The Royal Home earns a solid B grade from CMS data, with a score of 78/100. Performing above average across most metrics, this El Cajon facility ranks in the 76th percentile among California nursing homes.
The Royal Home provides above-average staffing with 6.87 total nurse hours per resident per day. Higher staffing levels are generally associated with better care outcomes and more attentive staff.
Recent inspections identified 31 deficiencies at The Royal Home. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 6.87 | 3.8 | Above Average |
| Registered Nurses (RN) | 0.87 | 0.7 | Above Average |
| Licensed Practical Nurses (LPN) | 1.52 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 4.49 | 2.4 | Above Average |
| Weekend Total Nursing | 6.74 | 3.8 | Above Average |
| Weekend RN Hours | 0.88 | 0.7 | Above Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0727 Severity FHave 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.Dec 2, 2025 · Nursing and Physician Services Deficiencies
- Tag 0801 Severity FEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a quDec 2, 2025 · Nutrition and Dietary Deficiencies
- Tag 0812 Severity FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Dec 2, 2025 · Nutrition and Dietary Deficiencies
- Tag 0880 Severity FProvide and implement an infection prevention and control program.Dec 2, 2025 · Infection Control Deficiencies
- Tag 0578 Severity EHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, andDec 2, 2025 · Resident Rights Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 0.0% | 4.5% | Better |
| Falls with major injury | 0.0% | 3.0% | Better |
| Urinary tract infections | 1.3% | 2.5% | Better |
| ADL decline (daily activities) | 8.2% | 14.0% | Better |
| Excessive weight loss | 0.0% | 7.5% | Better |
| New/worsened incontinence | 5.8% | 45.0% | Better |
How This Grade Was Calculated
This facility's grade of B is based on a score of 78 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 4★ → 32 pts (max 40)
- Health Inspection Rating: 3★ → 15 pts (max 25)
- Staffing Rating: 4★ → 16 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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