ROYAL OAK NURSING CENTER in Dade City, FL has an overall rating of 4 out of 5 stars, with strong quality measures (5 stars) and staffing (4 stars), but a middling health inspection rating (3 stars). Reported nurse staffing is 3.68 hours per resident per day, below the federal benchmark of 4.1, and there were no fines in the last 24 months.
Last inspection: February 2, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6756.
Staffing detail
Registered nurses
0.71
Licensed practical nurses
0.71
Nurse aides
2.26
Weekend nursing
3.21
Hours per resident per day.
Total staff turnover: 40%
Registered nurse turnover: 40%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
4.5%5.2%Worsening
Residents with a fall causing major injury
1.2%0%Improving
Residents with pressure ulcers (bedsores)
8.6%2.8%Improving
Residents with a urinary tract infection
0%1.4%Worsening
Residents who lost too much weight
6%2.1%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
7.9%15.6%Worsening
Residents whose ability to walk got worse
38%41.5%Worsening
Long-stay residents on antianxiety or sleep medication
10.3%16.3%Worsening
Short-stay residents newly given an antipsychotic
1.9%0.8%Improving
Residents with a long-term catheter
1.6%0%Improving
Residents with new or worsening incontinence
27%17.7%Improving
Residents with depressive symptoms
2.4%0%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—94%—
Short-stay residents given the pneumonia vaccine
94.5%97.2%Improving
What the inspectors found
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited March 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited March 2024 — limited pattern, potential for harm.
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F-Tag 684 — 42 CFR §483.25 — S/S: E
The nursing home failed to provide needed care and help with daily activities for residents who could not do them on their own. Cited January 2022 — limited pattern, potential for harm.
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F-Tag 677 — 42 CFR §483.24(a)(2) — S/S: E
The nursing home failed to keep medication mistakes below the allowed level. Cited January 2022 — limited pattern, potential for harm.
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F-Tag 759 — 42 CFR §483.45(f)(1) — S/S: E
The home failed to ensure residents who could safely take their own medicines were allowed to self-administer them. Cited March 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 554 — 42 CFR §483.10 — S/S: D
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 6 health deficiencies.
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INSPECTION
Health inspection found 6 health deficiencies.
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Operator & ownership
Ownership
Non profit - Corporation
Chain
Part of HEALTH SERVICES MANAGEMENT · 16 homes · 3 stars avg
Occupancy
105.6 residents on an average day (88% of 120 beds)
Resident voice
Resident council
Medicare history
Certified for 45 years
The most recent standard health inspection was more than two years ago.
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.