Royal Oaks Care Center

    3565 E Imperial Hwy, Lynwood, CA, 90262
    3.4 · 11 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousCurrent/former resident
    2.0

    Clean facility but dangerous lapses

    I had mixed experience. The facility is very clean, cozy, and many staff - especially Jessy and the rehab therapist - were humble, friendly, and helpful. But I also had serious problems: my money went missing, I wasn't fed for two days, my bed broke, they seemed understaffed for nursing (more cleaners than nurses), there was a bad smell at times, and my pain/therapy needs were mishandled - I would be cautious.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    3.36 · 11 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      2.7
    • Staff

      3.7
    • Meals

      1.0
    • Amenities

      1.0
    • Value

      3.4

    Pros

    • Clean facility
    • Humble and helpful staff
    • Friendly staff
    • Cozy atmosphere
    • Rehabilitation/therapy services available
    • Specific praise for Jessy
    • Strong therapist(s) reported

    Cons

    • Alleged theft/missing money
    • Reported neglect — resident not fed for two days
    • Broken bed/equipment
    • Understaffed (insufficient nurses)
    • Staffing imbalance (more cleaning staff than nurses)
    • Foul or persistent bad smell
    • Inconsistent or missing therapy for some residents
    • Pain management issues

    Summary review

    Overall sentiment is mixed with strong, specific praise for the facility’s cleanliness, certain staff members, and therapy outcomes contrasted by serious operational and care concerns. Several reviews emphasize that the center is very clean and has a cozy atmosphere; multiple commenters described staff as humble, very friendly, and helpful. Rehabilitation services were noted positively by some reviewers, who specifically named Jessy and other therapists as being helpful and effective. These positive reports suggest that when therapy and attentive staff are present, residents and families can have a good experience.

    However, the reviews also contain multiple serious negative allegations that raise concerns about safety, consistency of care, and management oversight. The most alarming reports include alleged theft or money being stolen and an instance of a resident not being fed for two days. These claims point to potential issues with security, inventory control of residents’ belongings, and basic caregiving duties. Additionally, a broken bed was mentioned, which indicates problems with equipment maintenance and resident safety. Pain management was also called out as a problem, suggesting that medical or nursing follow-through on residents’ comfort is inconsistent.

    Staffing and operational patterns appear to be a significant theme. Reviewers described the facility as understaffed, specifically noting a shortage of nurses and an apparent imbalance with more cleaning staff than nursing staff. Understaffing can help explain other problems mentioned — missed meals, inconsistent therapy delivery, and lapses in medication or pain control. At the same time, the presence of staff described as humble and helpful and the naming of effective therapists indicates variability in staff performance: some employees provide excellent care while systemic staffing or management issues may impede consistent delivery across all shifts or residents.

    Facility condition feedback is somewhat mixed: the place is called very clean and cozy by several reviewers, but there is also mention of a bad smell. This suggests variability by area or shift — some parts of the facility may be well-maintained while other areas experience odor or sanitation problems. The broken bed report underscores a need to check the reliability of equipment and the facility’s maintenance processes.

    Therapy and rehabilitation are reported both positively and negatively, which is an important pattern. While some reviewers praise rehab therapy and specific therapists (Jessy and another great therapist), at least one reviewer said they received no therapy. This inconsistency could reflect differences in individual care plans, insurance/coverage issues, scheduling problems, or fluctuating staffing levels in the therapy department.

    Management and oversight concerns emerge from the combination of allegations: theft, neglect, understaffing, inconsistent therapy, and pain management failures. These are systemic issues that point to a need for stronger supervision, tighter procedures for resident belongings and meal delivery, clearer staffing ratios, and improved clinical oversight to ensure consistent pain control and therapy access. There is no specific mention of activities or social programming in these summaries, so no conclusions can be drawn about enrichment offerings.

    In summary, Royal Oaks Care Center shows clear strengths in staff members who are caring and in certain therapy staff and cleanliness in parts of the building. These positives are offset by serious red flags — alleged theft, missed meals, equipment failures, understaffing, odor issues, inconsistent therapy, and pain management problems. Prospective residents and families should weigh the positive reports about individual caregivers and therapy against the operational and safety concerns. If considering Royal Oaks, recommended next steps include an in-person tour focusing on multiple shifts, direct questions about staffing ratios and nurse coverage, verification of therapy schedules and outcomes, review of maintenance and security policies for resident belongings, and inspection or inquiry into state complaint and inspection records to confirm whether the serious issues reported have been addressed.

    Location

    Map showing location of Royal Oaks Care Center

    About Royal Oaks Care Center

    Royal Oaks Care Center in Lynwood, California, sits close to restaurants, stores, and just about eight miles from Memorial Hospital of Gardena, and you'll find it offers different kinds of care depending on what a person needs, because some people just want a little help with things like dressing, bathing, or taking their medicine, while others need nursing and rehab after an illness or injury, and some need memory care for Alzheimer's or dementia, so they have nurses, aides, and other staff around at all hours, and they always try to make sure someone's nearby to help. This place has 98 beds and about 77 residents living there, and they try to keep the caregiver-to-senior ratio up, with staff working about 0.84 hours per resident, including 0.41 hours from registered nurses, 0.43 from licensed practical nurses, and 1.46 from certified nursing assistants, which means staff are around to help with everything from dressing, bathing, and helping get meals, to handling medication and keeping an eye on health problems like pressure sores, infections, or weight loss. Staff assess each person's needs when they arrive and make a care plan that sets out what needs to be done for that individual, and they adjust the plan if things change.

    Royal Oaks Care Center offers different living options: there's independent living for seniors who don't need much help and want housekeeping, on-site meals, and laundry taken care of, assisted living for those who need help with daily activities, memory care tailored to support people with dementia, and skilled nursing care for people needing full-time care and medical supervision. They offer adult day care, hospice, and at-home care, too. Everyone gets nutrition-focused meals and dining that meets dietary needs, and the kitchen uses quality ingredients. They have activities planned to keep people engaged-there are social gatherings, musical activities, games, pet therapy, and outings into the community, and transportation's available for errands or trips, which makes things easier for those who can't drive. Rooms and common areas like the living room and patio get cleaned regularly, and staff do laundry too, so residents don't have to worry about it.

    Medical care goes beyond the basics, with staff paying attention to health indicators and giving vaccinations, such as flu and pneumococcal shots-almost all long-stay residents get vaccinated, and all short-stay residents do. There's a focus on safety, as everything's fully sprinklered in case of fire, and staff follow health protocols to prevent mistreatment. They also bring in other healthcare providers, including dental specialists, psychiatrists, and psychoanalysts when needed. Pharmacy services are on-site for quick access to medicine.

    Family involvement's encouraged, and they have both resident and family councils to hear concerns and ideas. They're not part of a big chain, nor connected to a hospital, and they operate as a for-profit care center, taking both Medicare and Medicaid. Staff try to be friendly and respectful, aiming to make everyone feel welcome and at home. Rehabilitation services-physical, occupational, and speech therapy-are available, and activities and programs are designed to encourage recovery and brighten everyone's spirits, which helps keep people as independent as possible. Caregivers are trained and awake around the clock, ready to respond to emergencies or lend a hand any time someone needs it, so families can know their loved one has support day and night. The overall goal at Royal Oaks Care Center is to give seniors effective healthcare and support that matches what families need, without going overboard, and to provide a steady, safe, and friendly place in the community for older adults who need a little or a lot of help.

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