82/100
Above average
Royal Terrace Healthcare
1340 Highland Ave., Duarte, CA 91010
- Certified beds
- 58
- Occupancy
- 87%
- Ownership
- For-profit
- Accepts
- Medicare + Medicaid
Our read on Royal Terrace Healthcare
Royal Terrace Healthcare runs 4.73 nurse hours per resident day, about 23% above the national average, and its quality measure scores come in at the top of CMS's five-star scale. Those are real strengths, and they're why this Duarte home lands where it does. The friction sits elsewhere: staff turnover runs 55.6% against a 45.8% national figure, weekends are about 12% thinner than weekdays, and the current record carries 38 deficiencies, two tied to abuse, though none at the harm or jeopardy level. A for-profit LLC operation with 58 beds and a May 2026 inspection. The clinical numbers look better than the workforce numbers. Ask about weekend coverage and how long the current director of nursing has been there.
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
22/30Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
- →4.58 total nurse hours per resident per day (national median 3.77)
- →0.53 RN hours per resident per day
- →Weekend staffing drops 12% 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.
- →56% of nursing staff left in the last year
Resident outcomes
15/15The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
- →5 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: May 22, 2026 (5 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 Terrace Healthcare
What is the ElderGrade for Royal Terrace Healthcare? +
Royal Terrace Healthcare holds an ElderGrade of B (82 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 Terrace Healthcare? +
Residents receive an average of 4.73 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Has Royal Terrace 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 Terrace Healthcare accept Medicaid? +
Yes, Royal Terrace 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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