Skilled Nursing

Royal Oaks Nursing and Rehabilitation Center

4614 NW 84th Street, Urbandale, IA 50322

115beds
Skilled Nursingcare types
1/5CMS rating
Updated2026

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Inspection & Compliance

Data from CMS (Centers for Medicare & Medicaid Services), updated weekly. Medicare.gov Care Compare

Special Focus Candidate — This facility has been identified as a candidate for the Special Focus Facility program, indicating below-average inspection performance.

3.0h

Hrs/resident · weekday

Expected: 3.6h

3.2h

Hrs/resident · weekend

vs 3.0h on weekdays

Not reported

30-day hospital readmission rate

Annual Staff Turnover Rates

High turnover is one of the strongest predictors of care quality. National average CNA turnover is ~75%.

RNs
80%
LPNs
CNAs
55%

Administrator turnover: 2 in the past year — above average

Health Inspection Deficiencies · Last 3 Years

SeriousImmediate Jeopardy0725Severity KOct 22, 2025

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

Corrected: Oct 9, 2025

SeriousImmediate Jeopardy0755Severity JDec 13, 2024

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

Corrected: Jan 17, 2025

63 standard deficiencies in the last 3 years

View all
0880Severity DApr 9, 2026

Provide and implement an infection prevention and control program.

0760Severity DApr 9, 2026

Ensure that residents are free from significant medication errors.

0690Severity DApr 9, 2026

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

0686Severity DApr 9, 2026

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

0677Severity DApr 9, 2026

Provide care and assistance to perform activities of daily living for any resident who is unable.

0880Severity EFeb 11, 2026

Provide and implement an infection prevention and control program.

0690Severity GFeb 11, 2026

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

0684Severity DFeb 11, 2026

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0677Severity DFeb 11, 2026

Provide care and assistance to perform activities of daily living for any resident who is unable.

0658Severity DFeb 11, 2026

Ensure services provided by the nursing facility meet professional standards of quality.

0584Severity EFeb 11, 2026

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.

0554Severity DFeb 11, 2026

Allow residents to self-administer drugs if determined clinically appropriate.

0842Severity DOct 22, 2025

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0684Severity DOct 22, 2025

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0880Severity EMay 20, 2025

Provide and implement an infection prevention and control program.

0842Severity EMay 20, 2025

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0812Severity FMay 20, 2025

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0804Severity EMay 20, 2025

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0761Severity DMay 20, 2025

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.

0760Severity GMay 20, 2025

Ensure that residents are free from significant medication errors.

0740Severity DMay 20, 2025

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

0695Severity DMay 20, 2025

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

0689Severity GMay 20, 2025

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

0658Severity DMay 20, 2025

Ensure services provided by the nursing facility meet professional standards of quality.

0655Severity DMay 20, 2025

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0550Severity DMay 20, 2025

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0925Severity EDec 13, 2024

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

0880Severity DDec 13, 2024

Provide and implement an infection prevention and control program.

0761Severity DDec 13, 2024

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.

0689Severity DDec 13, 2024

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

0684Severity EDec 13, 2024

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0677Severity EDec 13, 2024

Provide care and assistance to perform activities of daily living for any resident who is unable.

0658Severity DDec 13, 2024

Ensure services provided by the nursing facility meet professional standards of quality.

0656Severity DDec 13, 2024

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0584Severity EDec 13, 2024

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.

0558Severity EDec 13, 2024

Reasonably accommodate the needs and preferences of each resident.

0550Severity EDec 13, 2024

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0689Severity DOct 15, 2024

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

0686Severity DOct 15, 2024

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

0684Severity DOct 15, 2024

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0690Severity DSep 7, 2024

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

0926Severity DJul 1, 2024

Have policies on smoking.

0868Severity DJul 1, 2024

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

0689Severity DJul 1, 2024

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

0658Severity DJul 1, 2024

Ensure services provided by the nursing facility meet professional standards of quality.

0656Severity DJul 1, 2024

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0644Severity DJul 1, 2024

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0623Severity DJul 1, 2024

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

0610Severity DJul 1, 2024

Respond appropriately to all alleged violations.

0609Severity DJul 1, 2024

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0580Severity DJul 1, 2024

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0578Severity DJul 1, 2024

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

0550Severity DJul 1, 2024

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0921Severity EJan 30, 2024

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

0880Severity EJan 30, 2024

Provide and implement an infection prevention and control program.

0550Severity DJan 30, 2024

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0755Severity EDec 6, 2023

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

0695Severity GDec 6, 2023

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

0686Severity GDec 6, 2023

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

0658Severity DDec 6, 2023

Ensure services provided by the nursing facility meet professional standards of quality.

0656Severity DDec 6, 2023

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0761Severity DSep 7, 2023

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.

0658Severity DSep 7, 2023

Ensure services provided by the nursing facility meet professional standards of quality.

View full inspection history on Medicare.gov

Civil Monetary Penalties

No civil monetary penalties on record.

Nearby Hospitals

No hospitals found within 10 miles.

Proximity to emergency care is especially important for medically complex residents.

Ownership

ROYAL OAKS NURSING AND REHABILITATION CENTER LLC· For profit - Corporation

Data updated weekly from CMS. Last sync: Jun 26, 2026. Medicare.gov Care Compare →

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Data sourced from the Centers for Medicare & Medicaid Services and state licensing agencies. ← Back to search

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