Royal Gardens Healthcare is a small nursing home located in Alhambra, California. Featuring an overall score of B+, this looks like a very good nursing home. Based on our assessment, you can do much worse than this facility. The best part of this facility's impressive profile is its nursing grade. Nursing grades are discussed in the next section

Additional Details:

Accepts Medicare 1 : TrueA checkmark indicating true.

Accepts Medicaid 1 : 43 Beds TrueA checkmark indicating true.

CCRC : FalseUsed to indicate false.

For profit - Limited Liability company

Resident Council: TrueA checkmark indicating true.

Family Council: FalseUsed to indicate false.

Medical Staff Hours Per Patient (2019)

Less:
More:
January
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February
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March
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April
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May
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June
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July
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August
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September
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October
October 1, 2019October 2, 2019October 3, 2019October 4, 2019October 5, 2019October 6, 2019October 7, 2019October 8, 2019October 9, 2019October 10, 2019October 11, 2019October 12, 2019October 13, 2019October 14, 2019October 15, 2019October 16, 2019October 17, 2019October 18, 2019October 19, 2019October 20, 2019October 21, 2019October 22, 2019October 23, 2019October 24, 2019October 25, 2019October 26, 2019October 27, 2019October 28, 2019October 29, 2019October 30, 2019October 31, 2019
November
November 1, 2019November 2, 2019November 3, 2019November 4, 2019November 5, 2019November 6, 2019November 7, 2019November 8, 2019November 9, 2019November 10, 2019November 11, 2019November 12, 2019November 13, 2019November 14, 2019November 15, 2019November 16, 2019November 17, 2019November 18, 2019November 19, 2019November 20, 2019November 21, 2019November 22, 2019November 23, 2019November 24, 2019November 25, 2019November 26, 2019November 27, 2019November 28, 2019November 29, 2019November 30, 2019
December
December 1, 2019December 2, 2019December 3, 2019December 4, 2019December 5, 2019December 6, 2019December 7, 2019December 8, 2019December 9, 2019December 10, 2019December 11, 2019December 12, 2019December 13, 2019December 14, 2019December 15, 2019December 16, 2019December 17, 2019December 18, 2019December 19, 2019December 20, 2019December 21, 2019December 22, 2019December 23, 2019December 24, 2019December 25, 2019December 26, 2019December 27, 2019December 28, 2019December 29, 2019December 30, 2019December 31, 2019

Nurse Quality

A
Oct 18: ANov 18: ADec 18: AJan 19: AFeb 19: AMar 19: AApr 19: A-May 19: A-Jun 19: A-Jul 19: BAug 19: BSep 19: BJan 20: A-Mar 20: A-Apr 20: AMay 20: AJun 20: AJul 20: AAug 20: A
Historical

On top of performing well in its overall score, this nursing home earned even higher grades in the area of nursing. In fact, we gave it one of our best scores in that category with an A. Nursing grades are based largely on quality and quantity of nursing care. This nursing home offers a very impressive 4.7 hours of nursing care per resident per day. This is among the higher totals in California. Lastly, this facility also excelled in several quality-based metrics we looked at. With less than five percent of its residents experiencing pressure ulcers, this place performed as well as any nursing home the state in this category. This is generally a good indicator that a facility has reliable quality controls. Many pressure ulcers can be avoided by providing better nursing care and having a system of turning patients more often.

Facility Inspections

A-
Oct 18: B+Nov 18: B+Dec 18: B+Jan 19: B+Feb 19: B+Mar 19: B+Apr 19: A-May 19: A-Jun 19: A-Jul 19: A-Aug 19: A-Sep 19: A-Jan 20: A-Mar 20: A-Apr 20: A-May 20: A-Jun 20: A-Jul 20: A-Aug 20: A-
Historical

This facility also performed well in inspections, which is based on its recent inspection reports. In fact, we awarded it an A- for that area, which is one of our top scores. Our inspection scores account for a host of factors found on a nursing home's inspection report. One of the most important criteria we look at is the quantity and severity of deficiencies. Places with higher scores in this category usually have few severe deficiencies. Fortunately, although this place had some minor dings on its inspection report, it had zero severe deficiencies. Severe deficiencies are ones labeled as categories G through L. This means the government inspectors did not deem any of the deficiencies on this facility's report to pose an imminent threat to patient safety or health. A couple relatively minor deficiencies aren't necessarily the end of the world.

