For profit - Individual ·
19 certified beds ·
Medicaid
4
Overall CMS Rating
★★★★☆
The Royal Home is a Medicare-certified nursing home in El Cajon, California. CMS rates it 4 out of 5 stars overall (4/5 for staffing, 3/5 for health inspections). Nurse staffing is 6.87 hours per resident per day, above the California average of 4.51. Its most recent inspection on Dec 3, 2025 cited 9 deficiencies.
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CMS Quality Ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars = highest quality.
Overall Rating
★★★★☆ 4/5
Health Inspections
★★★☆☆ 3/5
Staffing
★★★★☆ 4/5
Quality Measures
★★★★★ 5/5
Long-Stay QM
★★★★★ 5/5
Short-Stay QM
No data
How The Royal Home compares
This facility vs. the California and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
Metric
This facility
California avg
National avg
Total nurse staffing (hrs/resident/day)
6.87
4.51
3.89
above avg
RN staffing (hrs/resident/day)
0.87
0.65
0.68
above avg
Aide staffing (hrs/resident/day)
4.49
2.64
2.34
above avg
Nursing staff turnover
52.2%
38.1%
46.4%
above avg
Deficiencies cited, last inspection
9.0
15.4
9.5
below avg
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
6.87
Total Nurse Hrs/Resident/Day
0.87
RN Hrs/Resident/Day
1.52
LPN Hrs/Resident/Day
4.49
Aide Hrs/Resident/Day
6.74
Weekend Nurse Hrs/Resident/Day
Staff Turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is ~60%.
Total Nursing Staff
52.2%
Registered Nurses
100.0%
Administrator Changes0 in last year
Recent Health Inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Dec 3, 2025
Most Recent Inspection Date
9
Total Deficiencies Found
80
Health Inspection Score
0
Number of Fines
What inspectors found at The Royal Home
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
Potential for harm
Provide and implement an infection prevention and control program.Infection Control Deficiencies · Dec 3, 2025
Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and Dietary Deficiencies · Dec 3, 2025
Potential for harm
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 Deficiencies · Dec 3, 2025
Potential for harm
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 Deficiencies · Dec 3, 2025
Potential for harm
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.Resident Rights Deficiencies · Dec 3, 2025
Potential for harm
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.Nutrition and Dietary Deficiencies · Dec 3, 2025
Potential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Resident Rights Deficiencies · Dec 3, 2025
Minimal
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.Environmental Deficiencies · Dec 3, 2025
Minimal
Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.Environmental Deficiencies · Dec 3, 2025
Potential for harm
Provide and implement an infection prevention and control program.Infection Control Deficiencies · Dec 15, 2023
Potential for harm
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.Administration Deficiencies · Dec 15, 2023
Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and Dietary Deficiencies · Dec 15, 2023
About This Facility
Address
12436 Royal Road El Cajon, CA 92021
CMS Certification #
05A192
Ownership
For profit - Individual
Certified Beds
19
Avg Residents/Day
18.6
Provider Type
Medicaid
First Certified
1975-07-01
Setting
Urban
Location & Nearby
Explore the area around The Royal Home using Google Maps.
CMS gives The Royal Home an overall rating of 4 out of 5 stars, including 4/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
The Royal Home reports 6.87 total nurse hours per resident per day, compared with the California average of 4.51.
Its most recent CMS inspection cited 9 deficiencies.
The Royal Home is certified for 19 beds.
Admissions at The Royal Home
For admissions, availability and rehab questions, call (619) 443-3886. If a parent is leaving the hospital, the hospital discharge planner can also check which nursing homes have a bed.
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