Nursing home / skilled nursing
The Royal Home
Nursing home / skilled nursing in El Cajon, California
Checked October 31, 2026
| Provider details |
|---|
| Address | 12436 ROYAL ROAD |
| City | El Cajon |
| State | California |
| ZIP code | 92021 |
| County | San Diego |
| Phone | 619-443-3886 |
| CMS certification number (CCN) | 05A192 |
| Ownership | For profit - Individual |
| Certified beds | 19 |
| Certification | Medicaid |
| First approved for Medicare/Medicaid | July 1, 1975 |
| Located in a hospital | N |
| Continuing care retirement community | N |
| Care types | skilled nursing, rehab services |
| Services offered | skilled nursing care, rehabilitation services |
The Royal Home is in 12436 ROYAL ROAD, El Cajon, CA 92021. Phone: 619-443-3886. Ownership: For profit - Individual. CMS rates it 4 out of 5 stars overall (health inspection 3, staffing 4, quality measures 5). CMS inspection and staffing detail: total weighted health survey score 84.000; 0 federal fines totaling $0.00; total nursing staff turnover 73.9%.
Quality measures
Source: CMS · CMS processing date: 2026-10-01
| Star ratings and staffing hours |
|---|
| Overall rating | 4 of 5 |
| Health inspection rating | 3 of 5 |
| Staffing rating | 4 of 5 |
| Quality measure rating | 5 of 5 |
| Long-stay quality rating | 5 of 5 |
| RN staffing hours per resident per day | 0.67 |
| Total nurse staffing hours per resident per day | 4.10 |
Inspection results
| Source: CMS · processing date 2026-10-01 |
|---|
| Rating Cycle 1 Total Health Score | 80 |
| Total Weighted Health Survey Score | 84.000 |
| Rating Cycle 2/3 Total Health Score | 96 |
| Rating Cycle 1 Health Deficiency Score | 80 |
| Rating Cycle 2/3 Health Deficiency Score | 96 |
| Rating Cycle 1 Standard Survey Health Date | 2025-12-03 |
| Rating Cycle 1 Total Number of Health Deficiencies | 9 |
| Rating Cycle 2/3 Total Number of Health Deficiencies | 13 |
| Rating Cycle 1 Number of Standard Health Deficiencies | 9 |
| Rating Cycle 1 Number of Complaint Health Deficiencies | 0 |
| Rating Cycle 2/3 Number of Complaint Health Deficiencies | 0 |
Staffing
| Source: CMS · processing date 2026-10-01 |
|---|
| Nursing Case-Mix Index | 0.93391 |
| Nursing Case-Mix Index Ratio | 0.66223 |
| Total nursing staff turnover | 73.9 |
| Reported LPN Staffing Hours per Resident per Day | 1.09030 |
| Reported Licensed Staffing Hours per Resident per Day | 1.75883 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.33763 |
| Registered Nurse hours per resident per day on the weekend | 0.43922 |
| Total number of nurse staff hours per resident per day on the weekend | 3.84314 |
Penalties
| Source: CMS · processing date 2026-10-01 |
|---|
| Number of Fines | 0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Total Amount of Fines in Dollars | 0.00 |
Ownership
| Source: CMS · processing date 2026-10-01 |
|---|
| Legal Business Name | Legal Business Name Not Available |
| Provider Changed Ownership in Last 12 Months | N |
Occupancy and payer mix
| Source: CMS · processing date 2026-10-01 |
|---|
| Abuse Icon | N |
| High Performing Icon | N |
| With a Resident and Family Council | Resident |
| Average Number of Residents per Day | 19.6 |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Most Recent Health Inspection More Than 2 Years Ago | N |
