Skilled nursing · EL CAJON, CA

THE ROYAL HOME

12436 ROYAL ROAD, EL CAJON, CA 92021

19 bedsFor profit - Individual
8.4Clarity
Score history
Oct 20268.4
Sep 20268.4 flagged
Aug 20268.4

Rescored monthly from the federal and state record.

The Palmelle ReadUpdated 3 Aug 2026

Read this record before you tour: 74% of the nursing staff leaves each year. Every number below prints the same way for every facility, good or bad — these are the ones to ask about.

palmelle

Written by Palmelle from federal and state records. Last updated 3 Aug 2026. Not paid for or edited by the facility.

In their own words

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The record

CMS Care Compare · Aug 2026
Federal ratings
Overall★★★★☆ 4 of 5
Health inspection★★★☆☆ 3 of 5
Staffing★★★★☆ 4 of 5
Quality measures★★★★★ 5 of 5

Staffing · hours per resident per day

Registered-nurse time with each resident, dailyhigher is better

This home
34 min
National
47 min

All nursing time with each resident, dailyhigher is better

This home
4 hr 11 min
National
3 hr 37 min

Nurses who quit each yearlower is better

This home
73.9%
National
53%

Medication & safety · share of long-stay residents

On antipsychotic medicationnot reported

This facility has not reported this measure to CMS.

On sedatives / sleep medicationlower is better

This home
15.2%
National
15%

Falls causing major injurylower is better

This home
0%
National
1.6%

Physically restrainedlower is better

This home
0%
National
1.1%
Penalties & citations · last 36 months
Federal fines$0 · zero penalties
Abuse iconNot flagged
Conflict flags in latest reconcile2

CA does not publish a state inspection feed Palmelle can verify. This record is built from federal data only.

What the pattern says

Palmelle pattern checks · v1

Reads like care — the pattern checks come back clean.

  • Clean accountability record. There are no fines, flags, or abuse findings on the federal record.

These checks are computed the same way for every facility. Good patterns and bad ones both print.

Nearby & comparable

Same records, same rules

Questions families ask

What is the CMS rating for THE ROYAL HOME?
THE ROYAL HOME has an overall CMS Care Compare rating of 4 out of 5 stars.
Has THE ROYAL HOME been cited for resident harm?
THE ROYAL HOME has no abuse icon and no federal fines on record in the last 36 months.
What should I ask on a tour?
Ask about staff-to-resident ratios by shift, weekend coverage, and any measure flagged red in the record above — those are the places this facility's numbers leave open questions.

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