Starfile / California

ROYAL VISTA CARE CENTER

909 W. SANTA ANITA AVE, SAN GABRIEL, CA 91776 · CCN 055105

Inspection history vs California & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$2,818

Number of fines

1

Number of penalties

1

Payment denials

0

Chain

Chain

AHMC HEALTHCARE

Facilities in chain

5

Chain avg overall

3.00 / 5

Inspection citations (82)1 actual harm

1. EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2025-03-13 · Health · corrected 2025-04-04

   Potential for more than minimal harm

2. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-03-03 · Health · corrected 2025-03-26

   Potential for more than minimal harm

3. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-03-03 · Health · corrected 2025-03-26

   Potential for more than minimal harm

4. DF0880Provide and implement an infection prevention and control program.2025-03-03 · Health · corrected 2025-03-26

   Potential for more than minimal harm

5. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-01-29 · Health · corrected 2025-02-17

   Actual harm

6. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-01-10 · Health · corrected 2025-02-06

   Potential for more than minimal harm

7. DF0880Provide and implement an infection prevention and control program.2025-01-10 · Health · corrected 2025-02-06

   Potential for more than minimal harm

8. EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-12-18 · Health · corrected 2025-01-13

   Potential for more than minimal harm

9. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-12-18 · Health · corrected 2025-01-13

   Potential for more than minimal harm

10. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-11-21 · Health · corrected 2024-12-16

    Potential for more than minimal harm

11. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2024-11-21 · Health · corrected 2024-12-16

    Potential for more than minimal harm

12. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2024-11-21 · Health · corrected 2024-12-16

    Potential for more than minimal harm

13. DF0558Reasonably accommodate the needs and preferences of each resident.2024-11-21 · Health · corrected 2024-12-16

    Potential for more than minimal harm

14. DF0578Honor 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.2024-11-21 · Health · corrected 2024-12-16

    Potential for more than minimal harm

15. DF0583Keep residents' personal and medical records private and confidential.2024-11-21 · Health · corrected 2024-12-16

    Potential for more than minimal harm

16. EF0584Honor 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.2024-11-21 · Health · corrected 2024-12-16

    Potential for more than minimal harm

17. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-11-21 · Health · corrected 2024-12-16

    Potential for more than minimal harm

18. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-11-21 · Health · corrected 2024-12-16

    Potential for more than minimal harm

19. EF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2024-11-21 · Health · corrected 2024-12-16

    Potential for more than minimal harm

20. EF0679Provide activities to meet all resident's needs.2024-11-21 · Health · corrected 2024-12-16

    Potential for more than minimal harm

21. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-11-21 · Health · corrected 2024-12-16

    Potential for more than minimal harm

22. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-11-21 · Health · corrected 2024-12-16

    Potential for more than minimal harm

23. DF0692Provide enough food/fluids to maintain a resident's health.2024-11-21 · Health · corrected 2024-12-16

    Potential for more than minimal harm

24. DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2024-11-21 · Health · corrected 2024-12-16

    Potential for more than minimal harm

25. DF0697Provide safe, appropriate pain management for a resident who requires such services.2024-11-21 · Health · corrected 2024-12-16

    Potential for more than minimal harm

26. BF0732Post nurse staffing information every day.2024-11-21 · Health · corrected 2024-12-16

    Potential for minimal harm

27. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-11-21 · Health · corrected 2024-12-16

    Potential for more than minimal harm

28. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-11-21 · Health · corrected 2024-12-16

    Potential for more than minimal harm

29. EF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2024-11-21 · Health · corrected 2024-12-16

    Potential for more than minimal harm

30. EF0759Ensure medication error rates are not 5 percent or greater.2024-11-21 · Health · corrected 2024-12-16

    Potential for more than minimal harm

31. DF0760Ensure that residents are free from significant medication errors.2024-11-21 · Health · corrected 2024-12-16

    Potential for more than minimal harm

32. EF0761Ensure 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.2024-11-21 · Health · corrected 2024-12-16

    Potential for more than minimal harm

33. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2024-11-21 · Health · corrected 2024-12-16

    Potential for more than minimal harm

34. DF0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.2024-11-21 · Health · corrected 2024-12-16

    Potential for more than minimal harm

35. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-11-21 · Health · corrected 2024-12-16

    Potential for more than minimal harm

36. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-11-21 · Health · corrected 2024-12-16

