Complaint Investigation

Royal Terrace Healthcare

December 23, 2025 · Duarte, CA · 1340 Highland Ave.

Citations 1

CMS Rating 3/5

Beds 58

Provider ID 055541

Healthcare Facility

Royal Terrace Healthcare

Duarte, CA · View full profile →

Inspection Summary

ROYAL TERRACE HEALTHCARE in DUARTE, CA — inspection on December 23, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF0727

Nursing and Physician Services Deficiencies

Potential for More Than Minimal Harm

During a review of the facility's P&P titled, Job Description for RN, updated 11/1/2024, the P&P indicated that the registered nurses need report to DON.

During a review of the facility's P&P titled, staffing, revised 10/2017, the P&P indicated that the facility must provide sufficient numbers of staff with the skills and competency necessary to provide care and services for all residents in accordance with resident care plans and the facility assessment.

Facility ID:

Frequently Asked Questions

What is an F-tag violation?

F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.

Were these violations corrected?

Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.

How often do nursing home inspections happen?

CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.

What should families do about these violations?

Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in DUARTE, CA, (5) Report new concerns to state authorities.

Where can I see the full inspection report?

Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from ROYAL TERRACE HEALTHCARE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.

Royal Terrace Healthcare

Inspection Findings

Frequently Asked Questions

More Reports