Total health inspections
10
Iowa average 4.9
Last Health inspection on Oct 2025
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
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Nursing Home in Urbandale
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Royal Oaks Nursing and Rehabilitation Center
Nursing Home in Urbandale
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Royal Oaks Nursing and Rehabilitation Center
Royal Oaks Nursing and Rehabilitation Center is located in Urbandale, Iowa. It offers short-term rehabilitation, long-term care, and respite stays. The facility is known for its caring, connection, and compassion in healthcare.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
115
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
71.5%
Residents per day (avg)
85
Occupancy rate
71.5%
Residents per day (avg)
85
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
86% of new residents, usually for short-term rehab.
Typical stay
22 days
Private pay
8% of new residents, often for short stays.
Typical stay
2 years
Medicaid
6% of new residents, often for long-term daily care.
Typical stay
7 years
Finances and operations
Privately-owned community
Operated by a single business entity.
Home revenue
$13.3M
Operating loss
-$800.1K
Privately-owned community
Operated by a single business entity.
Home revenue
$13,339,797.00
Operating loss
$-800,124.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$4.4M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$9.7M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$14.1M
About this community
Rehabilitation Services
Respite Care
Short-Term Rehab
24-Hour Staffing
Specific ProgramsShort Term Rehabilitation, Long Term Care, Accommodations
Health Inspection History
Inspections
Total health citations
59
Iowa average 21.7
Citations per inspection
5.9
Iowa average 4.11
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
22 of 59 citations resulted from standard inspections; 29 of 59 resulted from complaint investigations; and 8 of 59 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
2
2
233% worse than Iowa averageIowa average: 0.6
Serious Health citations
4
4
344% worse than Iowa averageIowa average: 0.9
2 critical citations
4 serious citations
52 moderate citations
1 minor citation
Citations history (last 3 years)
Nursing Services critical citation
Issues related to the availability and quality of nursing staff and the care they provide.
Oct 22, 2025
Issues related to the availability and quality of nursing staff and the care they provide.
Oct 22, 2025
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Oct 22, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Oct 22, 2025
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Oct 22, 2025
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Oct 22, 2025
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
May 20, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
May 20, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Urbandale The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Filter by care type
Karen Acres Health Care Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC
Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
N
Nursing
RC
Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.
Urbandale
35
85.1%
+13%
3.41
-21%
0
9
2.3
0
30
-
71
Harned, Pamela
$3.8M
$1.6M
41.2%
165460
Deerfield Health Care Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
N
Nursing
Urbandale
30
83.7%
+11%
6.95
+62%
1
7
1.8
1
18
A+
5
Bear, Scott
$5.1M
$2.8M
54.9%
165557
Royal Oaks Nursing and Rehabilitation Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Urbandale
115
71.5%
-5%
3.58
-17%
3
59
5.9
6
85
-
-
Reiter, Jennifer
$13.3M
$4.4M
33%
165580
Urbandale Health Care Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC
Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
N
Nursing
RC
Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.
Urbandale
115
71.5%
-5%
3.58
-17%
3
59
5.9
6
85
-
61
Reiter, Jennifer
$13.3M
$4.4M
33%
165580
Places of interest near Royal Oaks Nursing and Rehabilitation Center
0.0 miles from city center
4614 NW 84th Street, Urbandale, IA 503221089
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
89
Employees
85
Contractors
4
Staff to resident ratio
1.05:1
48% worse than Iowa averageIowa average ratio: 2.00:1
Avg staff/day
39
Average shift
8.5 hours
15% better than Iowa averageIowa average: 7.4 hours
Total staff hours (quarter)
30,036
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
6
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
15
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
37
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
2.6%
789 contractor hours this quarter
Licensed Practical Nurse: 1
Occupational Therapy Aide: 1
Occupational Therapy Assistant: 1
Medical Director: 1
Staff by category
| Certified Nursing Assistant | 37 | 0 | 37 | 13,896 | 91 | 100% | 8.6 |
| Licensed Practical Nurse | 14 | 1 | 15 | 4,627 | 91 | 100% | 10 |
| Medication Aide/Technician | 8 | 0 | 8 | 2,998 | 91 | 100% | 9.2 |
| Registered Nurse | 6 | 0 | 6 | 2,201 | 91 | 100% | 9.5 |
| RN Director of Nursing | 3 | 0 | 3 | 1,375 | 71 | 78% | 9.5 |
| Other Dietary Services Staff | 3 | 0 | 3 | 1,155 | 80 | 88% | 6.7 |
| Speech Language Pathologist | 3 | 0 | 3 | 922 | 65 | 71% | 7.3 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 621 | 68 | 75% | 6.1 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 555 | 62 | 68% | 7.9 |
