THE ROYAL HOME

12436 ROYAL ROAD, EL CAJON, CA 92021 · CCN 05A192 · 19 certified beds · Data as of 2026-07-01

CMS overall4 of 5CMS inspections3 of 5CMS staffing4 of 5CMS quality5 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

No immediate-jeopardy or actual-harm citations, and no CMS enforcement fines, appear in this facility's current record.

Serious inspection findings

No citations at CMS's actual-harm or immediate-jeopardy levels appear in this facility's current record.

Staffing, from payroll records

Nursing hours / resident / day

3.77

state median 3.94

Weekend staffing gap

+1%

more nursing hours on weekends · state median −5%

RN hours / resident / day

0.17

registered nurses only

Contract (agency) staff

3%

share of all nursing hours

Days with zero RN hours reported

63

with residents present

Nursing staff turnover

74%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

Keep an eye on this facility

Monitoring alerts are launching soon: new citations, penalties, ownership changes, and staffing drops for facilities you follow. Leave your email and we'll notify you when it goes live for THE ROYAL HOME.

Penalties and enforcement

CMS records no penalties for this facility.

Ownership

Ownership type: For profit - Individual.

Full citation history

By severity: No harm, potential for minimal harm: 6 · Potential for more than minimal harm: 25

Survey dateTagCategorySeverityCorrected
2025-12-03F0550Resident Rights DeficienciesDnot recorded
2025-12-03F0578Resident Rights DeficienciesEnot recorded
2025-12-03F0727Nursing and Physician Services DeficienciesFnot recorded
2025-12-03F0801Nutrition and Dietary DeficienciesFnot recorded
2025-12-03F0805Nutrition and Dietary DeficienciesDnot recorded
2025-12-03F0812Nutrition and Dietary DeficienciesFnot recorded
2025-12-03F0880Infection Control DeficienciesFnot recorded
2025-12-03F0911Environmental DeficienciesBnot recorded
2025-12-03F0912Environmental DeficienciesBnot recorded
2023-12-15F0552Resident Rights DeficienciesDnot recorded
2023-12-15F0584Resident Rights DeficienciesDnot recorded
2023-12-15F0641Resident Assessment and Care Planning DeficienciesDnot recorded
2023-12-15F0644Resident Assessment and Care Planning DeficienciesDnot recorded
2023-12-15F0756Pharmacy Service DeficienciesDnot recorded
2023-12-15F0758Pharmacy Service DeficienciesEnot recorded
2023-12-15F0802Nutrition and Dietary DeficienciesFnot recorded
2023-12-15F0812Nutrition and Dietary DeficienciesFnot recorded
2023-12-15F0867Administration DeficienciesFnot recorded
2023-12-15F0880Infection Control DeficienciesFnot recorded
2023-12-15F0883Infection Control DeficienciesDnot recorded
2023-12-15F0911Environmental DeficienciesBnot recorded
2023-12-15F0912Environmental DeficienciesBnot recorded
2022-02-11F0755Pharmacy Service DeficienciesDnot recorded
2022-02-11F0761Pharmacy Service DeficienciesDnot recorded
2022-02-11F0791Quality of Life and Care DeficienciesDnot recorded
2022-02-11F0842Resident Assessment and Care Planning DeficienciesDnot recorded
2022-02-11F0867Administration DeficienciesDnot recorded
2022-02-11F0880Infection Control DeficienciesFnot recorded
2022-02-11F0883Infection Control DeficienciesDnot recorded
2022-02-11F0911Environmental DeficienciesBnot recorded
2022-02-11F0912Environmental DeficienciesBnot recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “THE ROYAL HOME, EL CAJON” at medicare.gov/care-compare.