Nursing home report
EL CAJON, CA · Medicare-certified · 19 beds
THE ROYAL HOME (EL CAJON, CA) has an overall rating of 3 out of 5 stars. Its staffing rating is low at 1 out of 5 stars, with reported nurse staffing of 2.83 hours per resident per day versus the federal benchmark of 4.1, while it has had no fines in the last 24 months.
Health inspections
Staffing
2.8266 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.8266.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the pneumonia vaccine
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited December 2025 — widespread issue, potential for harm.
F-Tag 727 — 42 CFR §483.35 — S/S: F
The home failed to have enough qualified staff to properly provide food and nutrition services. Cited December 2025 — widespread issue, potential for harm.
F-Tag 801 — 42 CFR §483.60 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited December 2025 — widespread issue, potential for harm.
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited December 2025 — widespread issue, potential for harm.
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to provide enough support staff to safely and effectively run food and nutrition services. Cited December 2023 — widespread issue, potential for harm.
F-Tag 802 — 42 CFR §483.60 — S/S: F
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 9 health deficiencies.
Health inspection found 13 health deficiencies.
Health inspection found 9 health deficiencies.
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.
