77.5/100
Above average
Royal Gardens Healthcare
2339 W. Valley Blvd., Alhambra, CA 91803
- Certified beds
- 43
- Occupancy
- 90%
- Ownership
- For-profit
- Accepts
- Medicare + Medicaid
Our read on Royal Gardens Healthcare
Royal Gardens Healthcare runs 43 certified beds in Alhambra under individual for-profit ownership, and the staffing numbers are genuinely better than most: 4.53 nurse hours per resident day, roughly 17 percent above the national average. That strength comes with an asterisk, weekends run about 16 percent below the home's own weekday level, and annual turnover sits at 58.5 percent against a national 45.8 percent, so the people providing that care keep changing. The inspection record is where the picture darkens: a 1-out-of-5 health inspection rating, 72 deficiencies on the current record, seven tied to abuse. None were cited at the harm or jeopardy level, and the most recent inspection was in January 2026, so the record is current rather than stale.
Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.
How this grade was calculated
Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.
A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.
Inspection safety
30/30Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
- →No citations recorded in the last 3 years
Staffing
20.5/30Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
- →4.31 total nurse hours per resident per day (national median 3.77)
- →1.17 RN hours per resident per day
- →Weekend staffing drops 16% against weekdays
Staff stability
5/15How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
- →59% of nursing staff left in the last year
Resident outcomes
12/15The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
- →4 of 5 stars on the CMS quality-measure rating
Enforcement history
10/10Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
- →No federal fines on record
Staffing, against the national average
Full detailHours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Recent inspection findings
Last standard health inspection: January 23, 2026 (9 months ago). No citations were recorded.
No health-inspection citations on record for this facility in the current CMS release.
Who owns this home
Full recordPart of SERRANO GROUP, which operates 11 homes. Staffing budgets are usually set at chain level, not in the building.
What families say
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Common questions about Royal Gardens Healthcare
What is the ElderGrade for Royal Gardens Healthcare? +
Royal Gardens Healthcare holds an ElderGrade of B (77.5 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
How many nursing hours does each resident get at Royal Gardens Healthcare? +
Residents receive an average of 4.53 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Has Royal Gardens Healthcare been cited for harming residents? +
No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.
Does Royal Gardens Healthcare accept Medicaid? +
Yes, Royal Gardens Healthcare is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.
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