El Cajon · 92021
Bradley Court
675 E Bradley
El Cajon, CA 92021
The Royal Home
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⌖ El Cajon, CA · San Diego County
No photos yet
Medicare overall rating 4 of 5 stars
Certified beds19
Medicare / MedicaidMedicaid only
OwnershipFor-profit (individual)
About The Royal Home
The Royal Home is a 19-bed for-profit nursing home in El Cajon, CA. Medicare rates it 4 out of 5 stars overall (above average); the average in California is 3.2. At its last full inspection (Dec 2025), inspectors found 9 problems, fewer than the California average of 15.6. None of the problems in its recent inspections were found to have harmed residents. Nurses and aides spend about 4 hr 11 min a day with each resident, about the same as the California average of 4 hr 31 min. About 74% of its nursing staff left in the past year. It has had no federal fines in the last three years.
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
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Key details
Facility nameThe Royal Home
LocationSan Diego County, California
Phone(619) 443-3886
Address12436 Royal Road, El Cajon, CA 92021 · San Diego County
CMS provider number05A192
Ownership typeFor-profit (individual)
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceJuly 1, 1975 (51 years)
✗ Medicare✓ Medicaid
Certified for Medicaid; ask whether a Medicaid bed is available.
Quality & inspections
Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.
What Medicare found
3 strengths and 2 things to ask about in Medicare's inspection, fine and staffing records for this home.
Strengths
- Serious health citationsNone on recordNo citations for actual harm or immediate jeopardy since Dec 2025.Strength
- Fines and penaltiesNoneNo federal fines or payment denials in the last three years.Strength
- Health citations at last inspection9 (Dec 2025)California average: 15.6. Most citations are minor and corrected within weeks.Strength
About average
- Nurse staffing per resident4 hr 11 min a dayCalifornia average: 4 hr 31 minAbout average
Things to ask about
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- Registered nurse time per resident34 min a dayCalifornia average: 40 minWorse than state average
- Nursing staff turnover74% a yearCalifornia average: 37%Worse than state average
Source: Medicare (CMS) inspection, penalty and staffing records, compared with the California average. Problems may have been corrected since; ask the home about anything listed here. How we choose these
Short-term rehab or long-term care?
Medicare rates these separately, and many homes are better at one than the other.
Long-term care
For residents who live at the home for months or years.
- Falls with a major injury0.0%State average: 1.6%Better than average
- Pressure sores (bedsores)0.0%State average: 4.3%Better than average
Source: Medicare (CMS) quality measures, compared with the California average. Lower is better for every rate shown.
Ratings over time
Its overall Medicare rating is 4 stars now, down from 5 stars in January 2019. It has ranged from 2 to 5 stars and changed 13 times.
Overall rating4★
Health inspections3★
Staffing4★
Quality of care5★
Nurse hours per resident per day4.2
20192020202120222023202420252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 5 | 5 | 1 | 5 | 3.5 |
| Jan 2020 | 5 | 5 | 4 | 5 | 3.9 |
| Jan 2021 | 5 | 5 | 5 | 5 | 3.9 |
| Jan 2022 | 5 | 5 | 1 | 5 | 3.3 |
| Jan 2023 | 4 | 4 | 1 | 5 | 3.0 |
| Jan 2024 | 5 | 4 | 5 | 5 | 3.7 |
| Feb 2025 | 4 | 4 | 1 | 5 | 3.6 |
| Feb 2026 | 4 | 3 | 4 | 5 | 6.9 |
| Sep 2026 | 4 | 3 | 4 | 5 | 4.2 |
Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology
See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home
From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.
Inspection summary
How this facility compares to state and national averages on CMS-reported problems.
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Three-survey history
Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.
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