California nursing homes › El Cajon › The Royal Home
The Royal Home
12436 Royal Road, El Cajon, CA 92021 · San Diego County · (619) 443-3886
★★★★☆ (4/5)Overall CMS rating
★★★☆☆ (3/5)Health inspection
★★★★☆ (4/5)Staffing
★★★★★ (5/5)Quality measures
Quality details (CMS data, Oct 2026 release)
| Certified beds | 19 |
| Average residents per day | 14.3 |
| Ownership | For-profit |
| Participation | Medicaid |
| Nursing hours per resident per day | 4.18 (California average: 4.52) |
| — of which RN hours | 0.57 |
| — of which nurse aide hours | 2.49 |
| Staff turnover | 74% |
| RN turnover | — |
| Most recent health inspection | Dec 03, 2025 |
| Deficiencies cited (latest cycle) | 9 (California average: 15.5) |
| Weighted inspection score (lower is better) | 84 |
| Federal fines in past 3 years | None fine(s) totaling $0 |
| Payment denials / penalties | None |
Compare homes before you choose
Ratings change with every inspection cycle. Compare The Royal Home side by side with other homes in El Cajon and check the latest red flags:
Open the California nursing home lookup →Planning for care costs? A semi-private nursing home room in California costs a median of $12,167 per month — see California senior care costs and California Medicaid (Medi-Cal) limits.
Source: U.S. Centers for Medicare & Medicaid Services (CMS), Provider Information dataset released Oct 8, 2026 (processing date Sep 1, 2026). Ratings reflect inspection cycles and reported staffing; visit any facility in person before deciding.