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Skilled NursingCMS verified

The Royal Home

12436 Royal Road, El Cajon, CA 92021 · San Diego County

3.0CMS overall rating(619) 443-3886
56
Good
Haven Scout Score
Our composite of CMS ratings, staffing, and safety. This community rates good.
Availability outlookVery limited availability

Typically 100% full (20 of 19 beds occupied on an average day). Openings here tend to go fast.

If this community is on your shortlist, checking current openings sooner rather than later genuinely matters here.

Source: federal census data (average daily residents vs. certified beds, CMS Care Compare). Confirm current openings with an advisor — availability changes weekly.

Our evaluation

An honest, data-grounded look at this community — every claim is drawn from public inspection data.

A solid, federally rated skilled nursing option in El Cajon

The Royal Home is a for-profit skilled nursing facility in El Cajon, CA, with 19 certified beds and an average of about 20 residents per day.

Medicare rates it 3 out of 5 stars overall — right around the national average. Component ratings: 3/5 on health inspections, 1/5 on staffing, 5/5 on quality measures.

Staff provide about 2.83 total nurse hours per resident each day, below the national benchmark of roughly 3.9 hours. Annual nursing-staff turnover is about 75%, higher than the ~52% national average. On the safety record, CMS notes 9 health deficiencies at its most recent standard survey.

Strengths

  • No federal fines on record
  • Full sprinkler system
  • Active resident & family council

Things to ask about

  • Below-average nurse staffing (2.83 hrs/resident/day)
  • High staff turnover (75%)
Best for: Families weighing a dependable, mid-rated skilled nursing option in El Cajon, especially when location or Medicaid acceptance matters.

At a glance

Certified beds
19
Avg. residents/day
20
Ownership
For profit - Individual
Part of a chain
Independent
Continuing care
No
CMS provider #
05A192

Federal quality ratings

From the U.S. Centers for Medicare & Medicaid Services (CMS), on a 1–5 star scale.

Overall rating
Health inspections
Staffing
Quality measures

Pricing & cost

We publish transparent estimates and verify exact pricing on request. No surprises.

Level of careMonthly costSource
Skilled Nursing$11,230–$16,870/mo (median $13,580)Local market estimate

2024–2026 published survey medians, state median adjusted to local San Diego prices (BEA regional price parities). Request a quote for exact pricing. Range spans semi-private to private rooms. How we estimate costs

Request exact pricing for The Royal Home

Staffing & care

More nursing time per resident — and lower turnover — generally means more attentive care.

Total nurse hrs / resident / day
2.83
National avg ≈ 3.9
RN hrs / resident / day
0.00
National avg ≈ 0.75
Nursing staff turnover
75%
National avg ≈ 52%

Safety & inspection record

Federal inspectors survey nursing homes roughly once a year. Here's the latest on file.

Health deficiencies (last survey)
9
Federal fines
None on record
Total penalties
0
Last standard survey
2025-12-03
Sprinkler system
Yes
Resident & family council
Resident

What inspectors found

The most recent findings from federal health inspections (31 citations on record — showing the latest 8). Every nursing home is inspected roughly once a year; most receive some citations.

2025-12-03Severity F — potential for harmNursing and Physician Services Deficiencies

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.

2025-12-03Severity F — potential for harmNutrition and Dietary Deficiencies

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.

2025-12-03Severity F — potential for harmNutrition and Dietary Deficiencies

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

2025-12-03Severity F — potential for harmInfection Control Deficiencies

Provide and implement an infection prevention and control program.

2025-12-03Severity E — potential for harmResident Rights Deficiencies

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.

2025-12-03Severity D — potential for harmResident Rights Deficiencies

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

2025-12-03Severity D — potential for harmNutrition and Dietary Deficiencies

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

2025-12-03Severity B — minimalEnvironmental Deficiencies

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

Severity uses the CMS scope/severity scale: D–F = potential for harm, G–I = actual harm, J–L = immediate jeopardy. Source: CMS Care Compare health citations; data as of the latest federal release. Discuss any finding directly with the community on a tour.

Services & amenities

  • Full automatic sprinkler system
  • Medicare & Medicaid certified
  • 24-hour licensed nursing
  • On-site rehabilitation therapy

Location

12436 Royal Road, El Cajon, CA

Reviews & reputation

We aggregate ratings across Google, Yelp, and verified families — and link back to every source so you can read more.

Verified family reviews

No verified family reviews yet for The Royal Home.

Have a loved one here, or recently toured? Help other families by sharing your experience — we verify every review before it's published.

Talk to an advisor about this community

Common questions about The Royal Home

How much does The Royal Home cost?

The Royal Home does not publish exact rates. Comparable skilled nursing in the El Cajon, CA area typically runs $11,230–$16,870 per month (median $13,580, based on published survey medians adjusted for local prices). A Haven advisor can confirm current pricing for free.

What is The Royal Home's Medicare rating?

Medicare (CMS) rates The Royal Home 3 out of 5 stars overall, including 3/5 for health inspections, 1/5 for staffing, 5/5 for quality measures. The national average is about 3 stars.

How is the staffing at The Royal Home?

Staff provide about 2.83 total nurse hours per resident per day (national benchmark ≈ 3.9), and annual nursing-staff turnover is about 75% (national average ≈ 52%). These figures are reported to the federal government and updated regularly.

What did inspectors find at The Royal Home?

The Royal Home has 31 health citations on its recent federal inspection record (last standard survey: 2025-12-03). The full citation-by-citation detail, with severity levels, is published on this page.

Does The Royal Home have availability?

Typically 100% full (20 of 19 beds occupied on an average day). Openings here tend to go fast. Availability changes weekly — a Haven advisor can confirm current openings at no cost.

What types of care does The Royal Home offer?

The Royal Home in El Cajon, CA offers skilled nursing and is licensed for 19 beds.

The best time to decide is before a crisis decides for you

Most families start this search after a fall, a hospital stay, or a caregiver reaching a breaking point — and end up choosing from whatever has a bed open that week. Families who plan even a few weeks ahead get to choose on quality, fit, and price instead of availability alone.

  • Move-ins take time: assessments, paperwork, and preparation typically run 2–6 weeks in San Diego.
  • The best communities fill first: top-rated communities often run a waitlist — touring early holds your place in line.
  • Touring costs nothing and commits you to nothing — but it turns a future emergency into a calm, informed choice.

Your next steps — this week

  1. 1
    Confirm the fit
    Check the inspection record and staffing data on this page against your loved one's needs.
  2. 2
    Get exact pricing & availability
    Request current rates for The Royal Home — takes one minute, answered same day.
  3. 3
    Tour 2–3 communities
    Compare this community against two alternatives. Ask about staff turnover, all-in monthly cost, and care-plan changes.
  4. 4
    Hold a spot
    Most communities hold a residence with a small refundable deposit while you decide.
Data sources:CMS verifiedGoogle

Last verified 2026-07-06. We refresh inspection data monthly and reviews continuously.

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