ROYAL TERRACE HEALTHCARE
1340 HIGHLAND AVE., DUARTE, CA 91010 · CCN 055541
Ratings
- Overall
- ★★★★☆ 4
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★★★ 5
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 58
- Avg residents/day
- 50.8
- Phone
- 6262564654
Inspection history vs California & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | California avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-05-30 | 17 | 15.6 | 9.5 | +1.4 worse |
| 2 | 2024-06-16 | 13 | 17.4 | 9.8 | -4.4 better |
| 3 | 2022-01-21 | 10 | 17.1 | 9.3 | -7.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 2 |
| Quality of life and care | 5 |
| Resident assessment and care planning | 2 |
| Nursing and physician services | 1 |
| Resident rights | 3 |
| Nutrition and dietary | 1 |
| Pharmacy service | 2 |
| Environmental | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.46 | 46.9% |
| RN staffing (reported) | 0.47 | 71.4% |
| Total nurse staffing (adjusted) | 4.14 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- SERRANO GROUP
- Facilities in chain
- 11
- Chain avg overall
- 2.30 / 5
Inspection citations (40)
- FF0727Have 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.2025-12-23 · Health · corrected 2026-01-16
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-10-28 · Health · corrected 2025-11-21
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-09-19 · Health · corrected 2025-09-28
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-09-19 · Health · corrected 2025-09-28
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-09-19 · Health · corrected 2025-11-19
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-09-10 · Health · corrected 2025-09-25
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-07-31 · Health · corrected 2025-08-20
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-05-30 · Health · corrected 2025-06-19
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2025-05-30 · Health · corrected 2025-06-20
Potential for more than minimal harm
- EF0578Honor 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.2025-05-30 · Health · corrected 2025-06-19
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-05-30 · Health · corrected 2025-06-19
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-05-30 · Health · corrected 2025-06-09
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2025-05-30 · Health · corrected 2025-06-03
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-05-30 · Health · corrected 2025-06-19
Potential for more than minimal harm
- DF0761Ensure 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.2025-05-30 · Health · corrected 2025-05-30
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-05-30 · Health · corrected 2025-06-19
Potential for more than minimal harm
- BF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2025-05-30 · Health · corrected 2025-05-30
Potential for minimal harm
- EF0578Honor 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.2024-06-16 · Health · corrected 2024-07-01
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-06-16 · Health · corrected 2024-07-03
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-06-16 · Health · corrected 2024-07-05
Potential for more than minimal harm
- EF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2024-06-16 · Health · corrected 2024-07-08
Potential for more than minimal harm
- EF0695Provide safe and appropriate respiratory care for a resident when needed.2024-06-16 · Health · corrected 2024-07-03
Potential for more than minimal harm
- DF0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.2024-06-16 · Health · corrected 2024-07-08
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-06-16 · Health · corrected 2024-07-01
Potential for more than minimal harm
- BF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2024-06-16 · Health · corrected 2024-07-01
Potential for minimal harm
- EF0558Reasonably accommodate the needs and preferences of each resident.2024-04-30 · Health · corrected 2024-06-06
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-04-30 · Health · corrected 2024-06-06
Potential for more than minimal harm
- EF0688Provide 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.2024-04-30 · Health · corrected 2024-06-06
Potential for more than minimal harm
- EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-04-30 · Health · corrected 2024-06-06
Potential for more than minimal harm
- EF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-04-30 · Health · corrected 2024-05-23
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2022-01-21 · Health · corrected 2022-03-01
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2022-01-21 · Health · corrected 2022-03-01
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-01-21 · Health · corrected 2022-03-01
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2022-01-21 · Health · corrected 2022-03-01
Potential for more than minimal harm
- EF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2022-01-21 · Health · corrected 2022-03-01
Potential for more than minimal harm
- EF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2022-01-21 · Health · corrected 2022-03-01
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2022-01-21 · Health · corrected 2022-03-01
Potential for more than minimal harm
- DF0881Implement a program that monitors antibiotic use.2022-01-21 · Health · corrected 2022-03-01
Potential for more than minimal harm
- BF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2022-01-21 · Health · corrected 2022-03-01
Potential for minimal harm
- EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2022-01-21 · Health · corrected 2022-03-01
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| TERRACE LICENSEE 7 | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2016-01-01 |
| BIN MENDEL LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2016-01-01 |
| BL CALI PARTNERS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2016-01-01 |
| JS FENTON LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2016-01-01 |
| RGF CONSULTING LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2016-01-01 |
| SERRANO GROUP LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2016-01-01 |
| SERRANO PARTNERS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2016-01-01 |
| YAAME LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2016-01-01 |
| FENSTERMAN, HOWARD | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2016-01-01 |
| FENSTERMAN, JORDAN | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2016-01-01 |
| FENSTERMAN, ROBERT | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2016-01-01 |
| JACOBS, DOV | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2016-01-01 |
| LANDA, BENJAMIN | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2016-01-01 |
| LEIBSON, STACI | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2016-01-01 |
| TAUB, JUDAH | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2016-01-01 |
| TERRACE LICENSEE 7 | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-01-01 |
| JACOBS, DOV | Individual | CORPORATE OFFICER | — | 2016-01-01 |
Other facilities in DUARTE
| Name | Overall | Beds |
|---|---|---|
| MONROVIA POST ACUTE | ★★★☆☆ | 82 |
| COMMUNITY CARE CENTER | ★★★☆☆ | 145 |
| ROYAL OAKS MANOR-BRADBURY OAKS | ★★★☆☆ | 48 |
| MONTE VISTA HEALTHCARE CENTER | ★★☆☆☆ | 69 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.