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
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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)
December 6, 2023 · D
Citation F0658Federal surveyors cited this nursing home on 2023-12-06 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 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.GOVDecember 6, 2023 · D
Citation F0656Federal 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.GOVDecember 6, 2023 · G
Citation F0695Federal surveyors cited this nursing home on 2023-12-06 under CMS tag F0695 (CMS scope/severity G: isolated, actual harm) for Provide safe and appropriate respiratory care for a resident when needed. The deficiency was recorded as corrected on 2023-12-19. 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.GOVSeptember 7, 2023 · D
Citation F0658Federal surveyors cited this nursing home on 2023-09-07 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 2023-09-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-07.GOVSeptember 7, 2023 · D
Citation F0761Federal surveyors cited this nursing home on 2023-09-07 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 2023-09-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-07.GOVApril 4, 2023 · D
Citation F0582Federal surveyors cited this nursing home on 2023-04-04 under CMS tag F0582 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. The deficiency was recorded as corrected on 2023-05-04. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-04-04.GOVApril 4, 2023 · E
Citation F0656Federal surveyors cited this nursing home on 2023-04-04 under CMS tag F0656 (CMS scope/severity E: pattern, 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 2023-05-04. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-04-04.GOVApril 4, 2023 · C
Citation F0623Federal surveyors cited this nursing home on 2023-04-04 under CMS tag F0623 (CMS scope/severity C: widespread, no actual harm, potential for 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 2023-05-04. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-04-04.GOVApril 4, 2023 · D
Citation F0692Federal surveyors cited this nursing home on 2023-04-04 under CMS tag F0692 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide enough food/fluids to maintain a resident's health. The deficiency was recorded as corrected on 2023-05-04. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-04-04.GOVApril 4, 2023 · E
Citation F0803Federal surveyors cited this nursing home on 2023-04-04 under CMS tag F0803 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. The deficiency was recorded as corrected on 2023-05-04. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-04-04.GOVApril 4, 2023 · E
Citation F0812Federal surveyors cited this nursing home on 2023-04-04 under CMS tag F0812 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2023-05-04. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-04-04.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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