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Health Inspection

Royal Terrace Healthcare

May 22, 2026 · Duarte, CA · 1340 Highland Ave.
Citations 8
CMS Rating 4/5
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 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.

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Inspection Findings

FF0550
Resident Rights Deficiencies
Potential for More Than Minimal Harm

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.

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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.

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.


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