THE ROYAL HOME
12436 ROYAL ROAD, EL CAJON, CA 92021 · CCN 05A192
Ratings
- Overall
- ★★★★☆ 4
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★★★ 5
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- For profit - Individual
- Certified beds
- 19
- Avg residents/day
- 18.6
- Phone
- 6194433886
Inspection history vs California & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | California avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-12-03 | 9 | 15.6 | 9.5 | -6.6 better |
| 2 | 2023-12-15 | 13 | 17.4 | 9.8 | -4.4 better |
| 3 | 2022-02-11 | 9 | 17.1 | 9.3 | -8.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Nursing and physician services | 1 |
| Resident rights | 2 |
| Nutrition and dietary | 3 |
| Environmental | 2 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 6.87 | 52.2% |
| RN staffing (reported) | 0.87 | 100.0% |
| Total nurse staffing (adjusted) | 11.32 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Inspection citations (31)
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-12-03 · Health · corrected 2025-12-06
Potential for more than minimal harm
- EF0578Honor 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.2025-12-03 · Health · corrected 2025-12-06
Potential for more than minimal harm
- FF0727Have 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.2025-12-03 · Health · corrected 2025-12-06
Potential for more than minimal harm
- FF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2025-12-03 · Health · corrected 2025-12-06
Potential for more than minimal harm
- DF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2025-12-03 · Health · corrected 2025-12-06
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-12-03 · Health · corrected 2025-12-06
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2025-12-03 · Health · corrected 2025-12-06
Potential for more than minimal harm
- BF0911Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.2025-12-03 · Health · corrected 2025-12-06
Potential for minimal harm
- BF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2025-12-03 · Health · corrected 2025-12-06
Potential for minimal harm
- DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2023-12-15 · Health · corrected 2024-01-17
Potential for more than minimal harm
- DF0584Honor 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.2023-12-15 · Health · corrected 2024-01-17
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2023-12-15 · Health · corrected 2024-01-17
Potential for more than minimal harm
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2023-12-15 · Health · corrected 2024-01-17
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-12-15 · Health · corrected 2024-01-17
Potential for more than minimal harm
- EF0758Implement 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.2023-12-15 · Health · corrected 2024-01-17
Potential for more than minimal harm
- FF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2023-12-15 · Health · corrected 2024-01-17
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-12-15 · Health · corrected 2024-01-17
Potential for more than minimal harm
- FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2023-12-15 · Health · corrected 2024-01-17
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2023-12-15 · Health · corrected 2024-01-17
Potential for more than minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-12-15 · Health · corrected 2024-01-17
Potential for more than minimal harm
- BF0911Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.2023-12-15 · Health · corrected 2024-01-17
Potential for minimal harm
- BF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2023-12-15 · Health · corrected 2024-01-17
Potential for minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2022-02-11 · Health · corrected 2022-02-24
Potential for more than minimal harm
- DF0761Ensure 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.2022-02-11 · Health · corrected 2022-02-24
Potential for more than minimal harm
- DF0791Provide or obtain dental services for each resident.2022-02-11 · Health · corrected 2022-02-24
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2022-02-11 · Health · corrected 2022-02-24
Potential for more than minimal harm
- DF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2022-02-11 · Health · corrected 2022-02-24
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2022-02-11 · Health · corrected 2022-02-24
Potential for more than minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2022-02-11 · Health · corrected 2022-02-24
Potential for more than minimal harm
- BF0911Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.2022-02-11 · Health · corrected 2022-02-24
Potential for minimal harm
- BF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2022-02-11 · Health · corrected 2022-02-24
Potential for minimal harm
Ownership
No ownership records.
Other facilities in EL CAJON
| Name | Overall | Beds |
|---|---|---|
| PARKSIDE HEALTH AND WELLNESS CENTER | ★★★★★ | 52 |
| BRADLEY COURT | ★★★★★ | 56 |
| VICTORIA POST ACUTE CARE | ★★★★☆ | 120 |
| MAGNOLIA POST ACUTE CARE | ★★★☆☆ | 99 |
| VILLA LAS PALMAS HEALTHCARE CENTER | ★★★☆☆ | 151 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.