The Royal Home

Nursing home in El Cajon, CA

Medicaid-certified4★ overall (CMS)

Call (619) 443-3886 Send a message Map ↗

Public-record details

Address: 12436 Royal Road, El Cajon, CA 92021
Phone: (619) 443-3886
Listed under: For-profit, 4–5 star overall rating, No fines in 3 years
Medicare CCN: 05A192
Overall star rating: 4 of 5 ★★★★☆
Health inspection rating: 3 of 5
Staffing rating: 4 of 5
Quality measures rating: 5 of 5
Certified beds: 19
Average residents per day: 14
Ownership: For-profit, individual
Legal business name: Legal Business Name Not Available
Certified for: Medicaid
First approved by Medicare/Medicaid: Jul 1, 1975
Changed ownership in last 12 months: No
Continuing care retirement community: No
Located inside a hospital: No
Resident or family council: Resident council
Sprinklers in all required areas: Yes

CMS certification number 05A192. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Dec 3, 2025. CMS lists 31 health citations for this facility across its last three standard inspection cycles and complaint inspections (Feb 11, 2022 to Dec 3, 2025): 0 from complaint inspections, 0 at the “actual harm” level or higher.

Inspection	Citation	Severity
Dec 3, 2025	Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. Environmental	B Potential for minimal harm, pattern
Dec 3, 2025	Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Environmental	B Potential for minimal harm, pattern
Dec 3, 2025	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights	D Potential for more than minimal harm, isolated
Dec 3, 2025	Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary	D Potential for more than minimal harm, isolated
Dec 3, 2025	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… Resident Rights	E Potential for more than minimal harm, pattern
Dec 3, 2025	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. Nursing and Physician Services	F Potential for more than minimal harm, widespread
Dec 3, 2025	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. Nutrition and Dietary	F Potential for more than minimal harm, widespread
Dec 3, 2025	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary	F Potential for more than minimal harm, widespread
Dec 3, 2025	Provide and implement an infection prevention and control program. Infection Control	F Potential for more than minimal harm, widespread
Dec 15, 2023	Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. Environmental	B Potential for minimal harm, pattern
Dec 15, 2023	Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Environmental	B Potential for minimal harm, pattern
Dec 15, 2023	Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights	D Potential for more than minimal harm, isolated

Showing the 12 most recent of 31. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day: 4.18 hours
Registered nurse (RN) time per resident per day: 0.57 hours
Nurse aide time per resident per day: 2.49 hours
Total nurse staffing on weekends: 3.79 hours
Nursing staff turnover (yearly): 74%

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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