The Royal Home

Nursing Home · El Cajon, CA

CMS overall rating 4/5 For profit - Individual

CMS certification number05A192

Contact & location

12436 Royal Road
El Cajon, CA 92021
San Diego County
Phone
(619) 443-3886
ZIP code
92021 – all care providers

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Facility details

Certified beds
19
Residents per day
14.3 (75% occupied)
Ownership
For profit - Individual
Legal name
Legal Business Name Not Available
Medicare certified since
July 1, 1975
Participates in
Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 4/5
State avg 3.2
Health inspections★★★★★ 3/5
State avg 2.8
Staffing★★★★★ 4/5
State avg 3.3
Quality measures★★★★★ 5/5
State avg 4.1
Long-stay quality★★★★★ 5/5
Short-stay qualityNot rated

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
4.18 (state 4.52 · U.S. 3.86)
Registered nurses (RN)
0.57 (state 0.67 · U.S. 0.69)
Licensed practical nurses
1.11 (state 1.20 · U.S. 0.86)
Nurse aides
2.49 (state 2.65 · U.S. 2.32)
Weekend total
3.79 (state 4.09 · U.S. 3.42)
Nursing staff turnover
73.9 (state 36.7 · U.S. 45.8)%
RN turnover
—

Inspections

Last standard inspection
December 3, 2025
Health deficiencies (last cycle)
9.0 (state 15.7 · U.S. 9.3)
From complaints
0
Citations on record (3 years)
31 health · 26 fire safety
DateCitationSeverityStatus
2025-12-03 Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
F0727 · Nursing and Physician Services Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-12-06
2025-12-03 Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
F0801 · Nutrition and Dietary Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-12-06
2025-12-03 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-12-06
2025-12-03 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-12-06
2025-12-03 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.
F0578 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-12-06
2025-12-03 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-06
2025-12-03 Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
F0805 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-06
2025-12-03 Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
F0911 · Environmental Deficiencies		 B
No actual harm, potential for minimal harm		 Corrected 2025-12-06
2025-12-03 Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
F0912 · Environmental Deficiencies		 B
No actual harm, potential for minimal harm		 Corrected 2025-12-06
2023-12-15 Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
F0802 · Nutrition and Dietary Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2024-01-17
2023-12-15 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2024-01-17
2023-12-15 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F0867 · Administration Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2024-01-17
2023-12-15 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2024-01-17
2023-12-15 Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
F0758 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-01-17
2023-12-15 Ensure that residents are fully informed and understand their health status, care and treatments.
F0552 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-01-17
2023-12-15 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.
F0584 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-01-17
2023-12-15 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-01-17
2023-12-15 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
F0644 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-01-17
2023-12-15 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-01-17
2023-12-15 Develop and implement policies and procedures for flu and pneumonia vaccinations.
F0883 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-01-17
2023-12-15 Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
F0911 · Environmental Deficiencies		 B
No actual harm, potential for minimal harm		 Corrected 2024-01-17
2023-12-15 Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
F0912 · Environmental Deficiencies		 B
No actual harm, potential for minimal harm		 Corrected 2024-01-17
2022-02-11 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2022-02-24
2022-02-11 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-02-24
2022-02-11 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.
F0761 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-02-24
2022-02-11 Provide or obtain dental services for each resident.
F0791 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-02-24
2022-02-11 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-02-24
2022-02-11 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F0867 · Administration Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-02-24
2022-02-11 Develop and implement policies and procedures for flu and pneumonia vaccinations.
F0883 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-02-24
2022-02-11 Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
F0911 · Environmental Deficiencies		 B
No actual harm, potential for minimal harm		 Corrected 2022-02-24
2022-02-11 Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
F0912 · Environmental Deficiencies		 B
No actual harm, potential for minimal harm		 Corrected 2022-02-24

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

No federal fines or payment denials in the last three years.

Ownership & management

NameRoleSince
Ownership Data Not Available

Frequently asked questions

What is the rating of The Royal Home?

The Royal Home has a 4-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.2-star average in California.

How many beds does The Royal Home have?

It has 19 certified beds and cares for about 14 residents per day.

Has The Royal Home been fined?

CMS lists no federal fines or payment denials in the last three years.

What is the phone number of The Royal Home?

(619) 443-3886. The facility is located at 12436 Royal Road, El Cajon, CA 92021.

Other nursing homes in El Cajon

Compare all nursing homes in El Cajon, CA →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.