The Royal Home
El Cajon, CA · Medicaid-certified nursing home (CCN 05A192) · 19 certified beds
Health inspection: 3 · Quality measures: 5 · Staffing: 4
Federal fines: none on current record
Phone: (619) 443-3886 · Verify on Medicare Care Compare ↗
The Royal Home has a CMS overall star rating of 4 out of 5, which is above the California state average of 3.16. Its health inspection rating is 3 stars and its staffing rating is 4 stars.
The Royal Home reports total nurse staffing of about 4.18 hours per resident per day, including roughly 0.57 RN hours per resident per day, with a nursing staff turnover rate of 73.9%. CMS gives the facility a staffing rating of 4 out of 5 stars.
The Royal Home has no federal fines on record, with total fines of $0.00 and no payment denials reported by CMS. There is no indication of a CMS abuse icon or Special Focus status for this facility in the available data.
About this facility
The Royal Home is a small nursing home in El Cajon, San Diego County, California, certified for 19 beds with an average of 14.3 residents. It operates under For Profit - Individual ownership and participates in the Medicaid program. The facility has been Medicare/Medicaid certified since July 1, 1975, and ownership has not changed in the past 12 months.
According to CMS Care Compare, The Royal Home holds an overall star rating of 4 out of 5, which is above the California state average of 3.16. Its component ratings are: health inspection rating of 3, quality measures (QM) rating of 5, and staffing rating of 4.
Nurse staffing levels reported to CMS show total nurse hours of 4.18 per resident per day, including 0.57 RN hours per resident per day. The facility's nursing staff turnover rate is 73.9%.
On penalties, CMS records show The Royal Home has zero federal fines on record, with total fines of $0.00, and no payment denials.
No abuse icon or Special Focus status is indicated in the available CMS data for this facility.
No chain affiliation data is provided in the available CMS records for The Royal Home.
This profile is based on data from CMS Medicare Care Compare. Families should verify current details directly with the facility and on the Care Compare website before making decisions.
Questions families ask
What is this nursing home's CMS overall star rating and how does it compare to the state average?
The Royal Home has an overall CMS rating of 4 out of 5 stars, above the California state average of 3.16.
Does this facility accept Medicare, Medicaid, or both?
The facility is listed as a Medicaid provider under CMS records.
How well is this facility staffed — nurse hours per resident and turnover?
Total nurse staffing is about 4.18 hours per resident per day, including 0.57 RN hours per resident per day, with a 73.9% nursing staff turnover rate; CMS rates staffing 4 out of 5 stars.
Does this facility have federal fines or penalties on record?
No, CMS records show zero fines totaling $0.00 and no payment denials.
Has CMS flagged this facility for abuse or placed it in the Special Focus program?
The provided CMS data does not indicate an abuse icon or Special Focus designation for this facility.
How large is this facility and how many residents live there?
The Royal Home is certified for 19 beds and has an average of 14.3 residents.
Who owns this facility — and is it part of a chain?
It is owned under a For Profit - Individual ownership structure; no chain affiliation is listed in the available data.
How long has this facility been Medicare/Medicaid certified?
The facility has been certified since July 1, 1975.
What do the four different CMS star ratings mean?
CMS rates facilities on overall quality (4 stars), health inspections (3 stars), staffing (4 stars), and quality measures (5 stars), each reflecting a different aspect of care.
Does this facility offer short-term rehabilitation as well as long-term care?
The provided data does not specify rehabilitation services; contact the facility at 619-443-3886 and verify on Medicare Care Compare.
What should I look for when touring this facility?
The data provided does not cover tour details; contact the facility at 619-443-3886 to arrange a visit and verify current conditions on Medicare Care Compare.
How do I verify this facility's current record on Medicare Care Compare?
You can view the latest CMS data for The Royal Home at https://www.medicare.gov/care-compare/details/nursing-home/05A192?state=CA.
Data: CMS Care Compare (Aug2026 refresh). Star ratings, staffing hours, and penalty records are CMS's official published measures. Always tour the facility, review the current inspection record, and verify details with Medicare before making care decisions.