Nursing homes › California › The Royal Home
12436 Royal Road, El Cajon, CA 92021 · 6194433886 · 19 certified beds
CMS lists no chain affiliation for this facility. Ownership type on record: For profit - Individual.
Total nurse staffing: 4.18 (California median: 4.24). RN hours: 0.57. Weekend total: 3.79. Nursing staff turnover: 74%.
All-time on record: 31 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-12-03 | 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. | F | Health | corrected 2025-12-06 |
| 2025-12-03 | 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. | F | Health | corrected 2025-12-06 |
| 2025-12-03 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2025-12-06 |
| 2025-12-03 | Provide and implement an infection prevention and control program. | F | Health | corrected 2025-12-06 |
| 2025-12-03 | 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. | E | Health | corrected 2025-12-06 |
| 2025-12-03 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2025-12-06 |
| 2025-12-03 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Health | corrected 2025-12-06 |
| 2025-12-03 | Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | B | Health | corrected 2025-12-06 |
| 2025-12-03 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | Health | corrected 2025-12-06 |
| 2023-12-15 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | F | Health | corrected 2024-01-17 |
| 2023-12-15 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2024-01-17 |
| 2023-12-15 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Health | corrected 2024-01-17 |
| 2023-12-15 | Provide and implement an infection prevention and control program. | F | Health | corrected 2024-01-17 |
| 2023-12-15 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | E | Health | corrected 2024-01-17 |
| 2023-12-15 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Health | corrected 2024-01-17 |
| 2023-12-15 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Health | corrected 2024-01-17 |
| 2023-12-15 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2024-01-17 |
| 2023-12-15 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Health | corrected 2024-01-17 |
| 2023-12-15 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Health | corrected 2024-01-17 |
| 2023-12-15 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Health | corrected 2024-01-17 |
| 2023-12-15 | Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | B | Health | corrected 2024-01-17 |
| 2023-12-15 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | Health | corrected 2024-01-17 |
No federal fines or payment denials on record.
No detailed ownership records on file.
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 05A192. Corrections: data@carerecords.org.