NursingHomes.us
StatesRankingsCompare

Browse

  • All States
  • Rankings
  • Compare

Resources

  • About Us
  • Data Sources
  • Contact

About

  • About Us
  • Data Sources
  • Contact
  • Privacy Policy
  • Terms of Use

Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeIowaRoyal Oaks Nursing and Rehabilitation Center

Royal Oaks Nursing and Rehabilitation Center

4614 NW 84th Street, Urbandale, IA 503225152706838
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
1/5
Staffing
2/5
Quality
4/5
Beds
115
certified
3 fine(s) totaling $122,691

Key Findings

• CMS rates this facility 1/5 stars (below average)

• Has 115 certified beds with an average of 85.7 residents per day (75% occupancy)

• Last health inspection found 15 deficiencies (inspected May 20, 2025)

• Has been fined a total of $122,691 across 3 fine(s)

• Total nursing staff: 3.37 hours per resident per day

• Staff turnover rate: 61.9% (high)

• Part of the Campbell Street Services chain (17 facilities)

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. The facility scored below average compared to Iowa facilities.

Beds
115
Avg Residents/Day
85.7
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)
15
Weighted Score
165.5
Infection Citations
0

Deficiency Citations (59)

F0684Potential for Harm

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

Survey: Oct 22, 2025Corrected: 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
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
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
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
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
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
F0760Actual Harm

Ensure that residents are free from significant medication errors.

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
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
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
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: Dec 13, 2024Corrected: NoCycle: 2
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Dec 13, 2024Corrected: NoCycle: 2
F0658Potential for Harm

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

Survey: Dec 13, 2024Corrected: NoCycle: 2
F0677Potential for Harm

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

Survey: Dec 13, 2024Corrected: NoCycle: 2
F0684Potential for Harm

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

Survey: Dec 13, 2024Corrected: NoCycle: 2
F0689Potential for Harm

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

Survey: Dec 13, 2024Corrected: NoCycle: 2
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
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: Dec 13, 2024Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Dec 13, 2024Corrected: NoCycle: 2
F0925Potential for Harm

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Survey: Dec 13, 2024Corrected: NoCycle: 2
F0684Potential for Harm

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

Survey: Oct 15, 2024Corrected: NoCycle: 2
F0686Potential for Harm

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

Survey: Oct 15, 2024Corrected: NoCycle: 2
F0689Potential for Harm

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

Survey: Oct 15, 2024Corrected: NoCycle: 2

+ 29 more deficiencies

Total Fines
$122,691
Number of Fines
3
Payment Denials
2
Total Penalties
5

Penalty History

FineOct 22, 2025
$16,653
FineDec 6, 2023
$34,902
FineDec 12, 2024
$71,136
Payment DenialDec 6, 2023
41 days denied
Payment DenialMay 17, 2023
55 days denied

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

Nurse Aide2.21 hrs
National avg: 2.35 hrs
LPN0.71 hrs
National avg: 0.86 hrs
RN0.46 hrs
National avg: 0.68 hrs
Total Nursing3.37 hrs
National avg: 3.89 hrs
Weekend Total3.08 hrs
National avg: 0.00 hrs
Physical Therapist0.07 hrs
National avg: 0.07 hrs
Total Turnover
61.9%
RN Turnover
88.2%
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 (1)

NameRoleTypeOwnership %Since
Ownership Data Not AvailableN/AN/A

Nearby Nursing Homes

All Iowa facilities

Karen Acres Care Center

Urbandale, IA · 35 beds

For profit
Health
Staffing
Quality
1.2 mi

Deerfield Health Care Center

Urbandale, IA · 30 beds

Non profit
Health
Staffing
Quality
4.3 mi

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 4/5. This facility is rated below average.
Has Royal Oaks Nursing and Rehabilitation Center had any health inspection violations?▾
Royal Oaks Nursing and Rehabilitation Center had 15 deficiency citations in its most recent health inspection (May 20, 2025). The facility has been fined a total of $122,691 across 3 fine(s).
What are the staffing levels at Royal Oaks Nursing and Rehabilitation Center?▾
Royal Oaks Nursing and Rehabilitation Center provides 3.37 total nursing staff hours per resident per day, including 0.46 RN hours, 0.71 LPN hours, and 2.21 nurse aide hours. The total staff turnover rate is 61.9%.
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 85.7 residents per day, resulting in approximately 75% occupancy. The facility is For profit - Corporation owned and is part of the Campbell Street Services chain.
Are there other nursing homes near Royal Oaks Nursing and Rehabilitation Center?▾
Yes, there are 2 other nursing homes in Urbandale, Iowa with an average rating of 3.3/5. You can compare all facilities on the Urbandale nursing homes page.

Part of Campbell Street Services

This chain operates 17 facilities. View all →