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
- Chain
- Cedar View Holdings
- Residents per day
- 87
- CMS flags
- Special Focus Facility candidate
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.
| Rating (1 to 5 stars) | This home | Polk County median | Iowa median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 2 | 4.0 | 4.0 | 2.9 |
| Quality measure rating | 3 | 3.0 | 3.0 | 3.6 |
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.
| Survey cycle | Standard survey | Citations | Iowa median |
|---|---|---|---|
| Cycle 1 (latest) | 20 May 2025 | 34 | 5 |
| Cycle 2 | 1 Jul 2024 | 28 | 5 |
| Cycle 3 | No date | 16 | 5 |
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.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | L0 | ||
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 |
Survey cycle 1 (latest): 34 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 11 Jun 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 8 Jul 2026 |
| 11 Jun 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 8 Jul 2026 |
| 11 Jun 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 8 Jul 2026 |
| 11 Jun 2026 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 8 Jul 2026 |
| 11 Jun 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 8 Jul 2026 |
| 11 Jun 2026 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Complaint investigation | 8 Jul 2026 |
| 11 Jun 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 8 Jul 2026 |
| 9 Apr 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 8 Jul 2026 |
| 9 Apr 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 8 Jul 2026 |
| 9 Apr 2026 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 8 Jul 2026 |
| 9 Apr 2026 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 8 Jul 2026 |
| 9 Apr 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 8 Jul 2026 |
| 11 Feb 2026 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Complaint investigation | 23 Feb 2026 |
| 11 Feb 2026 | F0584 | 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. | E | Complaint investigation | 23 Feb 2026 |
| 11 Feb 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 23 Feb 2026 |
| 11 Feb 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 8 Jul 2026 |
| 11 Feb 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 23 Feb 2026 |
| 11 Feb 2026 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | G | Complaint investigation | 8 Jul 2026 |
| 11 Feb 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 8 Jul 2026 |
| 22 Oct 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 7 Nov 2025 |
| 22 Oct 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | K | Complaint investigation | 9 Oct 2025 |
| 22 Oct 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 7 Nov 2025 |
| 20 May 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 13 Jun 2025 |
| 20 May 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 13 Jun 2025 |
| 20 May 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 13 Jun 2025 |
| 20 May 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 13 Jun 2025 |
| 20 May 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 13 Jun 2025 |
| 20 May 2025 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Complaint investigation | 13 Jun 2025 |
| 20 May 2025 | F0760 | Ensure that residents are free from significant medication errors. | G | Complaint investigation | 13 Jun 2025 |
| 20 May 2025 | 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 | Complaint investigation | 13 Jun 2025 |
| 20 May 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 13 Jun 2025 |
| 20 May 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 13 Jun 2025 |
| 20 May 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 13 Jun 2025 |
| 20 May 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 13 Jun 2025 |
Survey cycle 2: 28 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 13 Dec 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint investigation | 17 Jan 2025 |
| 13 Dec 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | Complaint investigation | 17 Jan 2025 |
| 13 Dec 2024 | F0584 | 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. | E | Complaint investigation | 17 Jan 2025 |
| 13 Dec 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 | Complaint investigation | 17 Jan 2025 |
| 13 Dec 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 17 Jan 2025 |
| 13 Dec 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 17 Jan 2025 |
| 13 Dec 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint investigation | 17 Jan 2025 |
| 13 Dec 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 17 Jan 2025 |
| 13 Dec 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | J | Complaint investigation | 17 Jan 2025 |
| 13 Dec 2024 | 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 | Complaint investigation | 17 Jan 2025 |
| 13 Dec 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 17 Jan 2025 |
| 13 Dec 2024 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Complaint investigation | 17 Jan 2025 |
| 15 Oct 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 7 Nov 2024 |
| 15 Oct 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 7 Nov 2024 |
| 15 Oct 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 7 Nov 2024 |
| 7 Sep 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 25 Sep 2024 |
| 1 Jul 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 1 Aug 2024 |
| 1 Jul 2024 | F0578 | Honor 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. | D | Standard survey | 1 Aug 2024 |
| 1 Jul 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 1 Aug 2024 |
| 1 Jul 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 1 Aug 2024 |
| 1 Jul 2024 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 1 Aug 2024 |
| 1 Jul 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 1 Aug 2024 |
| 1 Jul 2024 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 1 Aug 2024 |
| 1 Jul 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 | 1 Aug 2024 |
| 1 Jul 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 1 Aug 2024 |
| 1 Jul 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 1 Aug 2024 |
| 1 Jul 2024 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | D | Standard survey | 1 Aug 2024 |
| 1 Jul 2024 | F0926 | Have policies on smoking. | D | Standard survey | 1 Aug 2024 |
Survey cycle 3: 16 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 30 Jan 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 13 Feb 2024 |
| 30 Jan 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 13 Feb 2024 |
| 30 Jan 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Complaint investigation | 13 Feb 2024 |
| 6 Dec 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 27 Dec 2023 |
| 6 Dec 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 27 Dec 2023 |
| 6 Dec 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 19 Dec 2023 |
| 6 Dec 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | G | Complaint investigation | 19 Dec 2023 |
| 6 Dec 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 27 Dec 2023 |
| 7 Sep 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 29 Sep 2023 |
| 7 Sep 2023 | 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 | Complaint investigation | 29 Sep 2023 |
| 4 Apr 2023 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 4 May 2023 |
| 4 Apr 2023 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | C | Standard survey | 4 May 2023 |
| 4 Apr 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 4 May 2023 |
| 4 Apr 2023 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 4 May 2023 |
| 4 Apr 2023 | F0803 | Ensure 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. | E | Standard survey | 4 May 2023 |
| 4 Apr 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 4 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.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 11 Feb 2026 | Fine | $311,880 | |
| 11 Feb 2026 | Payment denial | 120 | |
| 22 Oct 2025 | Fine | $16,907 | |
| 12 Dec 2024 | Fine | $71,136 | |
| 6 Dec 2023 | Fine | $34,902 | |
| 6 Dec 2023 | Payment denial | 41 |
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.
