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.
Royal Oaks Nursing and Rehabilitation Center
Nursing Home
Royal Oaks Nursing and Rehabilitation Center
Nursing Home
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
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
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
Proprietary home
Individual
Home revenue
$13.3M
Operating loss
-$800.1K
Proprietary home
Individual
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
Care Services
Nursing Services
Rehabilitation Services
Respite Care
Licensed Nurses/CNAs
24-Hour Staffing
Short-Term Rehab
Programs & Activities
Specific Programs
Short Term Rehabilitation, Long Term Care, Accommodations
Compare Nursing Homes around Urbandale
The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Karen Acres Health Care Center
+25%
-21%
+13%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
HC
Hospice Care
N
Nursing
Urbandale
35
No
-
71
HARNED, PAMELA
85.1%
$3,816,819.00
$1,570,803.00
41.2%
29.50
3.4093
-
9
-
+25%-21%+13%
Deerfield Health Care Center
+37%
+62%
+11%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IL
Independent Living For self-sufficient seniors seeking community and minimal assistance.
N
Nursing
Urbandale
30
No
A+
5
BEAR, SCOTT
83.7%
$5,064,357.00
$2,781,643.00
54.9%
18.20
6.9474
1
7
1
+37%+62%+11%
Royal Oaks Nursing and Rehabilitation Center
-42%
-17%
-5%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 503221089
115
No
-
-
REITER, JENNIFER
71.5%
$13,339,726.00
$4,403,145.00
33%
84.70
3.5833
3
59
6
-42%-17%-5%
Urbandale Health Care Center
-42%
-17%
-5%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
HC
Hospice Care
N
Nursing
Urbandale
115
No
-
61
REITER, JENNIFER
71.5%
$13,339,726.00
$4,403,145.00
33%
84.70
3.5833
3
59
6
-42%-17%-5%
Karen Acres Health Care Center
Type of care:
SNF
AL
HC
N
Community:
Urbandale
Bed Count:
35
Pets Allowed:
No
Operator:
HARNED, PAMELA
CCN:
165460
Occupancy:
85.1%
Home Revenue:
$3,816,819.00
Payroll Costs:
$1,570,803.00
Payroll %:
41.2%
Avg Residents/Day:
29.50
Overall Rating:
Adj Nurse Hours:
3.4093
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
9
RN share vs State Avg:
+25%
+25%
Staffing vs State Avg:
-21%
-21%
Occupancy vs State Avg:
+13%
+13%
Deerfield Health Care Center
Type of care:
SNF
AL
IL
N
Community:
Urbandale
Bed Count:
30
Pets Allowed:
No
Operator:
BEAR, SCOTT
CCN:
165557
Occupancy:
83.7%
Home Revenue:
$5,064,357.00
Payroll Costs:
$2,781,643.00
Payroll %:
54.9%
Avg Residents/Day:
18.20
Overall Rating:
Adj Nurse Hours:
6.9474
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
7
Severe Citations:
1
RN share vs State Avg:
+37%
+37%
Staffing vs State Avg:
+62%
+62%
Occupancy vs State Avg:
+11%
+11%
Royal Oaks Nursing and Rehabilitation Center
Type of care:
SNF
AL
Community:
IA 503221089
Bed Count:
115
Pets Allowed:
No
Operator:
REITER, JENNIFER
CCN:
165580
Occupancy:
71.5%
Home Revenue:
$13,339,726.00
Payroll Costs:
$4,403,145.00
Payroll %:
33%
Avg Residents/Day:
84.70
Overall Rating:
Adj Nurse Hours:
3.5833
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
3
Citations:
59
Severe Citations:
6
RN share vs State Avg:
-42%
-42%
Staffing vs State Avg:
-17%
-17%
Occupancy vs State Avg:
-5%
-5%
Urbandale Health Care Center
Type of care:
SNF
AL
HC
N
Community:
Urbandale
Bed Count:
115
Pets Allowed:
No
Operator:
REITER, JENNIFER
CCN:
165580
Occupancy:
71.5%
Home Revenue:
$13,339,726.00
Payroll Costs:
$4,403,145.00
Payroll %:
33%
Avg Residents/Day:
84.70
Overall Rating:
Adj Nurse Hours:
3.5833
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
3
Citations:
59
Severe Citations:
6
RN share vs State Avg:
-42%
-42%
Staffing vs State Avg:
-17%
-17%
Occupancy vs State Avg:
-5%
-5%Places of interest near Royal Oaks Nursing and Rehabilitation Center
0.0 miles from city center
Urbandale, IA 503221089
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
89
Total Staff
85
Employees
4
Contractors
30,036
Total Hours (Quarter)
39
Avg Staff/Day
8.5
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 6 | 9.5 | No |
| Licensed Practical Nurse | 15 | 10 | Yes |
| Certified Nursing Assistant | 37 | 8.6 | No |
Staff by Category
Administration ⓘ
2 staff
7.3hs shift avg
Nursing Staff ⓘ
69 staff
9hs shift avg
Physicians & Practitioners ⓘ
3 staff
7.7hs shift avg
Therapy Services ⓘ
10 staff
6hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
2 staff
5hs shift avg
Dietary Services ⓘ
3 staff
6.7hs shift avg
Other Services ⓘ
0 staff
0hs shift avg
Contractor Analysis
2.6%
of total hours from contractors
789 contractor hours this quarter
Licensed Practical Nurse: 1
Occupational Therapy Aide: 1
Occupational Therapy Assistant: 1
Medical Director: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| 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 |
Health Inspection History
Inspections
Total health citations
59
Citations per inspection
5.9
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
Oct 22, 2025
Corrected
Quality of Care moderate citation
Oct 22, 2025
Corrected
Care Planning moderate citation
Oct 22, 2025
Corrected
Infection Control moderate citation
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.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit Corporation
Part of: Care Sage
Resident Census by Payment Source
85
Total Residents
Medicare
4
(4.7%)
ⓘ
Medicaid
68
(80%)
ⓘ
Private Pay/Other
13
(15.3%)
ⓘ
Programs & Services
Residents' Group
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
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...
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