Lucie's Cozy Cottage
State licensed7909 Western Trails Drive, El Cajon, CA 92021
Assisted Living
Assisted livingResidential care for the elderly (RCFE)24-hour personal care
Call for pricing
Prices not published
About The Royal Home
The Royal Home brings skilled nursing and rehabilitation services to El Cajon, California with attentive care focused on recovery and comfort. Our experienced team supports residents through short-term rehabilitation and long-term skilled nursing needs, helping each person regain strength and independence.
Community at a glance
Capacity
19 residents
Location
El Cajon, CA
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
12436 ROYAL ROAD, El Cajon, California 92021
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on December 3, 2025, state inspectors cited 9 health deficiencies (the California average is 15.5).
Nurses and nurse aides spend 4 hours 11 minutes with each resident a day, below the California average of 4 hours 31 minutes.
Medicare has not fined The Royal Home in the last three years.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 4 hours 11 minutesBelow the California average |
| Registered nurse time per resident, per day | 34 minutesBelow the California average |
| Nursing staff who left in the past year | 74%Above the California average |
Inspections
22 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
December 3, 2025 · Standard inspection · 9 citations
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Dec 6, 2025Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, widespread (level F)Infection ControlCorrected Dec 6, 2025Have 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.
Risk of harm, no one hurt, widespread (level F)Nursing and Physician ServicesCorrected Dec 6, 2025Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Dec 6, 2025Honor 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.
Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Dec 6, 2025Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Dec 6, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Dec 6, 2025Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Minimal harm or risk, a pattern (level B)EnvironmentalCorrected Dec 6, 2025Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
Minimal harm or risk, a pattern (level B)EnvironmentalCorrected Dec 6, 2025
December 15, 2023 · Standard inspection · 13 citations
Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, widespread (level F)Infection ControlCorrected Jan 17, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Jan 17, 2024Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Risk of harm, no one hurt, widespread (level F)AdministrationCorrected Jan 17, 2024Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Jan 17, 2024Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Jan 17, 2024Ensure that residents are fully informed and understand their health status, care and treatments.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jan 17, 2024Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jan 17, 2024Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jan 17, 2024Develop and implement policies and procedures for flu and pneumonia vaccinations.
Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Jan 17, 2024Ensure each resident receives an accurate assessment.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jan 17, 2024Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jan 17, 2024Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Minimal harm or risk, a pattern (level B)EnvironmentalPlan to fix it acceptedEnsure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
Minimal harm or risk, a pattern (level B)EnvironmentalPlan to fix it accepted
Fines and payment denials
No fines or Medicare payment denials in the last three years.
About the home, per Medicare
- Ownership
- For profit - Individual
- Legal business name
- Legal Business Name Not Available
- Medicare-certified beds
- 19
- Average residents per day
- 14
- Accepts
- Medicaid
- First certified
- July 1, 1975
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 05A192
Location
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12436 ROYAL ROADEl Cajon, CA 92021
12 other communities within 10 miles
Senior living near El Cajon
Renaissance Living II
State licensed12536 Jackson Hill Ln, El Cajon, CA 92021
Assisted Living
Assisted livingResidential care for the elderly (RCFE)24-hour personal care
Call for pricing
Prices not published
El Cajon Elder Care
State licensed1412 Groveland Terrace, El Cajon, CA 92021
Assisted Living
Assisted livingResidential care for the elderly (RCFE)24-hour personal care
Call for pricing
Prices not published
Questions about The Royal Home
How did The Royal Home do on its last inspection?+
State inspectors visited on December 3, 2025 and cited 9 health deficiencies. The California average is 15.5.
How much nursing care does each resident get at The Royal Home?+
Nurses and aides spend 4 hours 11 minutes with each resident per day, including 34 minutes from registered nurses. 74% of nursing staff left over the past year.
Has The Royal Home been fined by Medicare?+
Medicare's records show no fines against The Royal Home in the last three years.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.