Nursing home report
DUARTE, CA · Medicare-certified · 58 beds
ROYAL TERRACE HEALTHCARE in Duarte, CA has a 4-star overall rating, with strong quality measures (5 stars) and average health inspection and staffing ratings (3 stars each). It reports 4.73 nurse staffing hours per resident per day, above the federal benchmark of 4.1, and had $0 in fines over the last 24 months.
Health inspections
Staffing
4.7325 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.7325.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited December 2025 — widespread issue, potential for harm.
F-Tag 727 — 42 CFR §483.35 — S/S: F
The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited May 2026 — limited pattern, potential for harm.
F-Tag 641 — 42 CFR §483.20(g) — S/S: E
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited May 2026 — limited pattern, potential for harm.
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E
The nursing home failed to provide services that met professional standards of quality. Cited May 2026 — limited pattern, potential for harm.
F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited May 2026 — limited pattern, potential for harm.
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
Reported nurse staffing met or exceeded the federal recommendation.
Health inspection found 8 health deficiencies.
Reported nurse staffing met or exceeded the federal recommendation.
Health inspection found 1 health deficiency.
Health inspection found 1 health deficiency.
Health inspection found 3 health deficiencies.
Now operated by Royal Terrace Healthcare, previously Royal Terrace Health Care.
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.
