12436 Royal Road, El Cajon, CA 92021 · San Diego County
A little clarity for your next step
Start with the things that matter to your loved one. Use the details below to build your questions, then ask the community what life and care would look like for them.
Reviews reflect individual experiences. Inspection findings describe specific events; missing reports do not mean there were no concerns.
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Picture your loved one here
Ask to see a room like the one available, its bathroom, dining spaces, and outdoor areas. On a visit, notice how easy it feels to move around and how staff interact with residents.
Reported average: 14.3 residents per day across 19 certified beds (75% occupancy).
This does not show current vacancies, waitlists, room types or whether the community can meet your care needs. Contact the community to confirm current openings.
Source: CMS Care Compare, reported average daily residents and certified beds. This is not a live availability feed.
A summary of reported federal nursing-home measures. Review the dates and original records below.
The Royal Home is a for-profit skilled nursing facility in El Cajon, CA, with 19 certified beds and an average of about 14 residents per day.
Medicare rates it 4 out of 5 stars overall — above the national average of about 3 stars. Component ratings: 3/5 on health inspections, 4/5 on staffing, 5/5 on quality measures.
Staff provide about 4.18 total nurse hours per resident each day (0.57 of them from registered nurses), above the national benchmark of roughly 3.9 hours. Annual nursing-staff turnover is about 73.9%, higher than the ~52% national average. On the safety record, CMS notes 9 health deficiencies at its most recent standard survey.
You do not have to know every answer before you visit. Start with these questions and ask for details specific to your loved one.
Topics noted in the summary
Can we review the inspection findings together, including what changed and how any corrections were checked?
Review the federal care record →Could we speak with current residents or families about daily life and how concerns are handled?
Read the review sources →What would the full monthly cost be for my loved one, and which care services or one-time charges are extra?
Review pricing details →How would you assess my loved one’s needs, and what happens if those needs change?
From the U.S. Centers for Medicare & Medicaid Services (CMS), on a 1–5 star scale.
Planning estimates are not a community quote. Ask the community for current rates and an itemized list of required charges.
| Level of care | Monthly cost | Source |
|---|---|---|
| Skilled Nursing | $11,230–$16,870/mo (modeled range) 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. | Local market estimate |
Published starting prices and market estimates may exclude additional fees. Request a current, itemized quote for your care needs. How we estimate costs
More nursing time per resident — and lower turnover — generally means more attentive care.
Reported federal nursing-home measures. Missing values are not a clean-record finding; check the original source for current information.
The most recent findings from federal health inspections (31 citations on record — showing the latest 8). The count is not a count of unique incidents.
Search the entries displayed here. The original record may contain additional findings.
Showing 8 of 8 citation entries on this page.
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.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide and implement an infection prevention and control program.
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.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
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.
These topics come from source records and community websites. They do not confirm that a service is currently offered, available, or included in the price.
Make it specific to your loved one
Ask which services are provided at this location, who provides them, and whether they cost extra. For care or therapy, ask about the assessment required and what happens if needs change.
Keep questions in your visit plan →12436 Royal Road, El Cajon, CA
Reviews, when available, are shown with their source. Review ratings are separate from licensing and inspection records.
No family reviews are available on Haven for The Royal Home.
Ask the community about speaking with current residents or families. Use your tour planner to record what you learn and questions to follow up on.
Prepare questions for your tourThe Royal Home has no current published quote for skilled nursing in Haven records. The local market planning estimate is $11,230–$16,870 per month (modeled range). 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. This is not a community quote. Ask for a current, itemized price.
Medicare (CMS) rates The Royal Home 4 out of 5 stars overall, including 3/5 for health inspections, 4/5 for staffing, 5/5 for quality measures. The national average is about 3 stars.
Staff provide about 4.18 total nurse hours per resident per day (national benchmark ≈ 3.9), and annual nursing-staff turnover is about 73.9% (national average ≈ 52%). These figures are reported to the federal government and updated regularly.
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.
Reported average: 14.3 residents per day across 19 certified beds (75% occupancy). These historical figures do not establish current availability. Contact the community to confirm openings, room types and admission requirements.
The Royal Home in El Cajon, CA offers skilled nursing and is licensed for 19 beds.
Compare care fit, costs and admission requirements before a move. Timelines and openings vary by community.
Haven record updated 2026-08-24. We show imported source information. This date does not establish when a license was last checked.
Records in San Diego, CA with a shared care category and available coordinates, ordered by approximate distance. This is not a complete list of nearby communities. Confirm that each community can meet your specific care needs.
facility websiteEl Cajon, CA · 305 beds
4.2/5 Google · 133 reviews · retrieved 2026-08-03
73 federal inspection citations on file · view findings & dates →A low federal rating — review the details closely.
facility websiteEl Cajon, CA · 56 beds
One of El Cajon's top-rated skilled nursing communities.
facility websiteEl Cajon, CA · 96 beds
4.3/5 Google · 79 reviews · retrieved 2026-08-03
58 federal inspection citations on file · view findings & dates →A solid, federally rated skilled nursing option in El Cajon.
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