The complete public record on The Royal Home, a Medicare & Medicaid–certified nursing home in El Cajon, California, from the CMS Care Compare database (August 2026 release). Every figure below is published by federal regulators; ClearPath adds the state comparisons and the plain-English reading.
Hours are per resident per day, from payroll-based journal data facilities submit to CMS. Turnover is the share of nursing staff who left over the past year.
31 citations on record across recent inspections. Showing the most recent inspection. Severity uses CMS’s A–L scope-and-severity scale; G and above means residents were actually harmed.
| Inspection | Tag | What was cited | Severity |
|---|---|---|---|
| December 3, 2025 | 0727 | 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 · Potential for more than minimal harm |
| December 3, 2025 | 0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service,… | F · Potential for more than minimal harm |
| December 3, 2025 | 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with… | F · Potential for more than minimal harm |
| December 3, 2025 | 0880 | Provide and implement an infection prevention and control program. | F · Potential for more than minimal harm |
| December 3, 2025 | 0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental… | E · Potential for more than minimal harm |
| December 3, 2025 | 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D · Potential for more than minimal harm |
| December 3, 2025 | 0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D · Potential for more than minimal harm |
| December 3, 2025 | 0911 | Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | B · Minimal harm potential |
| December 3, 2025 | 0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B · Minimal harm potential |
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Compare this facility →See a free sample report firstSource: CMS Care Compare (data.cms.gov), August 2026 monthly release. Figures are as published by CMS and change monthly; ClearPath refreshes automatically. ClearPath Senior Guide is an independent information service, accepts no referral fees or placement incentives from any facility, and does not recommend facilities. Verify current details with the facility.