Royal Oaks Nursing and Rehabilitation Center

Special Focus Facility candidate · Polk · IA · For profit - Corporation · CEDAR VIEW HOLDINGS chain · 115 certified beds · CCN 165580 · ROYAL OAKS NURSING AND REHABILITATION CENTER LLC


Royal Oaks Nursing and Rehabilitation Center operates 115 certified beds in Urbandale, Iowa. Its Medicare and Medicaid certification dates to 2007-07-09. It averages 87.2 residents a day.

What harm was found in the violations cited at Royal Oaks Nursing and Rehabilitation Center?

CMS lists 78 health-inspection deficiencies for Royal Oaks Nursing and Rehabilitation Center since 2023-04-04, 72 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is K; the most recent health inspection was 2026-06-11.

Survey dateTagDeficiencySeverity
2026-06-11F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G
2026-06-11F0865Have a plan that describes the process for conducting QAPI and QAA activities.F
2026-06-11F0550, F0689, F0690, F0755, F0880Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Provide and implement an infection prevention and control program.D
2026-04-09F0677, F0686, F0690, F0760, F0880Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Ensure that residents are free from significant medication errors. / Provide and implement an infection prevention and control program.D
2026-02-11F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.G
2026-02-11F0584, F0880Honor 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. / Provide and implement an infection prevention and control program.E
2026-02-11F0554, F0658, F0677, F0684Allow residents to self-administer drugs if determined clinically appropriate. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2025-10-22F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.K
2025-10-22F0684, F0842Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2025-05-20F0689, F0760Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Ensure that residents are free from significant medication errors.G
2025-05-20F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2025-05-20F0804, F0842, F0880Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program.E
2025-05-20F0550, F0655, F0658, F0695, F0740, F0761Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Ensure services provided by the nursing facility meet professional standards of quality. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure each resident must receive and the facility must provide necessary behavioral health care and services. / 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.D
2024-12-13F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.J
2024-12-13F0550, F0558, F0584, F0677, F0684, F0925Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Reasonably accommodate the needs and preferences of each resident. / 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. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.E
2024-12-13F0656, F0658, F0689, F0761, F0880Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure services provided by the nursing facility meet professional standards of quality. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / 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. / Provide and implement an infection prevention and control program.D
2024-10-15F0684, F0686, F0689Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2024-09-07F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D
2024-07-01F0550, F0578, F0580, F0609, F0610, F0623, F0644, F0656, F0658, F0689, F0868, F0926Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / 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. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure services provided by the nursing facility meet professional standards of quality. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Have the Quality Assessment and Assurance group have the required members and meet at least quarterly / Have policies on smoking.D
2024-01-30F0880, F0921Provide and implement an infection prevention and control program. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E
2024-01-30F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D
2023-12-06F0686, F0695Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide safe and appropriate respiratory care for a resident when needed.G
2023-12-06F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E
2023-12-06F0656, F0658Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure services provided by the nursing facility meet professional standards of quality.D
2023-09-07F0658, F0761Ensure services provided by the nursing facility meet professional standards of quality. / 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.D
2023-04-04F0656, F0803, F0812Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2023-04-04F0582, F0692Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Provide enough food/fluids to maintain a resident's health.D
2023-04-04F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.C

Why was Royal Oaks Nursing and Rehabilitation Center fined 4 times?

DateTypeAmount
2026-02-11Fine$311,880
2025-10-22Fine$16,907
2024-12-12Fine$71,136
2023-12-06Fine$34,902

Has Royal Oaks Nursing and Rehabilitation Center had payment denied by Medicare more than once?

Payment denial startLength in days
2026-03-10120
2024-01-0341

How is Royal Oaks Nursing and Rehabilitation Center staffed relative to the IA average?

MeasureThis facilityIA average
Total nurse staffing hours per resident per day3.627963.81506
Total nursing staff turnover (%)66.744.0
Average number of residents per day87.252.4

Who owns Royal Oaks Nursing and Rehabilitation Center, and what chain is it in?

Royal Oaks Nursing and Rehabilitation Center is registered with CMS as For profit - Corporation, operates under the legal business name ROYAL OAKS NURSING AND REHABILITATION CENTER LLC and belongs to the CEDAR VIEW HOLDINGS chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTAMARANTHINE HOLDINGS LLCsince 01/01/2025
5% OR GREATER INDIRECT OWNERSHIP INTERESTCEDAR VIEW HOLDINGS LLC, CEDAR VIEW TR, IOWA 5784 LLC, SAMARA FAMILY HOLDINGS LLC, GREATOREX, TINA, SCHIOWITZ, MARC, SEBBAG, GABRIELsince 01/01/2025
OPERATIONAL/MANAGERIAL CONTROLOCONNER, MICHAEL, REITER, JENNIFERsince 01/01/2025
TRUSTEE OF THE SNFSEBBAG, GABRIELsince 01/01/2025
ADP OF THE SNF4614 NW 84TH STREET PROPCO LLC, CARESAGE ADMINISTRATIVE CONSULTING, LLC, CEDAR VIEW HOLDINGS LLC, CEDAR VIEW TR, CLINICAL CONSULTING SERVICES LLC, IOWA 5784 LLC, JSJ 2020 FAM TR, JSJ PROPERTY LLC, SAMARA FAM TR, SUMMATION FINANCIAL SERVICES LLC, THE BRYN MAWR TRUST COMPANY OF DELAWARE, OCONNER, MICHAEL, REITER, JENNIFERsince 01/01/2025

Were you or a family member harmed at Royal Oaks Nursing and Rehabilitation Center?