Des Moines Senior AdvisorRoyal Oaks Nursing and Rehabilitation Center, at 4614 NW 84th Street in Urbandale (Polk County), is a nursing facility certified for Medicare and Medicaid with 115 certified beds and Iowa nursing facility license 771099. Royal Oaks Nursing and Rehabilitation Center holds a CMS overall rating of 1 out of 5 in Care Compare data dated October 1, 2026.
How does CMS rate Royal Oaks Nursing and Rehabilitation Center in Urbandale, Iowa?
Royal Oaks Nursing and Rehabilitation Center holds a CMS overall rating of 1 out of 5, with 1 stars for health inspections, 2 for staffing and 2 for quality measures on CMS's five-star scale.
| CMS / DIAL measure | Value |
|---|---|
| CMS overall stars | 1 of 5 |
| Health inspections (CMS stars) | 1 of 5 |
| Staffing (CMS stars) | 2 of 5 |
| Quality measures (CMS stars) | 2 of 5 |
| Certified beds and average daily census | 115 beds, 84.0 residents a day |
| Name as CMS lists it | Royal Oaks Nursing and Rehabilitation Center |
| Ownership (CMS) | For profit - Limited Liability company |
| Chain affiliation (CMS) | Cedar View Holdings, 9 homes nationwide |
| Medicare/Medicaid certification since | July 9, 2007 |
| Iowa license (DIAL) | 771099; 115 licensed beds; Current through 01/01/2027 |
| State fines since January 2023 (DIAL) | 7, totaling $47,375 after adjustment |
Its average census of about 84 residents fills roughly 73% of certified beds, below the 89% typical of certified homes in the six-county metro.
What does Royal Oaks Nursing and Rehabilitation Center's inspection history look like?
DIAL surveyors working for CMS last completed a full health inspection of Royal Oaks Nursing and Rehabilitation Center on August 6, 2026, recording 23 health deficiencies for that cycle (1 routine, 22 complaint-driven).
The earlier survey, dated May 20, 2025, found 38 deficiencies; separate infection-control reviews produced 0 citations. Measured against a metro median of 6, the latest result is worse than most nearby homes.
Within CMS's three-year penalty window it lists 4 federal fines totaling $324,988 and 2 payment denials.
Iowa's own Assessed Fines Report adds 7 state fines since January 2023: June 11, 2026, $5,250 issued, $5,250 suspended; February 11, 2026, $19,500 issued, $19,500 suspended; October 22, 2025, $5,250 issued, $5,250 suspended; May 20, 2025, $4,250 issued, $4,250 suspended. A suspended state fine usually means CMS imposed its own penalty for the same findings.
Is Royal Oaks Nursing and Rehabilitation Center well staffed?
At 4.06 total nurse hours per resident-day, Royal Oaks Nursing and Rehabilitation Center is roughly level with the metro median of 4.01; its 0.46 RN hours are lower than the metro median of 0.64.
On weekends, total nurse staffing falls to or stays at 3.60 hours per resident-day. Nursing staff turnover is 65.9%, higher than the metro median of 47.2%; RN turnover is 90.9%. CMS counts 1 administrator departure during its measurement period.
Which nursing homes near Royal Oaks Nursing and Rehabilitation Center should we compare?
Its 115 certified beds make it bigger than the Polk County median of 76 licensed nursing facility beds. The nearest other certified home is Karen Acres Healthcare Center in Urbandale, about 1.2 miles away as the crow flies, with a CMS rating of 5 of 5.
| Facility | Miles away | Units or beds | CMS overall rating | Last CMS health inspection | Deficiencies cited |
|---|---|---|---|---|---|
| Karen Acres Healthcare Center 3605 Elm Drive, 50322 | 1.2 | 35 | 5 of 5 | June 11, 2025 | 3 |
| ChildServe Habilitation Center 5900 Pioneer Parkway, 50131 Serves adults with disabilities or mental illness | 2.1 | 74 | 5 of 5 | June 18, 2026 | 3 |
| Bishop Drumm Retirement Center 5837 Winwood Drive, 50131 | 2.4 | 150 | 1 of 5 | July 21, 2025 | 26 |
| Brio of Johnston, LLC 6901 Peckham Street, 50131 | 3.0 | 36 | 4 of 5 | April 9, 2026 | 5 |
| Walnut Ridge 1703 Campus Drive, 50325 | 3.3 | 60 | 5 of 5 | July 9, 2025 | 4 |
How close is Royal Oaks Nursing and Rehabilitation Center to a hospital?
Royal Oaks Nursing and Rehabilitation Center is in Urbandale, Polk County, and Broadlawns Medical Center is the closest general hospital on DIAL's roster, about 5.9 miles away by straight line.
MercyOne Des Moines Medical Center follows at roughly 5.9 miles. These are straight-line distances, not drive times.
What does Royal Oaks Nursing and Rehabilitation Center's CMS record suggest asking?
Let the CMS figures set the agenda: ask for the plan of correction covering the 23 deficiencies cited August 6, 2026, and what is different now.
- Turnover of 65.9% runs above the metro median; ask what share of each shift is agency staff.
- Ask what led to the federal or state fines listed above and whether the underlying problem is closed.
- Occupancy is about 73%; ask which halls have open beds and why.
- CMS lists a both council; ask when it meets and whether family members may attend.
- If Medicaid may pay later, confirm Royal Oaks Nursing and Rehabilitation Center accepts Iowa Medicaid for long stays and which managed care plans it contracts with.
