Royal Oaks Nursing And Rehabilitation Center
Urbandale, IA · Medicare and Medicaid-certified nursing home (CCN 165580) · 115 certified beds
Health inspection: 1 · Quality measures: 3 · Staffing: 2
Federal fines: 4 totaling $434,825 · 2 payment denials
Phone: (515) 270-6838 · Verify on Medicare Care Compare ↗
Royal Oaks Nursing And Rehabilitation Center has a CMS overall rating of 1 out of 5 stars, below the Iowa state average of 3.07. Its health inspection rating is also 1 star, and its staffing rating is 2 stars.
Royal Oaks reports total nurse staffing of about 3.63 hours per resident per day, including 0.48 RN hours per resident per day, with a nursing staff turnover rate of 66.7% and a CMS staffing rating of 2 stars.
Yes, CMS lists 4 federal fines totaling $434,825.00 against Royal Oaks along with 2 payment denials, and the facility is currently designated an SFF Candidate under CMS's Special Focus Facility program for persistently underperforming facilities.
About this facility
Royal Oaks Nursing And Rehabilitation Center is a for-profit, corporation-owned nursing home in Urbandale, Polk County, Iowa, certified for Medicare and Medicaid since July 2007. It is licensed for 115 beds and reports an average daily census of 87.2 residents.
According to CMS Care Compare, Royal Oaks holds an overall star rating of 1 out of 5, below the Iowa state average of 3.07. Its health inspection rating is 1 star, its quality measure rating is 3 stars, and its staffing rating is 2 stars.
Total nurse staffing is reported at 3.63 hours per resident per day, including 0.48 RN hours per resident per day. Nursing staff turnover is 66.7%.
CMS records 4 federal fines against this facility totaling $434,825.00, along with 2 payment denials. CMS has designated Royal Oaks as an SFF Candidate under its Special Focus Facility program, meaning the facility has a history of persistent poor performance in inspections and is subject to increased CMS oversight and more frequent surveys.
Royal Oaks is part of the Cedar View Holdings chain, which operates 9 facilities with an average chain rating of 1.2 stars. Ownership has not changed in the past 12 months.
Families should review the full inspection history and quality measures directly on Medicare Care Compare to understand the specifics behind these ratings before making a decision. Data reflects CMS Care Compare records.
Questions families ask
What is this nursing home's CMS overall star rating and how does it compare to the state average?
Royal Oaks has an overall rating of 1 out of 5 stars, below the Iowa state average of 3.07.
Does this facility accept Medicare, Medicaid, or both?
Yes, it is certified for both Medicare and Medicaid.
How well is this facility staffed — nurse hours per resident and turnover?
Total nurse staffing is 3.63 hours per resident per day, with 0.48 RN hours per resident per day, and nursing turnover is 66.7%, earning a staffing rating of 2 stars.
Does this facility have federal fines or penalties on record?
Yes, CMS records 4 fines totaling $434,825.00 and 2 payment denials.
Has CMS flagged this facility for abuse or placed it in the Special Focus program?
CMS has designated this facility as an SFF Candidate, indicating a history of persistently poor inspection performance and increased oversight; no abuse icon is noted in the data provided.
How large is this facility and how many residents live there?
Royal Oaks is certified for 115 beds with an average daily census of 87.2 residents.
Who owns this facility — and is it part of a chain?
It is owned by a for-profit corporation and is part of the Cedar View Holdings chain, which operates 9 facilities with an average rating of 1.2 stars.
How long has this facility been Medicare/Medicaid certified?
It has been certified since July 9, 2007.
What do the four different CMS star ratings mean?
CMS rates facilities on overall, health inspection, staffing, and quality measures; this facility scores 1, 1, 2, and 3 stars respectively.
Does this facility offer short-term rehabilitation as well as long-term care?
The data provided does not specify service types; contact the facility at 5152706838 and verify on Medicare Care Compare.
What should I look for when touring this facility?
The data provided does not cover tour details; contact the facility at 5152706838 to arrange a visit.
How do I verify this facility's current record on Medicare Care Compare?
You can review the full current record at https://www.medicare.gov/care-compare/details/nursing-home/165580?state=IA.
Data: CMS Care Compare (Aug2026 refresh). Star ratings, staffing hours, and penalty records are CMS's official published measures. Always tour the facility, review the current inspection record, and verify details with Medicare before making care decisions.