    Potential for more than minimal harm

37. EF0880Provide and implement an infection prevention and control program.2024-11-21 · Health · corrected 2024-12-16

    Potential for more than minimal harm

38. BF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2024-11-21 · Health · corrected 2024-12-16

    Potential for minimal harm

39. DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2024-11-21 · Health · corrected 2024-12-16

    Potential for more than minimal harm

40. EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2024-11-21 · Health · corrected 2024-12-16

    Potential for more than minimal harm

41. DF0573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.2024-10-24 · Health · corrected 2024-11-15

    Potential for more than minimal harm

42. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-10-08 · Health · corrected 2024-11-01

    Potential for more than minimal harm

43. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-10-02 · Health · corrected 2024-11-08

    Potential for more than minimal harm

44. DF0583Keep residents' personal and medical records private and confidential.2024-09-25 · Health · corrected 2024-10-18

    Potential for more than minimal harm

45. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-09-23 · Health · corrected 2024-10-17

    Potential for more than minimal harm

46. EF0761Ensure 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.2024-09-23 · Health · corrected 2024-10-17

    Potential for more than minimal harm

47. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-08-05 · Health · corrected 2024-08-27

    Potential for more than minimal harm

48. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-02-02 · Health · corrected 2024-02-29

    Potential for more than minimal harm

49. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-02-02 · Health · corrected 2024-02-29

    Potential for more than minimal harm

50. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-01-04 · Health · corrected 2024-01-19

    Potential for more than minimal harm

51. DF0558Reasonably accommodate the needs and preferences of each resident.2023-12-08 · Health · corrected 2023-12-29

    Potential for more than minimal harm

52. 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.2023-12-08 · Health · corrected 2023-12-29

    Potential for more than minimal harm

53. EF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2023-12-08 · Health · corrected 2023-12-29

    Potential for more than minimal harm

54. DF0641Ensure each resident receives an accurate assessment.2023-12-08 · Health · corrected 2023-12-29

    Potential for more than minimal harm

55. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-12-08 · Health · corrected 2023-12-29

    Potential for more than minimal harm

56. EF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2023-12-08 · Health · corrected 2023-12-29

    Potential for more than minimal harm

57. EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-12-08 · Health · corrected 2023-12-29

    Potential for more than minimal harm

58. EF0759Ensure medication error rates are not 5 percent or greater.2023-12-08 · Health · corrected 2023-12-29

    Potential for more than minimal harm

59. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-12-08 · Health · corrected 2023-12-29

    Potential for more than minimal harm

60. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-12-08 · Health · corrected 2023-12-29

    Potential for more than minimal harm

61. DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2023-12-08 · Health · corrected 2023-12-29

    Potential for more than minimal harm

62. FF0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.2023-12-08 · Health · corrected 2023-12-29

    Potential for more than minimal harm

63. EF0880Provide and implement an infection prevention and control program.2023-12-08 · Health · corrected 2023-12-29

    Potential for more than minimal harm

64. BF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2023-12-08 · Health · corrected 2023-12-29

    Potential for minimal harm

65. DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2023-12-08 · Health · corrected 2023-12-29

    Potential for more than minimal harm

66. EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-12-08 · Health · corrected 2023-12-29

    Potential for more than minimal harm

67. EF0584Honor 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.2023-10-12 · Health · corrected 2023-11-09

    Potential for more than minimal harm

68. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-10-12 · Health · corrected 2023-11-09

    Potential for more than minimal harm

69. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-08-23 · Health · corrected 2023-09-11

    Potential for more than minimal harm

70. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-08-10 · Health · corrected 2023-09-05

    Potential for more than minimal harm

71. DF0641Ensure each resident receives an accurate assessment.2023-08-02 · Health · corrected 2023-08-10

    Potential for more than minimal harm

72. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-08-02 · Health · corrected 2023-08-10

    Potential for more than minimal harm

73. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-04-26 · Health · corrected 2023-05-01

    Potential for more than minimal harm

74. DF0578Honor 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.2021-05-07 · Health · corrected 2021-06-11

    Potential for more than minimal harm

75. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2021-05-07 · Health · corrected 2021-06-11

    Potential for more than minimal harm

76. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2021-05-07 · Health · corrected 2021-06-11

    Potential for more than minimal harm

77. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2021-05-07 · Health · corrected 2021-06-11

    Potential for more than minimal harm

78. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2021-05-07 · Health · corrected 2021-06-11

    Potential for more than minimal harm

79. DF0692Provide enough food/fluids to maintain a resident's health.2021-05-07 · Health · corrected 2021-06-11

    Potential for more than minimal harm

80. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2021-05-07 · Health · corrected 2021-06-11

    Potential for more than minimal harm

81. DF0800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.2021-05-07 · Health · corrected 2021-06-11

    Potential for more than minimal harm

82. BF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2021-05-07 · Health · corrected 2021-06-11

    Potential for minimal harm

Ownership

Other facilities in SAN GABRIEL

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.