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Royal Palms Post Acute at a glance: owner, beds and ratings
* California separately requires at least 3.5 direct care service hours per patient day, counted under state rules, so the two numbers are not measured the same way.
Records: Cal Health Find ↗ · Medicare Care Compare ↗
Royal Palms Post Acute citations and inspection findings
Newest first. State citations come from CDPH; federal deficiencies come from the CMS-2567 inspection report CDPH writes for Medicare. Every row links to the government record.
| Date | Source | Finding | Record |
|---|---|---|---|
| September 11, 2026 | State (CDPH) | Class B citation (Patient Rights), penalty $3,000 | Government record (CDPH) ↗ |
| September 3, 2026 | State (CDPH) | Administrative Penalty (DHPPD: 12 – 24 Days), penalty $50,000 | Government record (CDPH) ↗ |
| August 21, 2026 | State (CDPH) | Class A citation (Patient Rights), penalty $25,000 Read what inspectors found ↓ | Government record (CDPH) ↗ |
| July 15, 2026 | State (CDPH) | Class A citation (Patient Care), penalty $25,000 Read what inspectors found ↓ | Government record (CDPH) ↗ |
| May 30, 2026 | Federal (CMS-2567), Complaint | F600 – Free from Abuse and Neglect, severity D (no actual harm, potential for more than minimal harm, isolated) Abuse | Government record (CDPH) ↗ |
| March 23, 2026 | State (CDPH) | Class B citation (Patient Care), penalty $3,000 | Government record (CDPH) ↗ |
| February 11, 2026 | State (CDPH) | Class B citation (Administration), penalty $3,000 | Government record (CDPH) ↗ |
| January 8, 2026 | State (CDPH) | Administrative Penalty (DHPPD: 2 – 11 Days), penalty $25,000 | Government record (CDPH) ↗ |
| June 25, 2025 | State (CDPH) | Administrative Penalty (DHPPD: 12 – 24 Days), penalty $50,000 | Government record (CDPH) ↗ |
| May 21, 2025 | State (CDPH) | Class B citation (Patient Care), penalty $3,000 | Government record (CDPH) ↗ |
| March 12, 2025 | State (CDPH) | Class B citation (Physical Environment), penalty $2,000 | Government record (CDPH) ↗ |
| April 12, 2024 | Federal (CMS-2567), Complaint | F604 – Right to be Free from Physical Restraints, severity J (immediate jeopardy, one or a few residents) F609 – Reporting of Alleged Violations, severity D (no actual harm, potential for more than minimal harm, isolated) Abuse Read what inspectors found ↓ | Government record (CDPH) ↗ |
Show 7 older findings
| Date | Source | Finding | Record |
|---|---|---|---|
| March 20, 2024 | Federal (CMS-2567), Complaint | F600 – Free from Abuse and Neglect, severity D (no actual harm, potential for more than minimal harm, isolated) F609 – Reporting of Alleged Violations, severity D (no actual harm, potential for more than minimal harm, isolated) Abuse | Government record (CDPH) ↗ |
| February 20, 2024 | Federal (CMS-2567), Certification | F806 – Resident Allergies, Preferences, Substitutes, severity K (immediate jeopardy, a pattern) F602 – Free from Misappropriation/Exploitation, severity D (no actual harm, potential for more than minimal harm, isolated) F609 – Reporting of Alleged Violations, severity D (no actual harm, potential for more than minimal harm, isolated) Abuse Read what inspectors found ↓ | Government record (CDPH) ↗ |
| January 31, 2024 | Federal (CMS-2567), Complaint | F602 – Free from Misappropriation/Exploitation, severity D (no actual harm, potential for more than minimal harm, isolated) Abuse | Government record (CDPH) ↗ |
| July 6, 2023 | Federal (CMS-2567), Complaint | F609 – Reporting of Alleged Violations, severity D (no actual harm, potential for more than minimal harm, isolated) Abuse | Government record (CDPH) ↗ |
| April 12, 2023 | State (CDPH) | Class B citation (Abuse/Facility Not Self Reported), penalty $3,000 Abuse | Government record (CDPH) ↗ |
| February 23, 2023 | State (CDPH) | Class A citation (Patient Care), penalty $25,000 Read what inspectors found ↓ | Government record (CDPH) ↗ |
| February 22, 2023 | Federal (CMS-2567), Complaint | F610 – Investigate/Prevent/Correct Alleged Violation, severity D (no actual harm, potential for more than minimal harm, isolated) F609 – Reporting of Alleged Violations, severity D (no actual harm, potential for more than minimal harm, isolated) Abuse | Government record (CDPH) ↗ |
What inspectors found at Royal Palms Post Acute
Tap a finding to read the summary. Each one is written from the government report linked under it.
