Nursing home
Royal Gardens Healthcare
2339 W. Valley Blvd., Alhambra, CA 91803 · Map
For profit - Limited Liability company · Part of Serrano Group (11 facilities) · 43 certified beds
Royal Gardens Healthcare is a Medicare-certified nursing home in Alhambra, California. CMS rates it 2 out of 5 stars overall (4/5 for staffing, 2/5 for health inspections). Nurse staffing is 4.49 hours per resident per day, below the California average of 4.51. Its most recent inspection on Dec 5, 2024 cited 23 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Royal Gardens Healthcare compares
This facility vs. the California and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | California avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 4.49 | 4.51 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.91 | 0.65 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.64 | 2.64 | 2.34 | above avg |
| Nursing staff turnover | 53.3% | 38.1% | 46.4% | above avg |
| Deficiencies cited, last inspection | 23.0 | 15.4 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
What inspectors found at Royal Gardens Healthcare
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Jan 23, 2026 · Full report (PDF) - Potential for harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Jan 23, 2026 · Full report (PDF) - Potential for harm
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Jan 23, 2026 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Jan 23, 2026 · Full report (PDF) - Potential for harm
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services Deficiencies · Jan 23, 2026 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Jan 23, 2026 · Full report (PDF) - Potential for harm
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies · Jan 23, 2026 · Full report (PDF) - Potential for harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jan 23, 2026 · Full report (PDF) - Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jan 23, 2026 · Full report (PDF) - Potential for harm
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jan 23, 2026 · Full report (PDF) - Potential for harm
Honor 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 Deficiencies · Jan 23, 2026 · Full report (PDF) - Potential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Jan 23, 2026 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 2339 W. Valley Blvd.
Alhambra, CA 91803 - CMS certification #
- 055818
- Ownership
- For profit - Limited Liability company
- Certified beds
- 43
- Avg residents/day
- 39.6
- Provider type
- Medicare and Medicaid
- First certified
- 1968-04-03
- Chain
- Serrano Group (11 facilities)
- Setting
- Urban
Part of Serrano Group
Serrano Group operates 11 nursing facilities across the United States. View all Serrano Group facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Royal Gardens Healthcare using Google Maps.
Other public records
- Website says Diabetes care
- Staff pay 1 federal wage case with violations found, since 2003
- Workplace safety 1 OSHA workplace safety inspection since 2018, 1 violation cited
Full public records, with dates and sources
Care and services
From the community’s website
What Royal Gardens Healthcare says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers diabetes care.
Diabetic care management
(page, checked Oct 12, 2026)
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for Jul 22, 2003 to Jul 21, 2005. Violations found: Overtime. Back wages: $6,191 owed to 11 employees. Employer as DOL recorded it: Royal Garden Extended Care Hospital (Edinburgh Management Associates Inc.). Case 1417561.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Aug 22, 2018: referral inspection, partial (health). Case open. 1 violation cited (1 other). Penalties: $135 proposed, $135 now. OSHA record. OSHA recorded the employer as Royal Gardens Healthcare LLC.
Details
- Other than serious: Cited rule 5193(C)(1)(B). Penalty $135 proposed, $135 now. To be fixed by Mar 21, 2019.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Garfield Medical Center, Monterey Park. 1.7 miles away, straight line. CMS overall hospital rating: 1 of 5 stars.
- Nearest Medicare nursing home
- Sunny Village Care Center, Alhambra. 0.6 miles away, straight line.
- Nearest home health agency office
- Unison Health Services, Inc, Alhambra. 0.7 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 0.1 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 91803 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Fmc-Alhambra, Alhambra, 0.1 miles away, straight line (CMS rating 2 of 5 stars)
Bma San Gabriel Valley Pd Clinic, Alhambra, 0.4 miles away, straight line (CMS rating 4 of 5 stars)
Bma San Gabriel, Alhambra, 0.4 miles away, straight line (has a shift starting after 5 pm; CMS rating 5 of 5 stars) - Hospice
- 107 Medicare hospices tell CMS they serve ZIP code 91803.
Santa Rosa Hospice, office in Alhambra, 0.7 miles away, straight line
Allied Hospice, office in Alhambra, 1.6 miles away, straight line
Calstro Hospice Los Angeles, office in Alhambra, 1.8 miles away, straight line - Nearest geriatric medicine practice
- Usc Care Medical Group Inc, Los Angeles. 3.2 miles away, straight line. 2 geriatric medicine doctors listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: very high. By hazard: inland flooding relatively low, tornado very low, heat wave relatively low, earthquake very high. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| Los Angeles County Department of Public Health, Environmental Health kitchen inspections | Oct 15, 2026 | No kitchen matched |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: no FEMA wildfire rating of moderate or higher here |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Royal Gardens Healthcare a good nursing home?
CMS gives Royal Gardens Healthcare an overall rating of 2 out of 5 stars, including 4/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Royal Gardens Healthcare staffed?
Royal Gardens Healthcare reports 4.49 total nurse hours per resident per day, compared with the California average of 4.51.
Has Royal Gardens Healthcare had inspection problems?
Its most recent CMS inspection cited 23 deficiencies.
How many beds does Royal Gardens Healthcare have?
Royal Gardens Healthcare is certified for 43 beds.