Royal Terrace Health Care
Nursing Home Facility
1340 S. Highland Ave., Duarte, CA 91010
Royal Terrace Health Care is a senior care community located in Duarte, CA. It provides nursing home care and senior living for older adults in the Duarte area. To learn more or schedule a tour, call (626) 256-4654.
Operated by Serrano Group, which runs 10 communities in our directory.
With 58 beds, Royal Terrace Health Care is smaller than most nearby options, senior care communities in Duarte average about 101 beds. Smaller communities often mean more consistent day-to-day staffing and a calmer environment, while larger ones may have more specialized services on site. Which suits a particular person depends on the level of care needed.
Federal reporting puts occupancy at about 87% of its licensed beds.
Medicare rates this community 3 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Its most recent standard health inspection was in May 2026 and recorded 16 deficiencies.
Residents receive about 4.7 hours of nursing care per day on average, including 0.5 hours from a registered nurse. Nursing staff turnover over the past year was about 56%.
The community is located in Los Angeles County, CA.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 40 problems at Royal Terrace Health Care. None of them caused harm to a resident. 14 came from investigating complaints by residents or families.
Findings from the most recent inspection cycle
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Could cause more than minimal harm, one or a few residents
Resident Rights
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
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Could cause more than minimal harm, one or a few residents
Nursing and Physician Services
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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Could cause more than minimal harm, a pattern
Resident Assessment and Care Planning
Ensure each resident receives an accurate assessment.
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Could cause more than minimal harm, a pattern
Resident Assessment and Care Planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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Could cause more than minimal harm, a pattern
Resident Assessment and Care Planning
Ensure services provided by the nursing facility meet professional standards of quality.
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Could cause more than minimal harm, a pattern
Nutrition and Dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Could cause more than minimal harm, a pattern
Nutrition and Dietary
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
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Could cause more than minimal harm, a pattern
Infection Control
Provide and implement an infection prevention and control program.
Show 8 more
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Could cause more than minimal harm, one or a few residents
Resident Rights
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Could cause more than minimal harm, widespread
Nursing and Physician Services
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.
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Could cause more than minimal harm, a pattern
Quality of Life and Care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
Royal Terrace Health Care offers nursing home care and senior living.
Facility details
- Organization type for-profit corporation
- Beds / units 58
- Occupancy 87%
- Nursing hours per resident/day 4.7
- Annual staff turnover 56%
- Last health inspection May 2026
Resident & family reviews
No one has shared a review of Royal Terrace Health Care yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.