August 2026: Class A citation after a resident who needed continuous oxygen was sent to a board and care an hour after returning from the hospital
According to the citation, CDPH made an unannounced visit on July 10, 2026 to investigate a complaint about quality of care. Resident 1 had acute and chronic respiratory failure with hypoxia (low oxygen levels), obstructive sleep apnea (blocked breathing during sleep) and dependence on supplemental oxygen. Physician orders called for continuous oxygen through a nasal cannula and a BiPAP machine (a mask device that pushes air into the lungs) every night.
CDPH found that on May 14, 2026, a hospital discharged Resident 1 with an order for skilled nursing care. The facility took the resident back and, about an hour later, sent the resident to a board and care home. Inspectors found the facility did not secure the needed medications, oxygen equipment or continuity of care, did not give the responsible family member advance notice of the discharge, and did not send written instructions on the resident's care needs, medications and equipment. According to the citation, the resident stayed at the board and care from May 14 to May 15 without essential medications or oxygen support. The board and care was not equipped for the resident's oxygen needs, and the resident showed generalized weakness and poor oral intake. The resident went back to the hospital and was later discharged to a different skilled nursing facility on May 21.
The department determined these failures warranted a Class A citation in the Patient Rights category, with a $25,000 penalty.
July 2026: Class A citation after one resident struck another with a water pitcher
According to the citation, CDPH made an unannounced visit on June 1, 2026 to investigate a complaint about an altercation between Resident 1 and Resident 2. Resident 1 had significant mobility impairments and a history of spinal fractures. The department determined the facility failed to protect Resident 1 from physical abuse by Resident 2, whose behavioral history was documented, and did not put safeguards in place, such as keeping the two residents apart.
Inspectors found that during the altercation CNA 1 tried only verbal de-escalation and left the two residents unsupervised, and Resident 2 then struck Resident 1 with a water pitcher. CNA 1 did not separate the residents or report the incident right away. According to the citation, providers had ordered on April 30, 2026 that Resident 2 be sent to an acute care hospital emergency department for evaluation of a behavioral outburst, but there was no documented evidence the transfer happened. CDPH found staff did not tell the physician when the transfer fell through over insurance issues and did not pursue other options, which the department cited as neglect of Resident 2. The facility was also slow to respond to a family member's grievance about Resident 1's safety sharing a room with Resident 2, and its records of the altercation were incomplete and inconsistent.
According to the citation, these failures caused Resident 1 pain, fear and psychosocial harm and put both residents at risk of serious injury. CDPH issued a Class A citation for patient care with a $25,000 penalty.
April 2024: F604 (severity J) and F609 (severity D) after a CNA tied a resident to a wheelchair with a bed sheet
The 2567 report states that on April 11, 2024, during the evening shift, CNA 1 tied Resident 1 to a wheelchair with a bed sheet around the waist. CNA 1 said she did it to keep the resident from getting up while she attended to another resident. Inspectors found this was a physical restraint (a device that restricts movement and cannot be easily removed) imposed for discipline or staff convenience and not required to treat the resident's medical symptoms.
The 2567 report states Resident 1 said she felt hopeless, humiliated and helpless, cried, said she was treated "like a kid," was scared of CNA 1 and described the day as a "nightmare." CDPH identified an Immediate Jeopardy situation on April 16, 2024, and it was removed on April 17 after the facility submitted an acceptable removal plan. Under that plan, CNA 1 was suspended and later terminated, Resident 1 was assessed and monitored for emotional distress, staff were trained on restraints and abuse reporting, and managers began room rounds to check for restraints.