| Staff | This home | Iowa median | Iowa average (CMS) |
|---|---|---|---|
| All nurse staff | 3.63 | 3.70 | 3.82 |
| Registered nurses (RN) | 0.48 | 0.70 | 0.74 |
| Licensed practical nurses (LPN) | 0.66 | 0.56 | |
| Nurse aides | 2.49 | 2.51 | |
| All nurse staff, weekends | 3.30 | 3.30 | 3.37 |
- 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.
| Measure (CMS text) | Residents | This home | Iowa median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 16.0% | 16.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.6% | 0.8% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.3% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.7% | 3.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 4.7% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 23.3% | 15.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.0% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 20.8% | 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)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Amaranthine Holdings LLC | 5% or greater direct ownership interest | 100% | 1 Jan 2025 |
| Cedar View Holdings LLC | 5% or greater indirect ownership interest | 1 Jan 2025 | |
| Iowa 5784 LLC | 5% or greater indirect ownership interest | 1 Jan 2025 | |
| 4614 NW 84th Street Propco LLC | Adp of the snf | 1 Jan 2025 | |
| Caresage Administrative Consulting, LLC | Adp of the snf | 1 Jan 2025 | |
| Cedar View Holdings LLC | Adp of the snf | 25 Mar 2025 | |
| Clinical Consulting Services LLC | Adp of the snf | 1 Jan 2025 | |
| Iowa 5784 LLC | Adp of the snf | 25 Mar 2025 | |
| JSJ Property LLC | Adp of the snf | 1 Jan 2025 | |
| Summation Financial Services LLC | Adp of the snf | 1 Jan 2025 | |
| The Bryn Mawr Trust Company of Delaware | Adp of the snf | 1 Jan 2025 |
The site shows organisations only. It does not show the names of persons.
Other homes in Polk County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Karen Acres Care Center | Urbandale | 5 of 5 | 3 | $0 | 11 Jun 2025 | |
| Childserve Habilitation Center | Johnston | 5 of 5 | 3 | $0 | 1 May 2025 | |
| Bishop Drumm Retirement CenterSpecial Focus candidate | Johnston | 1 of 5 | 33 | $258,177 | 21 Jul 2025 | |
| Brio of Johnston, LLC | Johnston | 3 of 5 | 5 | $6,923 | 9 Apr 2026 | |
| Calvin Community | Des Moines | 4 of 5 | 8 | $0 | 18 Dec 2025 | |
| Pine Acres Rehabilitation and Care CenterSpecial Focus Facility | West Des Moines | Not rated | 36 | $478,835 | 8 Jan 2026 | |
| Deerfield Health Care Center | Urbandale | 5 of 5 | 1 | $0 | 7 May 2026 | |
| Iowa Jewish Senior Life Center | Des Moines | 2 of 5 | 5 | $0 | 2 Apr 2026 | |
| Ramsey Village | Des Moines | 2 of 5 | 12 | $0 | 28 Aug 2025 | |
| Kennybrook Village | Grimes | 3 of 5 | 3 | $0 | 22 Jan 2026 | |
| Wesley on Grand | Des Moines | 5 of 5 | 1 | $0 | 12 Jun 2025 | |
| Scottish Rite Park Inc | Des Moines | 5 of 5 | 3 | $56,493 | 26 Jun 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
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.