Royal Oaks Nursing And Rehabilitation Center
4614 Nw 84Th Street, Urbandale, IA, 50322
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
Special Focus Candidate
CMS has identified this facility as a Special Focus Candidate — a track record of serious quality issues that places it one step away from full Special Focus Facility designation.
Source: CMS Care Compare.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: Cedar View Holdings
- Certified beds
- 115 · avg 86 residents/day
- Total nursing staff turnover
- 55.3% — higher than most Iowa nursing homesIowa avg: 44.4% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 80% — higher than most Iowa nursing homesIowa avg: 42.9% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 2 departed — near the Iowa averageIowa avg: 0.5 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 3 fines · $122,945 total
- Payment denials
- 1 denial
Medicare certification
- CMS Certification Number
- 165580
- Certified beds
- 115 beds · avg 86 residents/day
- Ownership type
- For profit - Corporation
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Royal Oaks Nursing And Rehabilitation Center Llc
- Chain affiliation
- Gabriel Sebbag & The Samara Family
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Gabriel Sebbag & The Samara Family chain — 7 facilities across 2 states. Chain-wide average overall rating 1.4 / 5.
Disclosed owners (18 on record)
- Cedar View Holdings Llc
Adp of The Snf · since 2025
- Cedar View tr
Adp of The Snf · since 2025
- Iowa 5784 Llc
Adp of The Snf · since 2025
- 4614 nw 84th Street Propco Llc
Adp of The Snf · since 2025
- Amaranthine Holdings Llc
5% or Greater Direct Ownership Interest · 100% · since 2025
- Caresage Administrative Consulting, Llc
Adp of The Snf · since 2025
+ 12 additional owners on the federal record.
Recent change of ownership
January 2025 (1 year ago) · acquired from Urbandale Health Care Center
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of May 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 71)
- D0880·Apr 9, 2026Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0760·Apr 9, 2026Complaint
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
- D0690·Apr 9, 2026Complaint
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D0686·Apr 9, 2026Complaint
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D0677·Apr 9, 2026Complaint
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E0880·Feb 11, 2026Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- G0690·Feb 11, 2026Complaint
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D0684·Feb 11, 2026Complaint
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Federal penalties
By year
- 20251 fine · $17K
- 20241 fine · $71K
- 20231 fine · $35K · 1 payment denial
Most recent events
- Oct 22, 2025Fine · $17K
- Dec 12, 2024Fine · $71K
- Dec 6, 2023Payment denial · 41 days · starting Jan 3, 2024
- Dec 6, 2023Fine · $35K
Largest single fine on record: $71K.
Fire-safety citations
21 Life-Safety-Code citations on file. Most recent: May 20, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Royal Oaks Nursing And Rehabilitation Centerinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.