Inspectors found violations of F604, the right to be free from physical restraints, at severity J, the immediate jeopardy level. The 2567 report states the facility was also cited under F609, on reporting of alleged violations, at severity D. The full narrative is in the linked report.
February 2024: F806 (severity K), F602 (severity D) and F609 (severity D) after residents with fish allergies were served tuna casserole
The 2567 report states that inspectors found the facility did not properly assess two residents (Residents 285 and 131) for food allergies or give them safe substitutes. On February 18, 2024, Cook 1 served both residents a tuna pasta bake for dinner even though both were allergic to fish. From February 20 to 22, the dietary services supervisor served Resident 285 a milk-based high protein supplement although the resident was intolerant to milk.
Inspectors found the residents' primary care provider had not been made aware of the allergies, the allergies were missing from physician orders, the registered dietitian recorded "no known food allergies" for Resident 285 without interviewing the resident, and a fish allergy Resident 285 reported to Cook 1 was not added to the meal tray card. The 2567 report states these practices could have led to a severe allergic reaction, including anaphylaxis (a reaction that can close the airway) or cardiac arrest.
The 2567 report states CDPH identified an Immediate Jeopardy situation on February 22, 2024, and removed it on February 23 after the facility submitted an acceptable plan. The plan included reassessing both residents, checking allergies for all residents (nine had food allergies), training staff and starting a menu system linked to the health record. The report cited F806, on food that accommodates allergies and preferences, at severity K, the immediate jeopardy level for a pattern. It also cited F602 (freedom from misappropriation and exploitation) and F609 (reporting of alleged violations), both at severity D. The full narrative is in the linked report.
February 2023: Class A citation after a patient's hospital discharge orders and weight gain were not followed up
According to the citation, CDPH made an unannounced visit on December 15, 2022 to investigate a complaint about quality of care and neglect involving Patient 1, who had moderately impaired thinking and acute kidney injury. Patient 1 came to the facility from a hospital on October 21, 2022. The hospital's discharge plan called for weekly blood tests of electrolytes and kidney function, a daily fluid limit of 2.5 liters, and outpatient heart and thyroid follow-up.
CDPH found the facility's admission orders left these items out and the attending physician did not review the patient's total program of care. The physician's history and physical and progress notes in the chart were incomplete. Inspectors found the dietitian did not complete a full evaluation, weights were not taken as ordered, and staff did not tell the physician about a 15-pound weight gain in two weeks. The facility had no care plans for the patient's delirium (sudden confusion) or history of high blood sodium. When a family member reported confusion and weakness on November 30, inspectors found no documented follow-up assessment.
According to the citation, the patient received increased psychotropic medication for behaviors that CDPH attributed to an undetected electrolyte imbalance. On December 2, 2022, the patient went back to the hospital with worsening confusion, a high potassium level, urinary retention and acute kidney injury, and was admitted to the ICU for emergency dialysis, IV fluids and a blood transfusion. CDPH issued a Class A citation for patient care with a $25,000 penalty.
Complaints against Royal Palms Post Acute
| Year | Intakes | Complaints | Facility-reported incidents | Substantiated (at least one allegation) |
|---|---|---|---|---|
| 2023 | 43 | 23 | 20 | 17 |
| 2024 | 45 | 24 | 21 | 15 |
| 2025 | 41 | 32 | 9 | 7 |
| 2026 | 72 | 49 | 23 | 8 |
Cal Health Find lists 201 complaint and facility-reported incident intakes for this facility from 2023 through October 30, 2026. CDPH substantiated at least one allegation in 47 of them. 66 intakes involved an allegation in CDPH’s abuse category, and 10 of those had an abuse allegation substantiated. An intake can contain several allegations; “unsubstantiated” means CDPH did not find enough evidence, not that nothing happened.
