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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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 27m per day | ▼ 39% State avg: 44m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 43m per day | ▲ 26% State avg: 34m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 12m per day | ▼ 13% State avg: 2h 32m per day · National avg: 2h 20m per day |
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 5m per day | ▼ 8% State avg: 3h 21m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 4m per day | ▲ 100% State avg: 2m per day · National avg: 4m per day |
|
RN (Weekend)
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 20m per day | ▼ 33% State avg: 30m per day · National avg: 28m per day |
Royal Oaks Nursing and Rehabilitation Center is located in Urbandale, Iowa.
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0.0 miles from city center
Estimated distance in miles from Urbandale's city center to Royal Oaks Nursing and Rehabilitation Center's address, calculated via Google Maps.
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These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Number of hospitalizations per 1,000 long-stay resident days.
2.33
57% worse than Iowa averageIowa average: 1.48
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.97
54% better than Iowa averageIowa average: 2.09
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
11.1%
48% better than Iowa averageIowa average: 21.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
11.2%
15% better than Iowa averageIowa average: 13.1%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Iowa averageIowa average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
55.2%
In line with Iowa averageIowa average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
56.4%
12% better than Iowa averageIowa average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
| 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 (Elm Drive) | 35 | 85.1% | +13% | 3.41 | +25% | -21% | $0 | 9 | 2.3 | - | 30 | - | 71 | Pamela Harned | $3.8M | $2.0M | 52.3% | 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 | +37% | +62% | $70.2k | 7 | 1.8 | 1 | 18 | A+ | 5 | Scott Bear | $7.9M | $3.9M | 49.8% | 165557 | ||||
| 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 (84Th Street) | 115 | 71.5% | -5% | 3.58 | -42% | -17% | $122.1k | 59 | 5.9 | 6 | 85 | - | 61 | Jennifer Reiter | $13.3M | $5.0M | 37.8% | 165580 |
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Royal Oaks Nursing and Rehabilitation Center has a walk score of 43. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Yes — there are 10 photos of Royal Oaks Nursing and Rehabilitation Center in the photo gallery on this page.
Royal Oaks Nursing and Rehabilitation Center is located at 4614 NW 84th Street.
(515) 270-6838 will put you in contact with the team at Royal Oaks Nursing and Rehabilitation Center.
Royal Oaks Nursing and Rehabilitation Center is not currently listed as a CMS-certified provider of Medicare or Medicaid.
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