Royal Gardens Healthcare: Staffing, Turnover, and Inspection Record
Royal Gardens Healthcare is a 43-bed for-profit nursing home in Alhambra, California, part of Serrano Group. In the CMS August 2026 release it reported 2.59 nurse aide hours per resident per day, about the same as the California average of 2.65, and 58.5% nursing staff turnover (California average 36.7%).
Royal Gardens Healthcare
2339 W. Valley Blvd.Alhambra, CA 91803
Los Angeles County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Royal Gardens Healthcare, nurse aides logged 2.59 hours per resident per day, about the same as the California average. With about 39 residents a day, that works out to roughly 101 aide hours a day, or about 13 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 16% below the all-days figure.
| Hours per resident per day | This home | California avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.59 | 2.65 | 2.32 |
| Licensed practical nurses | 0.77 | 1.20 | 0.86 |
| Registered nurses | 1.17 | 0.67 | 0.69 |
| All nursing staff | 4.53 | 4.52 | 3.86 |
| All nursing staff, weekends | 3.79 | 4.09 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
58.5% of nursing staff at Royal Gardens Healthcare left over the year CMS measured, against a California average of 36.7% and a US average of 45.8%. Registered nurse turnover was 45.5%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Jan 23, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 32 health deficiencies (California average 15.7). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Royal Gardens Healthcare holds 1 of 5 overall; the California average is 3.2.
About Royal Gardens Healthcare
- Ownership: For profit - Individual
- Chain: Serrano Group, 11 homes
- Legal name: Royal Gardens Healthcare LLC
- Medicare and Medicaid certified since: Apr 3, 1968
- Councils: resident council
- Area: urban
Nursing homes near Royal Gardens Healthcare
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Sunny Village Care Center Alhambra | 0.6 | 99 | 3.54 | 5.70 | 21.6% | 2 | None |
| Alhambra Hospital Med Ctr Dp/Snf Alhambra | 1.1 | 26 | 2.90 | 7.39 | 29.5% | 4 | None |
| Atherton Baptist Home Alhambra | 1.4 | 113 | 2.67 | 4.29 | 25.8% | 5 | None |
| Heritage Manor Monterey Park | 1.8 | 99 | 2.52 | 3.98 | 23.7% | 2 | $17,940 |
| Monterey Park Conv Hosp Monterey Park | 1.9 | 89 | 2.59 | 4.17 | 11.0% | 5 | None |
| Alhambra Healthcare & Wellness Centre, LP Alhambra | 2.0 | 97 | 2.57 | 4.10 | — | 3 | $17,388 |
| Huntington Healthcare Center Los Angeles · many days without an RN | 2.3 | 99 | 3.01 | 4.03 | 30.0% | 2 | $13,635 |
| Royal Vista Care Center San Gabriel | 2.6 | 99 | 2.56 | 4.12 | — | 1 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.