Sexual abuse reports at Royal Palms Post Acute
Cal Health Find lists 4 intakes for Royal Palms Post Acute from 2023 through October 30, 2026 that included an allegation CDPH classified as sexual abuse (1 from complaints and 3 reported by the facility itself). CDPH substantiated a sexual abuse allegation in 0 of them. Federal rules require a nursing home to report an abuse allegation to the state within two hours, so a facility-reported incident means staff raised the allegation, not that it was proven. “Unsubstantiated” means CDPH did not find enough evidence; it does not mean nothing happened.
| Year | Intakes with a sexual abuse allegation | Substantiated |
|---|---|---|
| 2023 | 1 | 0 |
| 2026 | 3 | 0 |
Warning signs include bruising or bleeding in the genital area or inner thighs, a new genital infection, torn or stained underclothing, and a resident who suddenly fears a particular staff member or resists being bathed or changed. If you suspect sexual abuse, call 911 or local police first, ask that the resident not be bathed before a medical exam, and then report it to CDPH and the long-term care ombudsman. Sexual abuse reports at Los Angeles County nursing homes →
Staffing at Royal Palms Post Acute
Payroll records Royal Palms Post Acute filed with the federal Centers for Medicare & Medicaid Services (CMS) for April through June 2026 show an average of 3.94 nursing hours per resident per day, counting registered nurses (RNs), licensed vocational nurses and nurse aides. The California average CMS published for the same period is 4.54, and the Los Angeles County median is 4.32. RN time averaged 0.42 hours per resident per day (California average 0.68). Staffing averaged 3.65 hours on weekends and 4.05 on weekdays.
CMS reports nursing staff turnover of 40.8% at this facility (California average 36.6%) and RN turnover of 41.7% (California average 37.8%).
California requires most skilled nursing facilities to provide at least 3.5 direct care hours per patient day (Health and Safety Code section 1276.65). Counting the RN, LVN and nurse aide hours in the same payroll data, Royal Palms Post Acute was below 3.5 on 0 of 91 days. This is our calculation from CMS data, not a CDPH finding: CDPH counts some staff differently (for example psychiatric technicians in special treatment programs) and can grant waivers.
| Royal Palms Post Acute | LA County median | California average | |
|---|---|---|---|
| Total nursing hours per resident per day | 3.94 | 4.32 | 4.54 |
| RN hours per resident per day | 0.42 | 0.46 | 0.68 |
| Weekend nursing hours per resident per day | 3.65 | 3.89 | 4.10 |
| Nursing staff turnover | 40.8% | 34.1% | 36.6% |
Compare staffing, profits and fines across Los Angeles County nursing homes →
Who owns Royal Palms Post Acute
The owners and operators below are listed for Royal Palms Post Acute in the federal CMS nursing home ownership file (data as of October 1, 2026). CMS requires each Medicare-certified nursing home to report anyone with a 5% or greater ownership stake and anyone with operational or managerial control.
| Owner or operator | Role | Share | Since |
|---|---|---|---|
| Palms Licensee 3 LLC | 5% or greater direct ownership | 100% | January 1, 2016 |
| Bin Mendel LLC | 5% or greater indirect ownership | NO PERCENTAGE PROVIDED | January 1, 2016 |
| Bl Cali Partners LLC | 5% or greater indirect ownership | NO PERCENTAGE PROVIDED | January 1, 2016 |
| Js Fenton LLC | 5% or greater indirect ownership | NO PERCENTAGE PROVIDED | January 1, 2016 |
| Rgf Consulting LLC | 5% or greater indirect ownership | NO PERCENTAGE PROVIDED | January 1, 2016 |
| Serrano Group LLC | 5% or greater indirect ownership | NO PERCENTAGE PROVIDED | January 1, 2016 |
| Serrano Partners LLC | 5% or greater indirect ownership | NO PERCENTAGE PROVIDED | January 1, 2016 |
| Yaame LLC | 5% or greater indirect ownership | NO PERCENTAGE PROVIDED | January 1, 2016 |
| Howard Fensterman | 5% or greater indirect ownership | NO PERCENTAGE PROVIDED | January 1, 2016 |
| Jordan Fensterman | 5% or greater indirect ownership | NO PERCENTAGE PROVIDED | January 1, 2016 |
| Robert Fensterman | 5% or greater indirect ownership | NO PERCENTAGE PROVIDED | January 1, 2016 |
| Dov Jacobs | 5% or greater indirect ownership | NO PERCENTAGE PROVIDED | January 1, 2016 |
| Staci Leibson | 5% or greater indirect ownership | NO PERCENTAGE PROVIDED | January 1, 2016 |
| Judah Taub | 5% or greater indirect ownership | NO PERCENTAGE PROVIDED | January 1, 2016 |
| Palms Licensee 3 LLC | Operational or managerial control | – | January 1, 2016 |
| Lusine Ter Oganesyan | Operational or managerial control | – | January 1, 2016 |
In its annual report to the California Department of Health Care Access and Information (HCAI) for the year ending December 31, 2025, the facility listed $1.1 million in payments to related companies (businesses that share owners or management with the facility): $1.1 million to Beecan Health, LLC for contracted services – management-management fees. Payments to related companies are legal; California requires nursing homes to disclose them.
