Royal Gardens Healthcare
2339 W. Valley Blvd., Alhambra, CA 91803 · (626) 289-7809
For profit - Individual · 43 certified beds
Royal Gardens Healthcare has a 2-star overall rating from Medicare, out of 5. Its last standard inspection, in January 2026, found 21 citations (the California average is 15.6). It hasn't been fined in the last three years.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 2 out of 5 stars · Below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 2 out of 5 stars · Below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 4 out of 5 stars · Above average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 4 out of 5 stars · Above average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on January 23, 2026 found 21 citations. What an inspection citation means
- 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.January 23, 2026 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.January 23, 2026 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.January 23, 2026 · F0726 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.January 23, 2026 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure each resident’s drug regimen must be free from unnecessary drugs.January 23, 2026 · F0757 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure medication error rates are not 5 percent or greater.January 23, 2026 · F0759 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.January 23, 2026 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Reasonably accommodate the needs and preferences of each resident.January 23, 2026 · F0558 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.January 23, 2026 · F0585 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement policies and procedures to prevent abuse, neglect, and theft.January 23, 2026 · F0607 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.January 23, 2026 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Respond appropriately to all alleged violations.January 23, 2026 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.January 23, 2026 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide care and assistance to perform activities of daily living for any resident who is unable.January 23, 2026 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide activities to meet all resident's needs.January 23, 2026 · F0679 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.January 23, 2026 · F0688 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.January 23, 2026 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide special eating equipment and utensils for residents who need them and appropriate assistance.January 23, 2026 · F0810 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Dispose of garbage and refuse properly.January 23, 2026 · F0814 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.January 23, 2026 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.January 23, 2026 · F0912 · Level of harm: Potential for minimal harm · Residents affected: Some
Complaint inspections, last three years
Inspections after complaints found 25 citations.
- Reasonably accommodate the needs and preferences of each resident.April 16, 2026 · F0558 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.April 16, 2026 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.April 16, 2026 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.April 16, 2026 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.April 16, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.April 9, 2026 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.April 8, 2026 · F0691 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.January 23, 2026 · F0585 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement policies and procedures to prevent abuse, neglect, and theft.January 23, 2026 · F0607 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.January 23, 2026 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Respond appropriately to all alleged violations.January 23, 2026 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.January 13, 2026 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.August 21, 2025 · F0627 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.August 21, 2025 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.August 11, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.July 22, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.April 22, 2025 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.March 5, 2025 · F0800 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Post nurse staffing information every day.September 30, 2024 · F0732 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.July 31, 2024 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.July 3, 2024 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.July 3, 2024 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.December 20, 2023 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.December 20, 2023 · F0636 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide or get specialized rehabilitative services as required for a resident.December 20, 2023 · F0825 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Fines and payment denials
No fines or payment denials in the last three years.
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | California average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 4.53 | 4.52 | 3.86 |
| Registered nurses (RN) | 1.17 | 0.67 | 0.69 |
| Licensed practical nurses (LPN) | 0.77 | 1.20 | 0.86 |
| Nurse aides | 2.59 | 2.65 | 2.32 |
| Total nursing staff turnover | 58.5% | 36.7% | 45.8% |
About this home
| Ownership | For profit - Individual |
| Certified beds | 43 |
| Average residents per day | 38.8 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Atherton Baptist Home Alhambra · ★★★★★ 5 out of 5 stars
- Alhambra Hospital Med Ctr Dp/SNF Alhambra · ★★★★★ 4 out of 5 stars
- Alhambra Healthcare & Wellness Centre, LP Alhambra · ★★★★★ 3 out of 5 stars
- Sunny Village Care Center Alhambra · ★★★★★ 2 out of 5 stars
- Arcadia Care Center Arcadia · ★★★★★ 2 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Royal Gardens Healthcare on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.