ROYAL GARDENS HEALTHCARE
Certified for Medicare and Medicaid since 1968-04-03, ROYAL GARDENS HEALTHCARE is a 43-bed nursing home in ALHAMBRA, California, averaging 38.8 residents a day.
Has ROYAL GARDENS HEALTHCARE been cited for violations?
CMS lists 71 health-inspection deficiencies for ROYAL GARDENS HEALTHCARE, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is E; the most recent health inspection was 2026-04-16.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-04-16 | F0684, F0880 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide and implement an infection prevention and control program. | E |
| 2026-04-16 | F0558, F0656, F0755 | Reasonably accommodate the needs and preferences of each resident. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2026-04-09 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D |
| 2026-04-08 | F0691 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D |
| 2026-01-23 | F0584, F0686, F0726, F0755, F0757, F0759, F0812 | 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. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / 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. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Ensure medication error rates are not 5 percent or greater. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2026-01-23 | F0558, F0585, F0607, F0609, F0610, F0656, F0677, F0679, F0688, F0690, F0810, F0814, F0842 | Reasonably accommodate the needs and preferences of each resident. / 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. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide activities to meet all resident's needs. / 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. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide special eating equipment and utensils for residents who need them and appropriate assistance. / Dispose of garbage and refuse properly. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2026-01-23 | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B |
| 2026-01-13 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2025-08-21 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E |
| 2025-08-21 | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D |
| 2025-08-11 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2025-07-22 | F0880 | Provide and implement an infection prevention and control program. | E |
| 2025-04-22 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E |
| 2025-03-05 | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | D |
| 2024-12-05 | F0584, F0686, F0761, F0812, F0880 | 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. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. | E |
| 2024-12-05 | F0550, F0558, F0656, F0758, F0759 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Reasonably accommodate the needs and preferences of each resident. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Implement 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. / Ensure medication error rates are not 5 percent or greater. | D |
| 2024-12-05 | F0732, F0912 | Post nurse staffing information every day. / Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B |
| 2024-09-30 | F0732 | Post nurse staffing information every day. | D |
| 2024-07-31 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E |
| 2024-07-03 | F0600, F0657 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D |
| 2023-12-20 | F0825 | Provide or get specialized rehabilitative services as required for a resident. | E |
| 2023-12-20 | F0580, F0636 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D |
| 2023-12-10 | F0604, F0686, F0695, F0759, F0761, F0812 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure medication error rates are not 5 percent or greater. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2023-12-10 | F0584, F0656, F0657, F0689, F0690, F0693, F0755, F0758, F0842, F0881 | 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. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Ensure 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. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Implement 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Implement a program that monitors antibiotic use. | D |
| 2023-12-10 | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B |
How is ROYAL GARDENS HEALTHCARE staffed?
| Measure | This facility | CA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 4.53462 | 4.51570 |
| Total nursing staff turnover (%) | 58.5 | 36.7 |
| Average number of residents per day | 38.8 | 87.9 |
Who owns ROYAL GARDENS HEALTHCARE, and what chain is it in?
ROYAL GARDENS HEALTHCARE is registered with CMS as For profit - Individual, operates under the legal business name ROYAL GARDENS HEALTHCARE LLC and belongs to the SERRANO GROUP chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | GARDENS LICENSEE 4 LLC | since 01/01/2016 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | BIN MENDEL LLC, BL CALI PARTNERS LLC, JS FENTON LLC, RGF CONSULTING LLC, SERRANO GROUP LLC, SERRANO PARTNERS LLC, YAAME LLC, FENSTERMAN, HOWARD, FENSTERMAN, JORDAN, FENSTERMAN, ROBERT, JACOBS, DOV, LEIBSON, STACI, TAUB, JUDAH | since 01/01/2016 |
| CORPORATE OFFICER | JACOBS, DOV | since 01/01/2016 |
| OPERATIONAL/MANAGERIAL CONTROL | GARDENS LICENSEE 4 LLC, YU, ARMANDO | since 01/01/2016 |
Were you or a family member harmed at ROYAL GARDENS HEALTHCARE?