Royal Gardens Healthcare
2339 W. Valley Blvd. · Alhambra, CA · 91803 · 6262897809
43 certified beds For profit - Individual Chain: Serrano Group
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
- Staffing hours comfortably above national benchmarks.
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
Cited under the freedom-from-abuse rule
Cited 2 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.41 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.21 | 0.55–0.75 |
| Weekend hours / resident-day | 3.77 | ≈ weekday level |
| Nursing turnover / year | 57% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (72 in the current record)
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Potential for harm · D April 16, 2026 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Deficient, Provider has no plan of correction · Resident Rights
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Potential for harm · D April 16, 2026 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Deficient, Provider has no plan of correction · Resident Assessment and Care Planning
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Potential for harm · E April 16, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Deficient, Provider has no plan of correction · Quality of Life and Care
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Potential for harm · D April 16, 2026 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Deficient, Provider has no plan of correction · Pharmacy Service
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Potential for harm · E April 16, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Deficient, Provider has no plan of correction · Infection Control
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Potential for harm · D April 9, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 15, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 8, 2026 · found via complaint
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Corrected April 15, 2026 · Quality of Life and Care
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Potential for harm · D January 23, 2026
Reasonably accommodate the needs and preferences of each resident.
Corrected February 16, 2026 · Resident Rights
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Potential for harm · E January 23, 2026
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.
Corrected February 16, 2026 · Resident Rights
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Potential for harm · D January 23, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 16, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 23, 2026
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected February 16, 2026 · Quality of Life and Care
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Potential for harm · D January 23, 2026
Provide activities to meet all resident's needs.
Corrected February 16, 2026 · Quality of Life and Care
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Potential for harm · E January 23, 2026
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected February 16, 2026 · Quality of Life and Care
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Potential for harm · D January 23, 2026
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected February 16, 2026 · Quality of Life and Care
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Potential for harm · D January 23, 2026
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected February 16, 2026 · Quality of Life and Care
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Potential for harm · E January 23, 2026
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.
Corrected February 16, 2026 · Nursing and Physician Services
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Potential for harm · E January 23, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected February 16, 2026 · Pharmacy Service
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Potential for harm · E January 23, 2026
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected February 16, 2026 · Pharmacy Service
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Potential for harm · E January 23, 2026
Ensure medication error rates are not 5 percent or greater.
Corrected February 16, 2026 · Pharmacy Service
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Potential for harm · D January 23, 2026
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected February 16, 2026 · Nutrition and Dietary
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Potential for harm · E January 23, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 16, 2026 · Nutrition and Dietary
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Potential for harm · D January 23, 2026
Dispose of garbage and refuse properly.
Corrected February 16, 2026 · Nutrition and Dietary
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Potential for harm · D January 23, 2026
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected February 16, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 23, 2026 · found via complaint
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.
Corrected February 16, 2026 · Resident Rights
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Potential for harm · D January 23, 2026 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected February 16, 2026 · Freedom from Abuse, Neglect, and Exploitation
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 055818 · certified since April 3, 1968. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.