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Data / Nursing homes / California / The Royal Home

The Royal Home, El Cajon, CA: 4 star rating, no fines

The Royal Home in El Cajon, CA has no owner listed by CMS, is rated 4 of 5 stars by Medicare, and had no fines in the three years to October 1, 2026. CMS lists 22 health citations from inspections in that time, the latest survey on December 3, 2025, and none of them found actual harm or immediate jeopardy.

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Watch this facility's inspections and finesGet nursing homes in California
Address
12436 Royal Road, El Cajon, CA 92021
Overall rating
4 of 5 stars
Health inspection rating
3 of 5
Staffing rating
4 of 5
Quality measure rating
5 of 5
Certified beds
19
Residents per day
20 on average
Ownership type
For profit, individual
Fines
$0 across 0 fines, three years to October 1, 2026
Payment denials
0
Health citations
22, of which 0 with actual harm or immediate jeopardy
Latest survey
December 3, 2025
CMS Certification Number
05A192
On Care Compare
Medicare Care Compare

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
December 3, 2025F912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.B: pattern, minimal harm potentialCorrectedDecember 6, 2025data.cms.gov
December 3, 2025F911Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.B: pattern, minimal harm potentialCorrectedDecember 6, 2025data.cms.gov
December 3, 2025F880Provide and implement an infection prevention and control program.F: widespread, no actual harm, potential for more than minimal harmCorrectedDecember 6, 2025data.cms.gov
December 3, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedDecember 6, 2025data.cms.gov
December 3, 2025F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 6, 2025data.cms.gov
December 3, 2025F801Employ 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: widespread, no actual harm, potential for more than minimal harmCorrectedDecember 6, 2025data.cms.gov
December 3, 2025F727Have 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: widespread, no actual harm, potential for more than minimal harmCorrectedDecember 6, 2025data.cms.gov
December 3, 2025F578Honor 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 6, 2025data.cms.gov
December 3, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 6, 2025data.cms.gov
December 15, 2023F912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.B: pattern, minimal harm potentialPlan of correctionJanuary 17, 2024data.cms.gov
December 15, 2023F911Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.B: pattern, minimal harm potentialPlan of correctionJanuary 17, 2024data.cms.gov
December 15, 2023F883Develop and implement policies and procedures for flu and pneumonia vaccinations.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 17, 2024data.cms.gov
December 15, 2023F880Provide and implement an infection prevention and control program.F: widespread, no actual harm, potential for more than minimal harmCorrectedJanuary 17, 2024data.cms.gov
December 15, 2023F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.F: widespread, no actual harm, potential for more than minimal harmCorrectedJanuary 17, 2024data.cms.gov
December 15, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedJanuary 17, 2024data.cms.gov
December 15, 2023F802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.F: widespread, no actual harm, potential for more than minimal harmCorrectedJanuary 17, 2024data.cms.gov
December 15, 2023F758Implement 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 17, 2024data.cms.gov
December 15, 2023F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 17, 2024data.cms.gov
December 15, 2023F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 17, 2024data.cms.gov
December 15, 2023F641Ensure each resident receives an accurate assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 17, 2024data.cms.gov
December 15, 2023F584Honor 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 17, 2024data.cms.gov
December 15, 2023F552Ensure that residents are fully informed and understand their health status, care and treatments.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 17, 2024data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.