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Nursing homeFAID #1236

The Royal Home

12436 ROYAL ROAD, EL CAJON, CA, 92021

(619) 443-3886

19 licensed beds

★★★★★4/5CMS Five-Star overall3/5 health inspections4/5 staffing5/5 quality measuresSource: CMS Care Compare

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Address

12436 Royal Road

El Cajon, CA 92021

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Public record summary

What we can show you for free.

Bed capacity

State license

374604297

CMS facility ID

05A192

Care type

Nursing home

Facility name

The Royal Home

Street address

12436 ROYAL ROAD

City / state / ZIP

El Cajon, CA 92021

Phone

(619) 443-3886

State license #

374604297

About this facility — The Royal Home

The Royal Home is a Medicare/Medicaid-certified skilled nursing facility in El Cajon, California. It is licensed for 19 beds — well below the median for skilled nursing facilities in California (98 beds).

It is one of 55 senior care facilities in El Cajon and 1,165 skilled nursing facilities across California. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited The Royal Home 57 times across 7 inspections in the last three years, including 5 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Ownership type

For profit - Individual

Regulatory standing

Licensed / certified since

1975-07-01

CMS overall rating

4 of 5 stars

Health deficiencies

9 at the last standard inspection

Federal fines

None on record

Last standard inspection

2025-12-03

Nurse staffing

4.2 hours per resident per day

Services & coverage

Licensed beds

Licensed as

Adult Residential

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 5 food-safety citations on its three-year record — flagged below among the inspections.

2025-12-03Health inspection9 citations

F-0550

D · No harm found

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-12-06

F-0578

E · No harm found

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.

Corrected 2025-12-06

F-0727

F · No harm found

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.

Corrected 2025-12-06

F-0801

F · No harm foundFood safety

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.

Corrected 2025-12-06

F-0805

D · No harm foundFood safety

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2025-12-06

F-0812

F · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-12-06

F-0880

F · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-12-06

F-0911

B · No harm found

Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.

Corrected 2025-12-06

F-0912

B · No harm found

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Corrected 2025-12-06

2023-12-15Health inspection13 citations

F-0552

D · No harm found

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2024-01-17

F-0584

D · No harm found

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.

Corrected 2024-01-17

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2024-01-17

F-0644

D · No harm found

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2024-01-17

F-0756

D · No harm found

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2024-01-17

F-0758

E · No harm found

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.

Corrected 2024-01-17

F-0802

F · No harm foundFood safety

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Corrected 2024-01-17

F-0812

F · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-01-17

F-0867

F · No harm found

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2024-01-17

F-0880

F · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-01-17

F-0883

D · No harm found

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2024-01-17

F-0911

B · No harm found

Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.

Corrected 2024-01-17

F-0912

B · No harm found

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Corrected 2024-01-17

4 earlier / fire-safety inspections (35 citations)

2022-02-11Health inspection9 citations

F-0755

D · No harm found

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2022-02-24

F-0761

D · No harm found

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.

Corrected 2022-02-24

F-0791

D · No harm found

Provide or obtain dental services for each resident.

Corrected 2022-02-24

F-0842

D · No harm found

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2022-02-24

F-0867

D · No harm found

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2022-02-24

F-0880

F · No harm found

Provide and implement an infection prevention and control program.

Corrected 2022-02-24

F-0883

D · No harm found

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2022-02-24

F-0911

B · No harm found

Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.

Corrected 2022-02-24

F-0912

B · No harm found

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Corrected 2022-02-24

2025-12-03Fire-safety inspection13 citations

E-0013

C · No harm found

Develop Emergency Preparedness policies and procedures.

Corrected 2025-12-30

E-0020

C · No harm found

Establish policies and procedures including evacuation.

Corrected 2025-12-30

E-0031

C · No harm found

Provide emergency officials' contact information.

Corrected 2025-12-30

K-0161

D · No harm found

Use approved construction type or materials.

Corrected 2025-12-30

K-0232

B · No harm found

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

K-0324

F · No harm found

Provide properly protected cooking facilities.

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-12-30

K-0351

D · No harm found

Install an approved automatic sprinkler system.

Corrected 2025-12-30

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-12-30

K-0372

F · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2025-12-30

K-0911

D · No harm found

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2025-12-30

K-0912

D · No harm found

Have power receptacles that are properly grounded.

Corrected 2025-12-30

K-0918

D · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-12-30

2023-12-15Fire-safety inspection7 citations

E-0006

D · No harm found

Conduct risk assessment and an All-Hazards approach.

Corrected 2024-01-17

E-0037

D · No harm found

Establish staff and initial training requirements.

Corrected 2024-01-17

K-0161

D · No harm found

Use approved construction type or materials.

Corrected 2024-01-17

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-01-17

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-01-17

K-0400

C · No harm found

Meet fire sprinkler requirement for tall buildings.

Corrected 2024-01-17

K-0918

E · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-01-17

2022-02-11Fire-safety inspection6 citations

E-0006

E · No harm found

Conduct risk assessment and an All-Hazards approach.

Corrected 2022-04-05

E-0032

D · No harm found

Provide primary/alternate means for communication.

Corrected 2022-04-05

E-0039

F · No harm found

Conduct testing and exercise requirements.

Corrected 2022-04-05

K-0324

F · No harm found

Provide properly protected cooking facilities.

Corrected 2022-04-05

K-0353

D · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-04-05

K-0923

D · No harm found

Have proper medical gas storage and administration areas.

Corrected 2022-04-05

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 05A192.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 57 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-08-31

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered