Skilled Nursing

THE ROYAL HOME

12436 ROYAL ROAD, EL CAJON, CA 92021

19beds
Skilled Nursingcare types
3/5CMS rating
Updated2026

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Inspection & Compliance

Data from CMS (Centers for Medicare & Medicaid Services), updated weekly. Medicare.gov Care Compare

3.1h

Hrs/resident · weekday

Expected: 4.6h

5.0h

Hrs/resident · weekend

vs 3.1h on weekdays

Not reported

30-day hospital readmission rate

Annual Staff Turnover Rates

High turnover is one of the strongest predictors of care quality. National average CNA turnover is ~75%.

RNs
100%
LPNs
CNAs
75%

Health Inspection Deficiencies · Last 3 Years

22 standard deficiencies in the last 3 years

View all
0912Severity BDec 3, 2025

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

0911Severity BDec 3, 2025

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

0880Severity FDec 3, 2025

Provide and implement an infection prevention and control program.

0812Severity FDec 3, 2025

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

0805Severity DDec 3, 2025

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

0801Severity FDec 3, 2025

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.

0727Severity FDec 3, 2025

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.

0578Severity EDec 3, 2025

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.

0550Severity DDec 3, 2025

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

0912Severity BDec 15, 2023

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

0911Severity BDec 15, 2023

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

0883Severity DDec 15, 2023

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

0880Severity FDec 15, 2023

Provide and implement an infection prevention and control program.

0867Severity FDec 15, 2023

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

0812Severity FDec 15, 2023

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

0802Severity FDec 15, 2023

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

0758Severity EDec 15, 2023

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.

0756Severity DDec 15, 2023

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

0644Severity DDec 15, 2023

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

0641Severity DDec 15, 2023

Ensure each resident receives an accurate assessment.

0584Severity DDec 15, 2023

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.

0552Severity DDec 15, 2023

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

View full inspection history on Medicare.gov

Civil Monetary Penalties

No civil monetary penalties on record.

Nearby Hospitals

No hospitals found within 10 miles.

Proximity to emergency care is especially important for medically complex residents.

Ownership

Legal Business Name Not Available· For profit - Individual

Data updated weekly from CMS. Last sync: Jun 26, 2026. Medicare.gov Care Compare →

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Data sourced from the Centers for Medicare & Medicaid Services and state licensing agencies. ← Back to search

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