Royal Terrace Healthcare
A nursing home in Duarte, California 91010
1340 Highland Ave., Duarte, California 91010. (626) 256-4654.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 4of 5 CMS’s overall rating
- 12 health citations at the latest inspection cycle California average: 15.7
- 4.53 nurse hours per resident per day California average: 4.54
- 0 fines in the last three years
Each figure’s source sits beside it, in its section below.
What these words mean7
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
12 health citations at the latest inspection cycle
The California average is 15.7.
Last standard inspection May 22, 2026.
Most serious in three years: D: no actual harm, potential for more than minimal harm.
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
40 citations in 9 months of the last 36. Last cited Jun 2026. Most serious: no actual harm, potential for more than minimal harm (E). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 40 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 14 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Jun 26, 2026: complaint inspection2 citations
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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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Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
May 22, 2026: standard inspection8 citations
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Ensure each resident receives an accurate assessment.
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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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Ensure services provided by the nursing facility meet professional standards of quality.
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Have a policy regarding use and storage of foods brought to residents by family and other visitors.
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Provide and implement an infection prevention and control program.
Dec 23, 2025: complaint inspection1 citation
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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.
Oct 28, 2025: complaint inspection1 citation
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Sep 19, 2025: complaint inspection3 citations
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
Sep 10, 2025: complaint inspection1 citation
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jul 31, 2025: complaint inspection1 citation
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
May 30, 2025: standard inspection10 citations
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Reasonably accommodate the needs and preferences of each resident.
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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.
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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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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Provide safe, appropriate dialysis care/services for a resident who requires such services.
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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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.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Jun 16, 2024: standard inspection8 citations
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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.
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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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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Provide for the safe, appropriate administration of IV fluids for a resident when needed.
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Provide safe and appropriate respiratory care for a resident when needed.
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Provide special eating equipment and utensils for residents who need them and appropriate assistance.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Apr 30, 2024: complaint inspection5 citations
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Reasonably accommodate the needs and preferences of each resident.
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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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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.
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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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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.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since May 30, 1996.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, limited liability company.
- 58 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- No fines in the last three years.
- No Medicare payment denials in the last three years.
- 14 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Who does the caring?
4.53 nurse hours per resident per day
The California average is 4.54.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | California average |
|---|---|---|
| Nurse hours per resident per day | 4.53 | 4.54 |
| Of which registered nurses | 0.60 | 0.68 |
| At weekends | 3.83 | 4.10 |
| Nursing staff turnover | 60.6% | 36.6% |
| Registered nurse turnover | 100% | 37.8% |
| Administrators who left | 1 | Not given |
Who owns it?
- Terrace Licensee 7 owns 100% directly since Jan 1, 2016.
- Terrace Licensee 7 runs it.
- 8 owners or officers are people: Dov E Jacobs (corporate officer, 100%); Dov E Jacobs (owns 5% or more through other companies, 40%); Benjamin Landa (owns 5% or more through other companies, 17.67%); Judah Taub (owns 5% or more through other companies, 17.67%); Howard Fensterman (owns 5% or more through other companies, 17.67%); Robert Fensterman (owns 5% or more through other companies, 5%); Jordan Fensterman (owns 5% or more through other companies, 2.5%); Staci Leibson (owns 5% or more through other companies, 1.5%).
- Part of Serrano Group (11 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Terrace Licensee 7 | Owns 5% or more directly | 100% | Jan 1, 2016 |
| Terrace Licensee 7 | Runs it (operational or managerial control) | 100% | Jan 1, 2016 |
| Serrano Group LLC | Owns 5% or more through other companies | 60% | Jan 1, 2016 |
| Yaame LLC | Owns 5% or more through other companies | 40% | Jan 1, 2016 |
| Serrano Partners LLC | Owns 5% or more through other companies | 17.67% | Jan 1, 2016 |
| Bin Mendel LLC | Owns 5% or more through other companies | 17.67% | Jan 1, 2016 |
| Bl CALI Partners LLC | Owns 5% or more through other companies | 17.67% | Jan 1, 2016 |
| Js Fenton LLC | Owns 5% or more through other companies | 6.67% | Jan 1, 2016 |
| Rgf Consulting LLC | Owns 5% or more through other companies | 3% | Jan 1, 2016 |
How do residents fare?
- CMS rates its quality measures 5 of 5 (California average 4.2).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 4 of 5 |
| Health inspections | 3 of 5 |
| Staffing | 3 of 5 |
| Quality measures | 5 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 4.3 miles, this one had the 7th most health citations at the latest inspection cycle (12; the middle value was 12.5).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Royal Terrace Healthcare This nursing home | 12 | |
| Royal Oaks Manor-Bradbury Oaks | 0.4 | 10 |
| Monrovia Post Acute | 0.6 | 20 |
| Monte Vista Healthcare Center | 0.7 | 21 |
| Monrovia Gardens Healthcare Center | 2.3 | 26 |
| Sierra View Care Center | 3.0 | 11 |
| Coast Care Convalescent Center | 3.2 | 10 |
| Santa Fe Lodge | 3.2 | 16 |
| Mayflower Care Center | 3.2 | 10 |
| The Gardens of El Monte | 3.8 | 26 |
| Fidelity Health Care | 4.3 | 13 |
| Victoria Care Center | 4.3 | 10 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.