Overview of Royal Oaks Nursing and Rehabilitation Center Royal Oaks Nursing and Rehabilitation Center is a 115-bed skilled nursing facility at 4614 NW 84th Street in Urbandale, Iowa. Owned by Cedar View Holdings LLC and administered by Gianni Beer, the center provides short-term rehabilitation, long-term care, and respite stays for Polk County residents. The campus is somewhat walkable with a Walk Score of 43 and maintains a daily census of approximately 85 residents.
Operational Records and ComplianceThe facility is regulated by the Iowa Department of Inspections, Appeals, and Licensing (DIAL). CMS data as of early 2026 assigns Royal Oaks a 1-star overall rating, categorized as “Much Below Average”. While the quality measure rating is “Average,” the health inspection rating is 1 star, reflecting 59 total citations over recent years, a rate nearly triple the Iowa average. Federal fines totaling $51,555 have been imposed since 2023, and the facility has faced one payment suspension.
Staffing metrics show a focus on therapy, with physical therapist hours at 4 minutes per resident day, 100% above the state average. However, Registered Nurse (RN) hours are 39% below the Iowa average, and weekend RN coverage is 33% below the state mean. Clinical outcomes show zero short-stay falls with major injury, and rehospitalization rates are 48% better than the state average. Conversely, the long-stay hospitalization rate is 57% higher than the Iowa average, and nursing staff turnover is 61.9%.
The campus provides customized care plans within a 24/7 clinical setting. Resident services include housekeeping, laundry, and chef-prepared meals with dietary oversight. The social calendar features pet visits and personalized activities, and residents are permitted to furnish their own living spaces. However, recent state surveys identified multiple environmental and care deficiencies, including failures in behavioral health services and the absence of an effective pest control program.
Families should evaluate the facility’s recent corrective actions during an on-site visit. It is advisable to ask the administrator for specific details on the October 2025 staffing and safety citations and to confirm that the infection control and pest management protocols mentioned in 2024 and 2025 reports have been fully addressed.
