The Royal Home: Staffing, Turnover, and Inspection Record
The Royal Home is a 19-bed for-profit nursing home in El Cajon, California. In the CMS August 2026 release it reported 2.49 nurse aide hours per resident per day, 6% below the California average of 2.65, and 73.9% nursing staff turnover (California average 36.7%).
The Royal Home
12436 Royal RoadEl Cajon, CA 92021
San Diego County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At The Royal Home, nurse aides logged 2.49 hours per resident per day, 6% below the California average. With about 14 residents a day, that works out to roughly 36 aide hours a day, or about 4 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 9% below the all-days figure.
| Hours per resident per day | This home | California avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.49 | 2.65 | 2.32 |
| Licensed practical nurses | 1.11 | 1.20 | 0.86 |
| Registered nurses | 0.57 | 0.67 | 0.69 |
| All nursing staff | 4.18 | 4.52 | 3.86 |
| All nursing staff, weekends | 3.79 | 4.09 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
73.9% of nursing staff at The Royal Home left over the year CMS measured, against a California average of 36.7% and a US average of 45.8%.
Inspections and penalties
State inspectors last completed a standard health inspection on Dec 3, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 9 health deficiencies (California average 15.7). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. The Royal Home holds 4 of 5 overall; the California average is 3.2.
About The Royal Home
- Ownership: For profit - Individual
- Legal name: Legal Business Name Not Available
- Medicare and Medicaid certified since: Jul 1, 1975
- Councils: resident council
- Area: urban
Nursing homes near The Royal Home
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Country Hills Post Acute El Cajon | 1.1 | 305 | 2.45 | 3.91 | 58.2% | 1 | $122,210 |
| Cottonwood Canyon Healthcare Center El Cajon | 1.8 | 96 | 2.47 | 4.02 | 40.4% | 3 | $9,110 |
| Granite Hills Healthcare & Wellness Centre, LLC El Cajon | 1.8 | 99 | 2.57 | 4.06 | — | 2 | $14,015 |
| Bradley Court El Cajon | 1.8 | 56 | 1.79 | 3.16 | 13.5% | 5 | None |
| Lakeside Special Care Center Lakeside | 2.3 | 94 | 2.86 | 4.20 | 31.7% | 5 | None |
| Villa Las Palmas Healthcare Center El Cajon | 3.0 | 151 | 2.24 | 3.73 | 33.1% | 3 | $33,732 |
| Victoria Post Acute Care El Cajon | 3.0 | 120 | 2.32 | 4.03 | 49.6% | 5 | None |
| Somerset Post Acute Care El Cajon | 3.1 | 65 | 2.64 | 4.68 | 61.9% | 3 | $26,728 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
Explore next
Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.