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
Nursing home report
ROYAL GARDENS HEALTHCARE
ALHAMBRA, CA · Medicare-certified · 43 beds
In good standing
For-profitChain member
2 of 5 overall
ROYAL GARDENS HEALTHCARE in Alhambra, CA has a 2 out of 5 overall star rating, with a 2-star health inspection score and no fines in the last 24 months. Staffing is 4 stars and reported nurse staffing is 4.41 hours per resident day, slightly above the 4.1 federal benchmark; recent inspection citations included pressure ulcer care, resident safety/cleanliness, and staff competency.
Facility ratings
Health inspections
Staffing
4.4062 hrs/resident/day
Quality measures
Last inspection: January 23, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.4062.
Staffing detail
- Registered nurses
- 1.21
- Licensed practical nurses
- 0.61
- Nurse aides
- 2.58
- Weekend nursing
- 3.77
Hours per resident per day.
Total staff turnover: 57%
Registered nurse turnover: 50%
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
—8.8%—
Residents with a fall causing major injury
5.7%0%Improving
Residents with pressure ulcers (bedsores)
7.7%9.2%Worsening
Residents with a urinary tract infection
3%0%Improving
Residents who lost too much weight
6.1%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
7.7%16%Worsening
Residents whose ability to walk got worse
—12.4%—
Long-stay residents on antianxiety or sleep medication
17.1%20.6%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
17.1%7.4%Improving
Residents with depressive symptoms
4.3%7.1%Worsening
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%94.1%Worsening
Short-stay residents given the seasonal flu vaccine
—81.6%—
Short-stay residents given the pneumonia vaccine
80.4%77.6%Worsening
What the inspectors found
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.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: E
The home failed to ensure nurses and nurse aides had the needed skills to care for each resident and support their well-being. Cited January 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 726 — 42 CFR §483.35 — 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’ medications were free from unnecessary drugs. Cited January 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 757 — 42 CFR §483.45(d) — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 21 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Individual
- Chain
- Part of SERRANO GROUP · 11 homes · 2.5 stars avg
- Occupancy
- 39.6 residents on an average day (92% 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.