Royal Oaks Nursing and Rehabilitation Center

4614 NW 84th Street, Urbandale, IA 50322 · (515) 270-6838
For profit - Corporation · 115 certified beds

Royal Oaks Nursing and Rehabilitation Center has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in May 2025, found 12 citations, 2 for actual harm or immediate jeopardy (the Iowa average is 6.5). It was fined 4 times in the last three years, $434,146 in all.

Medicare ratings

How to read a nursing home's star ratings

Most recent health inspection

The standard health inspection on May 20, 2025 found 12 citations. What an inspection citation means

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.May 20, 2025 · F0689 · Level of harm: Actual harm · Residents affected: Few
• Ensure that residents are free from significant medication errors.May 20, 2025 · F0760 · Level of harm: Actual harm · Residents affected: Few
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.May 20, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.May 20, 2025 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.May 20, 2025 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide and implement an infection prevention and control program.May 20, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.May 20, 2025 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedMay 20, 2025 · F0655 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure services provided by the nursing facility meet professional standards of quality.May 20, 2025 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide safe and appropriate respiratory care for a resident when needed.May 20, 2025 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure each resident must receive and the facility must provide necessary behavioral health care and services.May 20, 2025 · F0740 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.May 20, 2025 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Complaint inspections, last three years

Inspections after complaints found 54 citations.

• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.June 11, 2026 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate pressure ulcer care and prevent new ulcers from developing.June 11, 2026 · F0686 · Level of harm: Actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.June 11, 2026 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.June 11, 2026 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.June 11, 2026 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Have a plan that describes the process for conducting QAPI and QAA activities.June 11, 2026 · F0865 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Provide and implement an infection prevention and control program.June 11, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide care and assistance to perform activities of daily living for any resident who is unable.April 9, 2026 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate pressure ulcer care and prevent new ulcers from developing.April 9, 2026 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.April 9, 2026 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that residents are free from significant medication errors.April 9, 2026 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide and implement an infection prevention and control program.April 9, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Allow residents to self-administer drugs if determined clinically appropriate.February 11, 2026 · F0554 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.February 11, 2026 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure services provided by the nursing facility meet professional standards of quality.February 11, 2026 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide care and assistance to perform activities of daily living for any resident who is unable.February 11, 2026 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.February 11, 2026 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.February 11, 2026 · F0690 · Level of harm: Actual harm · Residents affected: Few
• Provide and implement an infection prevention and control program.February 11, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.October 22, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.October 22, 2025 · F0725 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.October 22, 2025 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.May 20, 2025 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.May 20, 2025 · F0689 · Level of harm: Actual harm · Residents affected: Few
• Ensure each resident must receive and the facility must provide necessary behavioral health care and services.May 20, 2025 · F0740 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that residents are free from significant medication errors.May 20, 2025 · F0760 · Level of harm: Actual harm · Residents affected: Few
• 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.May 20, 2025 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.May 20, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.December 13, 2024 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Reasonably accommodate the needs and preferences of each resident.December 13, 2024 · F0558 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.December 13, 2024 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.December 13, 2024 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure services provided by the nursing facility meet professional standards of quality.December 13, 2024 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide care and assistance to perform activities of daily living for any resident who is unable.December 13, 2024 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.December 13, 2024 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.December 13, 2024 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.December 13, 2024 · F0755 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• 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.December 13, 2024 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide and implement an infection prevention and control program.December 13, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.December 13, 2024 · F0925 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.October 15, 2024 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate pressure ulcer care and prevent new ulcers from developing.October 15, 2024 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.October 15, 2024 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.September 7, 2024 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.July 1, 2024 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure services provided by the nursing facility meet professional standards of quality.July 1, 2024 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.January 30, 2024 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide and implement an infection prevention and control program.January 30, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.January 30, 2024 · F0921 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.December 6, 2023 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure services provided by the nursing facility meet professional standards of quality.December 6, 2023 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate pressure ulcer care and prevent new ulcers from developing.December 6, 2023 · F0686 · Level of harm: Actual harm · Residents affected: Few
• Provide safe and appropriate respiratory care for a resident when needed.December 6, 2023 · F0695 · Level of harm: Actual harm · Residents affected: Few
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.December 6, 2023 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some

Fines and payment denials

• Fine of $311,880February 11, 2026
• Fine of $16,907October 22, 2025
• Fine of $71,136December 12, 2024
• Fine of $34,223December 6, 2023
• Medicare payment denial for 120 daysStarting March 10, 2026
• Medicare payment denial for 41 daysStarting January 3, 2024

Nurse staffing

Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.

About this home