Royal Oaks Nursing and Rehabilitation Center
Nursing home in Urbandale, IA
Medicare & Medicaid certified1★ overall (CMS)SFF candidate (CMS)
Public-record details
- Address
- 4614 NW 84th Street, Urbandale, IA 50322
- Phone
- (515) 270-6838
- Listed under
- For-profit
- Medicare CCN
- 165580
- Overall star rating
- 1 of 5 ★☆☆☆☆
- Health inspection rating
- 1 of 5
- Staffing rating
- 2 of 5
- Quality measures rating
- 3 of 5
- Certified beds
- 115
- Average residents per day
- 87
- Ownership
- For-profit, corporation
- Legal business name
- Royal Oaks Nursing and Rehabilitation Center LLC
- Chain
- Cedar View Holdings (9 facilities)
- Certified for
- Medicare and Medicaid
- First approved by Medicare/Medicaid
- Jul 9, 2007
- Changed ownership in last 12 months
- No
- Continuing care retirement community
- No
- Located inside a hospital
- No
- Resident or family council
- Resident council
- Sprinklers in all required areas
- Yes
Inspection record
Most recent standard health inspection: May 20, 2025. CMS lists 78 health citations for this facility across its last three standard inspection cycles and complaint inspections (Apr 4, 2023 to Jun 11, 2026): 56 from complaint inspections, 8 at the “actual harm” level or higher, including 2 at “immediate jeopardy”. CMS lists this facility as a candidate for its Special Focus Facility program.
| Inspection | Citation | Severity |
|---|---|---|
| Jun 11, 2026 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D |
| Jun 11, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| Jun 11, 2026 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D |
| Jun 11, 2026 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| Jun 11, 2026 | Provide and implement an infection prevention and control program. | D |
| Jun 11, 2026 | Have a plan that describes the process for conducting QAPI and QAA activities. | F |
| Jun 11, 2026 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G |
| Apr 9, 2026 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D |
| Apr 9, 2026 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D |
| Apr 9, 2026 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D |
| Apr 9, 2026 | Ensure that residents are free from significant medication errors. | D |
| Apr 9, 2026 | Provide and implement an infection prevention and control program. | D |
Fines and payment denials
CMS records 4 fines totalling $434,825 and 2 denials of Medicare payment for new admissions in the last three years.
| Feb 11, 2026 | Fine: $311,880 |
| Feb 11, 2026 | Payment denial for 120 days from Mar 10, 2026 |
| Oct 22, 2025 | Fine: $16,907 |
| Dec 12, 2024 | Fine: $71,136 |
| Dec 6, 2023 | Fine: $34,902 |
| Dec 6, 2023 | Payment denial for 41 days from Jan 3, 2024 |
Staffing
- Total nurse staffing per resident per day
- 3.63 hours
- Registered nurse (RN) time per resident per day
- 0.48 hours
- Nurse aide time per resident per day
- 2.49 hours
- Total nurse staffing on weekends
- 3.30 hours
- Nursing staff turnover (yearly)
- 67%
- RN turnover (yearly)
- 91%
- Administrators who left in the past year
- 1
A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.