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)
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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.
December 6, 2023 · G
Citation F0686Federal surveyors cited this nursing home on 2023-12-06 under CMS tag F0686 (CMS scope/severity G: isolated, actual harm) for Provide appropriate pressure ulcer care and prevent new ulcers from developing. 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.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.GOVDecember 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.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.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.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 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 · 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 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 (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.