Royal Oaks Nursing and Rehabilitation Center: Staffing, Turnover, and Inspection Record
Royal Oaks Nursing and Rehabilitation Center is a 115-bed for-profit nursing home in Urbandale, Iowa, part of Cedar View Holdings. In the CMS August 2026 release it reported 2.49 nurse aide hours per resident per day, about the same as the Iowa average of 2.51, and 66.7% nursing staff turnover (Iowa average 44.0%).
Royal Oaks Nursing and Rehabilitation Center
4614 NW 84th StreetUrbandale, IA 50322
Polk County
CMS Care Compare, August 2026 release
Special Focus Facility candidate. CMS lists this home as a candidate for its Special Focus Facility program, which is for nursing homes with a history of serious quality issues.
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Royal Oaks Nursing and Rehabilitation Center, nurse aides logged 2.49 hours per resident per day, about the same as the Iowa average. With about 87 residents a day, that works out to roughly 217 aide hours a day, or about 27 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 9% below the all-days figure.
| Hours per resident per day | This home | Iowa avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.49 | 2.51 | 2.32 |
| Licensed practical nurses | 0.66 | 0.56 | 0.86 |
| Registered nurses | 0.48 | 0.74 | 0.69 |
| All nursing staff | 3.63 | 3.82 | 3.86 |
| All nursing staff, weekends | 3.30 | 3.37 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
66.7% of nursing staff at Royal Oaks Nursing and Rehabilitation Center left over the year CMS measured, against a Iowa average of 44.0% and a US average of 45.8%. Registered nurse turnover was 90.9%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on May 20, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 34 health deficiencies (Iowa average 6.5). CMS lists 4 fines totaling $434,825 and 2 payment denials in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Feb 11, 2026 | Fine | $311,880 |
| Feb 11, 2026 | Payment Denial | 120 days from Mar 10, 2026 |
| Oct 22, 2025 | Fine | $16,907 |
| Dec 12, 2024 | Fine | $71,136 |
| Dec 6, 2023 | Fine | $34,902 |
| Dec 6, 2023 | Payment Denial | 41 days from Jan 3, 2024 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Royal Oaks Nursing and Rehabilitation Center holds 1 of 5 overall; the Iowa average is 3.1.
About Royal Oaks Nursing and Rehabilitation Center
- Ownership: For profit - Corporation
- Chain: Cedar View Holdings, 9 homes
- Legal name: Royal Oaks Nursing and Rehabilitation Center LLC
- Medicare and Medicaid certified since: Jul 9, 2007
- Councils: resident council
- Area: urban
Nursing homes near Royal Oaks Nursing and Rehabilitation Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Karen Acres Care Center Urbandale | 1.2 | 35 | 2.20 | 3.27 | 37.5% | 5 | None |
| Childserve Habilitation Center Johnston | 2.1 | 74 | 4.94 | 10.30 | 33.9% | 5 | None |
| Bishop Drumm Retirement Center Johnston · SFF candidate | 2.4 | 150 | 2.54 | 3.64 | 34.9% | 1 | $258,177 |
| Brio of Johnston, LLC Johnston | 3.0 | 36 | 2.70 | 4.57 | 55.1% | 3 | $6,923 |
| Walnut Ridge Clive | 3.3 | 60 | 3.80 | 4.89 | 24.4% | 5 | None |
| Calvin Community Des Moines | 3.6 | 59 | 2.48 | 4.19 | 31.3% | 4 | None |
| Pine Acres Rehabilitation and Care Center West Des Moines · Special Focus Facility · abuse citation | 3.7 | 140 | 2.72 | 3.84 | 56.9% | — | $478,835 |
| Deerfield Health Care Center Urbandale | 4.3 | 30 | 3.02 | 5.31 | 25.8% | 5 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.