Nursing home
Royal Oaks Nursing and Rehabilitation Center
4614 Nw 84Th Street, Urbandale, IA 50322 · Map
For profit - Corporation · Part of Gabriel Sebbag & The Samara Family (7 facilities) · 115 certified beds
Royal Oaks Nursing and Rehabilitation Center is a Medicare-certified nursing home in Urbandale, Iowa. CMS rates it 1 out of 5 stars overall (2/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.37 hours per resident per day, below the Iowa average of 3.83. Its most recent inspection on May 20, 2025 cited 15 deficiencies.
- 3 fines totaling $122,691In CMS records: 5 total penalties, 2 Medicare payment denials.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Royal Oaks Nursing and Rehabilitation Center compares
This facility vs. the Iowa and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Iowa avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.37 | 3.83 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.46 | 0.73 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.21 | 2.53 | 2.34 | below avg |
| Nursing staff turnover | 61.9% | 43.9% | 46.4% | above avg |
| Deficiencies cited, last inspection | 15.0 | 6.2 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 3 fines totaling $122,691, 5 total penalties, 2 Medicare payment denials.
What inspectors found at Royal Oaks Nursing and Rehabilitation Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Actual harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Feb 11, 2026 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Feb 11, 2026 · Full report (PDF) - Potential for harm
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.
Resident Rights Deficiencies · Feb 11, 2026 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Feb 11, 2026 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Feb 11, 2026 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Feb 11, 2026 · Full report (PDF) - Potential for harm
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · Feb 11, 2026 · Full report (PDF) - Immediate jeopardy
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · Oct 22, 2025 · Full report (PDF) - Potential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Oct 22, 2025 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Oct 22, 2025 · Full report (PDF) - Actual harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · May 20, 2025 · Full report (PDF) - Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · May 20, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 4614 Nw 84Th Street
Urbandale, IA 50322 - CMS certification #
- 165580
- Ownership
- For profit - Corporation
- Certified beds
- 115
- Avg residents/day
- 85.7
- Provider type
- Medicare and Medicaid
- First certified
- 2007-07-09
- Chain
- Gabriel Sebbag & The Samara Family (7 facilities)
- Setting
- Urban
Part of Gabriel Sebbag & The Samara Family
Gabriel Sebbag & The Samara Family operates 7 nursing facilities across the United States. View all Gabriel Sebbag & The Samara Family facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Royal Oaks Nursing and Rehabilitation Center using Google Maps.
Other public records
- Website says Respite stays, works with hospice
Full public records, with dates and sources
Care and services
From the community’s website
What Royal Oaks Nursing and Rehabilitation Center says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
Location and nearby care
- Nearest hospital with an emergency room
- Broadlawns Medical Center, Des Moines. 5.1 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Karen Acres Care Center, Urbandale. 1.2 miles away, straight line.
- Nearest home health agency office
- Centerwell Home Health, Urbandale. 1.6 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 0.2 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 50322 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita Windsor Heights Dialysis, Windsor Heights, 3.2 miles away, straight line (CMS rating 3 of 5 stars)
Davita West Des Moines Dialysis, West Des Moines, 4.9 miles away, straight line (CMS rating 4 of 5 stars)
Fkc - West Des Moines, West Des Moines, 5.9 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 13 Medicare hospices tell CMS they serve ZIP code 50322.
Hospice Of The Midwest, LLC, office in Johnston, 1.0 mile away, straight line (CMS family survey rating 4 of 5 stars)
Unitypoint Hospice, office in Urbandale, 2.2 miles away, straight line (CMS family survey rating 4 of 5 stars)
Wesleylife Hospice, office in Urbandale, 2.2 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Ch Specialty Services Ia PC, Osceola. 42.0 miles away, straight line. 2 geriatric medicine doctors listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane very low, inland flooding relatively low, wildfire very low, tornado relatively high, heat wave relatively moderate, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Only cases that look tied to an earlier operator (not shown) |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Royal Oaks Nursing and Rehabilitation Center a good nursing home?
CMS gives Royal Oaks Nursing and Rehabilitation Center an overall rating of 1 out of 5 stars, including 2/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Royal Oaks Nursing and Rehabilitation Center staffed?
Royal Oaks Nursing and Rehabilitation Center reports 3.37 total nurse hours per resident per day, compared with the Iowa average of 3.83.
Has Royal Oaks Nursing and Rehabilitation Center had inspection problems?
Its most recent CMS inspection cited 15 deficiencies.
How many beds does Royal Oaks Nursing and Rehabilitation Center have?
Royal Oaks Nursing and Rehabilitation Center is certified for 115 beds.