Home›Browse›California›Alhambra›Royal Gardens Healthcare

Nursing homeFAID #909

Royal Gardens Healthcare

2339 W. VALLEY BLVD., ALHAMBRA, CA, 91803

(626) 289-7809

43 licensed beds

CMS rates Royal Gardens Healthcare 1 out of 5 overall. Federal inspectors issued 84 citations across 22 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★1/5CMS Five-Star overall1/5 health inspections4/5 staffing4/5 quality measuresSource: CMS Care Compare

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Address

2339 W. Valley Blvd.

Alhambra, CA 91803

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Public record summary

What we can show you for free.

Bed capacity

CMS facility ID

055818

Care type

Nursing home

County

Los Angeles

Facility name

Royal Gardens Healthcare

Street address

2339 W. VALLEY BLVD.

City / state / ZIP

Alhambra, CA 91803

Phone

(626) 289-7809

About this facility — Royal Gardens Healthcare

Royal Gardens Healthcare is a Medicare/Medicaid-certified skilled nursing facility in Alhambra, California. It is licensed for 43 beds — well below the median for skilled nursing facilities in California (98 beds).

It is one of 18 senior care facilities in Alhambra and 1,165 skilled nursing facilities across California. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Serrano Group, a group of 11 facilities on this site.

Federal inspectors have cited Royal Gardens Healthcare 84 times across 22 inspections in the last three years, including 6 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

Serrano Group

Ownership type

For profit - Individual

Registered owners & officers

Gardens Licensee 4 Llc

Direct owner · Operational control — 100% stake — since 2016

Bin Mendel Llc

Indirect owner — since 2016

Bl Cali Partners Llc

Indirect owner — since 2016

Fensterman, Howard

Indirect owner — since 2016

Fensterman, Jordan

Indirect owner — since 2016

Fensterman, Robert

Indirect owner — since 2016

Jacobs, Dov

Indirect owner · Officer — since 2016

Js Fenton Llc

Indirect owner — since 2016

Leibson, Staci

Indirect owner — since 2016

Rgf Consulting Llc

Indirect owner — since 2016

Serrano Group Llc

Indirect owner — since 2016

Serrano Partners Llc

Indirect owner — since 2016

Taub, Judah

Indirect owner — since 2016

Yaame Llc

Indirect owner — since 2016

Yu, Armando

Operational control — since 2016

Regulatory standing

Licensed / certified since

1968-04-03

CMS overall rating

1 of 5 stars

Health deficiencies

31 at the last standard inspection

Federal fines

None on record

Last standard inspection

2026-01-23

Nurse staffing

4.5 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$389 per day (≈ $11,830/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

85% Medicaid · 9% Medicare · 5% private/other

Occupancy

88% (fiscal year 2023)

Vs. state median

24% below the CA median of $514/day — full state cost breakdown

Services & coverage

Licensed beds

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 6 food-safety citations on its three-year record — flagged below among the inspections.

2026-08-27Health inspectionComplaint-triggered1 citation

F-0921

E · No harm foundFrom a complaint

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

Corrected 2026-08-28

2026-08-21Health inspectionComplaint-triggered1 citation

F-0558

E · No harm foundFrom a complaint

Reasonably accommodate the needs and preferences of each resident.

Corrected 2026-08-24

19 earlier / fire-safety inspections (82 citations)

2026-04-16Health inspectionComplaint-triggered5 citations

F-0558

D · No harm foundFrom a complaint

Reasonably accommodate the needs and preferences of each resident.

Corrected 2026-04-22

F-0656

D · No harm foundFrom a complaint

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

Corrected 2026-04-22

F-0684

E · No harm foundFrom a complaint

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

Corrected 2026-04-22

F-0755

D · No harm foundFrom a complaint

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

Corrected 2026-04-22

F-0880

E · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2026-04-22

2026-04-09Health inspectionComplaint-triggered1 citation

F-0600

D · No harm foundFrom a complaint

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

Corrected 2026-04-15

2026-04-08Health inspectionComplaint-triggered1 citation

F-0691

D · No harm foundFrom a complaint

Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

Corrected 2026-04-15

2026-01-23Health inspectionComplaint-triggered21 citations

F-0558

D · No harm found

Reasonably accommodate the needs and preferences of each resident.

Corrected 2026-02-16

F-0584

E · No harm found

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2026-02-16

F-0585

D · No harm foundFrom a complaint

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2026-02-16

F-0607

D · No harm foundFrom a complaint

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2026-02-16

F-0609

D · No harm foundFrom a complaint

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

Corrected 2026-02-16

F-0610

D · No harm foundFrom a complaint

Respond appropriately to all alleged violations.

Corrected 2026-02-16

F-0656

D · No harm found

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

Corrected 2026-02-16

F-0677

D · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2026-02-16

F-0679

D · No harm found

Provide activities to meet all resident's needs.

Corrected 2026-02-16

F-0686

E · No harm found

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

Corrected 2026-02-16

F-0688

D · No harm found

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.

Corrected 2026-02-16

F-0690

D · No harm found

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2026-02-16

F-0726

E · No harm found

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.

Corrected 2026-02-16

F-0755

E · No harm found

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

Corrected 2026-02-16

F-0757

E · No harm found

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2026-02-16

F-0759

E · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2026-02-16

F-0810

D · No harm foundFood safety

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

Corrected 2026-02-16

F-0812

E · No harm foundFood safety

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

Corrected 2026-02-16

F-0814

D · No harm foundFood safety

Dispose of garbage and refuse properly.

Corrected 2026-02-16

F-0842

D · No harm found

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

Corrected 2026-02-16

F-0912

B · No harm found

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

Corrected 2026-02-16

2026-01-13Health inspectionComplaint-triggered1 citation

F-0684

D · No harm foundFrom a complaint

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

Corrected 2026-01-16

2025-08-21Health inspectionComplaint-triggered2 citations

F-0627

D · No harm foundFrom a complaint

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Corrected 2025-08-25

F-0842

E · No harm foundFrom a complaint

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

Corrected 2025-08-25

2025-08-11Health inspectionComplaint-triggered1 citation

F-0684

D · No harm foundFrom a complaint

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

Corrected 2025-08-29

2025-07-22Health inspectionComplaint-triggered1 citation

F-0880

E · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2025-07-23

2025-04-22Health inspectionComplaint-triggered1 citation

F-0842

E · No harm foundFrom a complaint

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

Corrected 2025-04-23

2025-03-05Health inspectionComplaint-triggered1 citation

F-0800

D · No harm foundFood safetyFrom a complaint

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Corrected 2025-03-07

2024-12-05Health inspection12 citations

F-0550

D · No harm found

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

Corrected 2024-12-06

F-0558

D · No harm found

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-12-06

F-0584

E · No harm found

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2024-12-06

F-0656

D · No harm found

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

Corrected 2024-12-06

F-0686

E · No harm found

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

Corrected 2024-12-10

F-0732

B · No harm found

Post nurse staffing information every day.

Corrected 2024-12-06

F-0758

D · No harm found

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2024-12-06

F-0759

D · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-12-06

F-0761

E · No harm found

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.

Corrected 2024-12-06

F-0812

E · No harm foundFood safety

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

Corrected 2024-12-06

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-12-06

F-0912

B · No harm found

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

Corrected 2024-12-06

2024-09-30Health inspectionComplaint-triggered1 citation

F-0732

D · No harm foundFrom a complaint

Post nurse staffing information every day.

Corrected 2024-10-17

2024-07-31Health inspectionComplaint-triggered1 citation

F-0686

E · No harm foundFrom a complaint

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

Corrected 2024-08-20

2024-07-03Health inspectionComplaint-triggered2 citations

F-0600

D · No harm foundFrom a complaint

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

Corrected 2024-07-24

F-0657

D · No harm foundFrom a complaint

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2024-07-24

2023-12-20Health inspectionComplaint-triggered3 citations

F-0580

D · No harm foundFrom a complaint

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

Corrected 2024-01-27

F-0636

D · No harm foundFrom a complaint

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2024-01-27

F-0825

E · No harm foundFrom a complaint

Provide or get specialized rehabilitative services as required for a resident.

Corrected 2024-01-27

2023-12-10Health inspection17 citations

F-0584

D · No harm found

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2024-01-02

F-0604

E · No harm found

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2024-01-02

F-0656

D · No harm found

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

Corrected 2024-01-02

F-0657

D · No harm found

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2024-01-02

F-0686

E · No harm found

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

Corrected 2024-01-02

F-0689

D · No harm found

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

Corrected 2024-01-02

F-0690

D · No harm found

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2024-01-02

F-0693

D · No harm found

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2024-01-02

F-0695

E · No harm found

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

Corrected 2024-01-02

F-0755

D · No harm found

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

Corrected 2024-01-02

F-0758

D · No harm found

Corrected 2024-01-02

F-0759

E · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-01-02

F-0761

E · No harm found

Corrected 2024-01-02

F-0812

E · No harm foundFood safety

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

Corrected 2024-01-02

F-0842

D · No harm found

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

Corrected 2024-01-02

F-0881

D · No harm found

Implement a program that monitors antibiotic use.

