Royal Vista Care Center

909 W. Santa Anita Ave · San Gabriel, CA · 91776 · 6262895365

99 certified beds For profit - Limited Liability company Chain: Ahmc Healthcare

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • No federal fines or payment denials in CMS’s 3-year window.
  • Inspection results have improved across recent cycles.

Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 27
Serious harm & abuse 20% 94
Staffing 20% 74
Federal penalties 15% 100
Trend 10% 77
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 2 of 5

Total nurse hours / resident-day4.233.48 min · 4.1 strong
RN hours / resident-day0.430.55–0.75
Weekend hours / resident-day3.89≈ weekday level
Nursing turnover / yearmedian 45%
Fines (3-yr window)none

Inspection citations (99 in the current record)

  • Potential for harm · E April 29, 2026 · found via complaint

    Provide and implement an infection prevention and control program.

    Deficient, Provider has no plan of correction · Infection Control

  • Potential for harm · D February 12, 2026

    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.

    Corrected March 9, 2026 · Resident Rights

  • Potential for harm · D February 12, 2026

    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 March 9, 2026 · Resident Rights

  • Potential for harm · E February 12, 2026

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Corrected March 9, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E February 12, 2026

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected March 9, 2026 · Resident Assessment and Care Planning

  • Potential for harm · E February 12, 2026

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

    Corrected March 9, 2026 · Quality of Life and Care

  • Potential for harm · D February 12, 2026

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

    Corrected March 9, 2026 · Quality of Life and Care

  • Potential for harm · D February 12, 2026

    Assist a resident in gaining access to vision and hearing services.

    Corrected March 9, 2026 · Quality of Life and Care

  • Potential for harm · E February 12, 2026

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

    Corrected March 9, 2026 · Quality of Life and Care

  • Potential for harm · D February 12, 2026

    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 March 9, 2026 · Quality of Life and Care

  • Potential for harm · D February 12, 2026

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

    Corrected March 9, 2026 · Quality of Life and Care

  • Potential for harm · D February 12, 2026

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected March 9, 2026 · Quality of Life and Care

  • Potential for harm · D February 12, 2026

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected March 9, 2026 · Quality of Life and Care

  • Potential for harm · D February 12, 2026

    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 March 9, 2026 · Nursing and Physician Services

  • Potential for harm · E February 12, 2026

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

    Corrected March 9, 2026 · Pharmacy Service

  • Potential for harm · E February 12, 2026

    Ensure medication error rates are not 5 percent or greater.

    Corrected March 9, 2026 · Pharmacy Service

  • Potential for harm · E February 12, 2026

    Ensure that residents are free from significant medication errors.

    Corrected March 9, 2026 · Pharmacy Service

  • Potential for harm · E February 12, 2026

    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 March 9, 2026 · Pharmacy Service

  • Potential for harm · D February 12, 2026

    Provide routine and 24-hour emergency dental care for each resident.

    Corrected March 9, 2026 · Quality of Life and Care

  • Potential for harm · E February 12, 2026

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

    Corrected March 9, 2026 · Nutrition and Dietary

  • Potential for harm · D February 12, 2026

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

    Corrected March 9, 2026 · Resident Assessment and Care Planning

  • Potential for harm · E February 12, 2026

    Provide and implement an infection prevention and control program.

    Corrected March 9, 2026 · Infection Control

  • Potential for harm · D February 12, 2026

    Implement a program that monitors antibiotic use.

    Corrected March 9, 2026 · Infection Control

  • Potential for harm · E February 12, 2026

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Corrected March 9, 2026 · Infection Control

  • Potential for harm · E February 12, 2026

    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

    Corrected March 9, 2026 · Infection Control

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Family & resident reviews — a separate signal, never mixed into the score

No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 055105 · certified since January 1, 1973. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.