Skilled nursing facility · CMS certification number 055818
ROYAL GARDENS HEALTHCARE
ALHAMBRA, California · Medicare and Medicaid · 43 certified beds in Care Compare
Download ROYAL GARDENS HEALTHCARE’s record (CSV, each figure with its worksheet, line and column)
ROYAL GARDENS HEALTHCARE: its citable report, full history — $295 · an email when it changes — $99/month
What stands out
- Its latest cost report on file is for fiscal year 2024, covering January 1, 2024 to December 31, 2024 (365 days), and CMS processed it on September 23, 2025.
- Net patient revenue rose from $5.6M in fiscal year 2023 to $7.2M in fiscal year 2024.
- Its result from service to patients: −$944K (2022), −$426K (2023), $181K (2024).
- Its cost reports on file run from fiscal year 1997 to fiscal year 2024.
- Since its cost report for fiscal year 2024 was filed on September 23, 2025, 2 changes are listed on this record: 2 deficiencies.
- Its net patient revenue of $7.2M ranks 868th of the 951 nursing facilities in California whose latest cost report on file is fiscal year 2024.
- 2 of the 5 nursing facilities in California closest in size to it, whose latest cost report on file is fiscal year 2024, also report a gain on service to patients.
ROYAL GARDENS HEALTHCARE: Medicare cost reports
Form CMS-2540-10: each report covers January 1 to December 31 of its year; every report is settled.
| Form CMS-2540-10 | 2024 · report 1439969 | 2023 · report 1433029 | 2022 · report 1364566 | 2021 · report 1369689 | 2020 · report 1305280 | 2019 · report 1419791 | 2018 · report 1241178 | 2017 · report 1208388 | 2016 · report 1172958 | 2015 · report 1139295 | 2014 · report 1108223 | 2013 · report 1076741 | 2012 · report 1044732 | 2011 · report 1023552 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Processed by CMS | September 23, 2025 | August 28, 2025 | September 13, 2023 | December 6, 2023 | November 24, 2021 | April 24, 2025 | August 19, 2019 | August 21, 2018 | August 11, 2017 | August 1, 2016 | August 19, 2015 | August 22, 2014 | August 1, 2013 | January 24, 2013 |
| Total patient revenue | $8,327,722 | $5,342,892 | $4,509,222 | $4,219,610 | $4,488,227 | $4,648,056 | $5,504,254 | $3,660,016 | $3,218,045 | $2,787,810 | $2,750,471 | $2,934,302 | $2,853,240 | $2,826,814 |
| Contractual allowances and discounts | $1,120,802 | −$230,214 | −$212,411 | $139,974 | $472,689 | $614,291 | $1,386,130 | −$529,958 | −$496,152 | $144,557 | $238,109 | $382,749 | $397,604 | $368,090 |
| Net patient revenue | $7,206,920 | $5,573,106 | $4,721,633 | $4,079,636 | $4,015,538 | $4,033,765 | $4,118,124 | $4,189,974 | $3,714,197 | $2,643,253 | $2,512,362 | $2,551,553 | $2,455,636 | $2,458,724 |
| Total operating expenses | $7,025,639 | $5,999,398 | $5,665,560 | $5,149,382 | $5,072,324 | $4,280,306 | $4,527,850 | $4,381,098 | $3,650,172 | $2,689,698 | $2,470,852 | $2,363,411 | $2,313,793 | $2,262,769 |
| Net income from service to patients | $181,281 | −$426,292 | −$943,927 | −$1,069,746 | −$1,056,786 | −$246,541 | −$409,726 | −$191,124 | $64,025 | −$46,445 | $41,510 | $188,142 | $141,843 | $195,955 |
| Total other income | $84,811 | $274,194 | $440,275 | $464,906 | $396,348 | $21,861 | $397,826 | $29,355 | $14,060 | $17,523 | $61,989 | $35,056 | $46,664 | $42,498 |
| Net income after other income | $266,092 | −$152,098 | −$503,652 | −$604,840 | −$660,438 | −$224,680 | −$11,900 | −$161,769 | $78,085 | −$28,922 | $103,499 | $223,198 | $188,507 | $238,453 |
| Net income | $266,092 | −$322,203 | −$503,652 | −$604,840 | −$662,838 | −$226,832 | −$13,880 | −$161,769 | $78,085 | −$28,922 | $103,499 | $223,198 | $188,507 | $238,453 |
| Total facility beds, all components | 43 | 43 | 43 | 43 | 43 | 43 | 43 | 43 | 43 | 43 | 43 | 43 | 43 | 43 |
| Bed days available, all components | 15,738 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicare (Title XVIII) patient days | 1,649 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid (Title XIX) patient days | 780 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer patient days | 12,416 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total patient days, all components | 14,845 | 13,671 | 12,301 | 11,264 | 10,699 | 12,039 | 13,662 | 14,750 | 14,353 | 14,460 | 14,704 | 14,593 | 14,963 | 14,828 |
