Nursing Homes
Deerfield Health Care Center
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UPDATED JUL 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.
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Public record
CMS Care Compare · Updated Jul 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
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)
May 20, 2025 · D
Citation F0550Federal surveyors cited this nursing home on 2025-05-20 under CMS tag F0550 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. 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.GOVMay 20, 2025 · D
Citation F0740Federal surveyors cited this nursing home on 2025-05-20 under CMS tag F0740 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure each resident must receive and the facility must provide necessary behavioral health care and services. 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 · G
Citation F0760Federal surveyors cited this nursing home on 2025-05-20 under CMS tag F0760 (CMS scope/severity G: isolated, actual harm) for Ensure that residents are free from significant medication errors. 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 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 F0655Federal surveyors cited this nursing home on 2025-05-20 under CMS tag F0655 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted. 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 F0761Federal surveyors cited this nursing home on 2025-05-20 under CMS tag F0761 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. 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.GOVDecember 13, 2024 · J
Citation F0755Federal surveyors cited this nursing home on 2024-12-13 under CMS tag F0755 (CMS scope/severity J: isolated, immediate jeopardy) for Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. The deficiency was recorded as corrected on 2025-01-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-12-13.GOVDecember 13, 2024 · D
Citation F0656Federal surveyors cited this nursing home on 2024-12-13 under CMS tag F0656 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2025-01-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-12-13.GOVDecember 13, 2024 · E
Citation F0925Federal surveyors cited this nursing home on 2024-12-13 under CMS tag F0925 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. The deficiency was recorded as corrected on 2025-01-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-12-13.GOVDecember 13, 2024 · E
Citation F0550Federal surveyors cited this nursing home on 2024-12-13 under CMS tag F0550 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. The deficiency was recorded as corrected on 2025-01-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-12-13.GOVDecember 13, 2024 · E
Citation F0558Federal surveyors cited this nursing home on 2024-12-13 under CMS tag F0558 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Reasonably accommodate the needs and preferences of each resident. The deficiency was recorded as corrected on 2025-01-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-12-13.GOVDecember 13, 2024 · D
Citation F0880Federal surveyors cited this nursing home on 2024-12-13 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. The deficiency was recorded as corrected on 2025-01-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-12-13.GOVDecember 13, 2024 · E
Citation F0584Federal surveyors cited this nursing home on 2024-12-13 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 2025-01-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-12-13.GOVDecember 13, 2024 · D
Citation F0689Federal surveyors cited this nursing home on 2024-12-13 under CMS tag F0689 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2025-01-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-12-13.GOVDecember 13, 2024 · E
Citation F0684Federal surveyors cited this nursing home on 2024-12-13 under CMS tag F0684 (CMS scope/severity E: pattern, 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 2025-01-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-12-13.GOVDecember 13, 2024 · D
Citation F0658Federal surveyors cited this nursing home on 2024-12-13 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 2025-01-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-12-13.GOVDecember 13, 2024 · E
Citation F0677Federal surveyors cited this nursing home on 2024-12-13 under CMS tag F0677 (CMS scope/severity E: pattern, 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. The deficiency was recorded as corrected on 2025-01-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-12-13.GOVDecember 13, 2024 · D
Citation F0761Federal surveyors cited this nursing home on 2024-12-13 under CMS tag F0761 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2025-01-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-12-13.GOVOctober 15, 2024 · D
Citation F0686Federal surveyors cited this nursing home on 2024-10-15 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. The deficiency was recorded as corrected on 2024-11-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-10-15.GOV
Penalties
Total fines on file: $122,945
Staffing
Latest: 3.34 nurse staffing hours per resident per day (2026-06-01)
Staffing trend (2 periods)
- 2025Q43.34 hrs/resident/day
- 2026-06-013.34 hrs/resident/day
Most recent period is about the same as 2025Q4. Figures are CMS-reported nurse staffing hours, not our estimate.
Ownership
For profit - Corporation
CMS Care Compare chain: Cedar View Holdings
Chain ID 888 · 9 facilities in chain (CMS)
- Chain average overall rating: 1.3
- Chain average health inspection rating: 1.3
- Chain average staffing rating: 2
- Chain average quality measure rating: 3
Chain averages are CMS-published figures for facilities sharing this Chain ID (formerly Affiliated Entity). They are not ElderCareCosts scores.
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 Cost of Care Survey · 2024
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$7,858/moSee full IA cost breakdownSource: Genworth Cost of Care Survey · Updated 2024
Nursing Homes
Median · IA$9,277/moSee full IA cost breakdownSource: Genworth CareScout Cost of Care Survey · Updated 2025
Nearby alternatives
Other licensed providers in Urbandale, with their own public records.
Nursing Homes
Karen Acres Care Center
Cost data not yet available
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Check availability and pricing at Royal Oaks Nursing And Rehabilitation Center
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Your number goes only to facilities you choose. No call blitz. Ever.