Royal Oaks Nursing and Rehabilitation Center — Nursing Home in Urbandale, IA

4614 NW 84th Street, Urbandale, IA, 50322 | 5152706838

CMS Five-Star Rating

★★☆☆☆ 2/5

Based on health inspections, staffing, and quality measures

Facility Overview

Medicare Medicaid
Certified Beds115
Average Residents/Day84.7
CMS Certification Number165580

Staffing Levels

Hours Per Resident Day (HPRD)

Total Nurse Staffing 3.39 HPRD
RN Staffing 0.42 HPRD

Health Inspection Findings & Deficiencies

Most Recent Inspection February 11, 2026
Total Deficiencies 7 1 Severe

Royal Oaks Nursing and Rehabilitation Center had 7 health inspection deficiencies on its most recent inspection (February 11, 2026), including 1 classified as severe.

Inspection Findings — February 11, 2026

  • Allow residents to self-administer drugs if determined clinically appropriate. (Level D)
    Corrected — February 23, 2026
  • 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. (Level E)
    Corrected — February 23, 2026
  • Ensure services provided by the nursing facility meet professional standards of quality. (Level D)
    Corrected — February 23, 2026
  • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (Level G)
    Corrected — February 23, 2026
  • Provide and implement an infection prevention and control program. (Level E)
    Corrected — February 23, 2026
  • Provide care and assistance to perform activities of daily living for any resident who is unable. (Level D)
    Corrected — February 23, 2026
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals. (Level D)
    Corrected — February 23, 2026
CareQED Analysis

Royal Oaks Nursing and Rehabilitation Center is a 115-bed nursing home in Urbandale, Iowa. It holds a 2-star CMS overall rating. Total nurse staffing is 3.4 hours per resident day, below the Iowa average of 3.8. Its most recent inspection, in February 2026, cited 7 deficiencies, one of them severe.

Nothing about this facility jumps out as a clear strength given the recent inspection issues and below-average staffing. You should ask how the facility has addressed the severe recent citation — particularly their infection-prevention and overall care practices — and what ongoing steps they are taking to ensure consistent, professional nursing care.

Frequently Asked Questions

Is Royal Oaks Nursing and Rehabilitation Center Medicare and Medicaid certified?

Royal Oaks Nursing and Rehabilitation Center is Medicare certified and Medicaid certified according to CMS data.

What is Royal Oaks Nursing and Rehabilitation Center's CMS star rating?

Royal Oaks Nursing and Rehabilitation Center has an overall CMS rating of 2 out of 5 stars.

How is staffing at Royal Oaks Nursing and Rehabilitation Center?

Royal Oaks Nursing and Rehabilitation Center reports 3.38742 total nurse hours per resident day.

Has Royal Oaks Nursing and Rehabilitation Center had health inspection deficiencies?

On its most recent inspection, Royal Oaks Nursing and Rehabilitation Center had 7 total deficiencies, including 1 classified as severe.

How many beds does Royal Oaks Nursing and Rehabilitation Center have?

Royal Oaks Nursing and Rehabilitation Center has 115 certified beds.

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Data Source

This information is sourced from official CMS (Centers for Medicare & Medicaid Services) public datasets.

CMS Provider Information updated May 1, 2026.

CMS Survey Summary updated May 1, 2026.

CMS Health Deficiencies updated May 1, 2026.

CareQED last updated June 22, 2026.

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