California › San Diego County › El Cajon
The Royal Home
12436 Royal Road, El Cajon, CA 92021
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
The Royal Home, in El Cajon, California, is certified for 19 beds under for-profit, individual ownership.
CMS gives it 4 of 5 stars overall, above the California median of 3; the health inspection rating is 3, staffing 4 and quality measures 5.
Inspectors recorded 31 health deficiencies across the three most recent survey cycles (9, 13, 9 by cycle, most recent first), none at the actual-harm level. That is 163.2 per 100 beds, more than the state median of 51.1.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 4.2 hours per resident per day (0.6 RN), close to the California median of 4.2; nursing staff turnover is 73.9%.
Compared with county, state and nation
| Measure | This facility | San Diego Co. median | California median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 31 | 35 | 44 | 28.7 |
| Citations per 100 beds | 163.2 | 34.2 | 51.1 | 26.8 |
| Total nurse hours per resident day | 4.2 | 4.2 | 4.2 | 3.9 |
| RN hours per resident day | 0.6 | 0.6 | 0.5 | 0.7 |
| Nursing staff turnover | 73.9% | 37.5% | 36.4% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (83 in the county, 1165 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: California average per facility for the same cycle, as published by CMS. Standard health survey dates: 3 Dec 2025, 15 Dec 2023.
Severity mix: D ×14 E ×2 F ×9 B ×6
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 3 Dec 2025 | 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. | F | Standard survey | 6 Dec 2025 |
| 3 Dec 2025 | 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. | F | Standard survey | 6 Dec 2025 |
| 3 Dec 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 6 Dec 2025 |
| 3 Dec 2025 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 6 Dec 2025 |
| 3 Dec 2025 | 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. | E | Standard survey | 6 Dec 2025 |
| 3 Dec 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 6 Dec 2025 |
| 3 Dec 2025 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Standard survey | 6 Dec 2025 |
| 3 Dec 2025 | F0911 | Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | B | Standard survey | 6 Dec 2025 |
| 3 Dec 2025 | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | Standard survey | 6 Dec 2025 |
| 15 Dec 2023 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | F | Standard survey | 17 Jan 2024 |
| 15 Dec 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 17 Jan 2024 |
| 15 Dec 2023 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Standard survey | 17 Jan 2024 |
| 15 Dec 2023 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 17 Jan 2024 |
| 15 Dec 2023 | F0758 | 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 limited. | E | Standard survey | 17 Jan 2024 |
| 15 Dec 2023 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 17 Jan 2024 |
| 15 Dec 2023 | 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. | D | Standard survey | 17 Jan 2024 |
| 15 Dec 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 17 Jan 2024 |
| 15 Dec 2023 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 17 Jan 2024 |
| 15 Dec 2023 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 17 Jan 2024 |
| 15 Dec 2023 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 17 Jan 2024 |
| 15 Dec 2023 | F0911 | Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | B | Standard survey | 17 Jan 2024 |
| 15 Dec 2023 | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | Standard survey | 17 Jan 2024 |
| 11 Feb 2022 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 24 Feb 2022 |
| 11 Feb 2022 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 24 Feb 2022 |
| 11 Feb 2022 | F0761 | 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. | D | Standard survey | 24 Feb 2022 |
| 11 Feb 2022 | F0791 | Provide or obtain dental services for each resident. | D | Standard survey | 24 Feb 2022 |
| 11 Feb 2022 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 24 Feb 2022 |
| 11 Feb 2022 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | Standard survey | 24 Feb 2022 |
| 11 Feb 2022 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 24 Feb 2022 |
| 11 Feb 2022 | F0911 | Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | B | Standard survey | 24 Feb 2022 |
| 11 Feb 2022 | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | Standard survey | 24 Feb 2022 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the California average. Turnover: nursing staff 73.9%, RNs —; — administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | California median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 5.9% | 8.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.5% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.0% | 1.3% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 4.2% | 8.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 0.0% | 3.6% | 4.2% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, individual.
No organisations are listed in the CMS ownership record for this facility.
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in San Diego County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Arbor Hills Nursing Center | La Mesa | 100 | 5 | 4 | 3 | 37 | 37.0 | $13K | 12 Feb 2026 |
| Arroyo Vista Nursing Center | San Diego | 53 | 5 | 4 | 3 | 26 | 49.1 | — | 29 Jan 2026 |
| Bayshire Torrey Pines Post-Acute | San Diego | 45 | 5 | 4 | 3 | 50 | 111.1 | $87K | 25 Mar 2026 |
| Bradley Court | El Cajon | 56 | 5 | 5 | 5 | 19 | 33.9 | — | 13 Mar 2025 |
| Carlsbad By the Sea | Carlsbad | 33 | 5 | 5 | 5 | 8 | 24.2 | — | 25 Mar 2026 |
| Escondido Post Acute | Escondido | 180 | 5 | 4 | 3 | 42 | 23.3 | — | 1 Apr 2026 |
| Friendship Manor Nursing & Rehab Center | National City | 104 | 5 | 5 | 4 | 29 | 27.9 | $297K | 24 Jul 2025 |
| Glenbrook | Carlsbad | 94 | 5 | 4 | 5 | 24 | 25.5 | $9K | 19 Sep 2025 |
All 83 facilities in San Diego County
Questions and answers
How many deficiencies has The Royal Home been cited for?
31 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The California median is 44 per facility.
Has The Royal Home been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at The Royal Home compare?
Reported total nurse staffing is 4.2 hours per resident per day against a California median of 4.2 and a national average of 3.9.
Who operates The Royal Home?
Ownership type is for-profit, individual. Individual owners and managers are not listed on this site.
When was The Royal Home last inspected?
The most recent survey or investigation in the CMS record is dated 3 Dec 2025; the most recent standard health survey was 3 Dec 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.