Quick answers
- Where is The Royal Home?
- 12436 Royal Road, El Cajon, CA 92021, in San Diego County, California.
- What is the phone number of The Royal Home?
- (619) 443-3886, as listed by Medicare (CMS).
- What is the Medicare star rating of The Royal Home?
- Medicare overall rating: 4 out of 5 stars (CMS data updated 2026-10-01).
- Has The Royal Home been fined?
- Medicare lists no fines for The Royal Home.
- What did inspectors find at The Royal Home?
- In its last three inspection cycles (February 11, 2022 to December 3, 2025), Medicare lists 31 health citations; the most serious was level F. See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (February 11, 2022 to December 3, 2025), The Royal Home had 31 health citations; the most serious was level F (no actual harm, potential for more than minimal harm). Medicare lists no fines or payment denials for it in the last three years. Nurse staffing is 4.10 hours per resident per day; the California average is 4.54 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: December 3, 2025 — 9 health citations
Inspections in this cycle: December 3, 2025 (standard health inspection).
Show 9 citations (levels A to F, no actual harm)
F0727 Level F
“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.”
F0801 Level F
“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.”
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0880 Level F
“Provide and implement an infection prevention and control program.”
F0578 Level E
“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.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0805 Level D
“Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.”
F0911 Level B
“Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.”
F0912 Level B
“Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.”
Previous cycle: December 15, 2023 — 13 health citations
Inspections in this cycle: December 15, 2023 (standard health inspection).
Show 13 citations (levels A to F, no actual harm)
F0802 Level F
“Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.”
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0867 Level F
“Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.”
F0880 Level F
“Provide and implement an infection prevention and control program.”
F0758 Level E
“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.”
F0552 Level D
“Ensure that residents are fully informed and understand their health status, care and treatments.”
F0584 Level D
“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.”
F0641 Level D
“Ensure each resident receives an accurate assessment.”
F0644 Level D
“Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.”
F0756 Level D
“Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.”
F0883 Level D
“Develop and implement policies and procedures for flu and pneumonia vaccinations.”
F0911 Level B
“Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.”
F0912 Level B
“Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.”
Earlier cycle: February 11, 2022 — 9 health citations
Inspections in this cycle: February 11, 2022 (standard health inspection).
Show 9 citations (levels A to F, no actual harm)
F0880 Level F
“Provide and implement an infection prevention and control program.”
F0755 Level D
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0761 Level D
“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.”
F0791 Level D
“Provide or obtain dental services for each resident.”
F0842 Level D
“Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”
F0867 Level D
“Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.”
F0883 Level D
“Develop and implement policies and procedures for flu and pneumonia vaccinations.”
F0911 Level B
“Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.”
F0912 Level B
“Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (26)
K0324 Level F
“Provide properly protected cooking facilities.”
K0345 Level F
“Have approved installation, maintenance and testing program for fire alarm systems.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0372 Level F
“Ensure smoke barriers are constructed to a 1 hour fire resistance rating.”
K0161 Level D
“Use approved construction type or materials.”
K0351 Level D
“Install an approved automatic sprinkler system.”
K0911 Level D
“Meet requirements for the installation and maintenance of electrical systems.”
K0912 Level D
“Have power receptacles that are properly grounded.”
K0918 Level D
“Have generator or other power source capable of supplying service within 10 seconds.”
E0013 Level C
“Develop Emergency Preparedness policies and procedures.”
E0020 Level C
“Establish policies and procedures including evacuation.”
E0031 Level C
“Provide emergency officials' contact information.”
K0232 Level B
“Have corridors or aisles that are unobstructed and are at least 8 feet in width.”
K0345 Level F
“Have approved installation, maintenance and testing program for fire alarm systems.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0918 Level E
“Have generator or other power source capable of supplying service within 10 seconds.”
E0006 Level D
“Conduct risk assessment and an All-Hazards approach.”
E0037 Level D
“Establish staff and initial training requirements.”
K0161 Level D
“Use approved construction type or materials.”
K0400 Level C
“Meet fire sprinkler requirement for tall buildings.”
E0039 Level F
“Conduct testing and exercise requirements.”
K0324 Level F
“Provide properly protected cooking facilities.”
E0006 Level E
“Conduct risk assessment and an All-Hazards approach.”
E0032 Level D
“Provide primary/alternate means for communication.”
K0353 Level D
“Inspect, test, and maintain automatic sprinkler systems.”
K0923 Level D
“Have proper medical gas storage and administration areas.”
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | California | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.67 | 0.68 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.09 | 1.20 | 0.86 |
| Nurse aide hours per resident per day | 2.34 | 2.66 | 2.35 |
| Total nurse staff hours per resident per day | 4.10 | 4.54 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 3.84 | 4.10 | 3.43 |
| RN hours per resident per day on the weekend | 0.44 | 0.52 | 0.48 |
| Nursing staff turnover (per year) | 73.9% | 36.6% | 45.3% |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 19 |
| Average residents per day | 19.6 |
| Takes part in | Medicaid |
| Ownership | For profit – individual |
| Legal business name | Legal Business Name Not Available |
| First approved by Medicare/Medicaid | 1975-07-01 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 12436 Royal Road, El Cajon, CA 92021 |
| County | San Diego County |
| State | California |
| Phone | (619) 443‑3886 |
| CMS Certification Number | 05A192 |
| Name in Medicare records | THE ROYAL HOME |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Country Hills Post Acute1.1 mi · El Cajon, CA · 1 of 5 stars
- Cottonwood Canyon Healthcare Center1.8 mi · El Cajon, CA · 3 of 5 stars
- Granite Hills Healthcare & Wellness Centre, LLC1.8 mi · El Cajon, CA · 2 of 5 stars
- Bradley Court1.8 mi · El Cajon, CA · 5 of 5 stars
- Lakeside Special Care Center2.3 mi · Lakeside, CA · 5 of 5 stars
Nearest hospital emergency rooms
- Grossmont Hospital6.0 mi · La Mesa, CA · Acute Care Hospital
- Kaiser Foundation Hospital - San Diego10 mi · San Diego, CA · Acute Care Hospital
- Paradise Valley Hospital13 mi · National City, CA · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13