Nursing home
Royal Terrace Healthcare
1340 Highland Ave., Duarte, CA 91010 · Map
For profit - Limited Liability company · Part of Serrano Group (11 facilities) · 58 certified beds
Royal Terrace Healthcare is a Medicare-certified nursing home in Duarte, California. CMS rates it 4 out of 5 stars overall (2/5 for staffing, 3/5 for health inspections). Nurse staffing is 4.46 hours per resident per day, below the California average of 4.51. Its most recent inspection on May 30, 2025 cited 16 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Royal Terrace 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) | 4.46 | 4.51 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.47 | 0.65 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.56 | 2.64 | 2.34 | below avg |
| Nursing staff turnover | 46.9% | 38.1% | 46.4% | above avg |
| Deficiencies cited, last inspection | 16.0 | 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 Terrace 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
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nursing and Physician Services Deficiencies · Dec 23, 2025 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Oct 28, 2025 · Full report (PDF) - Potential for harm
Develop 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 Deficiencies · Sep 19, 2025 · 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 · Sep 19, 2025 · Full report (PDF) - Potential for harm
Protect 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 Deficiencies · Sep 19, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Sep 10, 2025 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Jul 31, 2025 · Full report (PDF) - 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 · May 30, 2025 · Full report (PDF) - Potential for harm
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights Deficiencies · May 30, 2025 · Full report (PDF) - Potential for harm
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · May 30, 2025 · 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 · May 30, 2025 · Full report (PDF) - Potential for harm
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · May 30, 2025 · 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
- 1340 Highland Ave.
Duarte, CA 91010 - CMS certification #
- 055541
- Ownership
- For profit - Limited Liability company
- Certified beds
- 58
- Avg residents/day
- 50.8
- Provider type
- Medicare and Medicaid
- First certified
- 1996-05-30
- 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 Terrace Healthcare using Google Maps.
Other public records
- Staff pay 1 federal wage case with violations found, since 2003
Full public records, with dates and sources
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 Mar 16, 2003 to Jul 23, 2005. Violations found: Overtime. Back wages: $34,785 owed to 29 employees. Employer as DOL recorded it: Royal Terrace Health Care (Royal Terrace LLC). Case 1417566.
DOL also concluded 1 case here with no violations found, most recently for a period ending Jan 23, 2009.
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.
Location and nearby care
- Nearest hospital with an emergency room
- Usc Arcadia Hospital, Arcadia. 4.1 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Royal Oaks Manor-bradbury Oaks, Duarte. 0.4 miles away, straight line.
- Nearest home health agency office
- True Care Home Health Agency, Inc, Duarte. 0.2 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 0.8 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 91010 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Mountain View Dialysis Center, Inc., Monrovia, 1.0 mile away, straight line (CMS rating 2 of 5 stars)
Monrovia Dialysis Facility, Monrovia, 1.8 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars)
Fmc Dialysis Services Of Irwindale, Irwindale, 2.8 miles away, straight line (CMS rating 4 of 5 stars) - Hospice
- 128 Medicare hospices tell CMS they serve ZIP code 91010.
Virgo Hospice Inc, office in Duarte, 0.2 miles away, straight line
Skye Healthcare Services, Inc, office in Duarte, 0.5 miles away, straight line
Helpful Hands Hospice Care Inc, office in Monrovia, 2.3 miles away, straight line - Nearest geriatric medicine practice
- Southern California Permanente Medical Group, West Covina. 5.0 miles away, straight line. 1 geriatric medicine doctor 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)
- Wildfire risk to homes
- In Duarte, CA, risk to homes is greater than 54% of communities in California and 86% of communities nationwide. USDA rates the whole town or city, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: relatively high. By hazard: inland flooding relatively high, wildfire relatively moderate, tornado relatively 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 | Nothing on record |
| 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 | See above |
| 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 |
Looking for assisted living or memory care instead?
Frequently asked questions
Is Royal Terrace Healthcare a good nursing home?
CMS gives Royal Terrace Healthcare an overall rating of 4 out of 5 stars, including 2/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Royal Terrace Healthcare staffed?
Royal Terrace Healthcare reports 4.46 total nurse hours per resident per day, compared with the California average of 4.51.
Has Royal Terrace Healthcare had inspection problems?
Its most recent CMS inspection cited 16 deficiencies.
How many beds does Royal Terrace Healthcare have?
Royal Terrace Healthcare is certified for 58 beds.