The Royal Home
12436 Royal Road, El Cajon, CA 92021 · (619) 443-3886
For profit - Individual · 19 certified beds
The Royal Home has a 4-star overall rating from Medicare, out of 5. Its last standard inspection, in December 2025, found 9 citations (the California average is 15.6). It hasn't been fined in the last three years.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 4 out of 5 stars · Above average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 3 out of 5 stars · Average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 5 out of 5 stars · Much above average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 4 out of 5 stars · Above average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on December 3, 2025 found 9 citations. What an inspection citation means
- 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.December 3, 2025 · F0727 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- 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.December 3, 2025 · F0801 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.December 3, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Provide and implement an infection prevention and control program.December 3, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- 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.December 3, 2025 · F0578 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.December 3, 2025 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.December 3, 2025 · F0805 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.December 3, 2025 · F0911 · Level of harm: Potential for minimal harm · Residents affected: Some
- Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.December 3, 2025 · F0912 · Level of harm: Potential for minimal harm · Residents affected: Some
Complaint inspections, last three years
No citations from complaint inspections in the last three years.
Fines and payment denials
No fines or payment denials in the last three years.
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | California average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 4.18 | 4.52 | 3.86 |
| Registered nurses (RN) | 0.57 | 0.67 | 0.69 |
| Licensed practical nurses (LPN) | 1.11 | 1.20 | 0.86 |
| Nurse aides | 2.49 | 2.65 | 2.32 |
| Total nursing staff turnover | 73.9% | 36.7% | 45.8% |
About this home
| Ownership | For profit - Individual |
| Certified beds | 19 |
| Average residents per day | 14.3 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Bradley Court El Cajon · ★★★★★ 5 out of 5 stars
- Parkside Health and Wellness Center El Cajon · ★★★★★ 5 out of 5 stars
- Victoria Post Acute Care El Cajon · ★★★★★ 5 out of 5 stars
- Somerset Post Acute Care El Cajon · ★★★★★ 3 out of 5 stars
- Villa Las Palmas Healthcare Center El Cajon · ★★★★★ 3 out of 5 stars
Compare every nursing home in El Cajon, CA · Nursing homes in California · Home health agencies in El Cajon, CA
Comparing nursing homes?
See whether help at home or assisted living fits better. Answer four questions and we'll suggest where to start: a medical alert, help at home, or assisted living.
Free for families. This isn't medical advice.
Who are you looking for help for?
Data from Medicare (CMS), updated October 2026, from The Royal Home on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.