Royal Oaks Nursing and Rehabilitation Center

4614 NW 84th Street, Urbandale, IA 50322 · CCN 165580 · 115 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections1 of 5CMS staffing2 of 5CMS quality3 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 2 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

CMS currently lists this facility as: SFF Candidate (the Special Focus program tracks facilities with a persistent pattern of serious inspection findings).

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Serious inspection findings

2026-02-11 — ACTUAL HARM (tag F0690, severity G)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

2025-10-22 — IMMEDIATE JEOPARDY (tag F0725, severity K)

Nursing and Physician Services Deficiencies · correction not recorded in CMS data

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

2025-05-20 — ACTUAL HARM (tag F0760, severity G)

Pharmacy Service Deficiencies · correction not recorded in CMS data

Ensure that residents are free from significant medication errors.

2025-05-20 — ACTUAL HARM (tag F0689, severity G)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2024-12-13 — IMMEDIATE JEOPARDY (tag F0755, severity J)

Pharmacy Service Deficiencies · correction not recorded in CMS data

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

2023-12-06 — ACTUAL HARM (tag F0686, severity G)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

2023-12-06 — ACTUAL HARM (tag F0695, severity G)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Provide safe and appropriate respiratory care for a resident when needed.

Staffing, from payroll records

Nursing hours / resident / day

2.88

state median 3.10

Weekend staffing gap

−2%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.36

registered nurses only

Contract (agency) staff

share of all nursing hours

Nursing staff turnover

67%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

4 enforcement action(s), totaling $122,945 in fines.

Date	Type	Amount
2025-10-22	Fine	$16,907
2024-12-12	Fine	$71,136
2023-12-06	Fine	$34,902
2023-12-06	Payment Denial	payment denial

Ownership

Ownership type: For profit - Corporation. Part of the CEDAR VIEW HOLDINGS chain.

Other facilities under the same ownership, with their CMS overall ratings:

Country Lane Manor (Keosauqua, IA) — CMS overall1 of 5
Harvest Acres Nursing and Rehab (Keota, IA) — CMS overall1 of 5
Stone Cottage Care Center (Sigourney, IA) — CMS overall1 of 5
Valley Vista for Nursing and Rehabilitation (Newton, IA) — CMS overall3 of 5
SHENANDOAH SENIOR LIVING COMMUNITY (SHENANDOAH, PA) — CMS overall1 of 5
MOUNT CARMEL SENIOR LIVING COMMUNITY (MT CARMEL, PA) — CMS overall1 of 5
GREENWOOD CENTER FOR NURSING AND REHAB (TAMAQUA, PA) — CMS overall2 of 5
ATHENS NURSING AND REHABILITATION CENTER (ATHENS, PA) — CMS overall1 of 5

Full citation history

By severity: No harm, potential for minimal harm: 1 · Actual harm: 5 · Potential for more than minimal harm: 63 · Immediate jeopardy: 2

