Nursing HomeInspections

Royal Gardens Healthcare

Nursing home in Alhambra, CA

Medicare & Medicaid certified1★ overall (CMS)

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Public-record details

Address
2339 W. Valley Blvd., Alhambra, CA 91803
Phone
(626) 289-7809
Listed under
For-profit, No fines or payment denials in 3 years
Medicare CCN
055818
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
4 of 5
Quality measures rating
4 of 5
Certified beds
43
Average residents per day
40
Ownership
For-profit, individual
Legal business name
Royal Gardens Healthcare LLC
Chain
Serrano Group (11 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Apr 3, 1968
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 055818. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Jan 23, 2026. CMS lists 73 health citations for this facility across its last three standard inspection cycles and complaint inspections (Dec 10, 2023 to Aug 27, 2026): 27 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Aug 27, 2026Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental · complaint inspection
E
Potential for more than minimal harm, pattern
Aug 21, 2026Reasonably accommodate the needs and preferences of each resident.
Resident Rights · complaint inspection
E
Potential for more than minimal harm, pattern
Apr 16, 2026Reasonably accommodate the needs and preferences of each resident.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
Apr 16, 2026Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · complaint inspection
D
Potential for more than minimal harm, isolated
Apr 16, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · complaint inspection
D
Potential for more than minimal harm, isolated
Apr 16, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection
E
Potential for more than minimal harm, pattern
Apr 16, 2026Provide and implement an infection prevention and control program.
Infection Control · complaint inspection
E
Potential for more than minimal harm, pattern
Apr 9, 2026Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection
D
Potential for more than minimal harm, isolated
Apr 8, 2026Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Jan 23, 2026Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Environmental
B
Potential for minimal harm, pattern
Jan 23, 2026Reasonably accommodate the needs and preferences of each resident.
Resident Rights
D
Potential for more than minimal harm, isolated
Jan 23, 2026Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 73. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
4.45 hours
Registered nurse (RN) time per resident per day
1.03 hours
Nurse aide time per resident per day
2.63 hours
Total nurse staffing on weekends
3.86 hours
Nursing staff turnover (yearly)
55%
RN turnover (yearly)
69%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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