| Medicare discharges | 24 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid discharges | 2 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer discharges | 76 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total discharges, all components | 102 | 100 | 74 | 86 | 187 | 158 | 100 | 58 | 63 | 50 | 103 | 99 | 77 | 92 |
| Average length of stay, Medicare, in days | 68.71 | 81.27 | 153.78 | 80.26 | 63.9 | 58.91 | 56.59 | 105.35 | 103 | 141.75 | 44.2 | 92.77 | 55.53 | 36.76 |
| Average length of stay, Medicaid, in days | 390 | 11,706 | 8,655 | 145.45 | 59.31 | 85.15 | 1,956.6 | 3,433.67 | 1,843 | 57.41 | 183.02 | 220.22 | 225.59 | 189.2 |
| Average length of stay, all patients, in days | 145.54 | 136.71 | 166.23 | 130.98 | 57.21 | 76.2 | 136.62 | 254.31 | 227.83 | 289.2 | 142.76 | 147.4 | 194.32 | 161.17 |
Net income, fiscal years 2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011. Checked against the form’s own arithmetic: what that check shows.
Form CMS-2540-96: every report is settled.
| Form CMS-2540-96 | 2010 · report 415576 | 2009 · report 385557 | 2008 · report 354806 | 2007 · report 323257 | 2006 · report 304954 | 2005 · report 266614 | 2004 · report 249191 | 2003 · report 194450 | 2002 · report 173109 | 2001 · report 167850 | 2000 · report 73924 | 1999 · report 73923 | 1998 · report 4982 | 1997 · report 4981 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Period began | January 1, 2010 | January 1, 2009 | January 1, 2008 | January 1, 2007 | January 1, 2006 | January 1, 2005 | January 1, 2004 | January 1, 2003 | January 1, 2002 | January 1, 2001 | January 1, 2000 | April 1, 1999 | April 1, 1997 | April 1, 1996 |
| Period ended | December 31, 2010 | December 31, 2009 | December 31, 2008 | December 31, 2007 | December 31, 2006 | December 31, 2005 | December 31, 2004 | December 31, 2003 | December 31, 2002 | December 31, 2001 | December 31, 2000 | December 31, 1999 | March 31, 1998 | March 31, 1997 |
| Days, where not a full year | — | — | — | — | — | — | — | — | — | — | — | 274 | — | — |
| Processed by CMS | August 17, 2011 | August 13, 2010 | August 17, 2009 | August 7, 2008 | March 18, 2008 | November 16, 2006 | May 12, 2006 | September 21, 2004 | April 27, 2004 | January 28, 2004 | October 26, 2001 | February 13, 2002 | November 3, 1999 | November 18, 1998 |
| Net patient revenue | $2,528,816 | $2,561,270 | $2,451,361 | $2,046,764 | $2,350,647 | $2,168,665 | $1,958,349 | $1,778,670 | $1,540,076 | — | — | — | $1,251,990 | $1,204,748 |
| Total operating expenses | $2,211,561 | $2,061,514 | $2,011,601 | $1,976,337 | $2,247,180 | $1,721,389 | $1,534,855 | $1,515,039 | $1,377,492 | — | — | — | $1,149,168 | $1,093,872 |
| Net income from service to patients | $317,255 | $499,756 | $439,760 | $70,427 | $103,467 | $447,276 | $423,494 | $263,631 | $162,584 | — | — | — | $102,822 | $110,876 |
| Total other income | $50,149 | $33,226 | $239 | $2,439 | $5,798 | $7,848 | $10,557 | $1,356 | $5,291 | — | — | — | $12,876 | $7,540 |
| Total other expenses | — | — | — | — | — | — | — | — | — | — | — | — | $23,954 | $910 |
| Net income | $367,404 | $532,982 | $439,999 | $72,866 | $109,265 | $455,124 | $434,051 | $264,987 | $167,875 | — | −$294,799 | −$255,428 | $91,744 | $117,506 |
| Total facility beds, all components | 43 | 43 | 43 | 43 | 43 | 43 | 43 | 43 | 43 | — | — | — | 43 | 43 |
| Total patient days, all components | 14,726 | 14,447 | 14,767 | 13,594 | 14,581 | 14,948 | 14,934 | 15,180 | 14,575 | — | — | — | 14,726 | 15,039 |
| Total discharges, all components | 118 | 38 | 44 | 70 | 114 | 130 | 98 | 38 | 39 | — | — | — | 53 | 27 |
| Average length of stay, Medicare, in days | 28.44 | 40.46 | 52.79 | 27.76 | 34.54 | 35.46 | 35.84 | 35.62 | 26.71 | — | — | — | 22.38 | 601 |
| Average length of stay, Medicaid, in days | 160.74 | 1,338.22 | 1,056.82 | 333.81 | 183.7 | 145.51 | 204.61 | 1,277.3 | 1,206.36 | — | — | — | 565.05 | 500.22 |
| Average length of stay, all patients, in days | 124.8 | 380.18 | 335.61 | 194.2 | 127.9 | 114.98 | 152.39 | 399.47 | 373.72 | — | — | — | 277.85 | 557 |
Net income, fiscal years 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2003, 2002, 2000, 1999, 1998, 1997. Checked against the form’s own arithmetic: what that check shows.
