Royal Oaks Nursing and Rehabilitation Center, Urbandale, Iowa
- 78
- Citations from health inspectionsIowa average: 21 a home
- 8
- Residents harmed or put in dangerIowa average: 1.3 a home
- $434,146
- Fines from the federal governmentIowa average: $19,286 a home
- 1 out of 5
- Overall rating in starsIowa average: 3.1
The figures come from Medicare Care Compare files released October 8, 2026 by CMS, the federal Medicare agency. The citations span each home's three most recent inspection cycles plus their complaint visits, going back to March 2017 at the earliest; the fines span about three years, beginning September 2023. Browse the CMS files
13 inspection visits produced 78 citations. Residents were in immediate danger in two findings. Residents were found hurt in six cases. Federal fines came to $434,146 (four fines). Two times, Medicare stopped paying for new admissions.
A candidate for Special Focus. For its list of nursing homes with past poor inspection results, CMS has named this home a candidate.
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- The home's overall star rating
- 1 out of 5
- Rating for health inspections
- 1 out of 5
- Rating for staffing
- 2 out of 5
- Rating for quality of care
- 3 out of 5
- Nurse time for each resident
- 3.63 hours each dayThe Iowa average is 3.82 hours
- Time from registered nurses
- 0.48 hours each dayThe Iowa average is 0.74 hours
- Nursing staff who left during one year
- 66.7%against the Iowa average of 44%
- Beds that are certified
- 115
- Ownership
- Corporation (for profit)
- Chain
- Cedar View Holdings, with nine homes
- Street address
- 4614 Nw 84th Street, Urbandale, Iowa 50322
- County
- Polk
Each inspection's citations
Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.
Seven citations dated June 11, 2026
- F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F865 Written Quality Improvement Plan: risk of harm, no one found hurt, widespread, found on a complaint visit.
- F755 Pharmacy Services: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F690 Bladder, Bowel and Catheter Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F686 Pressure Ulcer (Bedsore) Care: residents were harmed, one or a few residents, found on a complaint visit.
- F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Five citations dated April 9, 2026
- F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F760 Significant Medication Errors: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F690 Bladder, Bowel and Catheter Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F686 Pressure Ulcer (Bedsore) Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F677 Help With Daily Living: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Seven citations dated Feb. 11, 2026
- F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F690 Bladder, Bowel and Catheter Care: residents were harmed, one or a few residents, found on a complaint visit.
- F684 Quality of Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F677 Help With Daily Living: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F658 Care That Meets Professional Standards: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F554 Let Residents Take Own Medicines When Appropriate: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Three citations dated Oct. 22, 2025
- F842 Medical Records and Privacy: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F725 Enough Nursing Staff: immediate danger to residents, a pattern, several residents, found on a complaint visit.
- F684 Quality of Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
12 citations dated May 20, 2025
- F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents.
- F842 Medical Records and Privacy: risk of harm, no one found hurt, a pattern, several residents.
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, widespread, found on a complaint visit.
- F804 Food Taste and Temperature: risk of harm, no one found hurt, a pattern, several residents.
- F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F760 Significant Medication Errors: residents were harmed, one or a few residents, found on a complaint visit.
- F740 Behavioral Health Care and Services: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F695 Breathing and Oxygen Care: risk of harm, no one found hurt, one or a few residents.
- F689 Accident Hazards and Supervision: residents were harmed, one or a few residents, found on a complaint visit.
- F658 Care That Meets Professional Standards: risk of harm, no one found hurt, one or a few residents.
- F655 Baseline Care Plan at Admission: risk of harm, no one found hurt, one or a few residents.
- F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
12 citations dated Dec. 13, 2024
- F925 Pest Control Program: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F755 Pharmacy Services: immediate danger to residents, one or a few residents, found on a complaint visit.
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F684 Quality of Care: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F677 Help With Daily Living: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F658 Care That Meets Professional Standards: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F558 Meeting Residents' Needs and Preferences: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F550 Dignity and Resident Rights: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
Three citations dated Oct. 15, 2024
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F686 Pressure Ulcer (Bedsore) Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F684 Quality of Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated Sept. 7, 2024
- F690 Bladder, Bowel and Catheter Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
12 citations dated July 1, 2024
- F926 Smoking Policies: risk of harm, no one found hurt, one or a few residents.
- F868 Quality Group Membership and Quarterly Meetings: risk of harm, no one found hurt, one or a few residents.
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents.
- F658 Care That Meets Professional Standards: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents.
- F644 Coordinate Assessments With Mental Health Screening Program: risk of harm, no one found hurt, one or a few residents.
- F623 Notice Before Transfer or Discharge: risk of harm, no one found hurt, one or a few residents.
- F610 Investigating Abuse Allegations: risk of harm, no one found hurt, one or a few residents.
- F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents.
- F580 Telling the Family About a Change: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F578 The Right to Refuse Treatment: risk of harm, no one found hurt, one or a few residents.
- F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents.
Three citations dated Jan. 30, 2024
- F921 A Safe, Clean Building: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Five citations dated Dec. 6, 2023
- F755 Pharmacy Services: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F695 Breathing and Oxygen Care: residents were harmed, one or a few residents, found on a complaint visit.
- F686 Pressure Ulcer (Bedsore) Care: residents were harmed, one or a few residents, found on a complaint visit.
- F658 Care That Meets Professional Standards: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Two citations dated Sept. 7, 2023
Six citations dated April 4, 2023
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, a pattern, several residents.
- F803 Menus That Meet Nutrition Needs: risk of harm, no one found hurt, a pattern, several residents.
- F692 Enough Food and Fluids: risk of harm, no one found hurt, one or a few residents.
- F656 A Complete Care Plan: risk of harm, no one found hurt, a pattern, several residents.
- F623 Notice Before Transfer or Discharge: minimal risk to residents, widespread.
- F582 Notice of Medicare and Medicaid Coverage and Costs: risk of harm, no one found hurt, one or a few residents.
Payment Denials and Fines
| Date | Penalty | Amount |
|---|---|---|
| Feb. 11, 2026 | Fine | $311,880 |
| Feb. 11, 2026 | Payment denial for new admissions | 120 days |
| Oct. 22, 2025 | Fine | $16,907 |
| Dec. 12, 2024 | Fine | $71,136 |
| Dec. 6, 2023 | Fine | $34,223 |
| Dec. 6, 2023 | Payment denial for new admissions | 41 days |
Ownership and Management of the Home
- The direct 100% owner is Amaranthine Holdings LLC.
- Owns a share through another company: Cedar View Holdings LLC.
- Owns a share through another company: Cedar View Tr.
- Owns a share through another company: Iowa 5784 LLC.
- Owns a share through another company: Samara Family Holdings LLC.
Three people with an ownership stake are also listed by CMS.
The CMS Care Compare files, updated every month, provide provider information, health deficiencies, penalties, and ownership. The CMS certification number is 165580. Other homes in Iowa.