| Administrator | 1 | 0 | 1 | 480 | 64 | 70% | 7.5 |
| Nurse Practitioner | 1 | 0 | 1 | 473 | 63 | 69% | 7.5 |
| Qualified Social Worker | 2 | 0 | 2 | 268 | 54 | 59% | 5 |
| Physical Therapy Assistant | 2 | 0 | 2 | 231 | 57 | 63% | 3.6 |
| Occupational Therapy Aide | 0 | 1 | 1 | 130 | 14 | 15% | 9.3 |
| Physical Therapy Aide | 1 | 0 | 1 | 53 | 20 | 22% | 2.6 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 51 | 9 | 10% | 5.7 |
| Medical Director | 0 | 1 | 1 | 2 | 2 | 2% | 1 |
37 Certified Nursing Assistant
% of Days
100%
15 Licensed Practical Nurse
% of Days
100%
8 Medication Aide/Technician
% of Days
100%
6 Registered Nurse
% of Days
100%
3 RN Director of Nursing
% of Days
78%
3 Other Dietary Services Staff
% of Days
88%
3 Speech Language Pathologist
% of Days
71%
2 Respiratory Therapy Technician
% of Days
75%
2 Clinical Nurse Specialist
% of Days
68%
1 Administrator
% of Days
70%
1 Nurse Practitioner
% of Days
69%
2 Qualified Social Worker
% of Days
59%
2 Physical Therapy Assistant
% of Days
63%
1 Occupational Therapy Aide
% of Days
15%
1 Physical Therapy Aide
% of Days
22%
1 Occupational Therapy Assistant
% of Days
10%
1 Medical Director
% of Days
2%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
85 residents
Residents by payment source
Medicare
4 residents (4.7%)
Medicaid
68 residents (80%)
Private pay or other
13 residents (15.3%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.7
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.7
15% better than Iowa averageIowa average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
18.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
18.4
15% better than Iowa averageIowa average: 21.6
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
13.8%
Percent of long-stay residents whose need for help with daily activities has increased
13.8%
27% better than Iowa averageIowa average: 18.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
15.0%
Percent of long-stay residents whose ability to move independently worsened
15.0%
24% better than Iowa averageIowa average: 19.7%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.5%
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.5%
In line with Iowa averageIowa average: 26.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
1.7%
Percent of long-stay residents experiencing one or more falls with major injury
1.7%
54% better than Iowa averageIowa average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
6.4%
Percent of long-stay high risk residents with pressure ulcers
6.4%
46% worse than Iowa averageIowa average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.0%
Percent of long-stay residents with a urinary tract infection
1.0%
58% better than Iowa averageIowa average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
6.5%
Percent of long-stay residents who lose too much weight
6.5%
31% worse than Iowa averageIowa average: 5.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
4.6%
Percent of long-stay residents who have depressive symptoms
4.6%
18% worse than Iowa averageIowa average: 3.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
17.5%
Percent of long-stay residents who received an antipsychotic medication
17.5%
8% better than Iowa averageIowa average: 19.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
95.7%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
95.7%
In line with Iowa averageIowa average: 94.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
86.8%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
86.8%
9% worse than Iowa averageIowa average: 95.3%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
82.5%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
82.5%
In line with Iowa averageIowa average: 85.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.7%
Percent of short-stay residents who newly received an antipsychotic medication
0.7%
63% better than Iowa averageIowa average: 1.8%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
60.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
60.3%
18% worse than Iowa averageIowa average: 73.3%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$122K
154% higher than Iowa averageIowa average: $48K
Number of fines
3
77% more fines than Iowa averageIowa average: 1.7
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
2
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
2
276% more payment denials than Iowa averageIowa average: 0.5
Fines amount comparison
Fines amount comparison
This facility
$122K
Iowa average
$48K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 22, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 22, 2025
$16K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 12, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 12, 2024
$71K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 6, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 6, 2023
$35K
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Dec 6, 2023
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Dec 6, 2023
41 days
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Royal Oaks Nursing and Rehabilitation Center based on CMS SNF Cost Reports.
Occupancy Rate
71.5%
↓ 0.8pp vs 2022
Net Income
-$800,124
↑ ~$334K vs 2022
Total Payroll
$5,048,493
↓ ~$1.9M vs 2022
Profit Margin
-6.0%
↑ 2.7pp vs 2022
Loading trend charts...
Guides for Better Senior Living
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Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
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