None of these figures is carried on the report for fiscal year 2001.
ROYAL GARDENS HEALTHCARE: nurse staffing hours by quarter →
Who owns ROYAL GARDENS HEALTHCARE, as filed with CMS
Care Compare
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: GARDENS LICENSEE 4 LLC (organization), 100%%, since 01/01/2016
- 5% OR GREATER INDIRECT OWNERSHIP INTEREST: BIN MENDEL LLC (organization), NO PERCENTAGE PROVIDED, since 01/01/2016; BL CALI PARTNERS LLC (organization), NO PERCENTAGE PROVIDED, since 01/01/2016; FENSTERMAN, HOWARD (individual), NO PERCENTAGE PROVIDED, since 01/01/2016; FENSTERMAN, JORDAN (individual), NO PERCENTAGE PROVIDED, since 01/01/2016; FENSTERMAN, ROBERT (individual), NO PERCENTAGE PROVIDED, since 01/01/2016; JACOBS, DOV (individual), NO PERCENTAGE PROVIDED, since 01/01/2016; JS FENTON LLC (organization), NO PERCENTAGE PROVIDED, since 01/01/2016; LEIBSON, STACI (individual), NO PERCENTAGE PROVIDED, since 01/01/2016; RGF CONSULTING LLC (organization), NO PERCENTAGE PROVIDED, since 01/01/2016; SERRANO GROUP LLC (organization), NO PERCENTAGE PROVIDED, since 01/01/2016; SERRANO PARTNERS LLC (organization), NO PERCENTAGE PROVIDED, since 01/01/2016; TAUB, JUDAH (individual), NO PERCENTAGE PROVIDED, since 01/01/2016; YAAME LLC (organization), NO PERCENTAGE PROVIDED, since 01/01/2016
- CORPORATE OFFICER: JACOBS, DOV (individual), NOT APPLICABLE, since 01/01/2016
- OPERATIONAL/MANAGERIAL CONTROL: GARDENS LICENSEE 4 LLC (organization), NOT APPLICABLE, since 01/01/2016; YU, ARMANDO (individual), NOT APPLICABLE, since 01/01/2016
Medicare enrollment
As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of ROYAL GARDENS HEALTHCARE LLC (enrollment ID O20160503000529).
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: GARDENS LICENSEE 4 LLC (organization), 100.00%, since 01/01/2016
- 5% OR GREATER INDIRECT OWNERSHIP INTEREST: BENJAMIN LANDA (individual), 17.67%, since 01/01/2016; BIN MENDEL LLC (organization), 17.67%, since 01/01/2016; BL CALI PARTNERS LLC (organization), 17.67%, since 01/01/2016; DOV E JACOBS (individual), 40.00%, since 01/01/2016; HOWARD FENSTERMAN (individual), 17.67%, since 01/01/2016; JORDAN FENSTERMAN (individual), 2.50%, since 01/01/2016; JS FENTON LLC (organization), 6.67%, since 01/01/2016; JUDAH TAUB (individual), 17.67%, since 01/01/2016; RGF CONSULTING LLC (organization), 3.00%, since 01/01/2016; ROBERT FENSTERMAN (individual), 5.00%, since 01/01/2016; SERRANO GROUP LLC (organization), 60.00%, since 01/01/2016; SERRANO PARTNERS LLC (organization), 17.67%, since 01/01/2016; STACI LEIBSON (individual), 1.50%, since 01/01/2016; YAAME LLC (organization), 40.00%, since 01/01/2016
- CORPORATE OFFICER: DOV E JACOBS (individual), 100.00%, since 01/01/2016
- OPERATIONAL/MANAGERIAL CONTROL: ARMANDO C YU (individual), 100.00%, since 01/01/2016; GARDENS LICENSEE 4 LLC (organization), 100.00%, since 01/01/2016
Paused by CMS: Form CMS-855A, December 11, 2025.
