Nursing Homes · Urbandale, IA
Deerfield Health Care Center
Cost data not yet available
SOURCE DATA AUG 2026
Nursing Homes · Medicare certified
Royal Oaks Nursing and Rehabilitation Center
4614 NW 84th Street · Urbandale, IA 50322 · 115 certified beds
License number not yet on file. We only publish license numbers we can source from an official registry.
NPI 1508690439. Look this up in the CMS NPPES registry (opens in a new tab)
Are you the operator? Claim this profile. Corrections are free, always.
About Royal Oaks Nursing and Rehabilitation Center
Royal Oaks Nursing and Rehabilitation Center is a nursing home in Urbandale, Iowa, in Polk County. Its reported capacity is 115 beds. It is recorded as a for-profit operator, part of Cedar View Holdings. Federal records list it as Medicare certified. Our copy of the inspection record holds 71 citations, the newest dated 9 April 2026. Federal enforcement records add 6 fine or payment denial actions. Staffing reports put it at 3.63 nurse hours per resident per day. Every fact above comes from the public records listed in the sources section on this page. The newest source file we hold for this listing is dated August 2026.
Public record
CMS Care Compare · Source data August 2026
CMS designation
Special Focus Facility candidate (CMS)
CMS lists this nursing home on the monthly Special Focus Facility candidate list. Candidate status means the facility qualifies for possible selection into the Special Focus Facility program based on CMS criteria. It is a public CMS designation, not an ElderCareCosts rating. CMS Special Focus Facility program.
Source: CMS Provider Information.GOVCertification
- Medicare-certified (CMS Certification Number on file)
Ratings
1.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-08-01.GOV
Staffing rating
2.0Quality-measure rating
3.0Inspections on record
2
Cited deficiencies
72
1.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-07-01.GOV
Staffing rating
2.0Quality-measure rating
3.0Inspections on record
2
Cited deficiencies
65
Not yet ratedSource: CMS Care Compare · Updated 2026Q1.GOV
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Not yet ratedSource: CMS Care Compare · Updated 2025Q4.GOV
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
1.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-06-01.GOV
Staffing rating
1.0Quality-measure rating
4.0Inspections on record
2
Cited deficiencies
65
Inspection history (71)
Records from April 2023 to April 2026.
April 9, 2026 · D
Citation F0677Federal surveyors cited this nursing home on 2026-04-09 under CMS tag F0677 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide care and assistance to perform activities of daily living for any resident who is unable. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-04-09.GOVApril 9, 2026 · D
Citation F0686Federal surveyors cited this nursing home on 2026-04-09 under CMS tag F0686 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate pressure ulcer care and prevent new ulcers from developing. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-04-09.GOVApril 9, 2026 · D
Citation F0760Federal surveyors cited this nursing home on 2026-04-09 under CMS tag F0760 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that residents are free from significant medication errors. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-04-09.GOVApril 9, 2026 · D
Citation F0880Federal surveyors cited this nursing home on 2026-04-09 under CMS tag F0880 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-04-09.GOVApril 9, 2026 · D
Citation F0690Federal surveyors cited this nursing home on 2026-04-09 under CMS tag F0690 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-04-09.GOVFebruary 11, 2026 · D
Citation F0684Federal surveyors cited this nursing home on 2026-02-11 under CMS tag F0684 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2026-02-23. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-11.GOVFebruary 11, 2026 · D
Citation F0554Federal surveyors cited this nursing home on 2026-02-11 under CMS tag F0554 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Allow residents to self-administer drugs if determined clinically appropriate. The deficiency was recorded as corrected on 2026-02-23. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-11.GOVFebruary 11, 2026 · G
Citation F0690Federal surveyors cited this nursing home on 2026-02-11 under CMS tag F0690 (CMS scope/severity G: isolated, actual harm) for Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-11.GOVFebruary 11, 2026 · D
Citation F0677Federal surveyors cited this nursing home on 2026-02-11 under CMS tag F0677 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide care and assistance to perform activities of daily living for any resident who is unable. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-11.GOVFebruary 11, 2026 · E
Citation F0880Federal surveyors cited this nursing home on 2026-02-11 under CMS tag F0880 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-11.GOVFebruary 11, 2026 · D
Citation F0658Federal surveyors cited this nursing home on 2026-02-11 under CMS tag F0658 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure services provided by the nursing facility meet professional standards of quality. The deficiency was recorded as corrected on 2026-02-23. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-11.GOVFebruary 11, 2026 · E
Citation F0584Federal surveyors cited this nursing home on 2026-02-11 under CMS tag F0584 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2026-02-23. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-11.GOVOctober 22, 2025 · D
Citation F0684Federal surveyors cited this nursing home on 2025-10-22 under CMS tag F0684 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2025-11-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-10-22.GOVOctober 22, 2025 · D
Citation F0842Federal surveyors cited this nursing home on 2025-10-22 under CMS tag F0842 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. The deficiency was recorded as corrected on 2025-11-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-10-22.GOVOctober 22, 2025 · K
Citation F0725Federal surveyors cited this nursing home on 2025-10-22 under CMS tag F0725 (CMS scope/severity K: pattern, immediate jeopardy) for Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. The deficiency was recorded as corrected on 2025-10-09. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-10-22.GOVMay 20, 2025 · E
Citation F0804Federal surveyors cited this nursing home on 2025-05-20 under CMS tag F0804 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. The deficiency was recorded as corrected on 2025-06-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-05-20.GOVMay 20, 2025 · D
