Royal Terrace Healthcare: Staffing, Turnover, and Inspection Record
Royal Terrace Healthcare is a 58-bed for-profit nursing home in Duarte, California, part of Serrano Group. In the CMS August 2026 release it reported 2.71 nurse aide hours per resident per day, about the same as the California average of 2.65, and 55.6% nursing staff turnover (California average 36.7%).
Royal Terrace Healthcare
1340 Highland Ave.Duarte, CA 91010
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 Terrace Healthcare, nurse aides logged 2.71 hours per resident per day, about the same as the California average. With about 50 residents a day, that works out to roughly 136 aide hours a day, or about 17 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 12% below the all-days figure.
| Hours per resident per day | This home | California avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.71 | 2.65 | 2.32 |
| Licensed practical nurses | 1.49 | 1.20 | 0.86 |
| Registered nurses | 0.53 | 0.67 | 0.69 |
| All nursing staff | 4.73 | 4.52 | 3.86 |
| All nursing staff, weekends | 4.16 | 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
55.6% of nursing staff at Royal Terrace 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 66.7%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on May 22, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 16 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 Terrace Healthcare holds 3 of 5 overall; the California average is 3.2.
About Royal Terrace Healthcare
- Ownership: For profit - Limited Liability company
- Chain: Serrano Group, 11 homes
- Legal name: Royal Terrace Healthcare LLC
- Medicare and Medicaid certified since: May 30, 1996
- Councils: resident council
- Area: urban
Nursing homes near Royal Terrace Healthcare
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Royal Oaks Manor-Bradbury Oaks Duarte | 0.4 | 48 | 2.67 | 4.81 | 30.8% | 4 | None |
| Monrovia Post Acute Duarte | 0.6 | 82 | 2.55 | 4.36 | 39.5% | 3 | None |
| Monte Vista Healthcare Center Duarte | 0.7 | 69 | 2.43 | 4.20 | 47.6% | 2 | None |
| Monrovia Gardens Healthcare Center Monrovia | 2.3 | 96 | 2.71 | 4.38 | 50.5% | 1 | None |
| Sierra View Care Center Baldwin Park | 3.0 | 98 | 2.53 | 4.07 | 19.3% | 4 | None |
| Coast Care Convalescent Center Baldwin Park · staffing data not validated | 3.2 | 48 | — | — | 21.7% | 4 | None |
| Santa Fe Lodge El Monte | 3.2 | 46 | 2.58 | 4.26 | 41.3% | 2 | None |
| Mayflower Care Center El Monte | 3.2 | 59 | 2.70 | 4.18 | 35.9% | 3 | 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.