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
1 of 5 overall
ROYAL VISTA CARE CENTER (SAN GABRIEL, CA) has a 1-star overall rating with a 1-star health inspection rating and an attention flag for the lowest overall rating. Staffing is 2 stars, reported nurse staffing is 4.23 hours per resident per day versus the 4.1 federal benchmark, and there were $0 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.2268 hrs/resident/day
Quality measures
Last inspection: February 12, 2026Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.2268.
Staffing detail
- Registered nurses
- 0.43
- Licensed practical nurses
- 1.22
- Nurse aides
- 2.58
- Weekend nursing
- 3.89
Hours per resident per day.
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
14.6%Worsening
Residents with a fall causing major injury
3.7%Worsening
Residents with pressure ulcers (bedsores)
4.5%Worsening
Residents with a urinary tract infection
3%Worsening
Residents who lost too much weight
7.7%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
14.2%Improving
Residents whose ability to walk got worse
11.2%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
2.5%Improving
Short-stay residents newly given an antipsychotic
2.1%Worsening
Residents with a long-term catheter
3.9%Steady
Residents with new or worsening incontinence
6.6%Improving
Residents with depressive symptoms
0.8%Worsening
Long-stay residents given the seasonal flu vaccine
51.8%Steady
Long-stay residents given the pneumonia vaccine
90.6%Improving
Short-stay residents given the seasonal flu vaccine
72.2%Steady
Short-stay residents given the pneumonia vaccine
84%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 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.
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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.
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F-Tag 645 — 42 CFR §483.20 — S/S: E
The nursing home failed to provide needed care and help with daily activities for residents who could not do them on their own. Cited February 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 677 — 42 CFR §483.24(a)(2) — S/S: E
Recent history
- 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
- Ownership
- For profit - Limited Liability company
- Chain
- Part of AHMC HEALTHCARE · 5 homes · 3 stars avg
- Occupancy
- 83.6 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.