Private equity company, real estate investment trust and holding company: No: GARDENS LICENSEE 4 LLC; BIN MENDEL LLC; BL CALI PARTNERS LLC; JS FENTON LLC; RGF CONSULTING LLC; SERRANO GROUP LLC; SERRANO PARTNERS LLC; YAAME LLC; GARDENS LICENSEE 4 LLC.
Private equity company, real estate investment trust and holding company: Paused by CMS: BENJAMIN LANDA; DOV E JACOBS; HOWARD FENSTERMAN; JORDAN FENSTERMAN; JUDAH TAUB; ROBERT FENSTERMAN; STACI LEIBSON; DOV E JACOBS; ARMANDO C YU.
Recent changes on this record
- August 27, 2026: A deficiency was cited under tag F 0921, scope and severity E. NH_HealthCitations_Oct2026.csv
- August 21, 2026: A deficiency was cited under tag F 0558, scope and severity E. NH_HealthCitations_Oct2026.csv
Inspections of ROYAL GARDENS HEALTHCARE
- Cycle 1: health January 23, 2026 (31 deficiencies), fire safety January 23, 2026 (3)
- Cycle 2: health December 5, 2024 (18 deficiencies), fire safety December 5, 2024 (3)
- Cycle 3: health December 10, 2023 (24 deficiencies), fire safety December 10, 2023 (5)
Deficiencies cited at ROYAL GARDENS HEALTHCARE
73 deficiencies on file, by tag, newest citation first
every one from a health inspection; every one marked “Deficient, Provider has date of correction”; 27 cited from a complaint, marked below. Letter after a date: scope and severity grade.
- F 0921, environmental: August 27, 2026 (E, from a complaint, corrected August 28, 2026).
- F 0558, resident rights: August 21, 2026 (E, from a complaint, corrected August 24, 2026); April 16, 2026 (D, from a complaint, corrected April 22, 2026); January 23, 2026 (D, corrected February 16, 2026); December 5, 2024 (D, corrected December 6, 2024).
- F 0656, resident assessment and care planning: April 16, 2026 (D, from a complaint, corrected April 22, 2026); January 23, 2026 (D, corrected February 16, 2026); December 5, 2024 (D, corrected December 6, 2024); December 10, 2023 (D, corrected January 2, 2024).
- F 0684, quality of life and care: April 16, 2026 (E, from a complaint, corrected April 22, 2026); January 13, 2026 (D, from a complaint, corrected January 16, 2026); August 11, 2025 (D, from a complaint, corrected August 29, 2025).
- F 0755, pharmacy service: April 16, 2026 (D, from a complaint, corrected April 22, 2026); January 23, 2026 (E, corrected February 16, 2026); December 10, 2023 (D, corrected January 2, 2024).
- F 0880, infection control: April 16, 2026 (E, from a complaint, corrected April 22, 2026); July 22, 2025 (E, from a complaint, corrected July 23, 2025); December 5, 2024 (E, corrected December 6, 2024).
- F 0600, freedom from abuse, neglect, and exploitation: April 9, 2026 (D, from a complaint, corrected April 15, 2026); July 3, 2024 (D, from a complaint, corrected July 24, 2024).
- F 0691, quality of life and care: April 8, 2026 (D, from a complaint, corrected April 15, 2026).
- F 0584, resident rights: January 23, 2026 (E, corrected February 16, 2026); December 5, 2024 (E, corrected December 6, 2024); December 10, 2023 (D, corrected January 2, 2024).
- F 0585, resident rights: January 23, 2026 (D, from a complaint, corrected February 16, 2026).
- F 0607, freedom from abuse, neglect, and exploitation: January 23, 2026 (D, from a complaint, corrected February 16, 2026).
- F 0609, freedom from abuse, neglect, and exploitation: January 23, 2026 (D, from a complaint, corrected February 16, 2026).
- F 0610, freedom from abuse, neglect, and exploitation: January 23, 2026 (D, from a complaint, corrected February 16, 2026).
- F 0677, quality of life and care: January 23, 2026 (D, corrected February 16, 2026).
- F 0679, quality of life and care: January 23, 2026 (D, corrected February 16, 2026).
- F 0686, quality of life and care: January 23, 2026 (E, corrected February 16, 2026); December 5, 2024 (E, corrected December 10, 2024); July 31, 2024 (E, from a complaint, corrected August 20, 2024); December 10, 2023 (E, corrected January 2, 2024).
