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SERRANO GROUP

Every nursing home CMS records under this group, and how the portfolio performs as a whole. Consistency across a group says more about an operator than any single building.

Homes

11

States

1

Beds

1,235

Avg score

72.7

Avg turnover

43%

Federal fines

$715,178

Flags across this group

3 of the group's homes carry a CMS abuse icon. 2 homes are in or a candidate for the Special Focus Facility programme.

All 11 homes

A

88/100

Palazzo Post Acute

Los Angeles, CA · Los Angeles County

CMS 4/599 bedsFor-profitMedicaid
Nurse hours
4.15 /day
Staff turnover
30%
Serious cites
0

Palazzo Post Acute runs about 4.15 nurse hours per resident day, roughly 7% above the national average, and its staff turnover of 30.3% sits well below the national 45.8%, that retention matters, because consistent caregivers know the residents. Weekend staffing dips about 9% below weekday levels, so ask how that plays out on Saturdays and Sundays. The record shows 45 deficiencies, including one at the harm level and two tied to abuse, which is a lot to carry; the most recent inspection was June 2025. Quality measures score high, but inspection history is where the caution sits.

A

85/100

Monrovia Post Acute

Duarte, CA · Los Angeles County

CMS 3/582 bedsFor-profitMedicaid
Nurse hours
4.36 /day
Staff turnover
40%
Serious cites
0

Monrovia Post Acute sits in Duarte with 82 certified beds, run by a for-profit limited liability company. The staffing numbers are the bright spot: 4.36 nurse hours per resident day, roughly 13% above the national average, and turnover at 39.5% is better than the 45.8% national figure. Weekends run about 12% leaner than weekdays, so coverage isn't perfectly even. The inspection record is where the picture darkens, 59 deficiencies on file, including one at the harm or jeopardy level and three tied to abuse. A 2/5 health inspection rating against a 5/5 quality measure score is a strange split. The last inspection was April 2026, so that record is current.

B

82/100

Royal Terrace Healthcare

Duarte, CA · Los Angeles County

CMS 3/558 bedsFor-profitMedicaid
Nurse hours
4.73 /day
Staff turnover
56%
Serious cites
0

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.

B

81/100

Corona Post Acute Center

Corona, CA · Riverside County

CMS 1/5176 bedsFor-profitMedicaid
Nurse hours
4.04 /day
Staff turnover
48%
Serious cites
0

Corona Post Acute Center has 176 certified beds and a nurse staffing level of 4.04 hours per resident day, roughly 5% above the national average, but weekend coverage drops about 6% below its own weekday numbers, so care thins out when families tend to visit. Staff turnover sits at 48.4%, a few points above the national figure, and the health inspection record is the real concern: 77 deficiencies on file, including two at the harm or jeopardy level and one tied to abuse. That inspection history is the main reason this for-profit, individually owned home lands where it does, despite solid quality measure scores.

B

78/100

Royal Palms Post Acute

Glendale, CA · Los Angeles County

CMS 2/5140 bedsFor-profitMedicaid
Nurse hours
3.97 /day
Staff turnover
30%
Serious cites
0

Royal Palms Post Acute sits in Glendale with 140 certified beds, run by a for-profit limited liability company, and its numbers pull in two directions. Nurse staffing runs 3.97 hours per resident day, slightly above the national average, and weekend coverage dips only about 7% below weekdays. Turnover is 30.3%, notably better than the 45.8% national figure, which matters for consistency of care. The problem is the inspection record: 97 deficiencies, including 9 abuse-related and 2 at harm or jeopardy level, with $79,980 in fines and a 1-out-of-5 health inspection rating. Strong quality measure scores and decent staffing can't offset that history.

B

77.5/100

Royal Gardens Healthcare

Alhambra, CA · Los Angeles County

CMS 2/543 bedsFor-profitMedicaid
Nurse hours
4.53 /day
Staff turnover
59%
Serious cites
0

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.

