Nursing homes › California › Royal Terrace Healthcare
1340 Highland Ave., Duarte, CA 91010 · 6262564654 · 58 certified beds
Per CMS filings, this facility is affiliated with Serrano Group, a group operating 11 facilities in 1 states. Group record: average rating 2.0/5, 4 abuse citation icons, 2 facilities on the Special Focus list, $796,350 in federal fines. This facility rates above its group average (2.0/5).
Total nurse staffing: 4.73 (California median: 4.24). RN hours: 0.53. Weekend total: 4.16. Nursing staff turnover: 56%.
All-time on record: 38 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-05-22 | Ensure each resident receives an accurate assessment. | E | Health | corrected 2026-05-29 |
| 2026-05-22 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Health | corrected 2026-05-29 |
| 2026-05-22 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Health | corrected 2026-05-29 |
| 2026-05-22 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2026-05-29 |
| 2026-05-22 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | E | Health | corrected 2026-05-29 |
| 2026-05-22 | Provide and implement an infection prevention and control program. | E | Health | corrected 2026-05-29 |
| 2026-05-22 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2026-06-08 |
| 2026-05-22 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Health | corrected 2026-05-29 |
| 2025-12-23 | 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. | F | complaint | corrected 2026-01-16 |
| 2025-10-28 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | complaint | corrected 2025-11-21 |
| 2025-09-19 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2025-09-28 |
| 2025-09-19 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2025-09-28 |
| 2025-09-19 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2025-11-19 |
| 2025-09-10 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2025-09-25 |
| 2025-07-31 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2025-08-20 |
| 2025-05-30 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | E | Health | corrected 2025-06-19 |
| 2025-05-30 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2025-06-19 |
| 2025-05-30 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2025-06-19 |
| 2025-05-30 | Reasonably accommodate the needs and preferences of each resident. | D | Health | corrected 2025-06-20 |
| 2025-05-30 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2025-06-19 |
| 2025-05-30 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Health | corrected 2025-06-09 |
| 2025-05-30 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Health | corrected 2025-06-03 |
| 2025-05-30 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2025-06-19 |
| 2025-05-30 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Health | corrected 2025-05-30 |
| 2025-05-30 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | Health | corrected 2025-05-30 |
| 2024-06-16 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | E | Health | corrected 2024-07-01 |
| 2024-06-16 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | E | Health | corrected 2024-07-08 |
| 2024-06-16 | Provide safe and appropriate respiratory care for a resident when needed. | E | Health | corrected 2024-07-03 |
| 2024-06-16 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2024-07-03 |
| 2024-06-16 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2024-07-05 |
| 2024-06-16 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | Health | corrected 2024-07-08 |
| 2024-06-16 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Health | corrected 2024-07-01 |
| 2024-06-16 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | Health | corrected 2024-07-01 |
| 2024-04-30 | Reasonably accommodate the needs and preferences of each resident. | E | complaint | corrected 2024-06-06 |
| 2024-04-30 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | complaint | corrected 2024-06-06 |
| 2024-04-30 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | E | complaint | corrected 2024-06-06 |
| 2024-04-30 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | complaint | corrected 2024-06-06 |
| 2024-04-30 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | complaint | corrected 2024-05-23 |
No federal fines or payment denials on record.
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| TERRACE LICENSEE 7 | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 01/01/2016 |
| BIN MENDEL LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 01/01/2016 |
| BL CALI PARTNERS LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 01/01/2016 |
| JS FENTON LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 01/01/2016 |
| RGF CONSULTING LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 01/01/2016 |
| SERRANO GROUP LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 01/01/2016 |
| SERRANO PARTNERS LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 01/01/2016 |
| YAAME LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 01/01/2016 |
| FENSTERMAN, HOWARD | 5% Or Greater Indirect Ownership Interest | Individual | NO PERCENTAGE PROVIDED | since 01/01/2016 |
| FENSTERMAN, JORDAN | 5% Or Greater Indirect Ownership Interest | Individual | NO PERCENTAGE PROVIDED | since 01/01/2016 |
| FENSTERMAN, ROBERT | 5% Or Greater Indirect Ownership Interest | Individual | NO PERCENTAGE PROVIDED | since 01/01/2016 |
| JACOBS, DOV | 5% Or Greater Indirect Ownership Interest | Individual | NO PERCENTAGE PROVIDED | since 01/01/2016 |
| LEIBSON, STACI | 5% Or Greater Indirect Ownership Interest | Individual | NO PERCENTAGE PROVIDED | since 01/01/2016 |
| TAUB, JUDAH | 5% Or Greater Indirect Ownership Interest | Individual | NO PERCENTAGE PROVIDED | since 01/01/2016 |
| JACOBS, DOV | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2016 |
| TERRACE LICENSEE 7 | Operational/Managerial Control | Organization | NOT APPLICABLE | since 01/01/2016 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 055541. Corrections: data@carerecords.org.