| Royal Terrace Healthcare | |
| 1340 Highland Ave., Duarte, California 91010 | |
| (626) 256-4654 | |
| Name | Royal Terrace Healthcare |
|---|---|
| Location | 1340 Highland Ave., Duarte, California |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 58 |
| Occupancy Rate | 86.9% |
| Medicare ID (CCN) | 055541 |
| Legal Business Name | Royal Terrace Healthcare LLC |
| Ownership Type | For Profit - Limited Liability Company |
| Chain | Serrano Group (11 nursing homes) |
| Chain Average Overall Rating | 1.9 out of 5 |
| NPI Number | 1598122038 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Royal Terrace Healthcare, LLC |
| Doing Business As | Royal Terrace Healthcare |
| Address | 1340 Highland Ave, Duarte, CA 91010 |
| Phone Number | 626-256-4654 |
| NPI Number | 1437147022 |
| Match | Possible same name, address or phone number |
| Organization Name | Royal Terrace LLC |
| Doing Business As | Royal Terrace Health Care |
| Address | 1340 Highland Ave, Duarte, CA 91010 |
| Phone Number | 626-256-4654 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 4.73 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.53 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.49 | 0.86 |
| Nurse aide hours per resident per day | 2.71 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 4.16 | 3.42 |
| RN hours per resident per day on the weekend | 0.35 | 0.48 |
| Physical therapist hours per resident per day | 0.03 | 0.07 |
| Total nursing staff turnover | 55.6% | 45.8% |
| Registered nurse turnover | 66.7% | 42.9% |
| Number of administrators who have left the nursing home | 1 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Jun 26, 2026 | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. F0563, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Jul 23, 2026 |
| Jun 26, 2026 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725, Nursing and Physician Services, Complaint inspection | Potential for harm, isolated | Corrected by Jul 23, 2026 |
| May 22, 2026 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by May 29, 2026 |
| May 22, 2026 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by May 29, 2026 |
| May 22, 2026 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by May 29, 2026 |
| May 22, 2026 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by May 29, 2026 |
| May 22, 2026 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. F0813, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by May 29, 2026 |
| May 22, 2026 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by May 29, 2026 |
| May 22, 2026 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jun 8, 2026 |
| May 22, 2026 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by May 29, 2026 |
| Dec 23, 2025 | 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. F0727, Nursing and Physician Services, Complaint inspection | Potential for harm, widespread | Corrected by Jan 16, 2026 |
| Oct 28, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Potential for harm, pattern | Corrected by Nov 21, 2025 |
| Sep 19, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Sep 28, 2025 |
| Sep 19, 2025 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Sep 28, 2025 |
| Sep 19, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Nov 19, 2025 |
| Sep 10, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Sep 25, 2025 |
| Jul 31, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Aug 20, 2025 |
| May 30, 2025 | 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. F0578, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Jun 19, 2025 |
| May 30, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Jun 19, 2025 |
| May 30, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jun 19, 2025 |
| May 30, 2025 | Reasonably accommodate the needs and preferences of each resident. F0558, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jun 20, 2025 |
| May 30, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jun 19, 2025 |
| May 30, 2025 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jun 9, 2025 |
| May 30, 2025 | Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jun 3, 2025 |
| May 30, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Jun 19, 2025 |
| May 30, 2025 | 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by May 30, 2025 |
| May 30, 2025 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. F0912, Environmental, Standard inspection | Minimal harm potential, pattern | Waiver has been granted |
| Jun 16, 2024 | 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. F0578, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Jul 1, 2024 |
| Jun 16, 2024 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. F0694, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Jul 8, 2024 |
| Jun 16, 2024 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Jul 3, 2024 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 9.17 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 8.4 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.67 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 1.48 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 10.4 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.85 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 6.46 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 6.57 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 5.07 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 9.27 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 6.58 | 15.38 |
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