Royal Oaks Nursing and Rehabilitation Center
Nursing home in Urbandale, Iowa, CMS certification number 165580
4614 NW 84th Street, Urbandale, IA 50322 · Polk County
- CMS overall rating
- 1 of 5 stars
- Certified beds
- 115
- Certified for
- Medicare and Medicaid
- Last standard inspection
- August 6, 2026
- Deficiencies at that inspection
- 23
- Fines in 3 years
- $324,988 (4)
Does Royal Oaks Nursing and Rehabilitation Center take Medicare and Medicaid?
Yes to both. Royal Oaks Nursing and Rehabilitation Center is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 1 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 2 of 5 |
| Quality of resident care | 2 of 5 |
| Long-stay quality | 3 of 5 |
| Short-stay quality | 1 of 5 |
Nurse staffing hours and turnover
These are the hours Royal Oaks Nursing and Rehabilitation Center reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 4.06
- Registered nurse hours
- 0.46
- Licensed practical nurse hours
- 0.87
- Nurse aide hours
- 2.73
- Weekend total hours
- 3.60
- Nursing staff turnover
- 65.9%
- Registered nurse turnover
- 90.9%
- Administrators who left
- 1
Health inspections and complaints
Inspectors last made a standard visit on August 6, 2026 and cited 23 deficiencies, plus 22 from complaint visits.
The visit before, on May 20, 2025, found 12.
It is a candidate for the CMS special focus program. CMS puts homes with a long record of serious problems on this list for extra inspections.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS fined Royal Oaks Nursing and Rehabilitation Center 4 times in the past 3 years, for $324,988 in total.
It also had 2 payment denials, when Medicare stopped paying for new admissions for a time.
Beds and residents
On an average day 84 residents live here, about 73% of its 115 certified beds.
- Certified beds
- 115
- Average residents per day
- 84
- Certified since
- July 9, 2007
- Resident or family council
- Both
Who owns Royal Oaks Nursing and Rehabilitation Center
- Legal business name
- Royal Oaks Nursing and Rehabilitation Center LLC
- Ownership type
- For profit - Limited Liability company
- Chain
- 9 homes nationally under Cedar View Holdings, 1.1-star chain average
Other nursing homes near Royal Oaks Nursing and Rehabilitation Center
- Karen Acres Care Center3605 Elm Drive, Urbandale 50322
- Childserve Habilitation Center5900 Pioneer Parkway, Johnston 50131
- Bishop Drumm Retirement Center5837 Winwood Drive, Johnston 50131
- Brio of Johnston, LLC6901 Peckham Street, Johnston 50131
- Walnut Ridge1703 Campus Drive, Clive 50325
Who inspects nursing homes in Iowa
Iowa's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in Iowa, or see how assisted living and nursing homes differ.
Is this your facility?
If you run Royal Oaks Nursing and Rehabilitation Center, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about Royal Oaks Nursing and Rehabilitation Center
What is the CMS star rating of Royal Oaks Nursing and Rehabilitation Center?
1 out of 5 stars overall.
Does Royal Oaks Nursing and Rehabilitation Center accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at Royal Oaks Nursing and Rehabilitation Center?
23 cited at the last standard visit.
Who owns Royal Oaks Nursing and Rehabilitation Center?
Royal Oaks Nursing and Rehabilitation Center LLC, for profit - limited liability company.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.