THE ROYAL HOME — Nursing Home in EL CAJON, CA
CMS Five-Star Rating
Based on health inspections, staffing, and quality measures
Facility Overview
| Certified Beds | 19 |
|---|---|
| Average Residents/Day | 18.9 |
| CMS Certification Number | 05A192 |
Staffing Levels
Hours Per Resident Day (HPRD)
| Total Nurse Staffing | 3.72 HPRD |
|---|---|
| RN Staffing | 0.29 HPRD |
Health Inspection Findings & Deficiencies
THE ROYAL HOME had 9 health inspection deficiencies on its most recent inspection (December 3, 2025).
Inspection Findings — December 3, 2025
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Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Level D)Corrected — December 6, 2025
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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. (Level E)Corrected — December 6, 2025
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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. (Level F)Corrected — December 6, 2025
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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. (Level F)Corrected — December 6, 2025
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Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. (Level D)Corrected — December 6, 2025
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Level F)Corrected — December 6, 2025
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Provide and implement an infection prevention and control program. (Level F)Corrected — December 6, 2025
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Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. (Level B)Corrected — December 6, 2025
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Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. (Level B)Corrected — December 6, 2025
The Royal Home is a 19-bed nursing home in El Cajon, California. It holds a 3-star CMS overall rating. Total nurse staffing is 3.7 hours per resident day, below the California average of 4.5. Its most recent inspection, in December 2025, cited 9 deficiencies, none of them severe.
The last inspection noted deficiencies but none were severe, which may be somewhat reassuring about immediate safety and oversight. Worth asking the facility about is how its nurse staffing levels meet residents’ needs and how care is covered during busy times or staff shortages.
Frequently Asked Questions
Is THE ROYAL HOME Medicare and Medicaid certified?
THE ROYAL HOME is not Medicare certified and Medicaid certified according to CMS data.
What is THE ROYAL HOME's CMS star rating?
THE ROYAL HOME has an overall CMS rating of 3 out of 5 stars.
How is staffing at THE ROYAL HOME?
THE ROYAL HOME reports 3.72087 total nurse hours per resident day.
Has THE ROYAL HOME had health inspection deficiencies?
On its most recent inspection, THE ROYAL HOME had 9 total deficiencies, including 0 classified as severe.
How many beds does THE ROYAL HOME have?
THE ROYAL HOME has 19 certified beds.
Nearby Nursing Homes
- COUNTRY HILLS POST ACUTE — 1/5 — 1.1 mi
- GRANITE HILLS HEALTHCARE & WELLNESS CENTRE, LLC — 2/5 — 1.8 mi
- COTTONWOOD CANYON HEALTHCARE CENTER — 3/5 — 1.8 mi
- BRADLEY COURT — 5/5 — 1.8 mi
- LAKESIDE SPECIAL CARE CENTER — 4/5 — 2.3 mi
- VILLA LAS PALMAS HEALTHCARE CENTER — 3/5 — 3.0 mi
Data Source
This information is sourced from official CMS (Centers for Medicare & Medicaid Services) public datasets.
CMS Provider Information updated May 1, 2026.
CMS Survey Summary updated May 1, 2026.
CMS Health Deficiencies updated May 1, 2026.
CareQED last updated June 21, 2026.