Florida › Pasco County › Dade City
Royal Oak Nursing Center
37300 Royal Oak Lane, Dade City, FL 33525
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Royal Oak Nursing Center is a Non-profit, corporation nursing home in Dade City, Florida, certified for 120 beds and caring for about 108 residents a day.
CMS gives it 4 of 5 stars overall, above the Florida median of 3; the health inspection rating is 3, staffing 4 and quality measures 5.
Inspectors recorded 14 health deficiencies across the three most recent survey cycles (7, 6, 1 by cycle, most recent first), none at the actual-harm level. That is 11.7 per 100 beds, fewer than the state median of 15.8.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.8 hours per resident per day (0.7 RN), close to the Florida median of 3.6; nursing staff turnover is 41.2%.
CMS flags that the facility has not had a standard health inspection in more than two years.
Compared with county, state and nation
| Measure | This facility | Pasco Co. median | Florida median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 14 | 20 | 18 | 28.7 |
| Citations per 100 beds | 11.7 | 15.9 | 15.8 | 26.8 |
| Total nurse hours per resident day | 3.8 | 3.6 | 3.6 | 3.9 |
| RN hours per resident day | 0.7 | 0.6 | 0.6 | 0.7 |
| Nursing staff turnover | 41.2% | 44.3% | 41.8% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (18 in the county, 694 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Florida average per facility for the same cycle, as published by CMS. Standard health survey dates: 28 Mar 2024, 14 Jan 2022.
Severity mix: D ×10 E ×4
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 2 Feb 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 28 Feb 2026 |
| 28 Mar 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 27 Apr 2024 |
| 28 Mar 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 27 Apr 2024 |
| 28 Mar 2024 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 27 Apr 2024 |
| 28 Mar 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 27 Apr 2024 |
| 28 Mar 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 27 Apr 2024 |
| 28 Mar 2024 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 27 Apr 2024 |
| 14 Jan 2022 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 14 Feb 2022 |
| 14 Jan 2022 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 14 Feb 2022 |
| 14 Jan 2022 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 14 Feb 2022 |
| 14 Jan 2022 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Standard survey | 14 Feb 2022 |
| 14 Jan 2022 | F0758 | Implement 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. | D | Standard survey | 14 Feb 2022 |
| 14 Jan 2022 | F0909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | D | Standard survey | 14 Feb 2022 |
| 15 Oct 2020 | F0761 | 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. | D | Standard survey | 13 Nov 2020 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Florida average. Turnover: nursing staff 41.2%, RNs 35.0%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Florida median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 13.5% | 7.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.4% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.0% | 0.0% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.3% | 2.2% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.4% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 29.9% | 7.7% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.4% | 4.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 4.6% | 7.0% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, corporation. Legal business name: Royal Oak Nursing Center, Llc. Chain: Health Services Management (16 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Health Services Management, Inc. | 5% or greater direct ownership interest | 100% | 10/01/2000 |
| National Health Investors, Inc. | 5% or greater mortgage interest | NOT APPLICABLE | 11/01/1990 |
| Nhi-Reit of Florida, LLC | 5% or greater mortgage interest | NOT APPLICABLE | 11/01/1990 |
| Health Services Management, Inc. | Operational/managerial control | NOT APPLICABLE | 10/01/2000 |
| National Health Investors, Inc. | Adp of the snf | NOT APPLICABLE | 11/01/1990 |
| Nhi-Reit of Florida, LLC | Adp of the snf | NOT APPLICABLE | 11/01/1990 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Pasco County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Baldomero Lopez Memorial Veterans Nursing Home | Land O Lakes | 120 | 5 | 4 | 5 | 8 | 6.7 | — | 9 Apr 2026 |
| Solaris Healthcare Zephyrhills | Zephyrhills | 113 | 5 | 4 | 3 | 18 | 15.9 | — | 15 May 2025 |
| Blue Heron Health and Rehabilitation | Wesley Chapel | 141 | 4 | 3 | 4 | 18 | 12.8 | — | 13 Jun 2026 |
| Life Care Center of New Port Richey | New Port Richey | 113 | 4 | 3 | 4 | 24 | 21.2 | — | 5 Mar 2025 |
| Aspire At Ridge Haven | New Port Richey | 120 | 3 | 3 | 2 | 20 | 16.7 | — | 3 Jun 2026 |
| Bayonet Point Health Center By Harborview | Hudson | 120 | 3 | 3 | 3 | 9 | 7.5 | — | 15 Aug 2024 |
| Hillside Health and Rehabilitation Center | Zephyrhills | 120 | 3 | 2 | 2 | 31 | 25.8 | — | 20 May 2026 |
| Madison Pointe Care Centerabuse icon | New Port Richey | 119 | 3 | 2 | 3 | 18 | 15.1 | $33K | 18 Apr 2024 |
All 18 facilities in Pasco County
Questions and answers
How many deficiencies has Royal Oak Nursing Center been cited for?
14 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Florida median is 18 per facility.
Has Royal Oak Nursing Center been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Royal Oak Nursing Center compare?
Reported total nurse staffing is 3.8 hours per resident per day against a Florida median of 3.6 and a national average of 3.9.
Who operates Royal Oak Nursing Center?
It is part of the Health Services Management chain. Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Health Services Management, Inc. and Health Services Management, Inc.. Individual owners and managers are not listed on this site.
When was Royal Oak Nursing Center last inspected?
The most recent survey or investigation in the CMS record is dated 2 Feb 2026; the most recent standard health survey was 28 Mar 2024.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.