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The Royal Home

All states › California › El Cajon › The Royal Home

12436 Royal Road El Cajon, CA 92021 · San Diego County

(619) 443-3886

All 12 nursing homes in El Cajon, CA (12 take Medicaid)

Accepts Medicaid 19 certified beds For profit

CMS certification number 05A192 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is The Royal Home a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for The Royal Home as of October 2026.

CMS rates it 4 out of 5 stars overall, above the California average of 3.2. Inspectors issued 31 citations in the last three years. CMS reports no fines or payment denials in that time.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

Staffing

Nursing staff spend about 4.10 hours per resident per day at The Royal Home, below the California median of 4.27 (US median: 3.72). About 0.67 of those hours are from registered nurses. On weekends it falls to 3.84 hours, 6% below its all-week average. 73.9% of nursing staff left within a year (California median 36%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.

Nursing care per resident per day 4.10 hours
Below the California median of 4.27 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.67 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.84 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 73.9% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover — Share of registered nurses who left over a year.
Administrators who left — Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds19
Residents per day 20 About 103% of beds filled, on average
OwnershipFor profit - Individual
Payment acceptedMedicaid
Certified sinceJuly 1975
Legal business nameLegal Business Name Not Available

Paying for care at The Royal Home: Medicare and Medicaid

The Royal Home is certified for Medicaid but not Medicare, so Medicare won't pay for a rehab stay here after a hospital discharge. It can serve long-term residents covered by California Medicaid.

Health inspections

The most recent standard inspection was on December 3, 2025 and found 9 deficiencies. In total, inspectors issued 31 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 31 citations at The Royal Home across 3 inspection dates. None were at the actual-harm or immediate-jeopardy levels; 25 were "potential for more than minimal harm" (D–F) and 6 were minimal (A–C). The most common areas cited were environmental (6) and infection control (5). The most serious was cited under the CMS rule to "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" (tag F0727, level F, December 3, 2025).

December 3, 2025 · 9 citations

FHave 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.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0727 · Deficient, Provider has date of correction (Dec 6, 2025)

FEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0801 · Deficient, Provider has date of correction (Dec 6, 2025)

FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Dec 6, 2025)

FProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Dec 6, 2025)

EHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0578 · Deficient, Provider has date of correction (Dec 6, 2025)

DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Deficient, Provider has date of correction (Dec 6, 2025)

DEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0805 · Deficient, Provider has date of correction (Dec 6, 2025)

BEnsure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.

Potential for minimal harm · Environmental Deficiencies · Tag F0911 · Deficient, Provider has date of correction (Dec 6, 2025)

BProvide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Potential for minimal harm · Environmental Deficiencies · Tag F0912 · Deficient, Provider has date of correction (Dec 6, 2025)

December 15, 2023 · 13 citations

FProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0802 · Deficient, Provider has date of correction (Jan 17, 2024)

FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Jan 17, 2024)

FSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Potential for more than minimal harm · Administration Deficiencies · Tag F0867 · Deficient, Provider has date of correction (Jan 17, 2024)

FProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Jan 17, 2024)

EImplement 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0758 · Deficient, Provider has date of correction (Jan 17, 2024)

DEnsure that residents are fully informed and understand their health status, care and treatments.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0552 · Deficient, Provider has date of correction (Jan 17, 2024)

DHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Deficient, Provider has date of correction (Jan 17, 2024)

DEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Deficient, Provider has date of correction (Jan 17, 2024)

DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0644 · Deficient, Provider has date of correction (Jan 17, 2024)

DEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0756 · Deficient, Provider has date of correction (Jan 17, 2024)

DDevelop and implement policies and procedures for flu and pneumonia vaccinations.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0883 · Deficient, Provider has date of correction (Jan 17, 2024)

BEnsure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.

Potential for minimal harm · Environmental Deficiencies · Tag F0911 · Deficient, Provider has plan of correction (Jan 17, 2024)

BProvide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Potential for minimal harm · Environmental Deficiencies · Tag F0912 · Deficient, Provider has plan of correction (Jan 17, 2024)

February 11, 2022 · 9 citations

FProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Feb 24, 2022)

DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Deficient, Provider has date of correction (Feb 24, 2022)

DEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Feb 24, 2022)

DProvide or obtain dental services for each resident.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0791 · Deficient, Provider has date of correction (Feb 24, 2022)

DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0842 · Deficient, Provider has date of correction (Feb 24, 2022)

DSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Potential for more than minimal harm · Administration Deficiencies · Tag F0867 · Deficient, Provider has date of correction (Feb 24, 2022)

DDevelop and implement policies and procedures for flu and pneumonia vaccinations.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0883 · Deficient, Provider has date of correction (Feb 24, 2022)

BEnsure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.

Potential for minimal harm · Environmental Deficiencies · Tag F0911 · Deficient, Provider has date of correction (Feb 24, 2022)

BProvide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Potential for minimal harm · Environmental Deficiencies · Tag F0912 · Deficient, Provider has date of correction (Feb 24, 2022)

Questions to ask on a tour of The Royal Home

  1. Nursing staff turnover was 73.9% a year. How many of the staff come from agencies?
  2. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  3. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

CMS reports no fines or payment denials for this home in the last three years.

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 4/5 3/5 4/5 5/5
August 2026 4/5 3/5 4/5 5/5
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Location

Hospitals near The Royal Home

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Country Hills Post Acute El Cajon · 1.1 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 3/5 305 beds · Medicaid
Cottonwood Canyon Healthcare Center El Cajon · 1.8 mi away ★★★☆☆ Inspection 2/5 · Staffing 2/5 96 beds · Medicaid
Granite Hills Healthcare & Wellness Centre El Cajon · 1.8 mi away ★★☆☆☆ Inspection 2/5 · Staffing 2/5 99 beds · Medicaid
Bradley Court El Cajon · 1.8 mi away ★★★★★ Inspection 5/5 · Staffing 5/5 56 beds · Medicaid
Lakeside Special Care Center Lakeside · 2.3 mi away ★★★★★ Inspection 5/5 · Staffing 5/5 94 beds · Medicaid

More nursing homes near The Royal Home ›   All nursing homes in El Cajon ›

Compare The Royal Home with the 3 closest homes side by side ›

Higher-rated nursing homes within 10 miles

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/california/el-cajon/the-royal-home/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.