The Royal Home

The Royal Home is a senior care community located in El Cajon, CA. It provides nursing home care and senior living for older adults in the El Cajon area. To learn more or schedule a tour, call (619) 443-3886.

With 19 beds, The Royal Home is smaller than most nearby options, senior care communities in El Cajon average about 28 beds. Smaller communities often mean more consistent day-to-day staffing and a calmer environment, while larger ones may have more specialized services on site. Which suits a particular person depends on the level of care needed.

Federal reporting puts occupancy at about 75% of its licensed beds. That is below the El Cajon average of roughly 93%.

Medicare rates this community 4 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in El Cajon average about 3.1 stars. Its most recent standard health inspection was in December 2025 and recorded 9 deficiencies.

Residents receive about 4.2 hours of nursing care per day on average, including 0.6 hours from a registered nurse. Nursing staff turnover over the past year was about 74%, which is high and can affect continuity of care.

The community is located in San Diego County, CA.

Medicare five-star ratings

• Overall ★★★★★ 4/5
• Health inspections ★★★★★ 3/5
• Staffing ★★★★★ 4/5
• Quality measures ★★★★★ 5/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

The Royal Home offers nursing home care and senior living.

Facility details

• Organization type For profit - Individual
• Beds / units 19
• Occupancy 75%
• Nursing hours per resident/day 4.2
• Annual staff turnover 74%
• Last health inspection December 2025