On With Life
Scout 100Ankeny, IA · 28 beds
5.0CMS rating
Skilled NursingModerate availability
One of Ankeny's top-rated skilled nursing communities.
Est. $8,860–$11,100/mo
View full evaluation →Skilled NursingCMS verified
Royal Oaks Nursing and Rehabilitation Center
4614 Nw 84th Street, Urbandale, IA 50322 · Polk County
Uncommon Care Caring, connection, and compassion are, unfortunately, too rare in healthcare today. That’s what makes Royal Oaks different: no obstacle is too great, no challenge too daunting, and helping you reclaim your health and independence with personal attention is what we live for. We create customized, individ…
6
Use CautionHaven Scout Score
Our composite of CMS ratings, staffing, and safety. This community rates use caution.
Photos via google places, facility website.
Availability outlookModerate availability
Typically 75% full — openings are usually available.
Source: federal census data (average daily residents vs. certified beds, CMS Care Compare). Confirm current openings with an advisor — availability changes weekly.
Our evaluation
An honest, data-grounded look at this community — every claim is drawn from public inspection data.
A low federal rating — review the details closely
Royal Oaks Nursing and Rehabilitation Center is a for-profit skilled nursing facility in Urbandale, IA, with 115 certified beds and an average of about 86 residents per day. It operates as part of the Cedar View Holdings network.
Medicare rates it 1 out of 5 stars overall — below the national average of about 3 stars. Component ratings: 1/5 on health inspections, 1/5 on staffing, 4/5 on quality measures.
Staff provide about 3.34 total nurse hours per resident each day (0.26 of them from registered nurses), below the national benchmark of roughly 3.9 hours. Annual nursing-staff turnover is about 55.3%, higher than the ~52% national average. On the safety record, CMS notes 27 health deficiencies at its most recent standard survey, and 3 federal fines totaling $122,945 in the recent record. This facility is in the CMS Special Focus Facility program, which targets homes with a history of serious quality problems.
Strengths
- ✓Full sprinkler system
- ✓Active resident & family council
Things to ask about
- •Below-average 1-star overall CMS rating
- •Below-average health-inspection rating
- •Below-average nurse staffing (3.34 hrs/resident/day)
- •27 deficiencies at last survey
- •$122,945 in federal fines
- •In the CMS Special Focus Facility program
Best for: Families considering this community should tour in person, request the latest survey, and weigh it against higher-rated Urbandale options — our advisors can help you compare.
At a glance
- Certified beds
- 115
- Avg. residents/day
- 86
- Ownership
- For profit - Corporation
- Part of a chain
- Cedar View Holdings
- Continuing care
- No
- CMS provider #
- 165580
Federal quality ratings
From the U.S. Centers for Medicare & Medicaid Services (CMS), on a 1–5 star scale.
Overall rating
Health inspections
Staffing
Quality measures
Pricing & cost
We publish transparent estimates and verify exact pricing on request. No surprises.
| Level of care | Monthly cost | Source |
|---|---|---|
| Skilled Nursing | $8,860–$11,100/mo (median $9,710) | Local market estimate |
2024–2026 published survey medians, state median adjusted to local Des Moines prices (BEA regional price parities). Request a quote for exact pricing. Range spans semi-private to private rooms. How we estimate costs
Staffing & care
More nursing time per resident — and lower turnover — generally means more attentive care.
- Total nurse hrs / resident / day
- 3.34
- National avg ≈ 3.9
- RN hrs / resident / day
- 0.26
- National avg ≈ 0.75
- Nursing staff turnover
- 55.3%
- National avg ≈ 52%
Safety & inspection record
Federal inspectors survey nursing homes roughly once a year. Here's the latest on file.
⚠️ This community carries a serious CMS flag (Special Focus Facility). We recommend reviewing the full inspection report and raising it directly on any tour.
- Health deficiencies (last survey)
- 27
- Federal fines
- 3 ($122,945)
- Total penalties
- 4
- Last standard survey
- 2025-05-20
- Sprinkler system
- Yes
- Resident & family council
- Resident
What inspectors found
The most recent findings from federal health inspections (71 citations on record — showing the latest 8). Every nursing home is inspected roughly once a year; most receive some citations.
2026-04-09Severity D — potential for harmFrom a complaintQuality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
2026-04-09Severity D — potential for harmFrom a complaintQuality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2026-04-09Severity D — potential for harmFrom a complaintQuality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
2026-04-09Severity D — potential for harmFrom a complaintPharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
2026-04-09Severity D — potential for harmFrom a complaintInfection Control Deficiencies
Provide and implement an infection prevention and control program.