B

72/100

Rialto Post Acute Center

Rialto, CA · San Bernardino County

CMS 2/5177 bedsFor-profitMedicaid
Nurse hours
4.21 /day
Staff turnover
50%
Serious cites
0

Rialto Post Acute Center runs 177 certified beds under corporate ownership, and its nurse staffing sits at 4.21 hours per resident day, roughly 9% above the national average of 3.86. That part is genuinely better than average. But weekends drop about 10% below its own weekday coverage, and annual turnover hits 50.2% against a national 45.8%, so the same faces aren't always there. The inspection record is where families should slow down: 32 deficiencies currently on file, two of them at harm or jeopardy level, three abuse-related, plus $23,621 in fines. The most recent inspection was January 8, 2026, so it's recent. With a 2/5 health inspection rating, the staffing edge is doing a lot of work holding this one up.

C

64/100

Long Beach Healthcare Center

Long Beach, CA · Los Angeles County

CMS 1/5154 bedsFor-profitMedicaid
Nurse hours
4.13 /day
Staff turnover
46%
Serious cites
0

Abuse icon on record

Long Beach Healthcare Center runs 154 certified beds under for-profit LLC ownership, and its nurse staffing sits at 4.13 hours per resident day, roughly 7% above the national average of 3.86. But weekends drop about 10% below its own weekday levels, so coverage thins out exactly when families tend to visit. The bigger issue is the inspection record: 104 deficiencies, including 5 at the harm or jeopardy level and 15 tied to abuse, with three fines totaling $74,841 and a 1-out-of-5 health inspection rating. Staff turnover (45.7%) is essentially the national average (45.8%). Quality measures rate 4 out of 5, but that doesn't offset a documented history this serious.

C

64/100

Hollywood Premier Healthcare Center

Los Angeles, CA · Los Angeles County

CMS 1/599 bedsFor-profitMedicaid
Nurse hours
4.11 /day
Staff turnover
20%
Serious cites
0

Abuse icon on record

Staffing at Hollywood Premier is genuinely better than most: 4.11 nurse hours per resident day, roughly 6% above the national average, and turnover of 19.8% is less than half the national rate. Weekend coverage dips about 10% below weekdays, but that's a modest gap. The problem sits on the inspection side. The current record carries 81 deficiencies, including two at harm or jeopardy level and five tied to abuse, with one fine of $17,342. The last inspection was in August 2025, so this is a recent picture, not old history. Good staffing can't offset that many serious findings, tour it, but ask hard questions about the abuse citations.

D

54/100

California Post Acute

Los Angeles, CA · Los Angeles County

CMS 1/566 bedsFor-profitMedicaid
Nurse hours
4.03 /day
Staff turnover
48%
Serious cites
0

Special Focus Facility

California Post Acute sits in a tough spot for a family trying to decide. The raw staffing number, 4.03 hours per resident day, actually edges past the national average, but that average hides a lot, weekends run about 5% thinner than weekdays, and nearly half the nursing staff turns over each year, so the people providing care keep changing. What the record shows is harder to look past: 131 deficiencies, 13 of them serious enough to put residents in harm's way, 12 tied to abuse, and four fines totaling more than $215,000. Federal regulators have placed it in the Special Focus Facility program, which is reserved for the country's most troubled homes. The most recent inspection was in July 2025.

D

54/100

Maclay Healthcare Center

Sylmar, CA · Los Angeles County

CMS 2/5141 bedsFor-profitMedicaid
Nurse hours
4.10 /day
Staff turnover
44%
Serious cites
0

Abuse icon on record

Maclay Healthcare Center has 141 certified beds in Sylmar, and it's owned by a for-profit limited liability company. Nurse staffing runs about 4.10 hours per resident day, roughly 6% above the national average, with weekend coverage about 9% thinner than weekdays, and staff turnover at 43.5% sits just under the national figure. Those numbers aren't the problem. The inspection record is: 185 deficiencies, 12 at harm or jeopardy level, 23 abuse-related, and $384,678 in fines across seven penalties. CMS has placed this home in its Special Focus Facility program, a designation reserved for homes with a persistent pattern of serious problems. Its last inspection was January 16, 2026. Strong quality scores can't offset that inspection history.