Royal Home

• Provide and implement an infection prevention and control program.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 6, 2025

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

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 6, 2025

• 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.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 6, 2025

• Inspect, test, and maintain automatic sprinkler systems.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 30, 2025

• Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 30, 2025

• Provide properly protected cooking facilities.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadDeficient, Provider has no plan of correction

• Have approved installation, maintenance and testing program for fire alarm systems.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 30, 2025

• 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.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 6, 2025

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 6, 2025

• Have power receptacles that are properly grounded.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 30, 2025

• Use approved construction type or materials.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 30, 2025

• Install an approved automatic sprinkler system.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 30, 2025

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 6, 2025

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 6, 2025

• Have generator or other power source capable of supplying service within 10 seconds.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 30, 2025

• Meet requirements for the installation and maintenance of electrical systems.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 30, 2025

• Establish policies and procedures including evacuation.

  Severity C of L: potential for minimal harm, widespreadCorrected Dec 30, 2025

• Develop Emergency Preparedness policies and procedures.

  Severity C of L: potential for minimal harm, widespreadCorrected Dec 30, 2025

• Provide emergency officials' contact information.

  Severity C of L: potential for minimal harm, widespreadCorrected Dec 30, 2025

• Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

  Severity B of L: potential for minimal harm, patternCorrected Dec 6, 2025

• Have corridors or aisles that are unobstructed and are at least 8 feet in width.

  Severity B of L: potential for minimal harm, patternDeficient, Provider has no plan of correction

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

  Severity B of L: potential for minimal harm, patternCorrected Dec 6, 2025

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

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jan 17, 2024

• Inspect, test, and maintain automatic sprinkler systems.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jan 17, 2024

• Have approved installation, maintenance and testing program for fire alarm systems.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jan 17, 2024

• Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jan 17, 2024

• Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jan 17, 2024

• Provide and implement an infection prevention and control program.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jan 17, 2024

• Have generator or other power source capable of supplying service within 10 seconds.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 17, 2024

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 17, 2024

• Use approved construction type or materials.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jan 17, 2024

• Ensure that residents are fully informed and understand their health status, care and treatments.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jan 17, 2024

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jan 17, 2024

• Ensure each resident receives an accurate assessment.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jan 17, 2024

• Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jan 17, 2024

• Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jan 17, 2024

• Develop and implement policies and procedures for flu and pneumonia vaccinations.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jan 17, 2024

• Conduct risk assessment and an All-Hazards approach.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jan 17, 2024

• Establish staff and initial training requirements.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jan 17, 2024

• Meet fire sprinkler requirement for tall buildings.

  Severity C of L: potential for minimal harm, widespreadCorrected Jan 17, 2024

• Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

  Severity B of L: potential for minimal harm, patternCorrected Jan 17, 2024

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

  Severity B of L: potential for minimal harm, patternCorrected Jan 17, 2024

• Conduct testing and exercise requirements.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 5, 2022

• Provide properly protected cooking facilities.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 5, 2022

• Provide and implement an infection prevention and control program.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 24, 2022

• Conduct risk assessment and an All-Hazards approach.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 5, 2022

• Have proper medical gas storage and administration areas.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 5, 2022

• Provide primary/alternate means for communication.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 5, 2022

• Develop and implement policies and procedures for flu and pneumonia vaccinations.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 24, 2022

• Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 24, 2022

• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 24, 2022

• Provide or obtain dental services for each resident.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 24, 2022

• Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 24, 2022

• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 24, 2022

• Inspect, test, and maintain automatic sprinkler systems.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 5, 2022

• Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

  Severity B of L: potential for minimal harm, patternCorrected Feb 24, 2022

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

  Severity B of L: potential for minimal harm, patternCorrected Feb 24, 2022

Royal Home offers Skilled Nursing / Long Term Care.

Royal Home is located at 12436 Royal Road in El Cajon, California.

Royal Home is a small skilled nursing and long-term care community in El Cajon licensed for up to 19 residents. It holds a 4 out of 5 rating from just four Google reviews, though one reviewer described a starkly negative experience.

Royal Home had 4 government inspection visits in the last three years, with 57 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.

Submit the Request Information form on this page, or contact Royal Home directly, to arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.