Nursing homeFAID #4436
Royal Oaks Nursing and Rehabilitation Center
★★★★★1/5CMS Five-Star overall1/5 health inspections2/5 staffing3/5 quality measuresSource: CMS Care Compare
Photo via Google · Urbandale Healthcare Center
Public record summary
What we can show you for free.
Bed capacity
115
CMS facility ID
165580
Care type
Nursing home
County
Polk
Facility name
Royal Oaks Nursing and Rehabilitation Center
Street address
4614 NW 84TH STREET
City / state / ZIP
Urbandale, IA 50322
Phone
(515) 270-6838
Website
About this facility — Royal Oaks Nursing and Rehabilitation Center
Royal Oaks Nursing and Rehabilitation Center is a Medicare/Medicaid-certified skilled nursing facility in Urbandale, Iowa. It is licensed for 115 beds — well above the median for skilled nursing facilities in Iowa (57 beds).
It is one of 11 senior care facilities in Urbandale and 389 skilled nursing facilities across Iowa. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.
Federal inspectors have cited Royal Oaks Nursing and Rehabilitation Center 99 times across 18 inspections in the last three years, including 4 food-safety citations, and CMS has imposed $434,825 in fines. Every citation is listed, dated, and graded in the inspection record below.
This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.
Facility background
What the public record shows.
Ownership & operator
Parent company
Cedar View Holdings
Ownership type
For profit - Corporation
Registered owners & officers
Amaranthine Holdings Llc
Direct owner — 100% stake — since 2025
4614 Nw 84th Street Propco Llc
Additional disclosable party — since 2025
Caresage Administrative Consulting, Llc
Additional disclosable party — since 2025
Cedar View Holdings Llc
Indirect owner · Additional disclosable party — since 2025
Cedar View Tr
Indirect owner · Additional disclosable party — since 2025
Clinical Consulting Services Llc
Additional disclosable party — since 2025
Greatorex, Tina
Indirect owner — since 2025
Iowa 5784 Llc
Indirect owner · Additional disclosable party — since 2025
Jsj 2020 Fam Tr
Additional disclosable party — since 2025
Jsj Property Llc
Additional disclosable party — since 2025
Oconner, Michael
Operational control · Additional disclosable party — since 2025
Reiter, Jennifer
Operational control · Additional disclosable party — since 2025
Samara Fam Tr
Additional disclosable party — since 2025
Samara Family Holdings Llc
Indirect owner — since 2025
Schiowitz, Marc
Indirect owner — since 2025
Sebbag, Gabriel
Indirect owner · Trustee — since 2025
Summation Financial Services Llc
Additional disclosable party — since 2025
The Bryn Mawr Trust Company of Delaware
Additional disclosable party — since 2025
Regulatory standing
Licensed / certified since
2007-07-09
CMS overall rating
1 of 5 stars
Health deficiencies
34 at the last standard inspection
Federal fines
$434,825 total
Last standard inspection
2025-05-20
Nurse staffing
3.6 hours per resident per day
Cost & payer profile (FY2023 cost report)
Average billed charges
$444 per day (≈ $13,500/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
66% Medicaid · 8% Medicare · 25% private/other
Occupancy
72% (fiscal year 2023)
Vs. state median
30% above the IA median of $342/day — full state cost breakdown
Services & coverage
Licensed beds
115
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily Open 24 hours
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-08-31. Facilities can submit a correction.
Inspection record
Every citation, dated and graded.
Kitchen & food safety
Federal surveyors inspect the kitchen at every standard visit. This facility has 4 food-safety citations on its three-year record — flagged below among the inspections.
2026-06-11Health inspectionComplaint-triggered7 citations
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2026-07-08
F-0686
G · Actual harmFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2026-07-08
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-07-08
F-0690
D · No harm foundFrom a complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2026-07-08
F-0755
D · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2026-07-08
F-0865
F · No harm foundFrom a complaint
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected 2026-07-08
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2026-07-08
2026-04-09Health inspectionComplaint-triggered5 citations
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2026-07-08
F-0686
D · No harm foundFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2026-07-08
F-0690
D · No harm foundFrom a complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2026-07-08
F-0760
D · No harm foundFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2026-07-08
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2026-07-08
14 earlier / fire-safety inspections (87 citations)
2026-02-11Health inspectionComplaint-triggered7 citations
F-0554
D · No harm foundFrom a complaint
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2026-02-23
F-0584
E · No harm foundFrom a complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2026-02-23
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2026-02-23
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2026-07-08
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-02-23
F-0690
G · Actual harmFrom a complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2026-07-08
F-0880
E · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2026-07-08
2025-10-22Health inspectionComplaint-triggered3 citations
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-11-07
F-0725
K · Immediate jeopardyFrom a complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2025-10-09
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-11-07
2025-05-20Health inspectionComplaint-triggered12 citations
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-06-13
F-0655
D · No harm found
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2025-06-13
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-06-13
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-06-13
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-06-13
F-0740
D · No harm foundFrom a complaint
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2025-06-13
F-0760
G · Actual harmFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2025-06-13
F-0761
D · No harm foundFrom a complaint
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2025-06-13
F-0804
E · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-06-13
F-0812
F · No harm foundFood safetyFrom a complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-06-13
F-0842
E · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-06-13
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-06-13
2024-12-13Health inspectionComplaint-triggered12 citations
F-0550
E · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-01-17
F-0558
E · No harm foundFrom a complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-01-17
F-0584
E · No harm foundFrom a complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2025-01-17
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-01-17
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-01-17
F-0677
E · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-01-17
F-0684
E · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-01-17
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-01-17
F-0755
J · Immediate jeopardyFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-01-17
F-0761
D · No harm foundFrom a complaint
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2025-01-17
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2025-01-17
F-0925
E · No harm foundFrom a complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2025-01-17
2024-10-15Health inspectionComplaint-triggered3 citations
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-11-07
F-0686
D · No harm foundFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-11-07
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-11-07
2024-09-07Health inspectionComplaint-triggered1 citation
F-0690
D · No harm foundFrom a complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-09-25
2024-07-01Health inspectionComplaint-triggered12 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-08-01
F-0578
D · No harm found
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2024-08-01
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-08-01
F-0609
D · No harm found
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-08-01
F-0610
D · No harm found
Respond appropriately to all alleged violations.