- F 0688, quality of life and care: January 23, 2026 (D, corrected February 16, 2026).
- F 0690, quality of life and care: January 23, 2026 (D, corrected February 16, 2026); December 10, 2023 (D, corrected January 2, 2024).
- F 0726, nursing and physician services: January 23, 2026 (E, corrected February 16, 2026).
- F 0757, pharmacy service: January 23, 2026 (E, corrected February 16, 2026).
- F 0759, pharmacy service: January 23, 2026 (E, corrected February 16, 2026); December 5, 2024 (D, corrected December 6, 2024); December 10, 2023 (E, corrected January 2, 2024).
- F 0810, nutrition and dietary: January 23, 2026 (D, corrected February 16, 2026).
- F 0812, nutrition and dietary: January 23, 2026 (E, corrected February 16, 2026); December 5, 2024 (E, corrected December 6, 2024); December 10, 2023 (E, corrected January 2, 2024).
- F 0814, nutrition and dietary: January 23, 2026 (D, corrected February 16, 2026).
- F 0842, resident assessment and care planning: January 23, 2026 (D, corrected February 16, 2026); August 21, 2025 (E, from a complaint, corrected August 25, 2025); April 22, 2025 (E, from a complaint, corrected April 23, 2025); December 10, 2023 (D, corrected January 2, 2024).
- F 0912, environmental: January 23, 2026 (B, corrected February 16, 2026); December 5, 2024 (B, corrected December 6, 2024); December 10, 2023 (B, corrected January 2, 2024).
- F 0627, resident rights: August 21, 2025 (D, from a complaint, corrected August 25, 2025).
- F 0800, nutrition and dietary: March 5, 2025 (D, from a complaint, corrected March 7, 2025).
- F 0550, resident rights: December 5, 2024 (D, corrected December 6, 2024).
- F 0732, nursing and physician services: December 5, 2024 (B, corrected December 6, 2024); September 30, 2024 (D, from a complaint, corrected October 17, 2024).
- F 0758, pharmacy service: December 5, 2024 (D, corrected December 6, 2024); December 10, 2023 (D, corrected January 2, 2024).
- F 0761, pharmacy service: December 5, 2024 (E, corrected December 6, 2024); December 10, 2023 (E, corrected January 2, 2024).
- F 0657, resident assessment and care planning: July 3, 2024 (D, from a complaint, corrected July 24, 2024); December 10, 2023 (D, corrected January 2, 2024).
- F 0580, resident rights: December 20, 2023 (D, from a complaint, corrected January 27, 2024).
- F 0636, resident assessment and care planning: December 20, 2023 (D, from a complaint, corrected January 27, 2024).
- F 0825, quality of life and care: December 20, 2023 (E, from a complaint, corrected January 27, 2024).
- F 0604, freedom from abuse, neglect, and exploitation: December 10, 2023 (E, corrected January 2, 2024).
- F 0689, quality of life and care: December 10, 2023 (D, corrected January 2, 2024).
- F 0693, quality of life and care: December 10, 2023 (D, corrected January 2, 2024).
- F 0695, quality of life and care: December 10, 2023 (E, corrected January 2, 2024).
- F 0881, infection control: December 10, 2023 (D, corrected January 2, 2024).
ROYAL GARDENS HEALTHCARE in Care Compare
- Ownership Type: For profit - Individual
- Legal Business Name: ROYAL GARDENS HEALTHCARE LLC
- Date First Approved to Provide Medicare and Medicaid Services: 1968-04-03
- Provider Resides in Hospital: N
- Continuing Care Retirement Community: N
- Urban: Y
- County/Parish: Los Angeles
- Telephone Number: 6262897809
- Chain Name: SERRANO GROUP
- Chain ID: 659
- Provider Changed Ownership in Last 12 Months: N
- With a Resident and Family Council: Resident
- Automatic Sprinkler Systems in All Required Areas: Yes
- Average Number of Residents per Day: 40.0
- Overall Rating: 1
- Health Inspection Rating: 1
- QM Rating: 4
- Long-Stay QM Rating: 5
- Short-Stay QM Rating: 3
Care Compare, October 1, 2026: provider information NH_ProviderInfo_Oct2026.csv · inspections NH_SurveySummary_Oct2026.csv · citations NH_HealthCitations_Oct2026.csv · ownership NH_Ownership_Oct2026.csv.
Nothing on file for ROYAL GARDENS HEALTHCARE: no penalty in Care Compare; no change in ownership since September 20, 2022.
Other nursing facilities in ALHAMBRA and California
Report a figure on ROYAL GARDENS HEALTHCARE’s record that differs from its CMS file, quoting 055818.