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Royal Oaks Nursing and Rehabilitation CenterCMS ratings, inspections and fines

Address
4614 NW 84th Street, Urbandale, IA 50322
CCN
165580
Ownership type
For-profit, corporation
Certified beds
115
Residents per day
87
CMS flags
  • Special Focus Facility candidate
CMS star ratings
Overall rating1 of 5
Health inspection rating1 of 5
Staffing rating2 of 5
Quality measure rating3 of 5
Care Compare record (Medicare.gov)

The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.

CMS gives Royal Oaks Nursing and Rehabilitation Center an overall rating of 1 of 5 stars. The last standard survey was on 20 May 2025. The latest survey cycle has 34 health citations. The median for nursing homes in Iowa is 5. CMS lists 4 fines with a total of $434,825 for this home in its penalties file. CMS also lists 2 payment denials.

Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.

Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .

Since the last CMS update

The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.

Ratings

CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.

CMS star ratings of Royal Oaks Nursing and Rehabilitation Center, with medians
Rating (1 to 5 stars)This homePolk County medianIowa medianUS average (CMS)
Overall rating13.03.03.0
Health inspection rating13.03.02.8
Staffing rating24.04.02.9
Quality measure rating33.03.03.6

A median is the middle value of the homes in the group: 30 homes in the county, 387 homes in the state. What the CMS star ratings measure

Citations by survey cycle

CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.

Health citations of Royal Oaks Nursing and Rehabilitation Center in the last three survey cycles
Survey cycleStandard surveyCitationsIowa median
Cycle 1 (latest)20 May 2025345
Cycle 21 Jul 2024285
Cycle 3No date165

Health citations

The record of one deficiency in an inspection. One inspection can give many citations.

Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.

Scope and severity of the 78 citations. Select a cell to show only its rows.
SeverityIsolatedPatternWidespread
Immediate jeopardy to resident health or safetyL0
Actual harm that is not immediate jeopardyH0I0
No actual harm, potential for more than minimal harm
No actual harm, potential for minimal harmA0B0

Survey cycle 1 (latest): 34 citations

Standard survey of this cycle: .

Health citations of Royal Oaks Nursing and Rehabilitation Center in survey cycle 1, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
11 Jun 2026F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation8 Jul 2026
11 Jun 2026F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint investigation8 Jul 2026
11 Jun 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation8 Jul 2026
11 Jun 2026F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint investigation8 Jul 2026
11 Jun 2026F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation8 Jul 2026
11 Jun 2026F0865Have a plan that describes the process for conducting QAPI and QAA activities.FComplaint investigation8 Jul 2026
11 Jun 2026F0880Provide and implement an infection prevention and control program.DComplaint investigation8 Jul 2026
9 Apr 2026F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation8 Jul 2026
9 Apr 2026F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation8 Jul 2026
9 Apr 2026F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint investigation8 Jul 2026
9 Apr 2026F0760Ensure that residents are free from significant medication errors.DComplaint investigation8 Jul 2026
9 Apr 2026F0880Provide and implement an infection prevention and control program.DComplaint investigation8 Jul 2026
11 Feb 2026F0554Allow residents to self-administer drugs if determined clinically appropriate.DComplaint investigation23 Feb 2026
11 Feb 2026F0584Honor 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.EComplaint investigation23 Feb 2026
11 Feb 2026F0658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint investigation23 Feb 2026
11 Feb 2026F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation8 Jul 2026
11 Feb 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation23 Feb 2026
11 Feb 2026F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.GComplaint investigation8 Jul 2026
11 Feb 2026F0880Provide and implement an infection prevention and control program.EComplaint investigation8 Jul 2026
22 Oct 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation7 Nov 2025
22 Oct 2025F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.KComplaint investigation9 Oct 2025
22 Oct 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation7 Nov 2025
20 May 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation13 Jun 2025
20 May 2025F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey13 Jun 2025
20 May 2025F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey13 Jun 2025
20 May 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation13 Jun 2025
20 May 2025F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey13 Jun 2025
20 May 2025F0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DComplaint investigation13 Jun 2025
20 May 2025F0760Ensure that residents are free from significant medication errors.GComplaint investigation13 Jun 2025
20 May 2025F0761Ensure 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.DComplaint investigation13 Jun 2025
20 May 2025F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard survey13 Jun 2025
20 May 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint investigation13 Jun 2025
20 May 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard survey13 Jun 2025
20 May 2025F0880Provide and implement an infection prevention and control program.EStandard survey13 Jun 2025

Survey cycle 2: 28 citations

Standard survey of this cycle: .

