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SOURCE DATA JUN 2026

Nursing Homes · Medicare certified

The Royal Home

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

6194433886

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About The Royal Home

In El Cajon, California, The Royal Home is listed as a nursing home. Its reported capacity is 19 beds. It is recorded as a for-profit operator. Federal records list it as Medicare certified. Our copy of the inspection record holds 31 citations, the newest dated 3 December 2025. No fine or payment denial is on record against it. Staffing reports put it at 4.18 nurse hours per resident per day. Every fact above comes from the public records listed in the sources section on this page. The newest source file we hold for this listing is dated June 2026.

Public record

CMS Care Compare · Source data June 2026

Certification

  • Medicare-certified (CMS Certification Number on file)

Ratings

4.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-08-01.GOV

Staffing rating

4.0

Quality-measure rating

5.0

Inspections on record

2

Cited deficiencies

22

4.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-07-01.GOV

Staffing rating

4.0

Quality-measure rating

5.0

Inspections on record

2

Cited deficiencies

22

Not yet ratedSource: CMS Care Compare · Updated 2026Q1.GOV

Staffing rating

Not published

Quality-measure rating

Not published

Inspections on record

Not published

Cited deficiencies

Not published

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)

Records from February 2022 to December 2025.

  • December 15, 2023 · E

    Citation F0758

    Federal surveyors cited this nursing home on 2023-12-15 under CMS tag F0758 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Implement 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…. 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 F0552

    Federal surveyors cited this nursing home on 2023-12-15 under CMS tag F0552 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that residents are fully informed and understand their health status, care and treatments. 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
  • February 11, 2022 · D

    Citation F0842

    Federal surveyors cited this nursing home on 2022-02-11 under CMS tag F0842 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. The deficiency was recorded as corrected on 2022-02-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-02-11.GOV
  • February 11, 2022 · F

    Citation F0880

    Federal surveyors cited this nursing home on 2022-02-11 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 2022-02-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-02-11.GOV
  • February 11, 2022 · B

    Citation F0912

    Federal surveyors cited this nursing home on 2022-02-11 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 2022-02-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-02-11.GOV
  • February 11, 2022 · B

    Citation F0911

    Federal surveyors cited this nursing home on 2022-02-11 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 2022-02-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-02-11.GOV
  • February 11, 2022 · D

    Citation F0755

    Federal surveyors cited this nursing home on 2022-02-11 under CMS tag F0755 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. The deficiency was recorded as corrected on 2022-02-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-02-11.GOV
  • February 11, 2022 · D

    Citation F0867

    Federal surveyors cited this nursing home on 2022-02-11 under CMS tag F0867 (CMS scope/severity D: isolated, 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 2022-02-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-02-11.GOV
  • February 11, 2022 · D

    Citation F0791

    Federal surveyors cited this nursing home on 2022-02-11 under CMS tag F0791 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide or obtain dental services for each resident. The deficiency was recorded as corrected on 2022-02-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-02-11.GOV
  • February 11, 2022 · D

    Citation F0761

    Federal surveyors cited this nursing home on 2022-02-11 under CMS tag F0761 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure 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. The deficiency was recorded as corrected on 2022-02-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-02-11.GOV
  • February 11, 2022 · D

    Citation F0883

    Federal surveyors cited this nursing home on 2022-02-11 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 2022-02-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-02-11.GOV

Penalties

Total fines on file: $0

Staffing

Latest: 4.18 nurse staffing hours per resident per day (2026Q1)

Staffing trend (5 periods)

  1. 2025Q42.83 hrs/resident/day
  2. 2026-06-012.83 hrs/resident/day
  3. 2026-07-014.18 hrs/resident/day
  4. 2026-08-014.18 hrs/resident/day
  5. 2026Q14.18 hrs/resident/day

Most recent period is higher than 2025Q4 (+1.35 hrs/resident/day). Figures are CMS-reported nurse staffing hours, not our estimate.

Ownership

For profit - Individual

Recent changes to this listing

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Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.

  1. Jul 23, 2026First appeared in our data

    This listing first appeared in the government file we read. That is usually when it entered the file, not the day it opened.

    Reported by CMS nursing homes (provider info)

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 CareScout Cost of Care Survey · 2025

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$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.

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Compare side by side

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Trust & methodology

Where this information came from

Each block below is one file we read, the date on that file, and the fields on this page that came from it. The date is when the source published or we retrieved it, not the day we last looked at this listing.

CMS nursing homes (payroll-based journal staffing)as of June 2026
Staffing hours per resident day
CMS nursing homes (provider info)as of June 2026
City, County, Licensed capacity, Map location, Medicare certification number, Name, Ownership type, Phone number, State, Street address, ZIP code

Read how we handle every file on the data sources page.