Royal Oaks Nursing and Rehabilitation Center
4614 NW 84th Street, Urbandale, IA 50322
Royal Oaks Nursing and Rehabilitation Center, a 115-bed for profit - corporation nursing facility in Urbandale, IA, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #365 of 385 rated homes in IA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 6 inspection findings reached the actual-harm or immediate-jeopardy level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 5152706838
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- 1 / 5
- Much below average · CMS overall · nat'l 3.0
- #365 of 385
- In-state rank among rated IA homes
- 3.63
- Below average · nurse hrs/day · nat'l 3.86
- 50
- Inspection findings · 6 serious
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For elder abuse or neglect concerns, contact your state's Adult Protective Services (search "APS" + your state) or call the Eldercare Locator at 1-800-677-1116. For facility advocacy, reach your Long-Term Care Ombudsman. CMS ratings and inspection data below are a research screen, not an emergency channel.
The verdict
Royal Oaks Nursing and Rehabilitation Center, a 115-bed for profit - corporation nursing facility in Urbandale, IA, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #365 of 385 rated homes in IA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 6 inspection findings reached the actual-harm or immediate-jeopardy level.
- 1 / 5
- CMS overall · national 3.0
- #365 of 385
- In-state rank among rated IA homes
- 3.63
- Nurse hrs/resident-day · national 3.86
- 50
- Inspection findings · 6 serious
CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.
In-state ownership mix · peer inventory
How 387 IA nursing homes split by ownership sector
This facility is recorded as For profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 165580
- Ownership
- For profit - Corporation
- Provider Type
- Medicare and Medicaid
- Beds
- 115
- Residents
- 87
- In Hospital
- No
- County
- Polk
- Last Inspection
- May 20, 2025
- Special Focus
- SFF Candidate
Staffing Data
How the 3.63 total nursing hours per resident-day are staffed:
- RN Hours
- 0.48 (nat'l avg: 0.69)
- LPN Hours
- 0.66
- CNA Hours
- 2.49
- Total Nursing Hours
- 3.63 (nat'l avg: 3.86)
- PT Hours
- 0.12
- Nursing Turnover
- 66.7%
- RN Turnover
- 90.9%
What the CMS Record Reveals About Royal Oaks Nursing and Rehabilitation Center
According to CMS Nursing Home Compare, Royal Oaks Nursing and Rehabilitation Center ranks #365 of 385 rated nursing homes in IA on overall stars (tie-broken by health+staffing+quality, then fewer fines). Royal Oaks Nursing and Rehabilitation Center operates 115 certified beds in Urbandale, IA with approximately 87 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars (health inspection 1★ · staffing 2★ · quality 3★).
The inspection file contains 50 deficiency records from recent surveys, of which 6 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. CMS enforcement records show 4 penalties totaling $435K levied against this facility. Reported nurse staffing runs 3.63 total hours per resident day (national average 3.86); RN hours specifically are 0.48 per resident day. This facility is flagged as an SFF Candidate, a larger pool of providers eligible for the Special Focus Facility program but not currently selected (states have a limited number of active SFF slots); it remains under normal, not enhanced, oversight.
Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Royal Oaks Nursing and Rehabilitation Center falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 66.7% (CMS payroll-based measure).
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.
Deficiency History (50 most recent)
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Jul 8, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Category: Pharmacy Service Deficiencies
Corrected: Jul 8, 2026
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Category: Quality of Life and Care Deficiencies
Corrected: Jul 8, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Jul 8, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Category: Resident Rights Deficiencies
Corrected: Jul 8, 2026
Have a plan that describes the process for conducting QAPI and QAA activities.
Category: Administration Deficiencies
Corrected: Jul 8, 2026
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Category: Quality of Life and Care Deficiencies
Corrected: Jul 8, 2026
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Jul 8, 2026
Ensure that residents are free from significant medication errors.
Category: Pharmacy Service Deficiencies
Corrected: Jul 8, 2026
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Category: Quality of Life and Care Deficiencies
Corrected: Jul 8, 2026
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Category: Quality of Life and Care Deficiencies
Corrected: Jul 8, 2026
Provide care and assistance to perform activities of daily living for any resident who is unable.
Category: Quality of Life and Care Deficiencies
Corrected: Jul 8, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Feb 23, 2026
Provide care and assistance to perform activities of daily living for any resident who is unable.
