Royal Oaks Nursing and Rehabilitation Center
Nursing Home · Urbandale, IA
CMS certification number165580
CMS lists this nursing home as a Special Focus Facility candidate – one of the lowest-performing nursing homes in its state based on inspection history.
Contact & location
4614 NW 84th StreetUrbandale, IA 50322
Polk County
- Phone
- (515) 270-6838
- ZIP code
- 50322 – all care providers
Facility details
- Certified beds
- 115
- Residents per day
- 87.2 (76% occupied)
- Ownership
- For profit - Corporation
- Legal name
- Royal Oaks Nursing and Rehabilitation Center LLC
- Chain
- Cedar View Holdings (9 facilities, avg 1.2★)
- Medicare certified since
- July 9, 2007
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.63 (state 3.82 · U.S. 3.86)
- Registered nurses (RN)
- 0.48 (state 0.74 · U.S. 0.69)
- Licensed practical nurses
- 0.66 (state 0.56 · U.S. 0.86)
- Nurse aides
- 2.49 (state 2.51 · U.S. 2.32)
- Weekend total
- 3.30 (state 3.37 · U.S. 3.42)
- Nursing staff turnover
- 66.7 (state 44.0 · U.S. 45.8)%
- RN turnover
- 90.9 (state 42.1 · U.S. 42.9)%
- Administrators who left
- 1 in the last year
Inspections
- Last standard inspection
- May 20, 2025
- Health deficiencies (last cycle)
- 34.0 (state 6.5 · U.S. 9.3)
- From complaints
- 28
- Citations on record (3 years)
- 63 health · 17 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-06-11 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2026-07-08 |
| 2026-06-11 | Have a plan that describes the process for conducting QAPI and QAA activities. F0865 · Administration Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2026-07-08 |
| 2026-06-11 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-07-08 |
| 2026-06-11 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-07-08 |
| 2026-06-11 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-07-08 |
| 2026-06-11 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-07-08 |
| 2026-06-11 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-07-08 |
| 2026-04-09 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-07-08 |
| 2026-04-09 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-07-08 |
| 2026-04-09 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-07-08 |
| 2026-04-09 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-07-08 |
| 2026-04-09 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-07-08 |
| 2026-02-11 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2026-07-08 |
| 2026-02-11 | 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. F0584 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-02-23 |
| 2026-02-11 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-07-08 |
| 2026-02-11 | Allow residents to self-administer drugs if determined clinically appropriate. F0554 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-02-23 |
| 2026-02-11 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-02-23 |
| 2026-02-11 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-07-08 |
| 2026-02-11 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-02-23 |
| 2025-10-22 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725 · Nursing and Physician Services Deficiencies · complaint inspection |
K Immediate jeopardy to resident health or safety |
Corrected 2025-10-09 |
| 2025-10-22 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-11-07 |
| 2025-10-22 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-11-07 |
| 2025-05-20 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2025-06-13 |
| 2025-05-20 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies · complaint inspection |
G Actual harm |
Corrected 2025-06-13 |
| 2025-05-20 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2025-06-13 |
| 2025-05-20 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-06-13 |
| 2025-05-20 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-06-13 |
| 2025-05-20 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-06-13 |
| 2025-05-20 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-13 |
| 2025-05-20 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-13 |
| 2025-05-20 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-13 |
| 2025-05-20 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-13 |
| 2025-05-20 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. F0740 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-13 |
| 2025-05-20 | 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. F0761 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-13 |
| 2024-12-13 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2025-01-17 |
| 2024-12-13 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-01-17 |
| 2024-12-13 | Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-01-17 |
| 2024-12-13 | 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. F0584 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-01-17 |
| 2024-12-13 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-01-17 |
| 2024-12-13 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-01-17 |
| 2024-12-13 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. F0925 · Environmental Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-01-17 |
| 2024-12-13 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-01-17 |
| 2024-12-13 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-01-17 |
| 2024-12-13 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-01-17 |
| 2024-12-13 | 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. F0761 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-01-17 |
| 2024-12-13 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-01-17 |
| 2024-10-15 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-11-07 |
| 2024-10-15 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-11-07 |
| 2024-10-15 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-11-07 |
| 2024-09-07 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-25 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
6 penalties in the last three years, including $434,825 in fines.
| Date | Type | Amount |
|---|---|---|
| 2026-02-11 | Payment Denial | 120 days payment denial |
| 2026-02-11 | Fine | $311,880 |
| 2025-10-22 | Fine | $16,907 |
| 2024-12-12 | Fine | $71,136 |
| 2023-12-06 | Payment Denial | 41 days payment denial |
| 2023-12-06 | Fine | $34,902 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Amaranthine Holdings LLC (organization) | 5%+ Direct Ownership Interest · 100% | |
| Cedar View Holdings LLC (organization) | 5%+ Indirect Ownership Interest | |
| Cedar View TR (organization) | 5%+ Indirect Ownership Interest | |
| Greatorex, Tina (individual) | 5%+ Indirect Ownership Interest | |
| Iowa 5784 LLC (organization) | 5%+ Indirect Ownership Interest | |
| Samara Family Holdings LLC (organization) | 5%+ Indirect Ownership Interest | |
| Schiowitz, Marc (individual) | 5%+ Indirect Ownership Interest | |
| Sebbag, Gabriel (individual) | 5%+ Indirect Ownership Interest | |
| 4614 NW 84Th Street Propco LLC (organization) | Administrator · NOT APPLICABLE | |
| Caresage Administrative Consulting, LLC (organization) | Administrator · NOT APPLICABLE | |
| Cedar View Holdings LLC (organization) | Administrator · NOT APPLICABLE | |
| Cedar View TR (organization) | Administrator · NOT APPLICABLE | |
| Clinical Consulting Services LLC (organization) | Administrator · NOT APPLICABLE | |
| Iowa 5784 LLC (organization) | Administrator · NOT APPLICABLE | |
| JSJ 2020 Fam TR (organization) | Administrator · NOT APPLICABLE | |
| JSJ Property LLC (organization) | Administrator · NOT APPLICABLE | |
| Oconner, Michael (individual) | Administrator · NOT APPLICABLE | |
| Reiter, Jennifer (individual) | Administrator · NOT APPLICABLE | |
| Samara Fam TR (organization) | Administrator · NOT APPLICABLE | |
| Summation Financial Services LLC (organization) | Administrator · NOT APPLICABLE | |
| The Bryn Mawr Trust Company of Delaware (organization) | Administrator · NOT APPLICABLE | |
| Oconner, Michael (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Reiter, Jennifer (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Sebbag, Gabriel (individual) | Trustee Of The Snf · NOT APPLICABLE |
Frequently asked questions
What is the rating of Royal Oaks Nursing and Rehabilitation Center?
Royal Oaks Nursing and Rehabilitation Center has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.1-star average in Iowa.
How many beds does Royal Oaks Nursing and Rehabilitation Center have?
It has 115 certified beds and cares for about 87 residents per day.
Has Royal Oaks Nursing and Rehabilitation Center been fined?
Yes. CMS lists 6 penalties totaling $434,825 in the last three years.
Who owns Royal Oaks Nursing and Rehabilitation Center?
It is part of Cedar View Holdings and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Royal Oaks Nursing and Rehabilitation Center?
(515) 270-6838. The facility is located at 4614 NW 84th Street, Urbandale, IA 50322.
Other nursing homes in Urbandale
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Deerfield Health Care Center
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Karen Acres Care Center
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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.