Royal Palms Post Acute finances
Royal Palms Post Acute reported $22.0 million in health care revenue and a net loss of $811,008 for the year ending December 31, 2025, a margin of -3.7%, in its annual financial report to HCAI (as submitted; HCAI has not finished reviewing it). The median operating margin that year was 5.9% for Los Angeles County nursing homes and 6.1% statewide. Medi-Cal paid for 78% of resident days. Salaries for RNs, LVNs and nurse aides came to $5.9 million.
| Year | Revenue | Net income | Margin | Occupancy | Medi-Cal days |
|---|---|---|---|---|---|
| 2023 | $16.1 million | -$725,655 | -4.5% | 92% | – |
| 2024 | $18.3 million | $1.0 million | 5.5% | 97% | 81% |
| 2025 | $22.0 million | -$811,008 | -3.7% | 95% | 78% |
Federal fines and penalties: Royal Palms Post Acute
CMS lists 2 federal fines totaling $79,980 and 2 Medicare payment denials for Royal Palms Post Acute in the roughly three years its penalty file covers.
| Date | Penalty | Amount or length |
|---|---|---|
| April 17, 2024 | Fine | $45,767 |
| April 17, 2024 | Payment denial | 15 days |
| January 4, 2024 | Fine | $34,213 |
| January 4, 2024 | Payment denial | 17 days |
Royal Palms Post Acute lawsuits and criminal cases
We searched California Attorney General and Los Angeles County District Attorney announcements and news coverage for Royal Palms Post Acute and its licensee and found no public criminal case or civil lawsuit we could tie to this facility as of October 30, 2026. Many civil cases settle quietly or are not covered by the press, so this is not a complete court search.
What this record means for your family
California uses classes for state citations. Under Health and Safety Code section 1424 ↗, a Class AA citation is a Class A violation that CDPH determined was a direct proximate cause of a resident’s death. A Class A citation means CDPH found an imminent danger, or a substantial probability, that death or serious physical harm would result. Class B covers violations with a direct or immediate relationship to residents’ health, safety or security.
Federal deficiencies carry a letter from A to L. G, H and I mean inspectors found actual harm to residents; J, K and L mean immediate jeopardy, the most serious level. F600 is the federal rule that residents be free from abuse and neglect; F609 and F610 cover reporting and investigating allegations; F689 covers accidents and supervision; F686 covers pressure injuries.
Warning signs worth asking about: unexplained bruises or fractures, new bed sores, sudden weight loss or dehydration, a resident who becomes fearful or withdrawn around certain staff, and calls that go unanswered.
What to do now
- If someone is in danger, call 911.
- File a complaint with CDPH about Royal Palms Post Acute: CDPH complaint form ↗
- Contact the long-term care ombudsman, the state-funded advocate for nursing home residents: California Long-Term Care Ombudsman ↗
- Ask the facility in writing for a copy of the resident’s chart, and write down dates, names of staff on shift, and photos of any injury.
- Talk to a Los Angeles nursing home abuse lawyer →
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Questions families ask
Has Royal Palms Post Acute been cited by the State of California?
Cal Health Find lists 19 state citations for Royal Palms Post Acute since 2023, including 0 Class AA and 3 Class A. Each one is listed in the timeline above with a link to the CDPH record.
How many complaints have been filed against Royal Palms Post Acute?
From 2023 through October 30, 2026, Cal Health Find lists 201 complaint and facility-reported incident intakes, and CDPH substantiated at least one allegation in 47 of them.
