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HomeIowaRoyal Oaks Nursing and Rehabilitation Center

Royal Oaks Nursing and Rehabilitation Center

4614 NW 84th Street, Urbandale, IA 503225152706838WebsiteGoogle Maps
3.1on Google(40 reviews)
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
1/5
Staffing
2/5
Quality
3/5
Beds
115
certified
Special Focus Facility: SFF Candidate
3 fine(s) totaling $122,945

How Royal Oaks Nursing and Rehabilitation Center Compares in Iowa

Facility results compared with averages for CMS-certified nursing homes in Iowa. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
1/5
IA average
3.1/5
Below state average
Health inspection rating
1/5
IA average
2.8/5
Below state average
Staffing rating
2/5
IA average
3.6/5
Below state average
Nursing hours per resident
3.63 hrs/day
IA average
3.81 hrs/day
Below state average
RN hours per resident
0.48 hrs/day
IA average
0.74 hrs/day
Below state average
Staff turnover
66.7%
IA average
44.1%
Higher than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 1/5 overall CMS rating is below the Iowa average of 3.1/5.
Its 1/5 health inspection rating is below the Iowa average of 2.8/5.
Reported RN time is 0.48 hours per resident per day, below the state average of 0.74.
Staff turnover is 66.7%, higher than the Iowa average of 44.1%.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
38
deficiency citations
Inspected Jul 1, 2024
Most recent cycle
27
deficiency citations
Inspected May 20, 2025
The most recent cycle recorded 11 fewer deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$7,148/mo
Iowa median
Private Room
$8,091/mo
Iowa median
Polk County 65+
66,726
13.5% of county
County Population
493,378
Polk County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

Royal Oaks Nursing and Rehabilitation Center is a 1-star Medicare and Medicaid certified nursing home in Urbandale, Iowa with 115 certified beds. It has been operating since 2007. Its overall CMS rating is 1 out of 5.

Beds
115
Avg Residents/Day
87.2
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jul 9, 2007
Sprinklers
Yes
Council
Resident
County
Polk
Last Inspection
May 20, 2025
Deficiencies (Cycle 1)
27
Weighted Score
219.5
Infection Citations
0

Deficiency Citations (71)

F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Apr 9, 2026Corrected: NoCycle: 1
F0686Potential for Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: Apr 9, 2026Corrected: NoCycle: 1
F0690Potential for Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey: Apr 9, 2026Corrected: NoCycle: 1
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: Apr 9, 2026Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Apr 9, 2026Corrected: NoCycle: 1
F0690Actual Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey: Feb 11, 2026Corrected: NoCycle: 1
F0584Potential for Harm

Honor 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.

Survey: Feb 11, 2026Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Feb 11, 2026Corrected: NoCycle: 1
F0554Potential for Harm

Allow residents to self-administer drugs if determined clinically appropriate.

Survey: Feb 11, 2026Corrected: NoCycle: 1
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Feb 11, 2026Corrected: NoCycle: 1
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Feb 11, 2026Corrected: NoCycle: 1
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Feb 11, 2026Corrected: NoCycle: 1
F0725Immediate Jeopardy

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Survey: Oct 22, 2025Corrected: NoCycle: 1
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Oct 22, 2025Corrected: NoCycle: 1
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Oct 22, 2025Corrected: NoCycle: 1
F0689Actual Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: May 20, 2025Corrected: NoCycle: 1
F0760Actual Harm

Ensure that residents are free from significant medication errors.

Survey: May 20, 2025Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: May 20, 2025Corrected: NoCycle: 1
F0804Potential for Harm

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Survey: May 20, 2025Corrected: NoCycle: 1
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: May 20, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: May 20, 2025Corrected: NoCycle: 1
F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: May 20, 2025Corrected: NoCycle: 1
F0655Potential for Harm

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Survey: May 20, 2025Corrected: NoCycle: 1
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: May 20, 2025Corrected: NoCycle: 1
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: May 20, 2025Corrected: NoCycle: 1
F0740Potential for Harm

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Survey: May 20, 2025Corrected: NoCycle: 1
F0761Potential for Harm

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Survey: May 20, 2025Corrected: NoCycle: 1
F0755Immediate Jeopardy

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Dec 13, 2024Corrected: NoCycle: 2
F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Dec 13, 2024Corrected: NoCycle: 2
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Dec 13, 2024Corrected: NoCycle: 2

+ 41 more deficiencies

Total Fines
$122,945
Number of Fines
3
Payment Denials
1
Total Penalties
4

Penalty History

FineOct 22, 2025
$16,907
FineDec 6, 2023
$34,902
FineDec 12, 2024
$71,136
Payment DenialDec 6, 2023
41 days denied

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.49 hrs
National avg: 2.32 hrs
LPN0.66 hrs
National avg: 0.86 hrs
RN0.48 hrs
National avg: 0.69 hrs
Total Nursing3.63 hrs
National avg: 3.86 hrs
Weekend Total3.30 hrs
National avg: 0.00 hrs
Physical Therapist0.12 hrs
National avg: 0.07 hrs
Total Turnover
66.7%
RN Turnover
90.9%
Administrators Left
1

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Corporation
Recent Change
No

Owners & Managers (24)

