Nursing HomeMedicaid

Royal Terrace Healthcare

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

1340 Highland Ave., Duarte, CA 91010|58 beds|Licensed & Active

3/5

Medicare

Inspection

Quality

Staffing

Google rating

3.9/5

based on 24 Google reviews

(626) 256-4654 Directions Website

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What this means for your family

This facility is an excellent choice for patients focused on intensive physical rehabilitation and mobility recovery. However, families should remain vigilant and conduct unannounced visits, as some reviewers have reported serious concerns regarding staff respect and responsiveness to medical changes.

Google Reviews

24 reviews on Google

“Royal Terrace Healthcare is highly regarded by many families for its exceptional physical therapy and rehabilitation services, with several reviewers noting significant improvements in mobility. However, there are serious allegations regarding patient mistreatment, lack of responsiveness to medical concerns, and unprofessional staff behavior that should be investigated.”

Quality Themes

Tap a score for details

Strengths

Exceptional physical therapy and rehab team
Kind and motivating rehabilitation staff
Friendly and professional nursing staff
Supportive social work and activities departments

Concerns

Allegations of patient mistreatment and disrespect (mentioned by 2 reviewers)
Failure to respond to urgent medical changes

Rating Trends

Tap a year to see what changed

Distribution · 27 analyzed

How They Respond to Reviews

0%response rate

Questions for Your Tour

1We've heard wonderful things about your physical therapy and rehab team; can you tell us more about how they work with residents to meet their mobility goals?
2How does the nursing team ensure that any sudden or urgent changes in a resident's medical condition are communicated immediately to the family?
3What specific steps are in place to ensure every resident is treated with the utmost dignity and respect by all staff members?
4How does the facility manage communication between the nursing staff and family members to keep us updated on daily care?
5Could you describe some of the social activities or group events the social work department organizes to keep residents engaged?
6With the recent focus on improving staffing levels, what specific changes are being made to ensure residents receive consistent, attentive care?

Personalized based on this facility's data

Key Review Excerpts

“Our Mom was not able to walk when she got there but left there walking.”

Long-term resident's family · 2026★★★★★

“The rehab staff is so kind, motivating and extremely caring. They helped me walk again!”

Rehab patient · 2025★★★★★

“They treat my grandpa like trash. They take his stuff, mock him, threaten him and are disrespectful too him.”

Long-term resident's family · 2024★☆☆☆☆

Source: 24 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026

RN Hours

0.49hrs

65%

Registered nurses for medical care

Total Nursing

4.40hrs

All nurses + aides combined

Staff Turnover

49%

Lower is better (< 30% = good)

RN Turnover

70%

Lower is better (< 30% = good)

RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating

4/ 5

Better Than Avg

measures

Worse Than Avg

measures

Mixed Results

measures

Long-Stay Residents

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better

This Facility7.9%

Better than Avg

Here

7.9%

19.5%

13.7%

Los angeles

10.8%

💊

Residents on antipsychotic medication

↓ Lower is better

This Facility6.6%

Better than Avg

Here

6.6%

15.5%

11.7%

Los angeles

11.4%

💉

Residents vaccinated for pneumonia

↑ Higher is better

This Facility100.0%

Better than Avg

Here

100.0%

93.4%

98.6%

Los angeles

99.1%

🚶

Residents whose walking got worse

↓ Lower is better

This Facility9.3%

Better than Avg

Here

9.3%

15.3%

10.5%

Los angeles

9.5%

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better

This Facility13.5%

Mixed vs Avgs

Here

13.5%

19.4%

10.7%

Los angeles

9.7%

🛏️

Residents needing more daily help over time

↓ Lower is better

This Facility9.0%

Better than Avg

Here

9.0%

14.4%

10.4%

Los angeles

12.5%

Short-Stay Residents (Rehab / Post-Acute)

💉

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility100.0%

Better than Avg

Here

100.0%

79.8%

93.2%

Los angeles

92.5%

💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility100.0%

Better than Avg

Here

100.0%

81.8%

94.2%

Los angeles

94.5%

💊

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility0.8%

Better than Avg

Here

0.8%

1.6%

1.5%

Los angeles

1.5%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

16deficiencies

Above state avg (15.4)

12 complaint-triggered

Royal Terrace Healthcare shows concerning patterns of recurring deficiencies across multiple areas, with families filing 12 complaint-triggered reports. The most frequent issues involve safety hazards and accident prevention, care planning problems, and nursing staff adequacy. While all deficiencies show correction dates, the same problems persistently reappear across surveys, particularly around resident safety and staffing levels, suggesting ongoing operational challenges that families should carefully consider.

Dec 23, 2025Complaint1 finding

0727Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

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.

Oct 28, 2025Complaint1 finding

0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Sep 19, 2025Complaint3 findings

0600Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Sep 10, 2025Complaint1 finding

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Jul 31, 2025Complaint1 finding

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

May 30, 2025Routine14 findings

0578Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0918Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0355Potential for harm · IsolatedCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0912Minimal · Pattern

Environmental Deficiencies

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Royal Terrace Healthcare

Organization Type

for profit

Chain Affiliation

Chain Name

Serrano Group

Chain Size

11 facilities nationwide

Chain avg rating: 2.3/5 · Rank 2 of 11 (Best)

Ownership & Management

Owners

Terrace Licensee 7

Owner · Organization

100%

Bin Mendel LLC