Nursing home report
Urbandale, IA · Medicare-certified · 115 beds
Royal Oaks Nursing and Rehabilitation Center in Urbandale, IA has an overall rating of 1 out of 5 stars. It is a Special Focus Facility candidate, has 1-star health inspection and 2-star staffing ratings, reports 3.63 nurse hours per resident per day versus the 4.1 federal benchmark, and has had $399,923 in fines over the last 24 months.
Health inspections
Staffing
3.628 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.628.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited October 2025 — limited pattern, immediate jeopardy to residents.
F-Tag 725 — 42 CFR §483.35 — S/S: K
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited December 2024 — isolated incident, immediate jeopardy to residents.
F-Tag 755 — 42 CFR §483.45 — S/S: J
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited June 2026 — isolated incident, actual harm.
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The home failed to provide proper bladder and bowel care, including catheter care and steps to prevent urinary tract infections. Cited February 2026 — isolated incident, actual harm.
F-Tag 690 — 42 CFR §483.25(e) — S/S: G
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2025 — isolated incident, actual harm.
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 7 health deficiencies.
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 5 health deficiencies.
A federal payment denial was recorded.
A federal fine of $311,880 was recorded.
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 7 health deficiencies.
A federal fine of $16,907 was recorded.
Health inspection found 3 health deficiencies.
Health inspection found 12 health deficiencies.
A federal fine of $71,136 was recorded.
On record with Medicare: 4 fines · $434,146 in total fines · 2 payment denials.
Medicare/Medicaid payment denial
Feb 11, 2026
Federal fine
Feb 11, 2026
Federal fine
Oct 22, 2025
Federal fine
Dec 12, 2024
Medicare/Medicaid payment denial
Dec 6, 2023
Federal fine
Dec 6, 2023
Now operated by Royal Oaks Nursing and Rahabilitation Center, previously Urbandale Health Care Center.
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.
