Westminster Gardens
State licensed1420 Santo Domingo Avenue, Duarte, CA 91010
Assisted Living
Assisted livingResidential care for the elderly (RCFE)24-hour personal care
Call for pricing
Prices not published
🏥
Medicare-certifiedSkilled Nursing
Royal Terrace Healthcare
Duarte, CaliforniaMedicare inspection record
About Royal Terrace Healthcare
ROYAL TERRACE HEALTHCARE is a for profit - limited liability company nursing home in DUARTE, CA with 58 certified beds.
Community at a glance
Capacity
58 residents
Location
Duarte, CA
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
1340 HIGHLAND AVE., Duarte, California 91010
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on May 22, 2026, state inspectors cited 16 health deficiencies (the California average is 15.5).
Nurses and nurse aides spend 4 hours 44 minutes with each resident a day, about the same as the California average.
Medicare has not fined Royal Terrace Healthcare in the last three years.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 4 hours 44 minutes |
| Registered nurse time per resident, per day | 32 minutesBelow the California average |
| Nursing staff who left in the past year | 56%Above the California average |
1 administrator has left the home in the past year.
Inspections
40 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
June 26, 2026 · Complaint investigation · 2 citations
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jul 23, 2026Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesFrom a complaintCorrected Jul 23, 2026
May 22, 2026 · Standard inspection · 8 citations
Ensure services provided by the nursing facility meet professional standards of quality.
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected May 29, 2026Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected May 29, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected May 29, 2026Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected May 29, 2026Ensure each resident receives an accurate assessment.
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected May 29, 2026Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected May 29, 2026Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected May 29, 2026Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jun 8, 2026
December 23, 2025 · Complaint investigation · 1 citation+
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.
Risk of harm, no one hurt, widespread (level F)Nursing and Physician ServicesFrom a complaintCorrected Jan 16, 2026
October 28, 2025 · Complaint investigation · 1 citation+
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Nov 21, 2025
September 19, 2025 · Complaint investigation · 3 citations+
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Sep 28, 2025Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Nov 19, 2025Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Sep 28, 2025
September 10, 2025 · Complaint investigation · 1 citation+
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Sep 25, 2025
July 31, 2025 · Complaint investigation · 1 citation+
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Aug 20, 2025
May 30, 2025 · Standard inspection · 10 citations+
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.
Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Jun 19, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Jun 19, 2025Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jun 19, 2025Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jun 19, 2025Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 9, 2025Provide safe, appropriate dialysis care/services for a resident who requires such services.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 3, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jun 19, 2025Ensure 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.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected May 30, 2025Reasonably accommodate the needs and preferences of each resident.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jun 20, 2025Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Minimal harm or risk, a pattern (level B)EnvironmentalWaived by the state
June 16, 2024 · Standard inspection · 8 citations+
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.
Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Jul 1, 2024Provide safe and appropriate respiratory care for a resident when needed.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Jul 3, 2024Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Jul 8, 2024Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jul 1, 2024Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jul 3, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jul 5, 2024Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Jul 8, 2024Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Minimal harm or risk, a pattern (level B)EnvironmentalWaived by the state
April 30, 2024 · Complaint investigation · 5 citations+
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.
Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesFrom a complaintCorrected May 23, 2024Provide 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.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Jun 6, 2024Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningFrom a complaintCorrected Jun 6, 2024Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesFrom a complaintCorrected Jun 6, 2024Reasonably accommodate the needs and preferences of each resident.
Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Jun 6, 2024
Fines and payment denials
No fines or Medicare payment denials in the last three years.
About the home, per Medicare
- Ownership
- For profit - Limited Liability company
- Legal business name
- Royal Terrace Healthcare LLC
- Medicare-certified beds
- 58
- Average residents per day
- 50
- Accepts
- Medicare and Medicaid
- First certified
- May 30, 1996
- Part of a chain
- Serrano Group, 11 homes
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 055541
Location
Loading map…
1340 HIGHLAND AVE.Duarte, CA 91010
12 other communities within 10 miles
Senior living near Duarte
1730 Huntington Dr, Duarte, CA 91010
Independent LivingActive Adult Living
Affordable senior housingIndependent livingAge 62+ community
Call for pricing
Prices not published
1700 Huntington Dr, Duarte, CA 91010
Independent LivingActive Adult Living
Affordable senior housingIndependent livingAge 62+ community
Call for pricing
Prices not published
Questions about Royal Terrace Healthcare
How did Royal Terrace Healthcare do on its last inspection?+
State inspectors visited on May 22, 2026 and cited 16 health deficiencies, 8 of them from complaint investigations. The California average is 15.5.
How much nursing care does each resident get at Royal Terrace Healthcare?+
Nurses and aides spend 4 hours 44 minutes with each resident per day, including 32 minutes from registered nurses. 56% of nursing staff left over the past year.
Has Royal Terrace Healthcare been fined by Medicare?+
Medicare's records show no fines against Royal Terrace Healthcare in the last three years.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.