The Royal Home
Nursing home in El Cajon, California, CMS certification number 05A192
12436 Royal Road, El Cajon, CA 92021 · San Diego County
- CMS overall rating
- 4 of 5 stars
- Certified beds
- 19
- Certified for
- Medicaid
- Last standard inspection
- December 3, 2025
- Deficiencies at that inspection
- 9
- Fines in 3 years
- No fines
Does The Royal Home take Medicare and Medicaid?
The Royal Home is certified for Medicaid only, so Medicare won't pay for a stay here.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 4 of 5 |
| Health inspections | 3 of 5 |
| Staffing | 4 of 5 |
| Quality of resident care | 5 of 5 |
| Long-stay quality | 5 of 5 |
| Short-stay quality | Not rated |
Nurse staffing hours and turnover
These are the hours The Royal Home reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 4.10
- Registered nurse hours
- 0.67
- Licensed practical nurse hours
- 1.09
- Nurse aide hours
- 2.34
- Weekend total hours
- 3.84
- Nursing staff turnover
- 73.9%
Health inspections and complaints
Inspectors last made a standard visit on December 3, 2025 and cited 9 deficiencies, plus 0 from complaint visits.
The visit before, on December 15, 2023, found 13.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS lists no fines for The Royal Home in the past 3 years.
Beds and residents
On an average day 19.6 residents live here, about 103% of its 19 certified beds.
- Certified beds
- 19
- Average residents per day
- 19.6
- Certified since
- July 1, 1975
- Resident or family council
- Resident
Who owns The Royal Home
- Legal business name
- Legal Business Name Not Available
- Ownership type
- For profit - Individual
Other nursing homes near The Royal Home
- Country Hills Post Acute1580 Broadway, El Cajon 92021
- Cottonwood Canyon Healthcare Center1391 Madison Avenue, El Cajon 92021
- Granite Hills Healthcare & Wellness Centre, LLC1340 E Madison Ave, El Cajon 92021
- Bradley Court675 E Bradley, El Cajon 92021
- Lakeside Special Care Center11962 Woodside Avenue, Lakeside 92040
See also all nursing homes in El Cajon.
Who inspects nursing homes in California
California's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in California, the 12 in El Cajon, or see how assisted living and nursing homes differ.
Is this your facility?
If you run The Royal Home, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about The Royal Home
What is the CMS star rating of The Royal Home?
4 out of 5 stars overall.
Does The Royal Home accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at The Royal Home?
9 cited at the last standard visit.
Who owns The Royal Home?
Legal Business Name Not Available, for profit - individual.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.