Karen Acres Care Center
Urbandale · 1.2 mi · 35 beds
Citations0Substantiated0
Royal Oaks Nursing and Rehabilitation Center
4614 NW 84th Street, Urbandale, IA, 50322
Nursing home115 licensed beds0 citations on record
6 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 27 deficiencies against Royal Oaks Nursing and Rehabilitation Center in Urbandale, Iowa at its most recent standard inspection on 2025-05-20, 21 of them arising from complaints. 2 findings have been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare has fined it 3 times, totalling $122,945. Medicare rates it 1 out of 5 overall.
1 / 5Medicare overall rating
115certified beds
27deficiencies at the last inspection
2immediate-jeopardy findings on record
5actual-harm findings on record
3federal fines, $122,945
What the inspectors found
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.2
Actual harmA resident was harmed, but not placed in immediate danger.5
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.63
Potential for minimal harmThe least serious band.1
Most recentDDDDDGEEDDDDKDDGGFEE
The last 20 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · F0677 · 2026-04-09 · from a complaint · No actual harm, potential for more than minimal harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · F0686 · 2026-04-09 · from a complaint · No actual harm, potential for more than minimal 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 · F0690 · 2026-04-09 · from a complaint · No actual harm, potential for more than minimal harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · F0760 · 2026-04-09 · from a complaint · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2026-04-09 · from a complaint · No actual harm, potential for more than minimal 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 · F0690 · 2026-02-11 · from a complaint · Actual harm to a resident
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 · F0584 · 2026-02-11 · from a complaint · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2026-02-11 · from a complaint · No actual harm, potential for more than minimal harm
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · F0554 · 2026-02-11 · from a complaint · No actual harm, potential for more than minimal harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · F0658 · 2026-02-11 · from a complaint · No actual harm, potential for more than minimal harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · F0677 · 2026-02-11 · from a complaint · No actual harm, potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · F0684 · 2026-02-11 · from a complaint · No actual harm, potential for more than minimal harm
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 · F0725 · 2025-10-22 · from a complaint · Immediate jeopardy to resident health or safety
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · F0684 · 2025-10-22 · from a complaint · No actual harm, potential for more than minimal 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 · F0842 · 2025-10-22 · from a complaint · No actual harm, potential for more than minimal 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 · F0689 · 2025-05-20 · from a complaint · Actual harm to a resident
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · F0760 · 2025-05-20 · from a complaint · Actual harm to a resident
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2025-05-20 · from a complaint · No actual harm, potential for more than minimal harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · F0804 · 2025-05-20 · standard survey · No actual harm, potential for more than minimal 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 · F0842 · 2025-05-20 · standard survey · No actual harm, potential for more than minimal harm
Medicare’s own rating
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
OverallCombines the three below1 of 5
Health inspectionBased on the last three inspection cycles1 of 5
StaffingNurse hours per resident, adjusted for how sick residents are2 of 5
Quality measuresResident outcomes reported by the home3 of 5
Nurse hours per resident per dayReported by the home to CMS3.62796
Nursing staff turnoverShare of nursing staff who left in a year66.7%
Penalties
What Medicare has fined this home
FinesCivil money penalties imposed by CMS3
Total fined$122,945
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one4
Ownership
Who owns Royal Oaks Nursing and Rehabilitation Center
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| AMARANTHINE HOLDINGS LLC | Organization | 100% | since 01/01/2025 |
| CEDAR VIEW HOLDINGS LLC | Organization | NO PERCENTAGE PROVIDED | since 01/01/2025 |
| CEDAR VIEW TR | Organization | NO PERCENTAGE PROVIDED | since 01/01/2025 |
| IOWA 5784 LLC | Organization | NO PERCENTAGE PROVIDED | since 01/01/2025 |
| SAMARA FAMILY HOLDINGS LLC | Organization | NO PERCENTAGE PROVIDED | since 01/01/2025 |
| GREATOREX, TINA | Individual | NO PERCENTAGE PROVIDED | since 01/01/2025 |
| SCHIOWITZ, MARC | Individual | NO PERCENTAGE PROVIDED | since 01/01/2025 |
| SEBBAG, GABRIEL | Individual | NO PERCENTAGE PROVIDED | since 01/01/2025 |
| OCONNER, MICHAEL | Individual | NOT APPLICABLE | since 01/01/2025 |
| REITER, JENNIFER | Individual | NOT APPLICABLE | since 01/01/2025 |
| SEBBAG, GABRIEL | Individual | NOT APPLICABLE | since 01/01/2025 |
| 4614 NW 84TH STREET PROPCO LLC | Organization | NOT APPLICABLE | since 01/01/2025 |
Part of the CEDAR VIEW HOLDINGS group.
Nearby
Other licensed providers within six miles
Listed by distance. Nobody paid to appear here and the order is not for sale.
Childserve Habilitation Center
Johnston · 2.3 mi · 74 beds
Citations0Substantiated0
Bishop Drumm Retirement Center
Johnston · 2.6 mi · 150 beds
Citations0Substantiated0
Brio of Johnston, LLC
Johnston · 3.0 mi · 36 beds
Citations0Substantiated0
Walnut Ridge
Clive · 3.4 mi · 60 beds
Citations0Substantiated0
Pine Acres Rehabilitation and Care Center
West Des Moines · 3.7 mi · 140 beds
Citations0Substantiated0
Contact
Ask Royal Oaks Nursing and Rehabilitation Center a question
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 165580.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction