Royal Terrace Healthcare
1340 HIGHLAND AVE., Duarte, CA 91010
Duarte, California · CMS verdict
Royal Terrace Healthcare's CMS overall star rating stands at 4 of 5, above the California state average (3.1) and reflecting above-average quality by the federal five-star measure.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Royal Terrace Healthcare in Duarte, California holds a CMS overall rating of 4 of 5 stars and a PlainElderCare Quality & Compliance Index of 51 of 100 (grade F). The 58-bed facility operates where a semi-private nursing-home room in California runs a median of $12,167 per month. Figures are from CMS Nursing Home Compare.
PlainElderCare Quality & Compliance Index
A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall rating of 4 of 5 stars. How this is calculated.
How the 51 is built
Each segment is a dimension's weighted points toward the score, summing to 51.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Data insights
Quality ratings
CMS's most recent Care Compare release (data as of April 2026) puts Royal Terrace Healthcare's overall quality rating at 4 out of 5 stars, a composite of three sub-ratings: health inspection (3/5), staffing (2/5), and quality measures (5/5).
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Duarte, California, this facility operates 58 certified beds with an average daily census of roughly 51 residents - an occupancy rate of about 88%. The facility is classified under for profit - limited liability company ownership, a designation that can influence staffing patterns, reinvestment decisions, and admissions policy. With occupancy around 88%, bed usage here sits in the range typical of a stabilized facility.
Same-ownership peers
Within California, Royal Terrace Healthcare is one of 606 for profit - limited liability company nursing homes CMS rates. Its 4-star overall rating sits above the for profit - limited liability company-segment average of 2.9 stars, ahead of roughly 65% of same-ownership peers in the state. This ownership-segment comparison controls for business-model differences, so what's left mostly reflects how this facility runs relative to similar operators, not the type of operator it is.
Inspection record
On the regulatory side, federal and state surveyors have documented multiple deficiencies at this facility (40 total). CMS has levied no enforcement penalties over the equivalent window. This is a high deficiency count relative to most facilities; requesting the full survey report directly is the only way to see whether these are concentrated in one area or spread across the facility's operations.
Where these figures come from
The figures above come directly from the U.S. Centers for Medicare \& Medicaid Services Nursing Home Compare dataset for federal quality ratings, combined with the CareScout 2025 Cost of Care Survey of more than 15,000 elder-care providers nationwide and U.S. Census American Community Survey income data. Cost figures are monthly medians, refreshed annually with each new CareScout release; quality ratings are refreshed quarterly from the CMS Provider Information File. Read these state and county medians as benchmarks, then verify current rates with individual providers and consult care managers before making placement decisions. See our methodology for source vintage.
How Royal Terrace Healthcare compares to California
CMS five-star sub-ratings (0–5) for this facility against the California facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = California state average. Higher is better on all four CMS measures.
Where Royal Terrace Healthcare ranks in California
Among the 1,154 CMS-rated nursing homes in California, Royal Terrace Healthcare’s 4-star overall rating is higher than 57% of them. The bars show how all California homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
222 California homes share this 4-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 58 |
| Residents | 51 |
| Ownership | For profit - Limited Liability company |
| County | Los Angeles |
| Penalties | 0 |
| Deficiencies | 40 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What do families ask most?
What is the quality rating for Royal Terrace Healthcare? ▾
Royal Terrace Healthcare has an overall CMS quality rating of 4 out of 5 stars, with a health inspection rating of 3/5, staffing rating of 2/5, and quality measures rating of 5/5.
How much does a nursing home cost per month in California? ▾
CareScout's 2025 survey puts California's median semi-private nursing home rate at $12,167 per month ($146,000 per year), with private rooms averaging $15,178 per month.
What services does Royal Terrace Healthcare offer? ▾
With 58 beds with approximately 51 current residents, Royal Terrace Healthcare is a skilled nursing facility. It operates under for profit - limited liability company ownership, and CMS's inspection record shows 40 deficiencies and 0 penalties.
Does Royal Terrace Healthcare have any deficiencies or penalties? ▾
Royal Terrace Healthcare has multiple deficiencies (40 total) and 0 penalties recorded by CMS. A count this high is above what most facilities post; ask the facility directly for its plan of correction on the largest findings.
What are the alternatives to a nursing home in California? ▾
In California, alternatives include assisted living ($7,000/mo), home health aides ($7,627/mo), and adult day care ($2,037/mo).
Elder Care Guides
Explore PlainElderCare
Related Resources
Compare cost and CMS quality across the state on the California elder-care overview, or see how facilities rank nationwide in our highest-rated states ranking.
Weigh nursing care against assisted living, home health, and adult day care, with national median costs, on our care types comparison, and learn how to fund it in our paying for elder care guide.
Source: CMS Nursing Home Compare. Provider ID: 055541.
Read our methodology - how this data is sourced, computed, and verified.