Royal Oaks Nursing and Rehabilitation Center
4614 NW 84th Street
Urbandale IA 50322
Phone: 5152706838
Special Focus watch list For profit - Corporation
Official CMS provider data, processing date 2026-09-01. Not an endorsement.
- Overall rating vs. the Iowa average: 2.1 star lower (3.1), below average
- Overall rating vs. the national average: 2.0 star lower (3.0), below average
- Overall rating vs. the Urbandale average: 2.7 star lower (3.7), below average
CMS lists this facility as a candidate for its Special Focus Facility program, which targets homes with a persistent record of poor quality.
Facility details
Size, ownership, and inspection history as reported to CMS.
| Certified beds | 115 |
| Average residents per day | 87.2 |
| Occupancy | 76% |
| Ownership | For profit - Corporation |
| Chain | CEDAR VIEW HOLDINGS (9 facilities) |
| County | Polk |
| Provider type | Medicare and Medicaid |
| First certified for Medicare & Medicaid | 2007-07-09 |
| CMS certification number (CCN) | 165580 |
| Health deficiencies in the latest inspection cycle | 34 |
Staffing and turnover
Staffing hours and turnover are among the most predictive measures CMS publishes.
| Adjusted total nurse staffing hours per resident per day | 3.81 |
| Reported total nurse staffing hours per resident per day | 3.63 |
| Registered nurse turnover | 90.9% |
| Total nursing staff turnover | 66.7% |
| Resident and family council | No |
Fines and penalties
Civil money penalties and payment denials on record, as published by CMS.
| Fines (count) | 4 |
| Fines (total value) | $434,146 |
| Payment denials | 2 |
| Total penalties | 6 |
Other nursing homes in Urbandale
Compare this facility with others in the same city, highest rated first.
Questions to ask Royal Oaks Nursing and Rehabilitation Center
- What are the staffing levels on the specific unit my relative would be admitted to, and how do they compare with the figures above?
- How many residents were transferred to hospital in the last year, and for what reasons?
- What was cited at the most recent inspection, and what has changed since?
- Does this facility accept Medicaid on admission, and what happens when private funds are exhausted?
- What is the all-in monthly cost, including therapy, pharmacy, and any ventilator or dialysis surcharges?
Estimate nursing home costs in Iowa Compare all Iowa facilities
Is Royal Oaks Nursing and Rehabilitation Center highly rated?
CMS rates it 1 out of 5 overall, which CMS labels "Much below average". Health inspections rate 1, staffing 2, and quality measures 3.
How many beds does Royal Oaks Nursing and Rehabilitation Center have?
CMS certifies 115 beds; the facility reports an average of 87.2 residents per day (about 76% occupancy).
Does Royal Oaks Nursing and Rehabilitation Center have any fines or citations?
Yes. CMS records $434,146 in fines and 2 payment denials for this facility.
Has Royal Oaks Nursing and Rehabilitation Center been cited for abuse?
CMS lists this facility as a candidate for its Special Focus Facility program, which targets homes with a persistent record of poor quality.