The Royal Home
Nursing home in El Cajon, CA
Medicaid-certified4★ overall (CMS)
We send it to The Royal Home if we can reach them by email, and we have no way to update you at a phone number. To be sure, call them: (619) 443-3886.
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 or payment denials 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
- 20
- 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
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. | B |
| 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. | B |
| Dec 3, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D |
| Dec 3, 2025 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D |
| 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… | E |
| 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. | F |
| 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. | F |
| Dec 3, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| Dec 3, 2025 | Provide and implement an infection prevention and control program. | F |
| 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. | B |
| 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. | B |
| Dec 15, 2023 | Ensure that residents are fully informed and understand their health status, care and treatments. | D |
Fines and payment denials
CMS records no fines or payment denials for this facility in the last three years.
Staffing
- Total nurse staffing per resident per day
- 4.10 hours
- Registered nurse (RN) time per resident per day
- 0.67 hours
- Nurse aide time per resident per day
- 2.34 hours
- Total nurse staffing on weekends
- 3.84 hours
- Nursing staff turnover (yearly)
- 74%
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.
Other nursing homes in El Cajon
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