Long-term Care Quality

B
Oct 18: BNov 18: BDec 18: BJan 19: BFeb 19: BMar 19: BApr 19: BMay 19: BJun 19: BJul 19: BAug 19: B-Sep 19: B-Jan 20: BMar 20: BApr 20: BMay 20: BJun 20: B+Jul 20: B+Aug 20: B
Historical

The third category we assessed is long-term care. This nursing home was awarded a favorable long-term care grade, with a grade of B in this area. When facilities receive this type of grade in this category it is usually a good sign for patient care and suggests that the place is well-staffed with nurses and aids. On top of really impressive nursing hour statistics, this facility's vaccination record is as good as it gets also. In fact, this nursing home vaccinated 100 percent of its residents for pneumonia. The last datapoint we looked at is the nursing home's hospitalization rate. Here we found that this place had 4.34 hospitalizations per 1,000 long-term resident days. Although this wasn't as impressive as some of its other scores in this area, this statistic can be skewed for some facilities due to the preexisting medical conditions of patients.

Short-term Care Quality

B-
Oct 18: CNov 18: CDec 18: CJan 19: CFeb 19: CMar 19: B+Apr 19: DMay 19: DJun 19: DJul 19: DAug 19: DSep 19: DJan 20: CMar 20: CApr 20: B-May 20: B-Jun 20: B-Jul 20: B-Aug 20: B-
Historical

The final category we rated was short-term care. We gave this facility a decent score in this area, with a grade of B-. Although this wasn't as favorable as several of its other scores, it is still not a bad grade. Short-term care scores are based on a nursing home's quantity of skilled highly skilled professionals. This includes a wide spectrum of nursing services, spanning from registered nurses to physical and respiratory therapists, not to mention other forms of therapy. When we looked at this facility's physical therapist hours, we found it offered more hours of physical therapy per day to its residents than most nursing homes. Lastly, we looked at the percentage of patients who were able to return to the community from this facility. We found that 21.1 percent of this facility's patients returned home. At most facilities, closer to half of their residents are able to return home so this is below average.

Overall Rating Over Time

Compared to national and state averages across all facilities.

Aug 20
Provider:
B+
State:
B
National:
B
FDCB-BB+A-AA+Oct 18Nov 18Dec 18Jan 19Feb 19Mar 19Apr 19May 19Jun 19Jul 19Aug 19Sep 19Oct 19Dec 19Jan 20Mar 20Apr 20May 20Jun 20Jul 20Aug 20
Overall Rating
Nurse Rating
Long-Term Rating
Short-Term Rating
Inspection Rating

Royal Gardens Healthcare Quality Metrics

Minimizes Pressure Ulcers

This is the percentage of residents who have had a pressure ulcer. Pressure ulcers are skin damage resulting from remaining in one position for an excessive period of time.

Provider
A+
2.53%
State
B+
6.95%
National
B
7.34%

Percent of Patients with Pressure Ulcers
Lower is Better

Minimizes Serious Falls

This is the percentage of residents who sustained a major fall. Falls leading to major injuries are considered to be a barometer of nursing care . Major falls are often caused by lower quality nursing care.

Provider
D
5.83%
State
A-
1.78%
National
B
3.36%

Percent of Patients with Serious Falls
Lower is Better

Minimizes Urinary Tract Infections

This figure indicates the percentage of long-term stay patients who suffered from a UTI. While more of these infections may reflect poorly on a nursing home's nursing care, it can be difficult to compare different nursing homes due to reporting standards.

Provider
C
4.39%
State
A-
1.69%
National
B
2.66%

Percent of Patients with UTIs
Lower is Better

Appropriately Uses Anti-Psychotic Medication

This is a measure of the percentage of long-term care patients receiving antipsychotic medications. While antipsychotic medications serve an important medical purpose, it is important to make sure these drugs are being used only where medically required. In limited cases, high levels of antipsychotic drug use may mean a nursing home is using these drugs to subdue residents.

Provider
B+
10.89%
State
A-
10.4%
National
B
14.15%

Percent of Patients
Lower is Better

Appropriately Uses Anti-Anxiety Medication

This is the percentage of patients prescribed antianxiety medications. Antianxiety drugs are prescribed to residents suffering from anxiety and depression.

Provider
A+
5%
State
A-
14.21%
National
B
19.69%

Percent of Patients
Lower is Better

Managing Depression Among Residents

This metric is a measure of the percentage of long-term patients showing depressive symptoms.

Provider
A+
0%
State
A
0.97%
National
B+
5.11%

Percent of Patients
Lower is Better

Appropriate Vaccine Usage

This is a measure of the percentage of long-term stay patients who received the flu and pneumonia vaccines. Respiratory viruses can be deadly for nursing home patients, making these types of vaccines critical to patient care.

