Nursing home report
DUARTE, CA · Medicare-certified · 58 beds
ROYAL TERRACE HEALTHCARE in Duarte, CA has a 3-star overall rating, with 3 stars for health inspections and staffing and 4 stars for quality measures. It reports 4.40 nurse staffing hours per resident per day versus the 4.1 federal benchmark, and it had $0 in fines over the last 24 months; recent inspection citations included nurse coverage, accident hazards/supervision, and resident rights.
Health inspections
Staffing
4.396 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.396.
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 keep the area free of hazards and provide enough supervision to prevent accidents. Cited October 2025 — limited pattern, potential for harm.
F-Tag 689 — 42 CFR §483.25(d) — S/S: E
The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited May 2025 — limited pattern, potential for harm.
F-Tag 578 — 42 CFR §483.10 — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited May 2025 — limited pattern, potential for harm.
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The home failed to ensure IV fluids were given safely and appropriately when needed. Cited June 2024 — limited pattern, potential for harm.
F-Tag 694 — 42 CFR §483.25 — S/S: E
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.
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.
