Potential for more than minimal harm, isolatedThe facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · F-0686
Dec 23, 2025F · Potential for more than minimal harm, widespreadThe facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. · from a complaint · F-0727
Oct 28, 2025E · Potential for more than minimal harm, patternThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Sep 19, 2025D · Potential for more than minimal harm, isolatedThe facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint · F-0600
Sep 19, 2025D · Potential for more than minimal harm, isolatedThe facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint · F-0609
Sep 19, 2025D · Potential for more than minimal harm, isolatedThe facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint · F-0656
Sep 10, 2025D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Jul 31, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684
May 30, 2025E · Potential for more than minimal harm, patternThe facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · F-0578
May 30, 2025E · Potential for more than minimal harm, patternThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
May 30, 2025D · Potential for more than minimal harm, isolatedThe facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · F-0550
May 30, 2025D · Potential for more than minimal harm, isolatedThe facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · F-0558
May 30, 2025D · Potential for more than minimal harm, isolatedThe facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656
May 30, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · F-0686
May 30, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · F-0698
May 30, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755
May 30, 2025D · Potential for more than minimal harm, isolatedThe facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761
May 30, 2025B · Potential for minimal harm, patternThe facility had resident rooms smaller than required — at least 80 square feet per person in shared rooms and 100 square feet in single rooms. · F-0912
Jun 16, 2024E · Potential for more than minimal harm, patternThe facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · F-0578
Jun 16, 2024E · Potential for more than minimal harm, patternThe facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them. · F-0694
Jun 16, 2024E · Potential for more than minimal harm, patternThe facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · F-0695
Jun 16, 2024D · Potential for more than minimal harm, isolatedThe facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656
Jun 16, 2024D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Jun 16, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide special eating equipment and utensils — like adaptive cups or easy-grip silverware — for residents who need them, along with appropriate help at meals. · F-0810
Jun 16, 2024D · Potential for more than minimal harm, isolatedThe facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842
Jun 16, 2024B · Potential for minimal harm, patternThe facility had resident rooms smaller than required — at least 80 square feet per person in shared rooms and 100 square feet in single rooms. · F-0912
Apr 30, 2024E · Potential for more than minimal harm, patternThe facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · from a complaint · F-0558
Apr 30, 2024E · Potential for more than minimal harm, patternThe facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint · F-0656
Apr 30, 2024E · Potential for more than minimal harm, patternThe facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. · from a complaint · F-0688
Apr 30, 2024E · Potential for more than minimal harm, patternThe facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint · F-0725
Apr 30, 2024E · Potential for more than minimal harm, patternThe facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · from a complaint · F-0726

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (10 → 8).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2024
All citations: 13
Serious citations (G–L): 0
2025
All citations: 17
Serious citations (G–L): 0
2026
All citations: 10
Serious citations (G–L): 0

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
2024130E
2025170F
2026100E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

How to file a complaint about care →

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityCalifornia averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 4.58
California average: 4.31
U.S. average: 3.95
Registered Nurse hours
This facility: 0.52
California average: 0.61
U.S. average: 0.69
Weekend total nurse staffing
This facility: 4.02
California average: 3.90
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityCalifornia avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)4.584.313.95top 25% in California; top 21% in the U.S.
Registered Nurse hours0.520.610.69top 44% in California; bottom 40% in the U.S.
Weekend total nurse staffing4.023.903.50top 32% in California; top 22% in the U.S.
Weekend RN hours (not acuity-adjusted)0.350.510.48bottom 46% in California; bottom 43% in the U.S.
Total nursing staff turnover (%)55.636.745.8bottom 6% in California; bottom 24% in the U.S.
RN turnover (%)66.738.142.9bottom 9% in California; bottom 15% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.73, RN 0.53, weekend 4.16.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.73 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Royal Terrace Healthcare. CMS inspection and staffing records do not tell us what this home will charge you.

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Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Limited Liability company

Owner / managerTypeRoleStakeSince
Bin Mendel LLCOrganization5% or Greater Indirect Ownership Interest—01/01/2016
BL Cali Partners LLCOrganization5% or Greater Indirect Ownership Interest—01/01/2016
Fensterman, HowardIndividual5% or Greater Indirect Ownership Interest—01/01/2016
Fensterman, JordanIndividual5% or Greater Indirect Ownership Interest—01/01/2016
Fensterman, RobertIndividual5% or Greater Indirect Ownership Interest—01/01/2016
Jacobs, DovIndividual5% or Greater Indirect Ownership Interest—01/01/2016
JS Fenton LLCOrganization5% or Greater Indirect Ownership Interest—01/01/2016
Leibson, StaciIndividual5% or Greater Indirect Ownership Interest—01/01/2016
RGF Consulting LLCOrganization5% or Greater Indirect Ownership Interest—01/01/2016
Serrano Group LLCOrganization5% or Greater Indirect Ownership Interest—01/01/2016
Serrano Partners LLCOrganization5% or Greater Indirect Ownership Interest—01/01/2016
Taub, JudahIndividual5% or Greater Indirect Ownership Interest—01/01/2016
Terrace Licensee 7Organization5% or Greater Direct Ownership Interest100%01/01/2016
Yaame LLCOrganization5% or Greater Indirect Ownership Interest—01/01/2016
Jacobs, DovIndividualCorporate OfficerNOT APPLICABLE01/01/2016
Terrace Licensee 7OrganizationOperational/Managerial ControlNOT APPLICABLE01/01/2016

All 16 owning or managing parties CMS has on file are shown — none excluded.

Other facilities in the same chain

CMS lists this facility under the chain Serrano Group — 11 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Listed by state, then facility name — not a ranking. Showing 8 of the 10 others, continuing from this facility's own place in that list.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

  • "What are your visiting policies — can family visit any time the resident wants?"
  • "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
  • "Who completes resident assessments here, and how do you check them for accuracy?"
  • "Can you show me an example care plan, and how are families included when it's created and updated?"
  • "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
  • "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
  • "What are your rules for bringing in my family member's favorite foods, and how are they stored?"
  • "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"

Also worth asking anywhere

  • "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 56% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 16 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (12 closest of 209 within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Royal Oaks Manor-Bradbury Oaks0.4 miDuarte, CA★★★★☆3/5
Monrovia Post Acute0.6 miDuarte, CA★★★☆☆2/5
Monte Vista Healthcare Center0.7 miDuarte, CA★★☆☆☆2/5
Monrovia Gardens Healthcare Center2.3 miMonrovia, CA★☆☆☆☆1/5
Sierra View Care Center3.0 miBaldwin Park, CA★★★★☆3/5
Santa Fe Lodge3.2 miEl Monte, CA★★☆☆☆2/5
Coast Care Convalescent Center3.2 miBaldwin Park, CA★★★★☆4/5
Mayflower Care Center3.2 miEl Monte, CA★★★☆☆3/5
The Gardens of el Monte3.8 miEl Monte, CA★★☆☆☆2/5
Fidelity Health Care4.3 miEl Monte, CA★★★☆☆2/5abuse
Victoria Care Center4.3 miBaldwin Park, CA★★★★★4/5
Temple City Healthcare4.4 miTemple City, CA★★☆☆☆2/5

Compare this facility with the 3 closest →

Other facilities in the same county

CMS records place this facility in Los Angeles, CA — 369 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in Duarte →

Facility data as of CMS processing date 2026-08-01. CCN 055541.

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