Royal Oaks Nursing and Rehabilitation Center
4614 NW 84th Street, Urbandale, IA 50322 · CCN 165580
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 115
- Avg residents/day
- 85.7
- Phone
- 5152706838
Inspection history vs Iowa & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Iowa avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-05-20 | 15 | 6.2 | 9.5 | +8.8 worse |
| 2 | 2024-07-01 | 28 | 7.0 | 9.8 | +21.0 worse |
| 3 | 2023-04-04 | 16 | 7.9 | 9.3 | +8.1 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 4 |
| Resident assessment and care planning | 4 |
| Nursing and physician services | 1 |
| Resident rights | 1 |
| Nutrition and dietary | 2 |
| Pharmacy service | 2 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.37 | 61.9% |
| RN staffing (reported) | 0.46 | 88.2% |
| Total nurse staffing (adjusted) | 3.60 | — |
Fines & penalties
- Total fines
- $122,691
- Number of fines
- 3
- Number of penalties
- 5
- Payment denials
- 2
Chain
- Chain
- GABRIEL SEBBAG & THE SAMARA FAMILY
- Facilities in chain
- 7
- Chain avg overall
- 1.30 / 5
Inspection citations (59)2 immediate jeopardy4 actual harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-10-22 · Health · corrected 2025-11-07
Potential for more than minimal harm
- KF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-10-22 · Health · corrected 2025-10-09
Immediate jeopardy
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-10-22 · Health · corrected 2025-11-07
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-05-20 · Health · corrected 2025-06-13
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2025-05-20 · Health · corrected 2025-06-13
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-05-20 · Health · corrected 2025-06-13
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-05-20 · Health · corrected 2025-06-13
Actual harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-05-20 · Health · corrected 2025-06-13
Potential for more than minimal harm
- DF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2025-05-20 · Health · corrected 2025-06-13
Potential for more than minimal harm
- GF0760Ensure that residents are free from significant medication errors.2025-05-20 · Health · corrected 2025-06-13
Actual harm
- DF0761Ensure 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.2025-05-20 · Health · corrected 2025-06-13
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-05-20 · Health · corrected 2025-06-13
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-05-20 · Health · corrected 2025-06-13
Potential for more than minimal harm
- EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-05-20 · Health · corrected 2025-06-13
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2025-05-20 · Health · corrected 2025-06-13
Potential for more than minimal harm
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-12-13 · Health · corrected 2025-01-17
Potential for more than minimal harm
- EF0558Reasonably accommodate the needs and preferences of each resident.2024-12-13 · Health · corrected 2025-01-17
Potential for more than minimal harm
- EF0584Honor 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.2024-12-13 · Health · corrected 2025-01-17
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-12-13 · Health · corrected 2025-01-17
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-12-13 · Health · corrected 2025-01-17
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-12-13 · Health · corrected 2025-01-17
Potential for more than minimal harm
- EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-12-13 · Health · corrected 2025-01-17
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-12-13 · Health · corrected 2025-01-17
Potential for more than minimal harm
- JF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-12-13 · Health · corrected 2025-01-17
Immediate jeopardy
- DF0761Ensure 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.2024-12-13 · Health · corrected 2025-01-17
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-12-13 · Health · corrected 2025-01-17
Potential for more than minimal harm
- EF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2024-12-13 · Health · corrected 2025-01-17
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-10-15 · Health · corrected 2024-11-07
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-10-15 · Health · corrected 2024-11-07
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-10-15 · Health · corrected 2024-11-07
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-09-07 · Health · corrected 2024-09-25
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-07-01 · Health · corrected 2024-08-01
Potential for more than minimal harm
- DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2024-07-01 · Health · corrected 2024-08-01
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-07-01 · Health · corrected 2024-08-01
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-07-01 · Health · corrected 2024-08-01
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2024-07-01 · Health · corrected 2024-08-01
Potential for more than minimal harm
- DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-07-01 · Health · corrected 2024-08-01
Potential for more than minimal harm
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2024-07-01 · Health · corrected 2024-08-01
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-07-01 · Health · corrected 2024-08-01
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-07-01 · Health · corrected 2024-08-01
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-07-01 · Health · corrected 2024-08-01
Potential for more than minimal harm
- DF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2024-07-01 · Health · corrected 2024-08-01
Potential for more than minimal harm
- DF0926Have policies on smoking.2024-07-01 · Health · corrected 2024-08-01
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-01-30 · Health · corrected 2024-02-13
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2024-01-30 · Health · corrected 2024-02-13
Potential for more than minimal harm
- EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2024-01-30 · Health · corrected 2024-02-13
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-12-06 · Health · corrected 2023-12-27
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-12-06 · Health · corrected 2023-12-27
Potential for more than minimal harm
- GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-12-06 · Health · corrected 2023-12-19
Actual harm
- GF0695Provide safe and appropriate respiratory care for a resident when needed.2023-12-06 · Health · corrected 2023-12-19
Actual harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-12-06 · Health · corrected 2023-12-27
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-09-07 · Health · corrected 2023-09-29
Potential for more than minimal harm
- DF0761Ensure 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.2023-09-07 · Health · corrected 2023-09-29
Potential for more than minimal harm
- DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2023-04-04 · Health · corrected 2023-05-04
Potential for more than minimal harm
- CF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-04-04 · Health · corrected 2023-05-04
Potential for minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-04-04 · Health · corrected 2023-05-04
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2023-04-04 · Health · corrected 2023-05-04
Potential for more than minimal harm
- EF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2023-04-04 · Health · corrected 2023-05-04
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-04-04 · Health · corrected 2023-05-04
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| AMARANTHINE HOLDINGS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2025-01-01 |
| CEDAR VIEW HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2025-01-01 |
| CEDAR VIEW TR | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2025-01-01 |
| IOWA 5784 LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2025-01-01 |
| SAMARA FAM TR | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2025-01-01 |
| SAMARA FAMILY HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2025-01-01 |
| GREATOREX, TINA | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2025-01-01 |
| SCHIOWITZ, MARC | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2025-01-01 |
| SEBBAG, GABRIEL | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2025-01-01 |
| OCONNER, MICHAEL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-01 |
| REITER, JENNIFER | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-01 |
Other facilities in Urbandale
| Name | Overall | Beds |
|---|---|---|
| Deerfield Health Care Center | ★★★★★ | 30 |
| Karen Acres Care Center | ★★★★☆ | 35 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.