Nursing HomeInspections

Royal Oaks Nursing and Rehabilitation Center

Nursing home in Urbandale, IA

Medicare & Medicaid certified1★ overall (CMS)SFF candidate (CMS)

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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
2 of 5
Certified beds
115
Average residents per day
84
Ownership
For-profit, limited Liability company
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 and family councils
Sprinklers in all required areas
Yes

CMS certification number 165580. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Aug 6, 2026. CMS lists 71 health citations for this facility across its last three standard inspection cycles and complaint inspections (Dec 6, 2023 to Aug 6, 2026): 54 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.

InspectionCitationSeverity
Aug 6, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern
Jun 11, 2026Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 11, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 11, 2026Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 11, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 11, 2026Provide and implement an infection prevention and control program.
Infection Control · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 11, 2026Have a plan that describes the process for conducting QAPI and QAA activities.
Administration · complaint inspection		F
Potential for more than minimal harm, widespread
Jun 11, 2026Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · complaint inspection		G
Actual harm, isolated
Apr 9, 2026Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Apr 9, 2026Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Apr 9, 2026Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Apr 9, 2026Ensure that residents are free from significant medication errors.
Pharmacy Service · complaint inspection		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 71. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records 4 fines totalling $324,988 and 2 denials of Medicare payment for new admissions in the last three years.

Feb 11, 2026Fine: $202,722
Feb 11, 2026Payment denial for 120 days from Mar 10, 2026
Oct 22, 2025Fine: $16,907
Dec 12, 2024Fine: $71,136
Dec 6, 2023Fine: $34,223
Dec 6, 2023Payment denial for 41 days from Jan 3, 2024

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
4.06 hours
Registered nurse (RN) time per resident per day
0.46 hours
Nurse aide time per resident per day
2.73 hours
Total nurse staffing on weekends
3.60 hours
Nursing staff turnover (yearly)
66%
RN turnover (yearly)
91%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

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.

Other nursing homes in Urbandale

Deerfield Health Care Center13731 Hickman Road · Urbandale, IA 50323 · (515) 331-6900 · Nonprofit4 health citations in 3 inspection cycles · last standard inspection May 7, 2026 · no CMS fines in 3 yrsMedicare-certified5★ overall (CMS)
Karen Acres Care Center3605 Elm Drive · Urbandale, IA 50322 · (515) 276-4969 · For-profit11 health citations in 3 inspection cycles · last standard inspection Jun 11, 2025 · no CMS fines in 3 yrsMedicare & Medicaid certified5★ overall (CMS)

All 3 in Urbandale →

Public record, not an endorsement. This listing was compiled from public records as of 2026-11-07 and may be incomplete or out of date. Nursing Home Inspections does not vet, employ, recommend or guarantee nursing homes; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Nursing Home Inspections is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error