NameRoleTypeOwnership %Since
AMARANTHINE HOLDINGS LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Jan 1, 2025
CEDAR VIEW HOLDINGS LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/AJan 1, 2025
CEDAR VIEW TR5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/AJan 1, 2025
IOWA 5784 LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/AJan 1, 2025
SAMARA FAMILY HOLDINGS LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/AJan 1, 2025
GREATOREX, TINA5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividualN/AJan 1, 2025
SCHIOWITZ, MARC5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividualN/AJan 1, 2025
SEBBAG, GABRIEL5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividualN/AJan 1, 2025
OCONNER, MICHAELOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 1, 2025
REITER, JENNIFEROPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 1, 2025
SEBBAG, GABRIELTRUSTEE OF THE SNFIndividualN/AJan 1, 2025
4614 NW 84TH STREET PROPCO LLCADP OF THE SNFOrganizationN/AJan 1, 2025
CARESAGE ADMINISTRATIVE CONSULTING, LLCADP OF THE SNFOrganizationN/AJan 1, 2025
CEDAR VIEW HOLDINGS LLCADP OF THE SNFOrganizationN/AMar 25, 2025
CEDAR VIEW TRADP OF THE SNFOrganizationN/AMar 25, 2025
CLINICAL CONSULTING SERVICES LLCADP OF THE SNFOrganizationN/AJan 1, 2025
IOWA 5784 LLCADP OF THE SNFOrganizationN/AMar 25, 2025
JSJ 2020 FAMILY TRADP OF THE SNFOrganizationN/AJan 1, 2025
JSJ PROPERTY LLCADP OF THE SNFOrganizationN/AJan 1, 2025
SAMARA FAM TRADP OF THE SNFOrganizationN/AJan 1, 2025
SUMMATION FINANCIAL SERVICES LLCADP OF THE SNFOrganizationN/AJan 1, 2025
THE BRYN MAWR TRUST COMPANY OF DELAWAREADP OF THE SNFOrganizationN/AJan 1, 2025
OCONNER, MICHAELADP OF THE SNFIndividualN/AJan 1, 2025
REITER, JENNIFERADP OF THE SNFIndividualN/AJan 1, 2025

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Royal Oaks Nursing and Rehabilitation Center and nearby alternatives.

All Iowa facilities
Royal Oaks Nursing and Rehabilitation Center
Urbandale, IACurrent facility
CMS
1/5
Health
1/5
Staffing
2/5
Recorded fines: $122,945
Karen Acres Care Center
Urbandale, IA1.2 mi
CMS
5/5
Health
4/5
Staffing
4/5
Recorded fines: None
Childserve Habilitation Center
Johnston, IA2.1 mi
CMS
5/5
Health
3/5
Staffing
5/5
Recorded fines: None
Bishop Drumm Retirement Center
Johnston, IA2.4 mi
CMS
1/5
Health
1/5
Staffing
4/5
Recorded fines: $258,177
Brio of Johnston, LLC
Johnston, IA3.0 mi
CMS
3/5
Health
3/5
Staffing
4/5
Recorded fines: $6,923
Walnut Ridge
Clive, IA3.3 mi
CMS
5/5
Health
4/5
Staffing
5/5
Recorded fines: None
Calvin Community
Des Moines, IA3.6 mi
CMS
4/5
Health
3/5
Staffing
5/5
Recorded fines: $4,233
FacilityDistanceCMSHealthStaffingRecorded fines
Royal Oaks Nursing and Rehabilitation Center
Urbandale, IA · Current facility
—1/51/52/5$122,945
Karen Acres Care Center
Urbandale, IA
1.2 mi5/54/54/5None recorded
Childserve Habilitation Center
Johnston, IA
2.1 mi5/53/55/5None recorded
Bishop Drumm Retirement Center
Johnston, IA
2.4 mi1/51/54/5$258,177
Brio of Johnston, LLC
Johnston, IA
3.0 mi3/53/54/5$6,923
Walnut Ridge
Clive, IA
3.3 mi5/54/55/5None recorded
Calvin Community
Des Moines, IA
3.6 mi4/53/55/5$4,233

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

Frequently Asked Questions

What is the CMS rating for Royal Oaks Nursing and Rehabilitation Center?▾
Royal Oaks Nursing and Rehabilitation Center has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 2/5, and quality measures rating of 3/5. This facility is rated below average.
How much does Royal Oaks Nursing and Rehabilitation Center cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Iowa is $7,148/month for a semi-private room and $8,091/month for a private room (Genworth/CareScout 2024). Royal Oaks Nursing and Rehabilitation Center participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Royal Oaks Nursing and Rehabilitation Center had any health inspection violations?▾
Royal Oaks Nursing and Rehabilitation Center had 27 deficiency citations in its most recent health inspection (May 20, 2025). The current CMS dataset records 3 fine(s) totaling $122,945.
What are the staffing levels at Royal Oaks Nursing and Rehabilitation Center?▾
Royal Oaks Nursing and Rehabilitation Center provides 3.63 total nursing staff hours per resident per day, including 0.48 RN hours, 0.66 LPN hours, and 2.49 nurse aide hours. The total staff turnover rate is 66.7%.
How many beds does Royal Oaks Nursing and Rehabilitation Center have?▾
Royal Oaks Nursing and Rehabilitation Center has 115 certified beds with an average of 87.2 residents per day, resulting in approximately 76% occupancy. The facility is For profit - Corporation owned and is part of the Cedar View Holdings chain.
Are there other nursing homes near Royal Oaks Nursing and Rehabilitation Center?▾
Yes. This page lists 6 nearby nursing homes in Iowa, including 1 in Urbandale. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Royal Oaks Nursing and Rehabilitation Center?▾
On Google Maps, Royal Oaks Nursing and Rehabilitation Center has a rating of 3.1 out of 5 based on 40 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 1/5.

Part of Cedar View Holdings

This chain operates 9 facilities. View all →