Overview
Royal Oaks Nursing and Rehabilitation Center has a Medicare overall rating of 1 out of 5, below the Iowa average of 3.1. It ranks 3rd of 3 nursing homes in Urbandale. Its strongest area is quality of care (2 of 5), and its weakest is health inspections (1 of 5).
Residents receive about 4.1 hours of nursing care per day, more than at 68% of nursing homes in Iowa (the state average is 3.9 hours). Of that, 0.5 hours come from registered nurses.
Its most recent standard inspection, on August 6, 2026, found 23 health deficiencies, more than the Iowa average of 6.5. 22 of them came from complaint investigations. Medicare records 4 fines totaling $324,988 in the past three years.
Royal Oaks Nursing and Rehabilitation Center is a for-profit facility with 115 certified beds, caring for about 84 residents on an average day. It accepts both Medicare and Medicaid and has participated since 2007.
Medicare ratings
- Health inspections
- Quality of care
- Staffing
Source: Medicare Care Compare, data as of October 1, 2026.
How it compares nearby
Ranked by Medicare overall rating, then quality, inspection and staffing ratings.
Top 100%
Top 95%
Top 96%
Family reviews
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Inspections and penalties
- Most recent standard inspection
- August 6, 2026
- Health deficiencies cited
- 23
- Complaint-related deficiencies
- 22
- Fines in the last 3 years
- 4 totaling $324,988
- Payment denials
- 2
- Total penalties
- 6
Staffing
Average hours of care each resident receives per day.
- All nursing staff4.06 hrs
- Registered nurses (RN)0.46 hrs
- Licensed practical nurses (LPN)0.87 hrs
- Nurse aides2.73 hrs
- Physical therapists0.11 hrs
Facility details
- Ownership
- For profit - Limited Liability company
- Certified beds
- 115
- Average residents per day
- 84
- Participates in
- Medicare and Medicaid
- Medicare/Medicaid since
- July 9, 2007
- Inside a hospital
- No
- Continuing care retirement community
- No
- Changed ownership in last 12 months
- No
- Resident or family council
- Both
- Sprinklers in all required areas
- Yes