Category: Quality of Life and Care Deficiencies
Corrected: Jul 8, 2026
Ensure services provided by the nursing facility meet professional standards of quality.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Feb 23, 2026
Allow residents to self-administer drugs if determined clinically appropriate.
Category: Resident Rights Deficiencies
Corrected: Feb 23, 2026
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Jul 8, 2026
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.
Category: Resident Rights Deficiencies
Corrected: Feb 23, 2026
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Category: Quality of Life and Care Deficiencies
Corrected: Jul 8, 2026
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Nov 7, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Nov 7, 2025
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Category: Nursing and Physician Services Deficiencies
Corrected: Oct 9, 2025
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.
Category: Pharmacy Service Deficiencies
Corrected: Jun 13, 2025
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Category: Quality of Life and Care Deficiencies
Corrected: Jun 13, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Category: Quality of Life and Care Deficiencies
Corrected: Jun 13, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jun 13, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jun 13, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Category: Resident Rights Deficiencies
Corrected: Jun 13, 2025
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Jun 13, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jun 13, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Category: Nutrition and Dietary Deficiencies
Corrected: Jun 13, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Jun 13, 2025
Ensure that residents are free from significant medication errors.
Category: Pharmacy Service Deficiencies
Corrected: Jun 13, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Jun 13, 2025
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Jan 17, 2025
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.
Category: Pharmacy Service Deficiencies
Corrected: Jan 17, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Jan 17, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jan 17, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jan 17, 2025
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Category: Environmental Deficiencies
Corrected: Jan 17, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Jan 17, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Category: Quality of Life and Care Deficiencies
Corrected: Jan 17, 2025
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.
Category: Resident Rights Deficiencies
Corrected: Jan 17, 2025
Reasonably accommodate the needs and preferences of each resident.
Category: Resident Rights Deficiencies
Corrected: Jan 17, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Category: Resident Rights Deficiencies
Corrected: Jan 17, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Category: Pharmacy Service Deficiencies
Corrected: Jan 17, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Nov 7, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Category: Quality of Life and Care Deficiencies
Corrected: Nov 7, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Nov 7, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Category: Quality of Life and Care Deficiencies
Corrected: Sep 25, 2024
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 16.0% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.6% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.3% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.7% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 23.3% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.0% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 20.8% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 4.7% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 6.9% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 0.0% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 94.3% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 17.0% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 86.7% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 26.5% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 54.1% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 60.3% | No |
Penalty History 4 penalties totaling $435K
| Date | Type | Amount |
|---|---|---|
| Feb 11, 2026 | Fine | $312K |
| Feb 11, 2026 | Payment Denial | - |
| Oct 22, 2025 | Fine | $17K |
| Dec 12, 2024 | Fine | $71K |
| Dec 6, 2023 | Fine | $35K |
| Dec 6, 2023 | Payment Denial | - |
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for Royal Oaks Nursing and Rehabilitation Center, both outside IA so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside IA (115 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside IA (3.81 here).
Nearby Nursing Homes in IA
386 other nursing homes are on record in IA; 6 are shown here.
Accura Healthcare of Ames, LLC
Ames, IA
Accura Healthcare of Aurelia, LLC
Aurelia, IA
Accura Healthcare of Bancroft
Bancroft, IA
Accura Healthcare of Carlisle
Carlisle, IA
Accura Healthcare of Carroll
Carroll, IA
Accura Healthcare of Cascade LLC
Cascade, IA
Understanding Nursing Home Data
What the CMS records show for Royal Oaks Nursing and Rehabilitation Center
The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.
- The IA registry aggregates state averages and the highest-rated homes in this cohort. View IA registry
- Peer homes near 115 beds show how CMS stars vary at a similar scale in IA. Compare a similar-size peer
- CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work
CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.
Frequently Asked Questions
What is the overall CMS rating for Royal Oaks Nursing and Rehabilitation Center?
Where does Royal Oaks Nursing and Rehabilitation Center rank among nursing homes in IA?
What are the staffing levels at Royal Oaks Nursing and Rehabilitation Center?
How many beds does Royal Oaks Nursing and Rehabilitation Center have?
Does Royal Oaks Nursing and Rehabilitation Center have any deficiencies on record?
Has Royal Oaks Nursing and Rehabilitation Center received any fines or penalties?
Who owns Royal Oaks Nursing and Rehabilitation Center?
When was Royal Oaks Nursing and Rehabilitation Center last inspected?
What quality measures are tracked for Royal Oaks Nursing and Rehabilitation Center?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