Corrected 2024-01-02

F-0912

B · No harm found

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

Corrected 2024-01-02

2026-01-23Fire-safety inspection3 citations

K-0321

D · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2026-01-23

K-0355

D · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2026-01-23

K-0761

F · No harm found

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2026-01-23

2024-12-05Fire-safety inspection3 citations

K-0223

D · No harm found

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2024-12-04

K-0345

D · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-12-04

K-0363

D · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2024-12-04

2023-12-10Fire-safety inspection5 citations

K-0300

F · No harm found

Meet other general requirements that are deficient.

Corrected 2023-12-15

K-0331

D · No harm found

Construct fire resistant interior walls.

Corrected 2023-12-15

K-0351

D · No harm found

Install an approved automatic sprinkler system.

Corrected 2023-12-15

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-12-15

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2023-12-15

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 055818.

Quality of care & staffing

How it compares in California.

Inspection citations, 3 years

More than 74% of nursing homes in the state

State median: 65

Federal fines, 3 years

No federal fines on record

State median: $0

Nurse staffing, hours per resident per day

4.5

Higher than 63% of nursing homes in the state

State median: 4.3

Nursing staff turnover, annual

55%

Higher than 94% of nursing homes in the state

State median: 36%

Resident outcomes

On 21 federal quality measures, this facility does better than the California average on 10 and worse on 9. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	18.3%	10.2%	13.5%	Worse than state
Lose too much weight	1.7%	4.1%	5.1%	Better than state
With a catheter inserted and left in their bladder	0.5%	0.7%	0.7%	Better than state
With a urinary tract infection	0.8%	1.2%	1.5%	Better than state
Have depressive symptoms	10.0%	7.6%	13.5%	Worse than state
Were physically restrained	0.0%	0.3%	0.1%	Better than state
Experiencing one or more falls with major injury	0.0%	1.6%	3.2%	Better than state
Assessed and appropriately given the pneumococcal vaccine	95.6%	98.7%	93.7%	Near state average
Ability to walk independently worsened	12.2%	8.9%	12.7%	Worse than state
Received an antianxiety or hypnotic medication	17.8%	13.7%	19.5%	Worse than state
Assessed and appropriately given the seasonal influenza vaccine	100.0%	97.9%	95.3%	Near state average
With pressure ulcers	3.3%	4.3%	4.5%	Better than state
With new or worsened bowel or bladder incontinence	13.0%	9.8%	18.3%	Worse than state
Received an antipsychotic medication	11.0%	12.3%	15.4%	Better than state
Hospitalizations per 1000 long-stay resident days	2.92	2.21	1.81	Worse than state
Outpatient emergency department visits per 1000 long-stay resident days	0.96	1.50	1.69	Better than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	83.5%	94.6%	82.3%	Worse than state
Newly received an antipsychotic medication	0.0%	1.3%	1.5%	Better than state
Were assessed and appropriately given the seasonal influenza vaccine	80.5%	93.1%	80.1%	Worse than state
Were rehospitalized after a nursing home admission	27.8%	22.6%	23.4%	Worse than state
Had an outpatient emergency department visit	7.8%	11.1%	11.8%	Better than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0558 4 inspections. Reasonably accommodate the needs and preferences of each resident.
F-0656 4 inspections. Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F-0686 4 inspections. Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F-0842 4 inspections. Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F-0684 3 inspections. Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F-0755 3 inspections. Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

What its owners also hold

Yaame Llc has an ownership stake on file at 6 nursing homes, averaging 2.5 of 5 on CMS's overall rating.
Serrano Partners Llc has an ownership stake on file at 6 nursing homes, averaging 2.5 of 5 on CMS's overall rating.
Serrano Group Llc has an ownership stake on file at 6 nursing homes, averaging 2.5 of 5 on CMS's overall rating.
Rgf Consulting Llc has an ownership stake on file at 6 nursing homes, averaging 2.5 of 5 on CMS's overall rating.

Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.

Verify & compare

Where to check, and what's nearby.

Who to contact in California

Licensing: California Department of Public Health, Center for Health Care Quality, Licensing and Certification
File a complaint: 844-538-8766 · Online
Long-Term Care Ombudsman: 800-231-4024. A free advocate for residents and families.
Adult Protective Services: 833-401-0832. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Garfield Medical Center, about 1.7 miles. CMS rating 1 of 5.
San Gabriel Valley Medical Center, about 3.1 miles. CMS rating 4 of 5.
Los Angeles General Medical Center, about 3.6 miles. CMS rating 2 of 5.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Sunny Village Care Center, Alhambra, about 0.6 miles. CMS rating 3 of 5.
Alhambra Hospital Med Ctr Dp/snf, Alhambra, about 1.1 miles. CMS rating 4 of 5.
Atherton Baptist Home, Alhambra, about 1.4 miles. CMS rating 4 of 5.
Alhambra Villa, Alhambra, about 1.5 miles. 6 state visits on record.
My Ladies Guest House, Alhambra, about 1.6 miles. 6 state visits on record.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 84 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

Unlock the full file

Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered