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Health Inspection

The Royal Home

Inspection Date: December 3, 2025
Total Violations 9
Facility ID 05A192
Location EL CAJON, CA
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Inspection Findings

F-Tag F0550

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited THE ROYAL HOME in EL CAJON, CA for a deficiency under regulatory tag F-F0550 during a standard health inspection conducted on 2025-12-03.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 9 deficiencies cited during this inspection of THE ROYAL HOME.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-06.

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F-Tag F0578

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited THE ROYAL HOME in EL CAJON, CA for a deficiency under regulatory tag F-F0578 during a standard health inspection conducted on 2025-12-03.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 9 deficiencies cited during this inspection of THE ROYAL HOME.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-06.

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F-Tag F0727

Nursing and Physician Services Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited THE ROYAL HOME in EL CAJON, CA for a deficiency under regulatory tag F-F0727 during a standard health inspection conducted on 2025-12-03.

Category: Nursing and Physician Services Deficiencies

The facility was found deficient in the following area: Have 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.

Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 9 deficiencies cited during this inspection of THE ROYAL HOME.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-06.

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F-Tag F0801

Nutrition and Dietary Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited THE ROYAL HOME in EL CAJON, CA for a deficiency under regulatory tag F-F0801 during a standard health inspection conducted on 2025-12-03.

Category: Nutrition and Dietary Deficiencies

The facility was found deficient in the following area: Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 9 deficiencies cited during this inspection of THE ROYAL HOME.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-06.

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F-Tag F0805

Nutrition and Dietary Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited THE ROYAL HOME in EL CAJON, CA for a deficiency under regulatory tag F-F0805 during a standard health inspection conducted on 2025-12-03.

Category: Nutrition and Dietary Deficiencies

The facility was found deficient in the following area: Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 9 deficiencies cited during this inspection of THE ROYAL HOME.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-06.

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F-Tag F0812

Nutrition and Dietary Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited THE ROYAL HOME in EL CAJON, CA for a deficiency under regulatory tag F-F0812 during a standard health inspection conducted on 2025-12-03.

Category: Nutrition and Dietary Deficiencies

The facility was found deficient in the following area: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 9 deficiencies cited during this inspection of THE ROYAL HOME.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-06.

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F-Tag F0880

Infection Control Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited THE ROYAL HOME in EL CAJON, CA for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2025-12-03.

Category: Infection Control Deficiencies

The facility was found deficient in the following area: Provide and implement an infection prevention and control program.

Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 9 deficiencies cited during this inspection of THE ROYAL HOME.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-06.

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F-Tag F0911

Environmental Deficiencies
Harm Level: Potential for Minimal Harm

Federal health inspectors cited THE ROYAL HOME in EL CAJON, CA for a deficiency under regulatory tag F-F0911 during a standard health inspection conducted on 2025-12-03.

Category: Environmental Deficiencies

The facility was found deficient in the following area: Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.

Scope/Severity Level B: isolated, no actual harm with potential for minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 9 deficiencies cited during this inspection of THE ROYAL HOME.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-06.

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F-Tag F0912

Environmental Deficiencies
Harm Level: Potential for Minimal Harm

Federal health inspectors cited THE ROYAL HOME in EL CAJON, CA for a deficiency under regulatory tag F-F0912 during a standard health inspection conducted on 2025-12-03.

Category: Environmental Deficiencies

The facility was found deficient in the following area: Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Scope/Severity Level B: isolated, no actual harm with potential for minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 9 deficiencies cited during this inspection of THE ROYAL HOME.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-06.

📋 Inspection Summary

THE ROYAL HOME in EL CAJON, CA inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in EL CAJON, CA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from THE ROYAL HOME or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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