The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited January 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
ROYAL VISTA CARE CENTER
SAN GABRIEL, CA · Medicare-certified · 99 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
1 of 5 overall
ROYAL VISTA CARE CENTER has a 1-out-of-5 overall rating, with 1-star health inspections and 2-star staffing and quality measures. It has no fines in the last 24 months, reported nurse staffing is just above the federal benchmark (4.12 vs 4.1 hours per resident per day), and it carries the lowest overall rating flag.
Facility ratings
Health inspections
Staffing
4.1216 hrs/resident/day
Quality measures
Last inspection: May 13, 2026Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.1216.
Staffing detail
- Registered nurses
- 0.43
- Licensed practical nurses
- 1.13
- Nurse aides
- 2.56
- Weekend nursing
- 3.81
Hours per resident per day.
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
12.5%16.9%Worsening
Residents with a fall causing major injury
2.7%4.1%Worsening
Residents with pressure ulcers (bedsores)
5.3%5.3%No change
Residents with a urinary tract infection
5.9%1.4%Improving
Residents who lost too much weight
9.7%6.1%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
14.8%1.7%Improving
Residents whose ability to walk got worse
13.7%3%Improving
Long-stay residents on antianxiety or sleep medication
2.9%4.3%Worsening
Short-stay residents newly given an antipsychotic
3.8%0%Improving
Residents with a long-term catheter
3.3%0%Improving
Residents with new or worsening incontinence
6.5%2.7%Improving
Residents with depressive symptoms
0%0%No change
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
—51.8%—
Long-stay residents given the pneumonia vaccine
82.4%98.6%Improving
Short-stay residents given the seasonal flu vaccine
—72.2%—
Short-stay residents given the pneumonia vaccine
71.4%100%Improving
What the inspectors found
The home failed to submit complete and accurate staffing information based on verifiable records. Cited December 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 851 — 42 CFR §483.70 — S/S: F
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 prevent unnecessary mind-altering medications or ensure medicines did not limit a resident’s ability to function. Cited February 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 605 — 42 CFR §483.12 — S/S: E
The nursing home failed to properly screen residents for mental health or intellectual disability needs before or during admission. Cited February 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 645 — 42 CFR §483.20 — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 26 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Operator & ownership
Recent ownership change · Jan 11, 2017
Now operated by Royal Vista Care Center, previously Vista Cove Care Center at San Gabriel.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of AHMC HEALTHCARE · 5 homes · 2.8 stars avg
- Occupancy
- 83 residents on an average day (84% of 99 beds)
- Medicare history
- Certified for 53 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.