B

ROYAL TERRACE HEALTHCARE

1340 HIGHLAND AVE., DUARTE, CA 91010
Score: 70 / 100

Royal Terrace Healthcare earns a solid B grade from CMS data, with a score of 70/100. Performing above average across most metrics, this Duarte facility ranks in the 63th percentile among California nursing homes.

Royal Terrace Healthcare provides above-average staffing with 4.46 total nurse hours per resident per day. Higher staffing levels are generally associated with better care outcomes and more attentive staff.

Recent inspections identified 40 deficiencies at Royal Terrace Healthcare. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 32 / 40 pts
4 ★ CMS rating
Health Inspections 15 / 25 pts
3 ★ inspection rating
Staffing 8 / 20 pts
2 ★ staffing rating
Quality Measures 15 / 15 pts
5 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 4.46 3.8 Above Average
Registered Nurses (RN) 0.47 0.7 Below Average
Licensed Practical Nurses (LPN) 1.43 0.7 Above Average
Certified Nursing Assistants (CNA) 2.56 2.4 Average
Weekend Total Nursing 3.77 3.8 Average
Weekend RN Hours 0.32 0.7 Below Average

🔍 Inspection & Deficiency History

40
Total Deficiencies
Dec 22, 2025
Most Recent Inspection
⚪ 3 Minor 🟠 37 Moderate
View recent deficiencies (5 shown)
  • Tag 0727 Severity F
    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.
    Dec 22, 2025 · Nursing and Physician Services Deficiencies
  • Tag 0689 Severity E
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Oct 27, 2025 · Quality of Life and Care Deficiencies
  • Tag 0600 Severity D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    Sep 18, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0609 Severity D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    Sep 18, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0656 Severity D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    Sep 18, 2025 · Resident Assessment and Care Planning Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 5.4% 4.5% Worse
Falls with major injury 1.4% 3.0% Better
On antipsychotic medication 6.7% 14.5% Better
Urinary tract infections 1.5% 2.5% Better
ADL decline (daily activities) 7.2% 14.0% Better
Excessive weight loss 5.4% 7.5% Better
New/worsened incontinence 13.3% 45.0% Better

How This Grade Was Calculated

This facility's grade of B is based on a score of 70 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 4★ → 32 pts (max 40)
  • Health Inspection Rating: 3★ → 15 pts (max 25)
  • Staffing Rating: 2★ → 8 pts (max 20)
  • Quality Measures Rating: 5★ → 15 pts (max 15)

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
58
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
May 29, 2025
Deficiencies (Cycle 1)
16