Does Medicare flag Royal Palms Post Acute for abuse?
As of our data date, Medicare Care Compare does not show its abuse icon for Royal Palms Post Acute. The icon is only one signal; read the citations above.
Have there been sexual abuse reports at Royal Palms Post Acute?
Cal Health Find lists 4 complaint or facility-reported incident intakes at Royal Palms Post Acute since 2023 that included an allegation CDPH classified as sexual abuse, and CDPH substantiated 0. The section above breaks them down by year.
Where can I read reviews and complaints about Royal Palms Post Acute?
Online reviews are opinions. The official record is the state and federal inspection file: this page summarizes it and links each citation, complaint outcome and inspection report on Cal Health Find and Medicare Care Compare, so you can read the source yourself.
How many beds does Royal Palms Post Acute have?
Royal Palms Post Acute is licensed by CDPH for 140 beds and has a CMS overall rating of 1 out of 5 stars.
Who owns or operates Royal Palms Post Acute?
CDPH lists the licensee as ROYAL PALMS POST ACUTE, LLC. CMS lists the facility under the chain or affiliated entity Serrano Group. According to the CMS ownership file, Palms Licensee 3 LLC holds 100% as a direct owner. The full list of owners and operators CMS reports is in the ownership section of this page.
How many nursing hours does Royal Palms Post Acute provide per resident?
Payroll data the facility filed with CMS for April through June 2026 show 3.94 total nursing hours per resident per day, including 0.42 RN hours. The California average is 4.54.
My parent was hurt at Royal Palms Post Acute. What should I do?
Get medical care first, then report it to CDPH and the long-term care ombudsman, ask for the chart in writing and keep notes and photos. For a free, confidential review of a possible case, call Beverly Law at (310) 552-6959.
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Other nursing homes near Royal Palms Post Acute
| Facility | City | Distance | CMS stars | Class AA/A | Federal G–L |
|---|---|---|---|---|---|
| Broadway Manor Care Center | Glendale | 0.1 mi | 2/5 | 2 | 2 |
| Chestnut Ridge Post Acute LLC | Glendale | 0.7 mi | 1/5 | 2 | 4 |
| Golden Haven Care Center | Glendale | 1.0 mi | 1/5 | 4 | 8 |
| Glenhaven Healthcare | Glendale | 1.1 mi | 3/5 | 0 | 1 |
| Autumn Hills Health Care Center | Glendale | 1.5 mi | 3/5 | 0 | 2 |
| Leisure Glen Post Acute Care Center | Glendale | 1.6 mi | 5/5 | 0 | 0 |
Methodology and sources
We pulled this facility’s complaints, state enforcement actions and survey deficiencies from Cal Health Find for 2023 through October 30, 2026, downloaded the CDPH citation notices and CMS-2567 reports behind every Class AA or A citation and every federal deficiency at level G or higher, and wrote the summaries above from those documents. Facility details come from the CDPH licensing file and the CMS Provider Data Catalog. Residents are described only as the government documents describe them. See the methodology page to report an error; we review correction requests within five business days.
Sources
- Cal Health Find – Royal Palms Post Acute
- Medicare Care Compare – Royal Palms Post Acute
- CMS – Payroll-Based Journal Daily Nurse Staffing (2026 Q2)
- CMS – Nursing home Provider Information (staffing, turnover)
- CMS – Nursing home Ownership
- CMS – Nursing home Penalties
- HCAI – Long-Term Care Facility Financial Data
- CDPH – State Enforcement Actions (open data)
- CMS Provider Data Catalog – Nursing homes
Important: This page reports findings from public records of the California Department of Public Health and the Centers for Medicare & Medicaid Services. A citation or deficiency is a regulatory finding by a government agency; it is not a court judgment and not proof of civil or criminal liability. Criminal defendants are presumed innocent unless proven guilty. Lawsuit allegations are claims, not findings. This page is general information, not legal advice, and reading it does not create an attorney-client relationship with Beverly Law. Attorney advertising. Prior results do not guarantee a similar outcome. Data as of: October 30, 2026. Methodology and corrections.
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