Provider
A
100%
State
B+
94.67%
National
B
92.01%

Percent of Patients
Higher is Better

Residents Maintain Autonomy

This metric is a measure of the percent of long-term patients who required additional assistance with activities of daily living over time. Activities of daily living include activities such as moving around and using the bathroom.

Provider
C
17.76%
State
A-
9.21%
National
B
14.47%

Percentage of Patients
Lower is Better

Ability to Keep Residents Mobile

This metric tracks the percentage of long-term stay residents that retained mobility levels. Some believe that the ability to move around is vital to patients physical and mental well-being.

Provider
D
10.96%
State
C
12.94%
National
B
17.10%

Percentage of Residents
Higher is Better

Hospitalizations

Measures the number of hospitalizations per thousand days of patient care.

Provider
F
3.32
State
B-
1.88
National
B
1.70

Hospitalizations per 1,000 resident days
Lower is Better

Short-term Care: Rehospitalizations

This tells you the number of rehospitalizations per 1,000 days of short-term patient care. There is generally a correlation between reduced hospitalizations and a nursing homes short-term rehabilitation performance.

Provider
A
10.96
State
A-
12.94
National
B
17.10

Percentage of Residents Rehospitalized
Lower is Better

Short-term Care: ER Visits

This is the number of emergency room visits per 1,000 days of short-term patient care.

Provider
C
12.52
State
B
9.82
National
B
10.26

Percentage of Patients
Lower is Better

Nearby Hospitals

Garfield Medical Center 1.66 mi
525 N Garfield Ave Monterey Park California 91754
(626) 573-2222
Acute Care Hospitals
Proprietary
San Gabriel Valley Medical Center 3.03 mi
438 W Las Tunas Drive San Gabriel California 91776
(626) 289-5454
Acute Care Hospitals
Proprietary
Lac+Usc Medical Center 3.65 mi
1200 N State St, Room c2k100 Los Angeles California 90033
(323) 226-2800
Acute Care Hospitals
Government - Local
Huntington Memorial Hospital 4.07 mi
100 W California Blvd Pasadena California 91109
(626) 397-5000
Acute Care Hospitals
Voluntary non-profit - Other
Los Angeles Community Hospital 4.5 mi
4081 E Olympic Blvd Los Angeles California 90023
(323) 267-0477
Acute Care Hospitals
Proprietary
Beverly Hospital 5.12 mi
309 W Beverly Blvd Montebello California 90640
(323) 726-1222
Acute Care Hospitals
Voluntary non-profit - Private
Glendale Adventist Medical Center 6.88 mi
1509 E Wilson Terrace Glendale California 91206
(818) 409-8202
Acute Care Hospitals
Voluntary non-profit - Private
California Hospital Medical Center La 7.12 mi
1401 South Grand Avenue Los Angeles California 90015
(213) 748-2411
Acute Care Hospitals
Voluntary non-profit - Other

Nearby Dialysis

Fmc-Alhambra 0.04 mi
Dialysis Stations: 20
2300 W. Valley Blvd. Alhambra California 91803
(626) 458-4726
Fmc-San Gabriel Dialysis Center 0.35 mi
CMS Rating: 4 stars
Dialysis Stations: 38
1801 W. Valley Blvd., Suite 102 Alhambra California 91803
(626) 457-9002
Fmc-San Gabriel Valley Pd Clinic 0.35 mi
Dialysis Stations: 6
1801 W. Valley Blvd., Suite 204 Alhambra California 91803
(626) 457-6540
Davita-Garfield Hemodialysis Center 1.64 mi
CMS Rating: 3 stars
Dialysis Stations: 25
118 Hilliard Avenue Monterey Park California 91754
(626) 288-5796
Davita-Monterey Park Dialysis Center 2.25 mi
CMS Rating: 4 stars
Dialysis Stations: 28
2560 Corporate Place, Building D, Suite 100-101 Monterey Park California 91754
(323) 780-8787
Rosemead Dialysis Center 2.5 mi
Dialysis Stations: 17
7403 Hellman Avenue Rosemead California 91770
(626) 280-6161
Peritoneal Dialysis Center of America-San Gabriel Pc 2.77 mi
Dialysis Stations: 2
809 S. Atlantic Blvd., Suite 103 Monterey Park California 91754
(626) 576-8556
Fmc-Dialysis Services of East Los Angeles 2.94 mi
CMS Rating: 4 stars
Dialysis Stations: 33
5220 E. Telford Street Los Angeles California 90022
(323) 269-2091