Corrected 2024-08-01
F-0623
D · No harm found
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-08-01
F-0644
D · No harm found
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2024-08-01
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-08-01
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-08-01
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-08-01
F-0868
D · No harm found
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2024-08-01
F-0926
D · No harm found
Have policies on smoking.
Corrected 2024-08-01
2024-01-30Health inspectionComplaint-triggered3 citations
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-02-13
F-0880
E · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2024-02-13
F-0921
E · No harm foundFrom a complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-02-13
2023-12-06Health inspectionComplaint-triggered5 citations
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-12-27
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-12-27
F-0686
G · Actual harmFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-12-19
F-0695
G · Actual harmFrom a complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-12-19
F-0755
E · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-12-27
2023-09-07Health inspectionComplaint-triggered2 citations
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-09-29
F-0761
D · No harm foundFrom a complaint
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2023-09-29
2023-04-04Health inspection6 citations
F-0582
D · No harm found
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2023-05-04
F-0623
C · No harm found
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-05-04
F-0656
E · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-05-04
F-0692
D · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-05-04
F-0803
E · No harm foundFood safety
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2023-05-04
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-05-04
2025-05-20Fire-safety inspection12 citations
E-0004
F · No harm found
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2025-05-29
E-0030
F · No harm found
List the names and contact information of those in the facility.
Corrected 2025-05-29
K-0281
D · No harm found
Install proper backup exit lighting.
Corrected 2025-05-15
K-0321
D · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-05-16
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-05-15
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-05-19
K-0372
E · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-05-20
K-0511
E · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2025-05-15
K-0521
F · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-05-15
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-05-15
K-0920
E · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2025-05-15
K-0922
D · No harm found
Meet requirements for the use and maintenance of medical gas equipment.
Corrected 2025-05-15
2024-07-01Fire-safety inspection5 citations
K-0222
E · No harm found
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2024-08-03
K-0321
F · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-08-03
K-0347
E · No harm found
Properly provide smoke detection systems in areas open to corridors.
Corrected 2024-08-22
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2024-08-03
K-0374
E · No harm found
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-08-03
2023-04-04Fire-safety inspection4 citations
E-0039
F · No harm found
Conduct testing and exercise requirements.
Corrected 2023-04-14
K-0321
E · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-04-21
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2023-04-14
K-0921
F · No harm found
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2023-05-05
Federal penalties
2026-02-11Fine$311,880
2025-10-22Fine$16,907
2024-12-12Fine$71,136
2023-12-06Fine$34,902
2026-02-11Medicare payment denial — 120 days
2023-12-06Medicare payment denial — 41 days
Total fines$434,825
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 165580.
Visitor reviews
What people say on Google.
3.0★★★★★39 ratings on Google
★★★★★kathy Stackhouse · 2026-02-04 · via Google“I had a brief experience with Royal Oaks because mom passed before she moved in, but everyone I came in contact with was friendly and helpful and were very helpful in the enrollment process. They were also great at getting back to me when I had questions. Positive staff!”
★★★★★Brandon Lindsey · 2025-11-12 · via Google“My experience with Royal Oaks was brief, but seamless. The hospital gave very little notice to move mom and Royal Oaks was quick and took care of so much of the administrative aspects of getting mom from the hospital to Royal Oaks. Mom was only there for a short time, but everyone I spoke with was responsive and understanding. I am so grateful for all they have done for my family.”
★Tiffany Walter · 2025-11-26 · via Google“My mother was in the facility for over a year in long term care. The stay started out great but as it changed to Royal Oaks the level of extreme decline in care for residents is horrific. Staff mistreating residents, inability to address care concerns, frequent med mistakes, falls that aren't reported correctly. The list goes on. My mother suffered at the hand of their mismanagement. We finally …”
Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google
Inside your report
What unlocks when you order.
Ownership & corporate history
Primary tierPrior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more
Inspection citations — last 5 years
LockedThe 99 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.
Civil & criminal lawsuits
Advanced tier onlyActive civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Original records
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered