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ElderCareCosts
SOURCE DATA AUG 2026

Nursing Homes · Medicare certified

Royal Oaks Nursing and Rehabilitation Center

4614 NW 84th Street · Urbandale, IA 50322 · 115 certified beds

5152706838

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.GOV

Certification

  • Medicare-certified (CMS Certification Number on file)

Ratings

1.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-08-01.GOV

Staffing rating

2.0

Quality-measure rating

3.0

Inspections on record

2

Cited deficiencies

72

1.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-07-01.GOV

Staffing rating

2.0

Quality-measure rating

3.0

Inspections on record

2

Cited deficiencies

65

Not yet ratedSource: CMS Care Compare · Updated 2026Q1.GOV

Staffing rating

Not published

Quality-measure rating

Not published

Inspections on record

Not published

Cited deficiencies

Not published

Not yet ratedSource: CMS Care Compare · Updated 2025Q4.GOV

Staffing rating

Not published

Quality-measure rating

Not published

Inspections on record

Not published

Cited deficiencies

Not published

1.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-06-01.GOV

Staffing rating

1.0

Quality-measure rating

4.0

Inspections on record

2

Cited deficiencies

65

Inspection history (71)

Records from April 2023 to April 2026.

  • October 15, 2024 · D

    Citation F0686

    Federal 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

  • October 15, 2024 · D

    Citation F0689

    Federal surveyors cited this nursing home on 2024-10-15 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 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

  • September 7, 2024 · D

    Citation F0690

    Federal surveyors cited this nursing home on 2024-09-07 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. The deficiency was recorded as corrected on 2024-09-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-09-07.GOV

  • July 1, 2024 · D

    Citation F0609

    Federal surveyors cited this nursing home on 2024-07-01 under CMS tag F0609 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. The deficiency was recorded as corrected on 2024-08-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-01.GOV

  • July 1, 2024 · D

    Citation F0656

    Federal surveyors cited this nursing home on 2024-07-01 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 2024-08-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-01.GOV

  • July 1, 2024 · D

    Citation F0689

    Federal surveyors cited this nursing home on 2024-07-01 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 2024-08-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-01.GOV

  • July 1, 2024 · D

    Citation F0926

    Federal surveyors cited this nursing home on 2024-07-01 under CMS tag F0926 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Have policies on smoking. The deficiency was recorded as corrected on 2024-08-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-01.GOV

  • July 1, 2024 · D

    Citation F0578

    Federal surveyors cited this nursing home on 2024-07-01 under CMS tag F0578 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2024-08-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-01.GOV

  • July 1, 2024 · D

    Citation F0580

    Federal surveyors cited this nursing home on 2024-07-01 under CMS tag F0580 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. The deficiency was recorded as corrected on 2024-08-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-01.GOV

  • July 1, 2024 · D

    Citation F0623

    Federal surveyors cited this nursing home on 2024-07-01 under CMS tag F0623 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. The deficiency was recorded as corrected on 2024-08-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-01.GOV

  • July 1, 2024 · D

    Citation F0658

    Federal surveyors cited this nursing home on 2024-07-01 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 2024-08-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-01.GOV

  • July 1, 2024 · D

    Citation F0550

    Federal surveyors cited this nursing home on 2024-07-01 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 2024-08-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-01.GOV

  • July 1, 2024 · D

    Citation F0610

    Federal surveyors cited this nursing home on 2024-07-01 under CMS tag F0610 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Respond appropriately to all alleged violations. The deficiency was recorded as corrected on 2024-08-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-01.GOV

  • July 1, 2024 · D

    Citation F0644

    Federal surveyors cited this nursing home on 2024-07-01 under CMS tag F0644 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. The deficiency was recorded as corrected on 2024-08-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-01.GOV

  • July 1, 2024 · D

    Citation F0868

    Federal surveyors cited this nursing home on 2024-07-01 under CMS tag F0868 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Have the Quality Assessment and Assurance group have the required members and meet at least quarterly. The deficiency was recorded as corrected on 2024-08-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-01.GOV

  • January 30, 2024 · E

    Citation F0921

    Federal surveyors cited this nursing home on 2024-01-30 under CMS tag F0921 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. The deficiency was recorded as corrected on 2024-02-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-30.GOV

  • January 30, 2024 · D

    Citation F0550

    Federal surveyors cited this nursing home on 2024-01-30 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 2024-02-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-30.GOV

  • January 30, 2024 · E

    Citation F0880

    Federal surveyors cited this nursing home on 2024-01-30 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 2024-02-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-30.GOV

  • December 6, 2023 · E

    Citation F0755

    Federal surveyors cited this nursing home on 2023-12-06 under CMS tag F0755 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) 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 2023-12-27. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-06.GOV

  • December 6, 2023 · D

    Citation F0656

    Federal surveyors cited this nursing home on 2023-12-06 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 2023-12-27. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-06.GOV

Penalties (6)

Total fines on file: $434,825

  • February 11, 2026 · Payment Denial

    Citation PAYDEN-2026-03-10

    CMS 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.GOV

  • February 11, 2026 · Fine

    Citation FINE-137790

    CMS 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.GOV

  • October 22, 2025 · Fine

    Citation FINE-135367

    CMS 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.GOV

  • December 12, 2024 · Fine

    Citation FINE-79533

    CMS 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.GOV

  • December 6, 2023 · Fine

    Citation FINE-79353

    CMS 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.GOV

  • December 6, 2023 · Payment Denial

    Citation PAYDEN-2024-01-03

    CMS 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)

  1. 2025Q43.34 hrs/resident/day
  2. 2026-06-013.34 hrs/resident/day
  3. 2026-07-013.63 hrs/resident/day
  4. 2026-08-013.63 hrs/resident/day
  5. 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.

  1. 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.

  1. Sep 1, 2026Ownership changed

    The source now records ownership as "For profit".

    Reported by CMS nursing homes (ownership)

  2. Sep 1, 2026Ownership changed

    The source now records ownership as "For profit - Corporation".

    Reported by CMS nursing homes (provider info)

  3. Aug 6, 2026Ownership changed

    The source now records ownership as "For profit".

    Reported by CMS nursing homes (ownership)

  4. 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/mo
See 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.

Compare side by side
Compare side by side

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.

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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.