Royal Gardens Healthcare
Alhambra, CA · Medicare and Medicaid-certified nursing home (CCN 055818) · 43 certified beds
Health inspection: 1 · Quality measures: 4 · Staffing: 4
Federal fines: none on current record
Phone: (626) 289-7809 · Verify on Medicare Care Compare ↗
Royal Gardens Healthcare has a CMS Overall Rating of 1 out of 5 stars, below the California state average of 3.16. Its Health Inspection Rating is 1 out of 5, and its Staffing Rating is 4 out of 5.
Royal Gardens Healthcare reports total nurse staffing of 4.53 hours per resident per day, including 1.17 registered nurse hours per resident per day, with a nursing staff turnover rate of 58.5%. CMS gives the facility a Staffing Rating of 4 out of 5 stars.
Royal Gardens Healthcare has no federal fines on record, with 0 fines totaling $0.00 and no payment denials reported by CMS. There is no abuse icon or Special Focus designation noted for this facility in the provided data.
About this facility
Royal Gardens Healthcare is a small skilled nursing facility in Alhambra, California, certified for 43 beds with an average of 38.8 residents. It has been Medicare and Medicaid certified since April 1968 and operates under For profit - Individual ownership.
According to CMS Care Compare, Royal Gardens Healthcare holds an Overall Star Rating of 1 out of 5, which is below the California state average of 3.16. The facility's Health Inspection Rating is 1 out of 5, its Quality Measure Rating is 4 out of 5, and its Staffing Rating is 4 out of 5.
CMS reports total nurse staffing hours of 4.53 per resident per day, including 1.17 registered nurse hours per resident per day. Nursing staff turnover is reported at 58.5%.
On the penalty record, CMS lists 0 federal fines totaling $0.00, and no payment denials on record for this facility — meaning there are no federal fines on record.
Royal Gardens Healthcare is part of the Serrano Group chain, which operates 11 facilities with an average CMS rating of 1.9 across the chain. Ownership has not changed in the past 12 months, so current ratings reflect the current operator.
Families researching this facility should note the low Overall and Health Inspection ratings relative to the state average and are encouraged to review the full inspection history on Medicare Care Compare for details behind these scores. Data source: CMS Medicare Care Compare.
Questions families ask
What is this nursing home's CMS overall star rating and how does it compare to the state average?
Royal Gardens Healthcare has a CMS Overall Rating of 1 out of 5 stars, which is below the California state average of 3.16.
Does this facility accept Medicare, Medicaid, or both?
Yes, Royal Gardens Healthcare is certified to accept both Medicare and Medicaid.
How well is this facility staffed — nurse hours per resident and turnover?
The facility reports 4.53 total nurse hours per resident per day, including 1.17 RN hours, with a nursing staff turnover rate of 58.5%, and a Staffing Rating of 4 out of 5.
Does this facility have federal fines or penalties on record?
No, CMS lists 0 fines totaling $0.00 and no payment denials for this facility.
Has CMS flagged this facility for abuse or placed it in the Special Focus program?
The data provided does not indicate an abuse icon or Special Focus designation for this facility.
How large is this facility and how many residents live there?
Royal Gardens Healthcare is certified for 43 beds, with an average daily population of 38.8 residents.
Who owns this facility — and is it part of a chain?
It is owned as a For profit - Individual entity and is part of the Serrano Group chain, which operates 11 facilities with an average CMS rating of 1.9.
How long has this facility been Medicare/Medicaid certified?
Royal Gardens Healthcare has been certified since April 3, 1968.
What do the four different CMS star ratings mean?
CMS publishes four ratings — Overall, Health Inspection, Staffing, and Quality Measures — and for this facility they are 1, 1, 4, and 4 stars respectively.
Does this facility offer short-term rehabilitation as well as long-term care?
The data provided does not specify rehabilitation services; contact the facility at (626) 289-7809 and verify on Medicare Care Compare.
What should I look for when touring this facility?
The data provided does not cover tour details; contact the facility at (626) 289-7809 and verify on Medicare Care Compare.
How do I verify this facility's current record on Medicare Care Compare?
You can review the facility's current ratings and inspection history at https://www.medicare.gov/care-compare/details/nursing-home/055818?state=CA.
Data: CMS Care Compare (Aug2026 refresh). Star ratings, staffing hours, and penalty records are CMS's official published measures. Always tour the facility, review the current inspection record, and verify details with Medicare before making care decisions.