Nursing home report
Urbandale, IA · Medicare-certified · 115 beds
Royal Oaks Nursing and Rehabilitation Center in Urbandale, IA has a 1 of 5 overall rating, with 1-star health inspection and staffing ratings despite a 4-star quality measures rating. It has 3.34 nursing hours per resident day versus the 4.1 federal benchmark, $88,043 in fines over the last 24 months, and a recent federal penalty.
Health inspections
Staffing
3.3387 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3387.
Hours per resident per day.
How often residents experience these outcomes, with the direction over the past year.
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
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 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
The nursing home failed to ensure residents were free from significant medication errors. Cited May 2025 — isolated incident, actual harm.
F-Tag 760 — 42 CFR §483.45(f)(2) — 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.
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: 3 fines · $122,945 in total fines · 2 payment denials.
Federal fine
Oct 22, 2025
Federal fine
Dec 12, 2024
Medicare/Medicaid payment denial
Dec 6, 2023
Federal fine
Dec 6, 2023
Medicare/Medicaid payment denial
May 17, 2023
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.
