Royal Terrace Healthcare
ROYAL TERRACE HEALTHCARE in DUARTE, CA — inspection on May 22, 2026.
Found 8 citations. 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
Federal health inspectors cited ROYAL TERRACE HEALTHCARE in DUARTE, CA for a deficiency under regulatory tag F-F0550 during a standard health inspection conducted on 2026-05-22.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 8 deficiencies cited during this inspection of ROYAL TERRACE HEALTHCARE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2026-06-08.
Federal health inspectors cited ROYAL TERRACE HEALTHCARE in DUARTE, CA for a deficiency under regulatory tag F-F0641 during a standard health inspection conducted on 2026-05-22.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Ensure each resident receives an accurate assessment.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 8 deficiencies cited during this inspection of ROYAL TERRACE HEALTHCARE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2026-05-29.
Federal health inspectors cited ROYAL TERRACE HEALTHCARE in DUARTE, CA for a deficiency under regulatory tag F-F0656 during a standard health inspection conducted on 2026-05-22.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 8 deficiencies cited during this inspection of ROYAL TERRACE HEALTHCARE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2026-05-29.
Federal health inspectors cited ROYAL TERRACE HEALTHCARE in DUARTE, CA for a deficiency under regulatory tag F-F0658 during a standard health inspection conducted on 2026-05-22.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Ensure services provided by the nursing facility meet professional standards of quality.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 8 deficiencies cited during this inspection of ROYAL TERRACE HEALTHCARE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2026-05-29.
Federal health inspectors cited ROYAL TERRACE HEALTHCARE in DUARTE, CA for a deficiency under regulatory tag F-F0686 during a standard health inspection conducted on 2026-05-22.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 8 deficiencies cited during this inspection of ROYAL TERRACE HEALTHCARE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2026-05-29.
Federal health inspectors cited ROYAL TERRACE HEALTHCARE in DUARTE, CA for a deficiency under regulatory tag F-F0812 during a standard health inspection conducted on 2026-05-22.
Category: Nutrition and Dietary Deficiencies
The facility was found deficient in the following area: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 8 deficiencies cited during this inspection of ROYAL TERRACE HEALTHCARE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2026-05-29.
Federal health inspectors cited ROYAL TERRACE HEALTHCARE in DUARTE, CA for a deficiency under regulatory tag F-F0813 during a standard health inspection conducted on 2026-05-22.
Category: Nutrition and Dietary Deficiencies
The facility was found deficient in the following area: Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 8 deficiencies cited during this inspection of ROYAL TERRACE HEALTHCARE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2026-05-29.
Federal health inspectors cited ROYAL TERRACE HEALTHCARE in DUARTE, CA for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2026-05-22.
Category: Infection Control Deficiencies
The facility was found deficient in the following area: Provide and implement an infection prevention and control program.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 8 deficiencies cited during this inspection of ROYAL TERRACE HEALTHCARE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2026-05-29.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.