2026-02-11Severity G — actual harmFrom a complaintQuality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
2026-02-11Severity E — potential for harmFrom a complaintResident Rights Deficiencies
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.
2026-02-11Severity E — potential for harmFrom a complaintInfection Control Deficiencies
Provide and implement an infection prevention and control program.
Severity uses the CMS scope/severity scale: D–F = potential for harm, G–I = actual harm, J–L = immediate jeopardy. Source: CMS Care Compare health citations; data as of the latest federal release. Discuss any finding directly with the community on a tour.
Penalty history
Federal fines and Medicare/Medicaid payment denials on record.
| Date | Type | Amount |
|---|---|---|
| 2025-10-22 | Fine | $16,907 |
| 2024-12-12 | Fine | $71,136 |
| 2023-12-06 | Fine | $34,902 |
| 2023-12-06 | Payment denial | — |
Services & amenities
- ✓ Full automatic sprinkler system
- ✓ Medicare & Medicaid certified
- ✓ 24-hour licensed nursing
- ✓ On-site rehabilitation therapy
- ✓ Rehabilitation services
- ✓ Respite / short-term stays
- ✓ Daily activities & events
- ✓ 24/7 staff
Location
4614 Nw 84th Street, Urbandale, IA
- Monday: Open 24 hours
- Tuesday: Open 24 hours
- Wednesday: Open 24 hours
- Thursday: Open 24 hours
- Friday: Open 24 hours
- Saturday: Open 24 hours
- Sunday: Open 24 hours
Reviews & reputation
We aggregate ratings across Google, Yelp, and verified families — and link back to every source so you can read more.
Verified family reviews
No verified family reviews yet for Royal Oaks Nursing and Rehabilitation Center.
Have a loved one here, or recently toured? Help other families by sharing your experience — we verify every review before it's published.
Talk to an advisor about this communityCommon questions about Royal Oaks Nursing and Rehabilitation Center
How much does Royal Oaks Nursing and Rehabilitation Center cost?
Royal Oaks Nursing and Rehabilitation Center does not publish exact rates. Comparable skilled nursing in the Urbandale, IA area typically runs $8,860–$11,100 per month (median $9,710, based on published survey medians adjusted for local prices). A Haven advisor can confirm current pricing for free.
What is Royal Oaks Nursing and Rehabilitation Center's Medicare rating?
Medicare (CMS) rates Royal Oaks Nursing and Rehabilitation Center 1 out of 5 stars overall, including 1/5 for health inspections, 1/5 for staffing, 4/5 for quality measures. The national average is about 3 stars.
How is the staffing at Royal Oaks Nursing and Rehabilitation Center?
Staff provide about 3.34 total nurse hours per resident per day (national benchmark ≈ 3.9), and annual nursing-staff turnover is about 55.3% (national average ≈ 52%). These figures are reported to the federal government and updated regularly.
What did inspectors find at Royal Oaks Nursing and Rehabilitation Center?
Royal Oaks Nursing and Rehabilitation Center has 71 health citations on its recent federal inspection record (last standard survey: 2025-05-20). The full citation-by-citation detail, with severity levels, is published on this page.
Does Royal Oaks Nursing and Rehabilitation Center have availability?
Typically 75% full — openings are usually available. Availability changes weekly — a Haven advisor can confirm current openings at no cost.
What types of care does Royal Oaks Nursing and Rehabilitation Center offer?
Royal Oaks Nursing and Rehabilitation Center in Urbandale, IA offers skilled nursing and is licensed for 115 beds.
The best time to decide is before a crisis decides for you
Most families start this search after a fall, a hospital stay, or a caregiver reaching a breaking point — and end up choosing from whatever has a bed open that week. Families who plan even a few weeks ahead get to choose on quality, fit, and price instead of availability alone.
- Move-ins take time: assessments, paperwork, and preparation typically run 2–6 weeks in Des Moines.
- The best communities fill first: top-rated communities often run a waitlist — touring early holds your place in line.
- Touring costs nothing and commits you to nothing — but it turns a future emergency into a calm, informed choice.
Your next steps — this week
- 1Confirm the fitCheck the inspection record and staffing data on this page against your loved one's needs.
- 2Get exact pricing & availabilityRequest current rates for Royal Oaks Nursing and Rehabilitation Center — takes one minute, answered same day.
- 3Tour 2–3 communitiesCompare this community against two alternatives. Ask about staff turnover, all-in monthly cost, and care-plan changes.
- 4Hold a spotMost communities hold a residence with a small refundable deposit while you decide.
Data sources:CMS verifiedGoogleOfficial website
Last verified 2026-07-06. We refresh inspection data monthly and reviews continuously.
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