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Medicare-certifiedSkilled Nursing

Royal Oaks Nursing and Rehabilitation Center

(515) 270-6838

About Royal Oaks Nursing and Rehabilitation Center

Royal Oaks Nursing and Rehabilitation Center brings skilled nursing and rehabilitation services to Urbandale, Iowa families when recovery and specialized care matter most. Our team focuses on helping patients regain strength and independence through personalized treatment plans.

Community at a glance

Capacity

115 residents

Location

Urbandale, IA

Status

Listed in a public registry

Care & services offered

Skilled Nursing

Contact & location

4614 NW 84th Street, Urbandale, Iowa 50322

(515) 270-6838

Medicare inspection record

From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov

  • Royal Oaks Nursing and Rehabilitation Center is a candidate for Medicare's Special Focus Facility list, kept for homes with a history of serious quality problems.

At its most recent standard inspection, on May 20, 2025, state inspectors cited 34 health deficiencies (the Iowa average is 6.5).

Nurses and nurse aides spend 3 hours 38 minutes with each resident a day, below the Iowa average of 3 hours 49 minutes.

Medicare fined Royal Oaks Nursing and Rehabilitation Center 4 times in the last three years, $434,146 in total.

Staffing

MeasureThis home
Nurse and aide time per resident, per day3 hours 38 minutesBelow the Iowa average
Registered nurse time per resident, per day29 minutesBelow the Iowa average
Nursing staff who left in the past year67%Above the Iowa average

1 administrator has left the home in the past year.

Inspections

70 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.

June 11, 2026 · Complaint investigation · 7 citations

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

    Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Jul 8, 2026
  • Have a plan that describes the process for conducting QAPI and QAA activities.

    Risk of harm, no one hurt, widespread (level F)AdministrationFrom a complaintCorrected 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.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jul 8, 2026
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Jul 8, 2026
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jul 8, 2026
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jul 8, 2026
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Jul 8, 2026

April 9, 2026 · Complaint investigation · 5 citations

  • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jul 8, 2026
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Jul 8, 2026
  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jul 8, 2026
  • Ensure that residents are free from significant medication errors.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Jul 8, 2026
  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jul 8, 2026
February 11, 2026 · Complaint investigation · 7 citations+
  • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Jul 8, 2026
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a pattern (level E)Infection ControlFrom a complaintCorrected 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.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Feb 23, 2026
  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jul 8, 2026
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Feb 23, 2026
  • Allow residents to self-administer drugs if determined clinically appropriate.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Feb 23, 2026
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Feb 23, 2026
October 22, 2025 · Complaint investigation · 3 citations+
  • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Immediate danger to residents, a pattern (level K)Nursing and Physician ServicesFrom a complaintAlready fixed by Oct 9, 2025
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Nov 7, 2025
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Nov 7, 2025
May 20, 2025 · Standard inspection · 12 citations+
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Jun 13, 2025
  • Ensure that residents are free from significant medication errors.

    Residents were harmed, a few residents (level G)Pharmacy ServiceFrom a complaintCorrected Jun 13, 2025
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryFrom a complaintCorrected Jun 13, 2025
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Jun 13, 2025
  • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Jun 13, 2025
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Jun 13, 2025
  • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jun 13, 2025
  • Provide safe and appropriate respiratory care for a resident when needed.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 13, 2025
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jun 13, 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.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Jun 13, 2025
  • Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jun 13, 2025
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jun 13, 2025
December 13, 2024 · Complaint investigation · 12 citations+
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Immediate danger to residents, a few residents (level J)Pharmacy ServiceFrom a complaintCorrected Jan 17, 2025
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Jan 17, 2025
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Jan 17, 2025
  • Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Risk of harm, no one hurt, a pattern (level E)EnvironmentalFrom a complaintCorrected 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.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Jan 17, 2025
  • Reasonably accommodate the needs and preferences of each resident.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Jan 17, 2025
  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Jan 17, 2025
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Jan 17, 2025
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected 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.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected 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.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Jan 17, 2025
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jan 17, 2025
October 15, 2024 · Complaint investigation · 3 citations+
  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Nov 7, 2024
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Nov 7, 2024
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Nov 7, 2024
September 7, 2024 · Complaint investigation · 1 citation+
  • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Sep 25, 2024
July 1, 2024 · Standard inspection · 10 citations+
  • Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Aug 1, 2024
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected Aug 1, 2024
  • Have policies on smoking.

    Risk of harm, no one hurt, a few residents (level D)EnvironmentalCorrected Aug 1, 2024
  • Respond appropriately to all alleged violations.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected Aug 1, 2024
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Aug 1, 2024
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Aug 1, 2024
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Aug 1, 2024
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Aug 1, 2024
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Aug 1, 2024
  • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Aug 1, 2024

Showing the 60 most recent. The full list is on Medicare.gov.

Fines and payment denials

4 fines totaling $434,146 and 2 Medicare payment denials in the last three years.

  • February 11, 2026Fine: $311,880
  • February 11, 2026Payment denial, 120 days
  • October 22, 2025Fine: $16,907
  • December 12, 2024Fine: $71,136
  • December 6, 2023Fine: $34,223
  • December 6, 2023Payment denial, 41 days

About the home, per Medicare

Ownership
For profit - Corporation
Legal business name
Royal Oaks Nursing and Rehabilitation Center LLC
Medicare-certified beds
115
Average residents per day
87
Accepts
Medicare and Medicaid
First certified
July 9, 2007
Part of a chain
Cedar View Holdings, 9 homes
Inside a hospital
No
Continuing care retirement community
No
Resident or family council
Resident
Sprinklers in all required areas
Yes
CMS Certification Number
165580

Location

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4614 NW 84th StreetUrbandale, IA 50322

12 other communities within 10 miles

Senior living near Urbandale

Questions about Royal Oaks Nursing and Rehabilitation Center

How did Royal Oaks Nursing and Rehabilitation Center do on its last inspection?+

State inspectors visited on May 20, 2025 and cited 34 health deficiencies, 28 of them from complaint investigations. The Iowa average is 6.5.

How much nursing care does each resident get at Royal Oaks Nursing and Rehabilitation Center?+

Nurses and aides spend 3 hours 38 minutes with each resident per day, including 29 minutes from registered nurses. 67% of nursing staff left over the past year.

Has Royal Oaks Nursing and Rehabilitation Center been fined by Medicare?+

Yes. Medicare fined Royal Oaks Nursing and Rehabilitation Center 4 times in the last three years, totaling $434,146.

Does Medicare cover skilled nursing?+

Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.

How much does a nursing home cost?+

A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.

What is the CMS star rating?+

Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.

Senior living in Urbandale Skilled Nursing in Iowa Skilled Nursing guide Information last updated October 2026