THE ROYAL HOME
THE ROYAL HOME, in EL CAJON, California, holds 19 certified beds and has been certified for Medicare and Medicaid since 1975-07-01, averaging 14.3 residents a day.
Has THE ROYAL HOME been cited for violations?
CMS lists 31 health-inspection deficiencies for THE ROYAL HOME since 2022-02-11, 22 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is F; the most recent health inspection was 2025-12-03.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2025-12-03 | F0727, F0801, F0812, F0880 | 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. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. | F |
| 2025-12-03 | F0578 | 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 |
| 2025-12-03 | F0550, F0805 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D |
| 2025-12-03 | F0911, F0912 | Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. / Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B |
| 2023-12-15 | F0802, F0812, F0867, F0880 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. / Provide and implement an infection prevention and control program. | F |
| 2023-12-15 | F0758 | 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 |
| 2023-12-15 | F0552, F0584, F0641, F0644, F0756, F0883 | Ensure that residents are fully informed and understand their health status, care and treatments. / 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. / Ensure each resident receives an accurate assessment. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Develop and implement policies and procedures for flu and pneumonia vaccinations. | D |
| 2023-12-15 | F0911, F0912 | Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. / Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B |
| 2022-02-11 | F0880 | Provide and implement an infection prevention and control program. | F |
| 2022-02-11 | F0755, F0761, F0791, F0842, F0867, F0883 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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. / Provide or obtain dental services for each resident. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. / Develop and implement policies and procedures for flu and pneumonia vaccinations. | D |
| 2022-02-11 | F0911, F0912 | Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. / Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B |
How is THE ROYAL HOME staffed relative to the CA average?
| Measure | This facility | CA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 4.17601 | 4.51570 |
| Total nursing staff turnover (%) | 73.9 | 36.7 |
| Average number of residents per day | 14.3 | 87.9 |
Who owns THE ROYAL HOME?
THE ROYAL HOME is registered with CMS as For profit - Individual.