All states › California › El Cajon › The Royal Home
12436 Royal Road El Cajon, CA 92021 · San Diego County
All 12 nursing homes in El Cajon, CA (12 take Medicaid)
CMS certification number 05A192 · See this home on Medicare Care Compare
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.
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.
About this nursing home
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.
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.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FProvide and implement an infection prevention and control program.
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.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
BEnsure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
BProvide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
December 15, 2023 · 13 citations
FProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
FProvide and implement an infection prevention and control program.
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.
DEnsure that residents are fully informed and understand their health status, care and treatments.
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.
DEnsure each resident receives an accurate assessment.
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
DEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
DDevelop and implement policies and procedures for flu and pneumonia vaccinations.
BEnsure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
BProvide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
February 11, 2022 · 9 citations
FProvide and implement an infection prevention and control program.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
DProvide or obtain dental services for each resident.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
DDevelop and implement policies and procedures for flu and pneumonia vaccinations.
BEnsure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
BProvide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Questions to ask on a tour of The Royal Home
- Nursing staff turnover was 73.9% a year. How many of the staff come from agencies?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- 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 month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| 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.
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5.9 mi
Grossmont Hospital La MesaEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 3h 16m for patients treated and sent home
- 8.0 mi
- 10.4 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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
- Bradley Court · El Cajon · 5 stars · 1.8 mi
- Lakeside Special Care Center · Lakeside · 5 stars · 2.3 mi
- Stanford Court Skilled Nursing & Rehab Center · Santee · 5 stars · 3.6 mi
- Parkside Health and Wellness Center · El Cajon · 5 stars · 3.6 mi
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.