LaterStages
Living & care after 55

Nursing home · Medicare certified

The Royal Home

12436 Royal Road, El Cajon, CA 92021

(619) 443-3886 Compare Map
Overall4★★★★☆
Inspections3★★★☆☆
Staffing4★★★★☆
Quality5★★★★★
Federal finesNoneon record

Inspection citations

31 shown

DateSeverityWhat inspectors foundVisit
Dec 3, 2025 D · potential Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Routine
Dec 3, 2025 E · potential 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. Routine
Dec 3, 2025 F · potential 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. Routine
Dec 3, 2025 F · potential 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. Routine
Dec 3, 2025 D · potential Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Routine
Dec 3, 2025 F · potential Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Routine
Dec 3, 2025 F · potential Provide and implement an infection prevention and control program. Routine
Dec 3, 2025 B · minimal Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. Routine
Dec 3, 2025 B · minimal Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Routine
Dec 15, 2023 D · potential Ensure that residents are fully informed and understand their health status, care and treatments. Routine
Dec 15, 2023 D · potential 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. Routine
Dec 15, 2023 D · potential Ensure each resident receives an accurate assessment. Routine
Dec 15, 2023 D · potential Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Routine
Dec 15, 2023 D · potential Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Routine
Dec 15, 2023 E · potential 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. Routine
Dec 15, 2023 F · potential Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Routine
Dec 15, 2023 F · potential Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Routine
Dec 15, 2023 F · potential Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Routine
Dec 15, 2023 F · potential Provide and implement an infection prevention and control program. Routine
Dec 15, 2023 D · potential Develop and implement policies and procedures for flu and pneumonia vaccinations. Routine
Dec 15, 2023 B · minimal Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. Routine
Dec 15, 2023 B · minimal Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Routine
Feb 11, 2022 D · potential Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Routine
Feb 11, 2022 D · potential 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. Routine
Feb 11, 2022 D · potential Provide or obtain dental services for each resident. Routine
Feb 11, 2022 D · potential Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Routine
Feb 11, 2022 D · potential Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Routine
Feb 11, 2022 F · potential Provide and implement an infection prevention and control program. Routine
Feb 11, 2022 D · potential Develop and implement policies and procedures for flu and pneumonia vaccinations. Routine
Feb 11, 2022 B · minimal Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. Routine
Feb 11, 2022 B · minimal Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Routine

Medicare's severity letters: A–C minimal harm, D–F potential for more than minimal harm, G–L actual harm or immediate danger. Source: CMS health deficiencies file, processed October 1, 2026.

Questions to ask on a visit

The Royal Home
12436 Royal Road, El Cajon, CA 92021 · (619) 443-3886

Visit date: ____________   Spoke with: ______________________

Record on file

Certification
Medicare and Medi-Cal certified skilled nursing facility
Medicare number (CCN)
05A192
Certified beds
19
Legal owner
Legal Business Name Not Available

Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.

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The directory currently identifies The Royal Home as nursing homes in El Cajon. The uploaded source record includes license/reference number 05A192, Medicare overall rating 4 of 5, 19 listed beds. Check the source date and current record before relying on a rating or status.

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