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Nursing homesIowa › Royal Oaks Nursing and Rehabilitation Center

Royal Oaks Nursing and Rehabilitation Center

4614 Nw 84th Street, Urbandale, IA 50322 · (515) 270-6838 · 115 certified beds

Overall★☆☆☆☆ 1/5
Health inspections★☆☆☆☆ 1/5
Staffing★★☆☆☆ 2/5
Quality measures★★★☆☆ 3/5
Special Focus: CMS lists this facility as SFF Candidate — among the facilities with the most serious ongoing compliance problems in the country.

Ownership group

Per CMS filings, this facility is affiliated with Cedar View Holdings, a group operating 9 facilities in 2 states. Group record: average rating 1.2/5, 1 abuse citation icon, 1 facility on the Special Focus list, $750,142 in federal fines. This facility rates below its group average (1.2/5).

See all 9 facilities in this group →

Staffing (hours per resident per day)

Total nurse staffing: 3.63 (Iowa median: 3.68). RN hours: 0.48. Weekend total: 3.30. Nursing staff turnover: 67%.

Inspection deficiencies

All-time on record: 78 deficiency citations, including 2 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).

Survey dateDeficiencySev.TypeStatus
2026-06-11Provide appropriate pressure ulcer care and prevent new ulcers from developing. Gcomplaintcorrected 2026-07-08
2026-06-11Have a plan that describes the process for conducting QAPI and QAA activities. Fcomplaintcorrected 2026-07-08
2026-06-11Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Dcomplaintcorrected 2026-07-08
2026-06-11Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Dcomplaintcorrected 2026-07-08
2026-06-11Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Dcomplaintcorrected 2026-07-08
2026-06-11Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Dcomplaintcorrected 2026-07-08
2026-06-11Provide and implement an infection prevention and control program. Dcomplaintcorrected 2026-07-08
2026-04-09Provide care and assistance to perform activities of daily living for any resident who is unable. Dcomplaintcorrected 2026-07-08
2026-04-09Provide appropriate pressure ulcer care and prevent new ulcers from developing. Dcomplaintcorrected 2026-07-08
2026-04-09Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Dcomplaintcorrected 2026-07-08
2026-04-09Ensure that residents are free from significant medication errors. Dcomplaintcorrected 2026-07-08
2026-04-09Provide and implement an infection prevention and control program. Dcomplaintcorrected 2026-07-08
2026-02-11Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Gcomplaintcorrected 2026-07-08
2026-02-11Honor 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. Ecomplaintcorrected 2026-02-23
2026-02-11Provide and implement an infection prevention and control program. Ecomplaintcorrected 2026-07-08
2026-02-11Allow residents to self-administer drugs if determined clinically appropriate. Dcomplaintcorrected 2026-02-23
2026-02-11Ensure services provided by the nursing facility meet professional standards of quality. Dcomplaintcorrected 2026-02-23
2026-02-11Provide care and assistance to perform activities of daily living for any resident who is unable. Dcomplaintcorrected 2026-07-08
2026-02-11Provide appropriate treatment and care according to orders, resident’s preferences and goals. Dcomplaintcorrected 2026-02-23
2025-10-22Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Kcomplaintcorrected 2025-10-09
2025-10-22Provide appropriate treatment and care according to orders, resident’s preferences and goals. Dcomplaintcorrected 2025-11-07
2025-10-22Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Dcomplaintcorrected 2025-11-07
2025-05-20Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Gcomplaintcorrected 2025-06-13
2025-05-20Ensure that residents are free from significant medication errors. Gcomplaintcorrected 2025-06-13
2025-05-20Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Fcomplaintcorrected 2025-06-13
2025-05-20Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. EHealthcorrected 2025-06-13
2025-05-20Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. EHealthcorrected 2025-06-13
2025-05-20Provide and implement an infection prevention and control program. EHealthcorrected 2025-06-13
2025-05-20Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Dcomplaintcorrected 2025-06-13
2025-05-20Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted DHealthcorrected 2025-06-13
2025-05-20Ensure services provided by the nursing facility meet professional standards of quality. DHealthcorrected 2025-06-13
2025-05-20Provide safe and appropriate respiratory care for a resident when needed. DHealthcorrected 2025-06-13
2025-05-20Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Dcomplaintcorrected 2025-06-13
2025-05-20Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Dcomplaintcorrected 2025-06-13
2024-12-13Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Jcomplaintcorrected 2025-01-17
2024-12-13Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Ecomplaintcorrected 2025-01-17
2024-12-13Reasonably accommodate the needs and preferences of each resident. Ecomplaintcorrected 2025-01-17
2024-12-13Honor 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. Ecomplaintcorrected 2025-01-17
2024-12-13Provide care and assistance to perform activities of daily living for any resident who is unable. Ecomplaintcorrected 2025-01-17
2024-12-13Provide appropriate treatment and care according to orders, resident’s preferences and goals. Ecomplaintcorrected 2025-01-17

Federal penalties

DateTypeAmount
2026-02-11Fine$311,880
2026-02-11Payment Denial120 days payment denial
2025-10-22Fine$16,907
2024-12-12Fine$71,136
2023-12-06Fine$34,902
2023-12-06Payment Denial41 days payment denial

Ownership & control records (CMS filings)

NameRoleType%Since
AMARANTHINE HOLDINGS LLC5% Or Greater Direct Ownership InterestOrganization100%since 01/01/2025
CEDAR VIEW HOLDINGS LLC5% Or Greater Indirect Ownership InterestOrganizationNO PERCENTAGE PROVIDEDsince 01/01/2025
CEDAR VIEW TR5% Or Greater Indirect Ownership InterestOrganizationNO PERCENTAGE PROVIDEDsince 01/01/2025
IOWA 5784 LLC5% Or Greater Indirect Ownership InterestOrganizationNO PERCENTAGE PROVIDEDsince 01/01/2025
SAMARA FAMILY HOLDINGS LLC5% Or Greater Indirect Ownership InterestOrganizationNO PERCENTAGE PROVIDEDsince 01/01/2025
GREATOREX, TINA5% Or Greater Indirect Ownership InterestIndividualNO PERCENTAGE PROVIDEDsince 01/01/2025
SCHIOWITZ, MARC5% Or Greater Indirect Ownership InterestIndividualNO PERCENTAGE PROVIDEDsince 01/01/2025
SEBBAG, GABRIEL5% Or Greater Indirect Ownership InterestIndividualNO PERCENTAGE PROVIDEDsince 01/01/2025
OCONNER, MICHAELOperational/Managerial ControlIndividualNOT APPLICABLEsince 01/01/2025
REITER, JENNIFEROperational/Managerial ControlIndividualNOT APPLICABLEsince 01/01/2025

Compare nearby (Polk County)

How to cite this page: CareRecords, “Royal Oaks Nursing and Rehabilitation Center — compliance, penalty and ownership record” (CCN 165580), compiled from the CMS Provider Data Catalog, July 2026 release. https://carerecords.org/nursing-home/royal-oaks-nursing-and-rehabilitation-center-urbandale-ia/

Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 165580. Corrections: data@carerecords.org.