Citation F0658Federal surveyors cited this nursing home on 2025-05-20 under CMS tag F0658 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure services provided by the nursing facility meet professional standards of quality. The deficiency was recorded as corrected on 2025-06-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-05-20.GOVMay 20, 2025 · E
Citation F0842Federal surveyors cited this nursing home on 2025-05-20 under CMS tag F0842 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. The deficiency was recorded as corrected on 2025-06-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-05-20.GOVMay 20, 2025 · D
Citation F0695Federal surveyors cited this nursing home on 2025-05-20 under CMS tag F0695 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide safe and appropriate respiratory care for a resident when needed. The deficiency was recorded as corrected on 2025-06-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-05-20.GOVMay 20, 2025 · E
Citation F0880Federal surveyors cited this nursing home on 2025-05-20 under CMS tag F0880 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2025-06-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-05-20.GOV
Penalties (6)
Total fines on file: $434,825
February 11, 2026 · Payment Denial
Citation PAYDEN-2026-03-10CMS recorded a Medicare/Medicaid payment denial for new admissions starting 2026-03-10, lasting 120 days (triggered by inspection on 2026-02-11). Source: CMS Care Compare Penalties (as of 2026-08-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-11.GOVFebruary 11, 2026 · Fine
Citation FINE-137790CMS recorded a civil money penalty of $311,880 against this nursing home on 2026-02-11 (Fine ID: 137790). Source: CMS Care Compare Penalties (as of 2026-08-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-11.GOVOctober 22, 2025 · Fine
Citation FINE-135367CMS recorded a civil money penalty of $16,907 against this nursing home on 2025-10-22 (Fine ID: 135367). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-10-22.GOVDecember 12, 2024 · Fine
Citation FINE-79533CMS recorded a civil money penalty of $71,136 against this nursing home on 2024-12-12 (Fine ID: 79533). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-12-12.GOVDecember 6, 2023 · Fine
Citation FINE-79353CMS recorded a civil money penalty of $34,902 against this nursing home on 2023-12-06 (Fine ID: 79353). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-06.GOVDecember 6, 2023 · Payment Denial
Citation PAYDEN-2024-01-03CMS recorded a Medicare/Medicaid payment denial for new admissions starting 2024-01-03, lasting 41 days (triggered by inspection on 2023-12-06). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-06.GOV
Staffing
Latest: 3.63 nurse staffing hours per resident per day (2026Q1)
Staffing trend (5 periods)
- 2025Q43.34 hrs/resident/day
- 2026-06-013.34 hrs/resident/day
- 2026-07-013.63 hrs/resident/day
- 2026-08-013.63 hrs/resident/day
- 2026Q13.63 hrs/resident/day
Most recent period is higher than 2025Q4 (+0.29 hrs/resident/day). Figures are CMS-reported nurse staffing hours, not our estimate.
Ownership
For profit
CMS Care Compare chain: Cedar View Holdings
Chain ID 888 · 9 facilities in chain (CMS)
- Chain average overall rating: 1.2
- Chain average health inspection rating: 1.2
- Chain average staffing rating: 2
- Chain average quality measure rating: 2.8
Chain averages are CMS-published figures for facilities sharing this Chain ID (formerly Affiliated Entity). They are not ElderCareCosts scores.
Parent organization: Cedar View TR
parent · PAC 4284027848
Recent changes to this listing
Watch this facility: new record changes publish to an RSS feed any feed reader can follow. No signup.
Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.
Sep 1, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Sep 1, 2026Ownership changed
The source now records ownership as "For profit - Corporation".
Reported by CMS nursing homes (provider info)
Aug 6, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Jul 23, 2026First appeared in our data
This listing first appeared in the government file we read. That is usually when it entered the file, not the day it opened.
Reported by CMS nursing homes (provider info)
Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.
Typical cost
Genworth CareScout Cost of Care Survey · 2025
This provider doesn't publish a specific price to us. Below is the typical IA range for the care type(s) it offers. Use it as context, not a quote.
Nursing Homes
Median · IA$9,277/moSee full IA cost breakdownSource: Genworth CareScout Cost of Care Survey · Updated 2025
What Medicaid pays nursing homes
Iowa publishes what its Medicaid program pays a nursing facility per resident per day. It is not a private-pay price and it is not what a family is billed. It is useful because it shows what the state considers the cost of a day of nursing-home care.
Median facility daily rate
$307.06per day
That works out to about $9,335 a month at 30.4 days. The monthly figure is our arithmetic, not a number the state published.
Median we calculated from the state's own facility rate file. Period: January 1, 2026. Calculated across 381 facilities in the state's rate file.
Source: IA Medicaid NF rate publication (opens in a new tab) · Updated 2026-01-01.GOV
Nearby alternatives
Other licensed providers in Urbandale, with their own public records.
Nursing Homes · Urbandale, IA
Karen Acres Care Center
Cost data not yet available
A comparison puts both public records in one view and marks any measure the two are not held to alike, so a blank never reads as a bad score.
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
Check availability and pricing at Royal Oaks Nursing and Rehabilitation Center
Request info and we'll pass it directly to Royal Oaks Nursing and Rehabilitation Center, or call them at 5152706838 if you'd rather talk now.
Trust & methodology
Where this information came from
Each block below is one file we read, the date on that file, and the fields on this page that came from it. The date is when the source published or we retrieved it, not the day we last looked at this listing.
- CMS nursing homes (provider info)as of August 2026
- Chain identifier, Chain name, City, CMS Special Focus status, County, Licensed capacity, Map location, Medicare certification number, Name, Phone number, State, Street address, ZIP code
- CMS nursing homes (ownership)as of July 2026
- Ownership type, Parent organization
- CMS enrollmentas of July 2026
- NPI
- CMS nursing homes (payroll-based journal staffing)as of June 2026
- Staffing hours per resident day
Read how we handle every file on the data sources page.