Health citations of Royal Oaks Nursing and Rehabilitation Center in survey cycle 2, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
13 Dec 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EComplaint investigation17 Jan 2025
13 Dec 2024F0558Reasonably accommodate the needs and preferences of each resident.EComplaint investigation17 Jan 2025
13 Dec 2024F0584Honor 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.EComplaint investigation17 Jan 2025
13 Dec 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation17 Jan 2025
13 Dec 2024F0658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint investigation17 Jan 2025
13 Dec 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint investigation17 Jan 2025
13 Dec 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint investigation17 Jan 2025
13 Dec 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation17 Jan 2025
13 Dec 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.JComplaint investigation17 Jan 2025
13 Dec 2024F0761Ensure 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.DComplaint investigation17 Jan 2025
13 Dec 2024F0880Provide and implement an infection prevention and control program.DComplaint investigation17 Jan 2025
13 Dec 2024F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.EComplaint investigation17 Jan 2025
15 Oct 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation7 Nov 2024
15 Oct 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation7 Nov 2024
15 Oct 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation7 Nov 2024
7 Sep 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint investigation25 Sep 2024
1 Jul 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey1 Aug 2024
1 Jul 2024F0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DStandard survey1 Aug 2024
1 Jul 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation1 Aug 2024
1 Jul 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey1 Aug 2024
1 Jul 2024F0610Respond appropriately to all alleged violations.DStandard survey1 Aug 2024
1 Jul 2024F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard survey1 Aug 2024
1 Jul 2024F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard survey1 Aug 2024
1 Jul 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey1 Aug 2024
1 Jul 2024F0658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint investigation1 Aug 2024
1 Jul 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey1 Aug 2024
1 Jul 2024F0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyDStandard survey1 Aug 2024
1 Jul 2024F0926Have policies on smoking.DStandard survey1 Aug 2024

Survey cycle 3: 16 citations

The CMS provider file has no standard survey date for this cycle.

Health citations of Royal Oaks Nursing and Rehabilitation Center in survey cycle 3, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
30 Jan 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation13 Feb 2024
30 Jan 2024F0880Provide and implement an infection prevention and control program.EComplaint investigation13 Feb 2024
30 Jan 2024F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EComplaint investigation13 Feb 2024
6 Dec 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation27 Dec 2023
6 Dec 2023F0658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint investigation27 Dec 2023
6 Dec 2023F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint investigation19 Dec 2023
6 Dec 2023F0695Provide safe and appropriate respiratory care for a resident when needed.GComplaint investigation19 Dec 2023
6 Dec 2023F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint investigation27 Dec 2023
7 Sep 2023F0658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint investigation29 Sep 2023
7 Sep 2023F0761Ensure 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.DComplaint investigation29 Sep 2023
4 Apr 2023F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard survey4 May 2023
4 Apr 2023F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.CStandard survey4 May 2023
4 Apr 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey4 May 2023
4 Apr 2023F0692Provide enough food/fluids to maintain a resident's health.DStandard survey4 May 2023
4 Apr 2023F0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.EStandard survey4 May 2023
4 Apr 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey4 May 2023

The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report

Penalties

A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.

Penalties of Royal Oaks Nursing and Rehabilitation Center in the CMS penalties file
DateTypeFineDays without payment
11 Feb 2026Fine$311,880
11 Feb 2026Payment denial120
22 Oct 2025Fine$16,907
12 Dec 2024Fine$71,136
6 Dec 2023Fine$34,902
6 Dec 2023Payment denial41

Staffing

Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.

Nurse staffing hours per resident per day at Royal Oaks Nursing and Rehabilitation Center
StaffThis homeIowa medianIowa average (CMS)
All nurse staff3.633.703.82
Registered nurses (RN)0.480.700.74
Licensed practical nurses (LPN)0.660.56
Nurse aides2.492.51
All nurse staff, weekends3.303.303.37
Nurse staff turnover in a year
66.7%
Nurse staff turnover, Iowa median
41.9%
RN turnover in a year
90.9%
Administrators who left in a year
1

Homes report the hours to CMS in the Payroll-Based Journal.

