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Nursing Homes · Medicare certified

The Royal Home

12436 Royal Road · El Cajon, CA 92021 · 19 certified beds

(619) 443-3886

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About The Royal Home

The Royal Home is a nursing home in El Cajon, California. Its capacity is 19 beds, below the San Diego County median of 99 for nursing homes. It is run by a for-profit operator. It is Medicare certified. Its public inspection record shows 31 citations, the most recent on December 3, 2025. Enforcement records show no fine or payment denial against it. Nurse staffing averages 4.10 hours per resident per day. It is one of 12 nursing homes listed in El Cajon. Residents and families can raise concerns with the Office of the State Long-Term Care Ombudsman at 1-800-231-4024. Its public records were last updated in October 2026.

Public record

CMS Care Compare, updated October 2026

Certification

Medicare-certified.

Ratings

Overall

4.0

Staffing

4.0

Quality measures

5.0

CMS Care Compare, October 2026.

Inspection history (31)

Records from February 2022 to December 2025.

  • December 3, 2025

    Tag F0880

    Provide and implement an infection prevention and control program.

    Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected December 6, 2025.

  • December 3, 2025

    Tag F0727

    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.

    Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected December 6, 2025.

  • December 3, 2025

    Tag F0911

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

    Severity B: pattern, no actual harm, potential for minimal harm. Corrected December 6, 2025.

  • December 3, 2025

    Tag F0812

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

    Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected December 6, 2025.

  • December 3, 2025

    Tag F0801

    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.

    Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected December 6, 2025.

  • December 3, 2025

    Tag F0550

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

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 6, 2025.

  • December 3, 2025

    Tag F0578

    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.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 6, 2025.

  • December 3, 2025

    Tag F0912

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

    Severity B: pattern, no actual harm, potential for minimal harm. Corrected December 6, 2025.

  • December 3, 2025

    Tag F0805

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

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 6, 2025.

  • December 15, 2023

    Tag F0867

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

    Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected January 17, 2024.

  • December 15, 2023

    Tag F0912

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

    Severity B: pattern, no actual harm, potential for minimal harm. Corrected January 17, 2024.

  • December 15, 2023

    Tag F0880

    Provide and implement an infection prevention and control program.

    Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected January 17, 2024.

  • December 15, 2023

    Tag F0584

    Honor 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.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 17, 2024.

  • December 15, 2023

    Tag F0911

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

    Severity B: pattern, no actual harm, potential for minimal harm. Corrected January 17, 2024.

  • December 15, 2023

    Tag F0644

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

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 17, 2024.

  • December 15, 2023

    Tag F0812

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

    Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected January 17, 2024.

  • December 15, 2023

    Tag F0883

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

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 17, 2024.

  • December 15, 2023

    Tag F0756

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

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 17, 2024.

  • December 15, 2023

    Tag F0802

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

    Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected January 17, 2024.

  • December 15, 2023

    Tag F0641

    Ensure each resident receives an accurate assessment.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 17, 2024.

See the source data on data.cms.gov (opens in a new tab)

Penalties

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

Staffing

4.10 nurse hours per resident per day in Q2 2026, up from 2.83 in Q4 2025.

From the payroll records nursing homes file with CMS.

Ownership

For profit - Individual

Typical cost

CareScout Cost of Care Survey, 2025

This provider's prices aren't public. Here is what the same care typically costs in California.

Nursing Homes

California median$12,167/mo

Nearby alternatives

Other licensed providers in El Cajon.

Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care

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The Royal Home in El Cajon, CA · ElderCareCosts