The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited April 2026 — limited pattern, potential for harm.
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F-Tag 684 — 42 CFR §483.25 — S/S: E
Nursing home report
ROYAL GARDENS HEALTHCARE
ALHAMBRA, CA · Medicare-certified · 43 beds
Needs attention
Abuse citationFor-profitChain member
Data as of July 1, 2026
1 of 5 overall
ROYAL GARDENS HEALTHCARE (Alhambra, CA) has an overall 1-star rating, driven by a 1-star health inspection rating despite 4-star staffing and 4-star quality measures. Reported staffing is above the federal benchmark (4.53 vs 4.1 hours per resident per day), there were no fines in the last 24 months, and the facility has a recent abuse citation with recent inspection issues in treatment/care, infection control, and pharmaceutical services.
Facility ratings
Health inspections
Staffing
4.5346 hrs/resident/day
Quality measures
Last inspection: April 16, 2026Penalties, last 24 months: $0recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.5346.
Staffing detail
- Registered nurses
- 1.17
- Licensed practical nurses
- 0.77
- Nurse aides
- 2.60
- Weekend nursing
- 3.79
Hours per resident per day.
Total staff turnover: 59%
Registered nurse turnover: 46%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
—8.3%—
Residents with a fall causing major injury
0%0%No change
Residents with pressure ulcers (bedsores)
11.5%1.9%Improving
Residents with a urinary tract infection
0%3.1%Worsening
Residents who lost too much weight
3.6%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
12%17.2%Worsening
Residents whose ability to walk got worse
—14.8%—
Long-stay residents on antianxiety or sleep medication
22.6%13.9%Improving
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%1.8%Worsening
Residents with new or worsening incontinence
23.1%6.5%Improving
Residents with depressive symptoms
19.2%6.9%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—97.4%—
Long-stay residents given the pneumonia vaccine
100%91.7%Worsening
Short-stay residents given the seasonal flu vaccine
—81.6%—
Short-stay residents given the pneumonia vaccine
86.5%79.5%Worsening
What the inspectors found
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited April 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited January 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — S/S: E
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited January 2026 — limited pattern, potential for harm.
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F-Tag 584 — 42 CFR §483.10 — S/S: E
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited January 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 5 health deficiencies.
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- INSPECTION
Health inspection found 1 health deficiency.
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- INSPECTION
Health inspection found 1 health deficiency.
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- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 21 health deficiencies.
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- INSPECTION
Health inspection found 1 health deficiency.
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- INSPECTION
Health inspection found 2 health deficiencies.
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Operator & ownership
Recent ownership change · Jan 1, 2016
Now operated by Royal Gardens Healthcare, previously Royal Garden Extended Care Hospital.
- Ownership
- For profit - Individual
- Chain
- Part of SERRANO GROUP · 11 homes · 2 stars avg
- Occupancy
- 38.8 residents on an average day (90% of 43 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 58 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.