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UPDATED JUL 2026

Nursing Homes · Medicare certified

The Royal Home

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

6194433886

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Public record

CMS Care Compare · Updated Jul 2026

Certification

  • Medicare-certified (CMS Certification Number on file)

Ratings

Not yet ratedSource: CMS Care Compare · Updated 2025Q4.GOV

Staffing rating

Not published

Quality-measure rating

Not published

Inspections on record

Not published

Cited deficiencies

Not published

3.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-06-01.GOV

Staffing rating

1.0

Quality-measure rating

5.0

Inspections on record

2

Cited deficiencies

22

Inspection history (31)

  • December 3, 2025 · F

    Citation F0880

    Federal surveyors cited this nursing home on 2025-12-03 under CMS tag F0880 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2025-12-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-12-03.GOV
  • December 3, 2025 · F

    Citation F0727

    Federal surveyors cited this nursing home on 2025-12-03 under CMS tag F0727 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2025-12-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-12-03.GOV
  • December 3, 2025 · B

    Citation F0911

    Federal surveyors cited this nursing home on 2025-12-03 under CMS tag F0911 (CMS scope/severity B: pattern, no actual harm, potential for minimal harm) for Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. The deficiency was recorded as corrected on 2025-12-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-12-03.GOV
  • December 3, 2025 · F

    Citation F0812

    Federal surveyors cited this nursing home on 2025-12-03 under CMS tag F0812 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2025-12-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-12-03.GOV
  • December 3, 2025 · F

    Citation F0801

    Federal surveyors cited this nursing home on 2025-12-03 under CMS tag F0801 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2025-12-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-12-03.GOV
  • December 3, 2025 · D

    Citation F0550

    Federal surveyors cited this nursing home on 2025-12-03 under CMS tag F0550 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. The deficiency was recorded as corrected on 2025-12-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-12-03.GOV
  • December 3, 2025 · E

    Citation F0578

    Federal surveyors cited this nursing home on 2025-12-03 under CMS tag F0578 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2025-12-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-12-03.GOV
  • December 3, 2025 · B

    Citation F0912

    Federal surveyors cited this nursing home on 2025-12-03 under CMS tag F0912 (CMS scope/severity B: pattern, no actual harm, potential for minimal harm) for Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. The deficiency was recorded as corrected on 2025-12-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-12-03.GOV
  • December 3, 2025 · D

    Citation F0805

    Federal surveyors cited this nursing home on 2025-12-03 under CMS tag F0805 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. The deficiency was recorded as corrected on 2025-12-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-12-03.GOV
  • December 15, 2023 · F

    Citation F0867

    Federal surveyors cited this nursing home on 2023-12-15 under CMS tag F0867 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. The deficiency was recorded as corrected on 2024-01-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-15.GOV
  • December 15, 2023 · B

    Citation F0912

    Federal surveyors cited this nursing home on 2023-12-15 under CMS tag F0912 (CMS scope/severity B: pattern, no actual harm, potential for minimal harm) for Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. The deficiency was recorded as corrected on 2024-01-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-15.GOV
  • December 15, 2023 · F

    Citation F0880

    Federal surveyors cited this nursing home on 2023-12-15 under CMS tag F0880 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2024-01-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-15.GOV
  • December 15, 2023 · D

    Citation F0584

    Federal surveyors cited this nursing home on 2023-12-15 under CMS tag F0584 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2024-01-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-15.GOV
  • December 15, 2023 · B

    Citation F0911

    Federal surveyors cited this nursing home on 2023-12-15 under CMS tag F0911 (CMS scope/severity B: pattern, no actual harm, potential for minimal harm) for Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. The deficiency was recorded as corrected on 2024-01-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-15.GOV
  • December 15, 2023 · D

    Citation F0644

    Federal surveyors cited this nursing home on 2023-12-15 under CMS tag F0644 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. The deficiency was recorded as corrected on 2024-01-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-15.GOV
  • December 15, 2023 · F

    Citation F0812

    Federal surveyors cited this nursing home on 2023-12-15 under CMS tag F0812 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2024-01-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-15.GOV
  • December 15, 2023 · D

    Citation F0883

    Federal surveyors cited this nursing home on 2023-12-15 under CMS tag F0883 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement policies and procedures for flu and pneumonia vaccinations. The deficiency was recorded as corrected on 2024-01-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-15.GOV
  • December 15, 2023 · D

    Citation F0756

    Federal surveyors cited this nursing home on 2023-12-15 under CMS tag F0756 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. The deficiency was recorded as corrected on 2024-01-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-15.GOV
  • December 15, 2023 · F

    Citation F0802

    Federal surveyors cited this nursing home on 2023-12-15 under CMS tag F0802 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. The deficiency was recorded as corrected on 2024-01-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-15.GOV
  • December 15, 2023 · D

    Citation F0641

    Federal surveyors cited this nursing home on 2023-12-15 under CMS tag F0641 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure each resident receives an accurate assessment. The deficiency was recorded as corrected on 2024-01-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-15.GOV

Penalties

Total fines on file: $0

Staffing

Latest: 2.83 nurse staffing hours per resident per day (2026-06-01)

Staffing trend (2 periods)

  1. 2025Q42.83 hrs/resident/day
  2. 2026-06-012.83 hrs/resident/day

Most recent period is about the same as 2025Q4. Figures are CMS-reported nurse staffing hours, not our estimate.

Ownership

For profit - Individual

Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.

Typical cost

Genworth Cost of Care Survey · 2024

This provider doesn't publish a specific price to us. Below is the typical CA range for the care type(s) it offers. Use it as context, not a quote.

Nursing Homes

Median · CA$11,060/mo
See full CA cost breakdownSource: Genworth Cost of Care Survey · Updated 2024

Nursing Homes

Median · CA$12,167/mo
See full CA cost breakdownSource: Genworth CareScout Cost of Care Survey · Updated 2025

Nearby alternatives

Other licensed providers in El Cajon, with their own public records.

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

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