Memory careContinuing care

THE ROYAL HOME

0.00 reviews · 0 verifiedEL CAJON, CALic. 05A192

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About

The Royal Home - El Cajon is a small nursing home located in El Cajon, CA, offering long-term care with 19 beds. The facility is for-profit and individually owned, and it participates in Medicaid but does not accept Medicare. The home is designed to provide a safe and comfortable environment for residents, although it has not been rated due to insufficient resident outcomes data.

CMS Care CompareView on Medicare.gov →

Medicare overall

3/5Medicare.gov Care Compare stars are shown for context only. They are never part of the Unbeatable composite score.

Staffing (PBJ)

2.83 total HPRDRN 0.00 · weekend 109%Oct 2025 – Dec 2025

Survey history

6 inspections57 deficiencies on record

Federal IDs

CCN 05A192

Overall: 3/5 · Health: 3/5 · Staffing: 1/5 · QM: 5/5

Unbeatable ratings come only from verified family, staff, and professional reviews on this site. CMS stars, staffing, and citations are public regulatory signals — useful for context, not blended into our score.

Recent inspections

Health surveyDec 2025 · CMS9 deficiencies

F-550SS D — Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F-578SS 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.
F-727SS 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.
F-801SS 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.
F-805SS D — Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
F-812SS F — Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F-880SS F — Provide and implement an infection prevention and control program.
F-911SS B — Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
F-912SS B — Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Fire safetyDec 2025 · STATE FIRE MARSHAL13 deficiencies

E-13SS C — Develop Emergency Preparedness policies and procedures.
E-20SS C — Establish policies and procedures including evacuation.
E-31SS C — Provide emergency officials' contact information.
K-161SS D — Use approved construction type or materials.
K-232SS B — Have corridors or aisles that are unobstructed and are at least 8 feet in width.
K-324SS F — Provide properly protected cooking facilities.
K-345SS F — Have approved installation, maintenance and testing program for fire alarm systems.
K-351SS D — Install an approved automatic sprinkler system.
K-353SS F — Inspect, test, and maintain automatic sprinkler systems.
K-372SS F — Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
K-911SS D — Meet requirements for the installation and maintenance of electrical systems.
K-912SS D — Have power receptacles that are properly grounded.
K-918SS D — Have generator or other power source capable of supplying service within 10 seconds.

Health surveyDec 2023 · CMS13 deficiencies

F-552SS D — Ensure that residents are fully informed and understand their health status, care and treatments.
F-584SS 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.
F-641SS D — Ensure each resident receives an accurate assessment.
F-644SS D — Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
F-756SS D — Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F-758SS 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.
F-802SS F — Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
F-812SS F — Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F-867SS F — Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F-880SS F — Provide and implement an infection prevention and control program.
F-883SS D — Develop and implement policies and procedures for flu and pneumonia vaccinations.
F-911SS B — Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
F-912SS B — Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Fire safetyDec 2023 · STATE FIRE MARSHAL7 deficiencies

E-37SS D — Establish staff and initial training requirements.
E-6SS D — Conduct risk assessment and an All-Hazards approach.
K-161SS D — Use approved construction type or materials.
K-345SS F — Have approved installation, maintenance and testing program for fire alarm systems.
K-353SS F — Inspect, test, and maintain automatic sprinkler systems.
K-400SS C — Meet fire sprinkler requirement for tall buildings.
K-918SS E — Have generator or other power source capable of supplying service within 10 seconds.

Health surveyFeb 2022 · CMS9 deficiencies

F-755SS D — Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F-761SS 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.
F-791SS D — Provide or obtain dental services for each resident.
F-842SS D — Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F-867SS D — Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F-880SS F — Provide and implement an infection prevention and control program.
F-883SS D — Develop and implement policies and procedures for flu and pneumonia vaccinations.
F-911SS B — Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
F-912SS B — Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Fire safetyFeb 2022 · STATE FIRE MARSHAL6 deficiencies

E-32SS D — Provide primary/alternate means for communication.
E-39SS F — Conduct testing and exercise requirements.
E-6SS E — Conduct risk assessment and an All-Hazards approach.
K-324SS F — Provide properly protected cooking facilities.
K-353SS D — Inspect, test, and maintain automatic sprinkler systems.
K-923SS D — Have proper medical gas storage and administration areas.

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Ownership

Operated by Unverified operator (CMS) (privately held) since 1975.

Contact

12436 ROYAL ROAD
EL CAJON, CA 92021

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6194433886 health.usnews.com/best-nursing-homes/area/ca/the-royal-home-el-cajon-05A192

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