Nursing home

The Royal Home

12436 Royal Road, El Cajon, CA 92021

★★★★★Overall Medicare rating
★★★★★Health inspections
★★★★★Staffing
★★★★★Quality measures

Medicare rates every nursing home from 1 to 5 stars. 5 is much above average, 1 is much below.

Findings, latest cycle9
Findings with harm or immediate jeopardy, 3 cycles0
Fines, 3 years$0
Beds19

Inspection findings

Inspectors recorded 31 findings in the last three inspection cycles.

25 No harm, but a risk of harm6 No harm, minimal risk

Each entry below is a requirement that inspectors found the home did not meet on that date, in the regulator's own English wording.

Inspection dateAreaRequirement the home did not meet (official wording, in English)SeverityCorrected
Dec 3, 2025Building and environmentProvide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. (F0912)No harm, minimal risk
pattern
Corrected: Dec 6, 2025
Dec 3, 2025Building and environmentEnsure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. (F0911)No harm, minimal risk
pattern
Corrected: Dec 6, 2025
Dec 3, 2025Infection controlProvide and implement an infection prevention and control program. (F0880)No harm, but a risk of harm
widespread
Corrected: Dec 6, 2025
Dec 3, 2025Food and nutritionProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F0812)No harm, but a risk of harm
widespread
Corrected: Dec 6, 2025
Dec 3, 2025Food and nutritionEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs. (F0805)No harm, but a risk of harm
isolated
Corrected: Dec 6, 2025
Dec 3, 2025Food and nutritionEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. (F0801)No harm, but a risk of harm
widespread
Corrected: Dec 6, 2025
Dec 3, 2025Nursing and physician servicesHave 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. (F0727)No harm, but a risk of harm
widespread
Corrected: Dec 6, 2025
Dec 3, 2025Resident rightsHonor 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. (F0578)No harm, but a risk of harm
pattern
Corrected: Dec 6, 2025
Dec 3, 2025Resident rightsHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (F0550)No harm, but a risk of harm
isolated
Corrected: Dec 6, 2025
Dec 15, 2023Building and environmentProvide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. (F0912)No harm, minimal risk
pattern
Corrected: Jan 17, 2024
Dec 15, 2023Building and environmentEnsure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. (F0911)No harm, minimal risk
pattern
Corrected: Jan 17, 2024
Dec 15, 2023Infection controlDevelop and implement policies and procedures for flu and pneumonia vaccinations. (F0883)No harm, but a risk of harm
isolated
Corrected: Jan 17, 2024
Dec 15, 2023Infection controlProvide and implement an infection prevention and control program. (F0880)No harm, but a risk of harm
widespread
Corrected: Jan 17, 2024
Dec 15, 2023AdministrationSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (F0867)No harm, but a risk of harm
widespread
Corrected: Jan 17, 2024
Dec 15, 2023Food and nutritionProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F0812)No harm, but a risk of harm
widespread
Corrected: Jan 17, 2024
Dec 15, 2023Food and nutritionProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. (F0802)No harm, but a risk of harm
widespread
Corrected: Jan 17, 2024
Dec 15, 2023Pharmacy and medicationsImplement 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. (F0758)No harm, but a risk of harm
pattern
Corrected: Jan 17, 2024
Dec 15, 2023Pharmacy and medicationsEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (F0756)No harm, but a risk of harm
isolated
Corrected: Jan 17, 2024
Dec 15, 2023Resident assessment and care planningCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (F0644)No harm, but a risk of harm
isolated
Corrected: Jan 17, 2024
Dec 15, 2023Resident assessment and care planningEnsure each resident receives an accurate assessment. (F0641)No harm, but a risk of harm
isolated
Corrected: Jan 17, 2024
Dec 15, 2023Resident rightsHonor 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. (F0584)No harm, but a risk of harm
isolated
Corrected: Jan 17, 2024
Dec 15, 2023Resident rightsEnsure that residents are fully informed and understand their health status, care and treatments. (F0552)No harm, but a risk of harm
isolated
Corrected: Jan 17, 2024
Feb 11, 2022Building and environmentProvide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. (F0912)No harm, minimal risk
pattern
Corrected: Feb 24, 2022
Feb 11, 2022Building and environmentEnsure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. (F0911)No harm, minimal risk
pattern
Corrected: Feb 24, 2022
Feb 11, 2022Infection controlDevelop and implement policies and procedures for flu and pneumonia vaccinations. (F0883)No harm, but a risk of harm
isolated
Corrected: Feb 24, 2022
Feb 11, 2022Infection controlProvide and implement an infection prevention and control program. (F0880)No harm, but a risk of harm
widespread
Corrected: Feb 24, 2022
Feb 11, 2022AdministrationSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (F0867)No harm, but a risk of harm
isolated
Corrected: Feb 24, 2022
Feb 11, 2022Resident assessment and care planningSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (F0842)No harm, but a risk of harm
isolated
Corrected: Feb 24, 2022
Feb 11, 2022Quality of life and careProvide or obtain dental services for each resident. (F0791)No harm, but a risk of harm
isolated
Corrected: Feb 24, 2022
Feb 11, 2022Pharmacy and medicationsEnsure 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. (F0761)No harm, but a risk of harm
isolated
Corrected: Feb 24, 2022
Feb 11, 2022Pharmacy and medicationsProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (F0755)No harm, but a risk of harm
isolated
Corrected: Feb 24, 2022

Fines and payment denials

No federal fines or payment denials in the last three years.

Staffing

Nurse staff hours per resident per day4.10California median: 4.27
Registered nurse hours per resident per day0.67California median: 0.52
Nurse staff hours on weekends3.84California median: 3.85
Nursing staff who left within a year73.9%California median: 36.0%

About this home

Beds19
Residents per day, average19.6
OwnershipFor-profit, individual owner
In Medicare/Medicaid sinceJul 1, 1975

Questions to ask when you call

Source. Medicare Care Compare (CMS Provider Data), data dated Oct 1, 2026. Open this home on Medicare.gov

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