B81

ROYAL TERRACE HEALTHCARE

Grade B 81/100 composite score

For profit - Limited Liability company

CMS Star Ratings

Overall
4/5
Health Insp.
3/5
Quality
5/5
Staffing
2/5
RN Staffing
Not rated

Certified Beds

58

Ownership

For profit - Limited Liability company

Total Fines

None

Last Survey

N/A

1340 HIGHLAND AVE., DUARTE, CA 91010
6262564654

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.44h
LPN
1.33h
CNA
2.37h
Total
4.14h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

TERRACE LICENSEE 7

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Jan 2016

100%

BIN MENDEL LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jan 2016

BL CALI PARTNERS LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jan 2016

JS FENTON LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jan 2016

RGF CONSULTING LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jan 2016

SERRANO GROUP LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jan 2016

SERRANO PARTNERS LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jan 2016

YAAME LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jan 2016

FENSTERMAN, HOWARD

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jan 2016

FENSTERMAN, JORDAN

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jan 2016

FENSTERMAN, ROBERT

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jan 2016

JACOBS, DOV

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jan 2016

LANDA, BENJAMIN

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jan 2016

LEIBSON, STACI

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jan 2016

TAUB, JUDAH

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jan 2016

TERRACE LICENSEE 7

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Jan 2016

JACOBS, DOV

IndividualCORPORATE OFFICERSince Jan 2016

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (38)

September 19, 2025Health3 deficiencies
0600DMinimal harm, Isolated

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Sep 28, 2025
0609DMinimal harm, Isolated

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Sep 28, 2025
0656DMinimal harm, Isolated

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected Nov 19, 2025
September 10, 2025Health1 deficiency
0689DMinimal harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Sep 25, 2025
July 31, 2025Health1 deficiency
0684DMinimal harm, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Aug 20, 2025
May 30, 2025Health10 deficiencies
0550DMinimal harm, Isolated

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Resident Rights Deficiencies

Corrected Jun 19, 2025
0558DMinimal harm, Isolated

Reasonably accommodate the needs and preferences of each resident.

Resident Rights Deficiencies

Corrected Jun 20, 2025
0578EMinimal harm, Pattern

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.

Resident Rights Deficiencies

Corrected Jun 19, 2025
0656DMinimal harm, Isolated

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected Jun 19, 2025
0686DMinimal harm, Isolated

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Quality of Life and Care Deficiencies

Corrected Jun 9, 2025
0698DMinimal harm, Isolated

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Quality of Life and Care Deficiencies

Corrected Jun 3, 2025
0755DMinimal harm, Isolated

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies

Corrected Jun 19, 2025
0761DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected May 30, 2025
0812EMinimal harm, Pattern

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Jun 19, 2025
0912BNo harm, Pattern

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Environmental Deficiencies

Corrected May 30, 2025
June 16, 2024Health8 deficiencies
0578EMinimal harm, Pattern

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.

Resident Rights Deficiencies

Corrected Jul 1, 2024
0656DMinimal harm, Isolated

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected Jul 3, 2024
0689DMinimal harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Jul 5, 2024
0694EMinimal harm, Pattern

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Jul 8, 2024
0695EMinimal harm, Pattern

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Jul 3, 2024
0810DMinimal harm, Isolated

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

Nutrition and Dietary Deficiencies

Corrected Jul 8, 2024
0842DMinimal harm, Isolated

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Resident Assessment and Care Planning Deficiencies

Corrected Jul 1, 2024
0912BNo harm, Pattern

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Environmental Deficiencies

Corrected Jul 1, 2024
April 30, 2024Health5 deficiencies
0558EMinimal harm, Pattern

Reasonably accommodate the needs and preferences of each resident.

Resident Rights Deficiencies

Corrected Jun 6, 2024
0656EMinimal harm, Pattern

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected Jun 6, 2024
0688EMinimal harm, Pattern

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.

Quality of Life and Care Deficiencies

Corrected Jun 6, 2024
0725EMinimal harm, Pattern

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Nursing and Physician Services Deficiencies

Corrected Jun 6, 2024
0726EMinimal harm, Pattern

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.

Nursing and Physician Services Deficiencies

Corrected May 23, 2024
January 21, 2022Health10 deficiencies
0580DMinimal harm, Isolated

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Resident Rights Deficiencies

Corrected Mar 1, 2022
0686DMinimal harm, Isolated

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Quality of Life and Care Deficiencies

Corrected Mar 1, 2022
0689EMinimal harm, Pattern

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Mar 1, 2022
0695DMinimal harm, Isolated

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Mar 1, 2022
0698EMinimal harm, Pattern

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Quality of Life and Care Deficiencies

Corrected Mar 1, 2022
0867EMinimal harm, Pattern

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Administration Deficiencies

Corrected Mar 1, 2022
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Mar 1, 2022
0881DMinimal harm, Isolated

Implement a program that monitors antibiotic use.

Infection Control Deficiencies

Corrected Mar 1, 2022
0912BNo harm, Pattern

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Environmental Deficiencies

Corrected Mar 1, 2022
0921EMinimal harm, Pattern

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Environmental Deficiencies

Corrected Mar 1, 2022

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Frequently Asked Questions

What is the CareGrader rating for ROYAL TERRACE HEALTHCARE?

ROYAL TERRACE HEALTHCARE in DUARTE, California has a CareGrader grade of B (Good), with a composite score of 81.3 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for ROYAL TERRACE HEALTHCARE?

ROYAL TERRACE HEALTHCARE has an overall CMS star rating of 4 out of 5, a health inspection rating of 3/5, and a staffing rating of 2/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does ROYAL TERRACE HEALTHCARE have?

ROYAL TERRACE HEALTHCARE has 38 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

How many beds does ROYAL TERRACE HEALTHCARE have?

ROYAL TERRACE HEALTHCARE has 58 certified beds with approximately 50 current residents (86% occupancy). The facility is located at 1340 HIGHLAND AVE., DUARTE, California 91010. It is a for profit - limited liability company facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.