Quality measures

A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.

Quality measures of Royal Oaks Nursing and Rehabilitation Center, average of four quarters (2025Q2-2026Q1)
Measure (CMS text)ResidentsThis homeIowa medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay16.0%16.8%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.6%0.8%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.3%1.8%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay5.7%3.4%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay4.7%1.0%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay23.3%15.9%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay5.0%3.6%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay20.8%18.2%13.4%

For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure

Ownership

An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.

Ownership type
For-profit, corporation
Legal business name
Royal Oaks Nursing and Rehabilitation Center LLC
Chain
Cedar View Holdings (9 homes in the CMS chain file)
Organisations in the CMS ownership record of Royal Oaks Nursing and Rehabilitation Center
OrganisationRole in the CMS recordInterestSince
Amaranthine Holdings LLC5% or greater direct ownership interest100%1 Jan 2025
Cedar View Holdings LLC5% or greater indirect ownership interest1 Jan 2025
Iowa 5784 LLC5% or greater indirect ownership interest1 Jan 2025
4614 NW 84th Street Propco LLCAdp of the snf1 Jan 2025
Caresage Administrative Consulting, LLCAdp of the snf1 Jan 2025
Cedar View Holdings LLCAdp of the snf25 Mar 2025
Clinical Consulting Services LLCAdp of the snf1 Jan 2025
Iowa 5784 LLCAdp of the snf25 Mar 2025
JSJ Property LLCAdp of the snf1 Jan 2025
Summation Financial Services LLCAdp of the snf1 Jan 2025
The Bryn Mawr Trust Company of DelawareAdp of the snf1 Jan 2025

The site shows organisations only. It does not show the names of persons.

Other homes in Polk County

The 12 nearest other nursing homes in Polk County, Iowa
Nursing homeCityOverall ratingCitations, latest cycleFinesLast standard survey
Karen Acres Care CenterUrbandale5 of 53$011 Jun 2025
Childserve Habilitation CenterJohnston5 of 53$01 May 2025
Bishop Drumm Retirement CenterSpecial Focus candidateJohnston1 of 533$258,17721 Jul 2025
Brio of Johnston, LLCJohnston3 of 55$6,9239 Apr 2026
Calvin CommunityDes Moines4 of 58$018 Dec 2025
Pine Acres Rehabilitation and Care CenterSpecial Focus FacilityWest Des MoinesNot rated36$478,8358 Jan 2026
Deerfield Health Care CenterUrbandale5 of 51$07 May 2026
Iowa Jewish Senior Life CenterDes Moines2 of 55$02 Apr 2026
Ramsey VillageDes Moines2 of 512$028 Aug 2025
Kennybrook VillageGrimes3 of 53$022 Jan 2026
Wesley on GrandDes Moines5 of 51$012 Jun 2025
Scottish Rite Park IncDes Moines5 of 53$56,49326 Jun 2025

All 30 nursing homes in Polk County

Official channels

Cite this page

Centers for Medicare & Medicaid Services, Care Compare. Record of Royal Oaks Nursing and Rehabilitation Center (CCN 165580). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/royal-oaks-nursing-and-rehabilitation-center-urbandale-ia-165580/

Provenance

Licence
US government work, public domain
CMS processed the data on

A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.

Questions

When was Royal Oaks Nursing and Rehabilitation Center last inspected?
The latest inspection with a citation in the CMS record was on 11 Jun 2026. It was a complaint investigation. It gave 7 citations. The standard survey before the last one was on 1 Jul 2024.
Who operates Royal Oaks Nursing and Rehabilitation Center?
The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain Cedar View Holdings. The CMS ownership file names no organisation for operational or managerial control. This site does not show the names of persons.
What does the Special Focus status mean for Royal Oaks Nursing and Rehabilitation Center?
CMS lists the home as a Special Focus Facility candidate. The state selects its next Special Focus Facility from the candidates. CMS lists 2 homes in Iowa as Special Focus Facilities and 10 as candidates.
Where does the data on this page come from?
The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.