Nursing home
The Royal Home
12436 Royal Road, El Cajon, CA 92021 · Map
For profit - Individual · 19 certified beds
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.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
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 | Compared with the state |
|---|---|---|---|---|
| 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.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the December 3, 2025 inspection was corrected by December 6, 2025
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 · Full report (PDF) - 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 · Full report (PDF) - 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 · Full report (PDF) - 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 · Full report (PDF) - 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 · Full report (PDF)
Show all 12 deficiencies
- 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 · Full report (PDF) - 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 · Full report (PDF) - 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 · Full report (PDF) - 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 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Dec 15, 2023 · Full report (PDF) - 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 · Full report (PDF) - 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 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
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
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around The Royal Home using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Grossmont Hospital, La Mesa. 6.0 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Country Hills Post Acute, El Cajon. 1.1 miles away, straight line.
- Nearest home health agency office
- Belle Vie Home Health Inc, El Cajon. 1.3 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 1.5 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 92021 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Fresenius Medical Care Balboa East County, El Cajon, 1.8 miles away, straight line (CMS rating 4 of 5 stars)
Rai - Fletcher Parkway - El Cajon, El Cajon, 3.3 miles away, straight line (CMS rating 3 of 5 stars)
Fresenius Medical Care Balboa La Mesa, La Mesa, 5.3 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 79 Medicare hospices tell CMS they serve ZIP code 92021.
Orange Coast Hospice, Inc, office in El Cajon, 2.2 miles away, straight line
Together Hospice Care LLC, office in La Mesa, 7.7 miles away, straight line (CMS family survey rating 5 of 5 stars)
Anc Corporation, office in La Mesa, 8.1 miles away, straight line - Nearest geriatric medicine practice
- Del Sur Healthcare, El Cajon. 3.4 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- Wildfire risk to homes
- In Winter Gardens, CA, risk to homes is greater than 58% of communities in California and 89% of communities nationwide. USDA rates the whole town or city, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane very low, inland flooding relatively high, wildfire relatively high, tornado very low, heat wave relatively moderate, earthquake relatively moderate. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | See above |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
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Frequently asked questions
Is The Royal Home a good nursing home?
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.
How is The Royal Home staffed?
The Royal Home reports 6.87 total nurse hours per resident per day, compared with the California average of 4.51.
Has The Royal Home had inspection problems?
Its most recent CMS inspection cited 9 deficiencies.
How many beds does The Royal Home have?
The Royal Home is certified for 19 beds.