Survey date	Tag	Category	Severity	Corrected
2026-04-09	F0677	Quality of Life and Care Deficiencies	D	not recorded
2026-04-09	F0686	Quality of Life and Care Deficiencies	D	not recorded
2026-04-09	F0690	Quality of Life and Care Deficiencies	D	not recorded
2026-04-09	F0760	Pharmacy Service Deficiencies	D	not recorded
2026-04-09	F0880	Infection Control Deficiencies	D	not recorded
2026-02-11	F0554	Resident Rights Deficiencies	D	not recorded
2026-02-11	F0584	Resident Rights Deficiencies	E	not recorded
2026-02-11	F0658	Resident Assessment and Care Planning Deficiencies	D	not recorded
2026-02-11	F0677	Quality of Life and Care Deficiencies	D	not recorded
2026-02-11	F0684	Quality of Life and Care Deficiencies	D	not recorded
2026-02-11	F0690	Quality of Life and Care Deficiencies	G	not recorded
2026-02-11	F0880	Infection Control Deficiencies	E	not recorded
2025-10-22	F0684	Quality of Life and Care Deficiencies	D	not recorded
2025-10-22	F0725	Nursing and Physician Services Deficiencies	K	not recorded
2025-10-22	F0842	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-05-20	F0550	Resident Rights Deficiencies	D	not recorded
2025-05-20	F0655	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-05-20	F0658	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-05-20	F0689	Quality of Life and Care Deficiencies	G	not recorded
2025-05-20	F0695	Quality of Life and Care Deficiencies	D	not recorded
2025-05-20	F0740	Quality of Life and Care Deficiencies	D	not recorded
2025-05-20	F0760	Pharmacy Service Deficiencies	G	not recorded
2025-05-20	F0761	Pharmacy Service Deficiencies	D	not recorded
2025-05-20	F0804	Nutrition and Dietary Deficiencies	E	not recorded
2025-05-20	F0812	Nutrition and Dietary Deficiencies	F	not recorded
2025-05-20	F0842	Resident Assessment and Care Planning Deficiencies	E	not recorded
2025-05-20	F0880	Infection Control Deficiencies	E	not recorded
2024-12-13	F0550	Resident Rights Deficiencies	E	not recorded
2024-12-13	F0558	Resident Rights Deficiencies	E	not recorded
2024-12-13	F0584	Resident Rights Deficiencies	E	not recorded
2024-12-13	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-12-13	F0658	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-12-13	F0677	Quality of Life and Care Deficiencies	E	not recorded
2024-12-13	F0684	Quality of Life and Care Deficiencies	E	not recorded
2024-12-13	F0689	Quality of Life and Care Deficiencies	D	not recorded
2024-12-13	F0755	Pharmacy Service Deficiencies	J	not recorded
2024-12-13	F0761	Pharmacy Service Deficiencies	D	not recorded
2024-12-13	F0880	Infection Control Deficiencies	D	not recorded
2024-12-13	F0925	Environmental Deficiencies	E	not recorded
2024-10-15	F0684	Quality of Life and Care Deficiencies	D	not recorded
2024-10-15	F0686	Quality of Life and Care Deficiencies	D	not recorded
2024-10-15	F0689	Quality of Life and Care Deficiencies	D	not recorded
2024-09-07	F0690	Quality of Life and Care Deficiencies	D	not recorded
2024-07-01	F0550	Resident Rights Deficiencies	D	not recorded
2024-07-01	F0578	Resident Rights Deficiencies	D	not recorded
2024-07-01	F0580	Resident Rights Deficiencies	D	not recorded
2024-07-01	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2024-07-01	F0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2024-07-01	F0623	Resident Rights Deficiencies	D	not recorded
2024-07-01	F0644	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-07-01	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-07-01	F0658	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-07-01	F0689	Quality of Life and Care Deficiencies	D	not recorded
2024-07-01	F0868	Administration Deficiencies	D	not recorded
2024-07-01	F0926	Environmental Deficiencies	D	not recorded
2024-01-30	F0550	Resident Rights Deficiencies	D	not recorded
2024-01-30	F0880	Infection Control Deficiencies	E	not recorded
2024-01-30	F0921	Environmental Deficiencies	E	not recorded
2023-12-06	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-12-06	F0658	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-12-06	F0686	Quality of Life and Care Deficiencies	G	not recorded
2023-12-06	F0695	Quality of Life and Care Deficiencies	G	not recorded
2023-12-06	F0755	Pharmacy Service Deficiencies	E	not recorded
2023-09-07	F0658	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-09-07	F0761	Pharmacy Service Deficiencies	D	not recorded
2023-04-04	F0582	Resident Rights Deficiencies	D	not recorded
2023-04-04	F0623	Resident Rights Deficiencies	C	not recorded
2023-04-04	F0656	Resident Assessment and Care Planning Deficiencies	E	not recorded
2023-04-04	F0692	Quality of Life and Care Deficiencies	D	not recorded
2023-04-04	F0803	Nutrition and Dietary Deficiencies	E	not recorded
2023-04-04	F0812	Nutrition and Dietary Deficiencies	E	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Royal Oaks Nursing and Rehabilitation Center, Urbandale” at medicare.gov/care-compare.