Nursing Homes · Medicare certified
The Royal Home
12436 Royal Road · El Cajon, CA 92021 · 19 certified beds
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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
4.0Staffing
4.0Quality measures
5.0CMS Care Compare, October 2026.
Inspection history (31)
Records from February 2022 to December 2025.
December 15, 2023
Tag F0758Implement 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 l….
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected January 17, 2024.
December 15, 2023
Tag F0552Ensure that residents are fully informed and understand their health status, care and treatments.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 17, 2024.
February 11, 2022
Tag F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 24, 2022.
February 11, 2022
Tag F0880Provide and implement an infection prevention and control program.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected February 24, 2022.
February 11, 2022
Tag F0912Provide 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 February 24, 2022.
February 11, 2022
Tag F0911Ensure 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 February 24, 2022.
February 11, 2022
Tag F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 24, 2022.
February 11, 2022
Tag F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 24, 2022.
February 11, 2022
Tag F0791Provide or obtain dental services for each resident.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 24, 2022.
February 11, 2022
Tag F0761Ensure 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 24, 2022.
February 11, 2022
Tag F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 24, 2022.
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.
Nearby alternatives
Other licensed providers in El Cajon.
Cottonwood Canyon Healthcare Center
Country Hills Post Acute
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
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