Nursing HomeUrbandale, IACMS 165580Updated September 25, 2026

Royal Oaks Nursing and Rehabilitation CenterDeficiencies, fines & AHCA inspection record

Searching for Royal Oaks Nursing and Rehabilitation Center deficiencies? This landing page summarizes Florida AHCA and CMS inspection data for this nursing home in Urbandale, IA: Class I–IV counts, complaints, and a dated timeline of public findings so you can tour with clearer questions.

On this page: Class I–IV totals, and 75 dated timeline events.

Inspection snapshot

At a glance

Public AHCA Class I–IV rollup and CMS survey detail for Royal Oaks Nursing and Rehabilitation Center.

Deficiencies

Moderate inspection concerns

Complaints

None on current rollup

Recorded fines

No fine amount on file

Risk level

Moderate

Moderate inspection concerns

Royal Oaks Nursing and Rehabilitation Center has enough citations or fines to warrant a careful read of inspection history, especially recurring categories.

Class I2
Class II5
Class III63
Class IV1

Findings by AHCA class

Class I2

Class II5

Class III63

Class IV1

2 Class I citations: Class I citations signal urgent safety failures. Families should review the inspection narrative and ask how the issue was corrected and monitored.
5 Class II citations: Class II findings point to care or operations problems that put residents at direct risk. Ask for the plan of correction and follow-up survey results.
63 Class III citations: Class III citations are the most common serious rollup. Patterns over time matter more than a single count.
1 Class IV citation: Class IV issues are usually paperwork or process gaps. They still belong in a full compliance picture, especially if they stack up.

Royal Oaks Nursing and Rehabilitation Center deficiency timeline

Dated findings, fines, corrections, and license milestones · 75 events on record. Newest first.

View full timeline

Apr 9, 2026Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0686: Quality of Life and Care
Quality of life & care
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Apr 9, 2026Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0880: Infection Control
Infection control
Provide and implement an infection prevention and control program.
Apr 9, 2026Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0760: Pharmacy Service
Pharmacy services
Ensure that residents are free from significant medication errors.
Apr 9, 2026Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0690: Quality of Life and Care
Quality of life & care
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Apr 9, 2026Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0677: Quality of Life and Care
Quality of life & care
Provide care and assistance to perform activities of daily living for any resident who is unable.
Feb 11, 2026Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0684: Quality of Life and Care
Quality of life & care
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Feb 23, 2026
Feb 11, 2026Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0880: Infection Control
Infection control
Provide and implement an infection prevention and control program.
Feb 11, 2026Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0554: Resident Rights
Resident rights
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected Feb 23, 2026

See all 75 timeline events for Royal Oaks Nursing and Rehabilitation Center

AHCA deficiency types explained

Florida groups assisted living violations into four classes by how serious the risk is to residents (Fla. Stat. §§ 408.813, 429.19).

Class I: Imminent danger

2 on record

Conditions that present an imminent danger to residents or a substantial probability of death or serious physical or emotional harm.

Typical ALF fine: $5,000-$10,000 per violation (ALF). Highest severity. Must be corrected quickly, often within 24 hours.

Class II: Direct threat

5 on record

Conditions that directly threaten the physical or emotional health, safety, or security of residents (short of Class I).

Typical ALF fine: $1,000-$5,000 per violation (ALF). Direct risk to resident well-being; fines apply even after correction.

Class III: Indirect or potential threat

63 on record

Conditions that indirectly or potentially threaten resident health, safety, or security.

Typical ALF fine: $500-$1,000 per violation (ALF). Potential harm if left uncorrected; correction deadlines are specified.

Class IV: No direct resident threat

1 on record

Conditions related to operations, reports, or paperwork that do not threaten resident health, safety, or security.

Typical ALF fine: $100-$200 per violation (ALF). Lowest severity; often administrative. Fines may be waived if corrected on time.

Findings by deficiency type

CMS health survey categories for this community, ranked by how often they appear in our detail records.

Quality of life & care

21 citations

Covers hands-on care quality, activities, and dignity of daily living.

Ask: What daily care standards failed, and how were they fixed?

Assessment & care planning

14 citations

Poor assessments can lead to missed needs, falls, or hospital transfers.

Ask: Are care plans current and matched to the resident's needs?

Resident rights

13 citations

Rights citations often involve consent, privacy, or grievance handling.

Ask: How are privacy, dignity, and choice protected?

Pharmacy services

7 citations

Medication errors are a leading source of preventable harm.

Ask: How are medications ordered, stored, and administered?

Infection control

5 citations

Weak infection control raises outbreak risk for frail residents.

Ask: What infection prevention practices failed inspection?

Nutrition & dietary

4 citations

Dietary failures raise malnutrition and dehydration risk.

Ask: Are meals, hydration, and special diets reliable?

Environment

3 citations

Physical plant issues can affect infection control, falls, and comfort.

Ask: Is the building safe, clean, and well maintained?

Abuse, neglect & exploitation

2 citations

These citations relate to resident protection and mandatory reporting.

Ask: How does the community prevent and report abuse or neglect?

Royal Oaks Nursing and Rehabilitation Center deficiency FAQ

Common questions families ask when researching Royal Oaks Nursing and Rehabilitation Center inspection history in Urbandale, IA.

Does Royal Oaks Nursing and Rehabilitation Center have deficiencies?

Yes. Royal Oaks Nursing and Rehabilitation Center has 75 public deficiencies on the AHCA/CMS totals we track. Review the class breakdown and timeline on this page for dates and categories.

How many deficiencies does Royal Oaks Nursing and Rehabilitation Center have?

Royal Oaks Nursing and Rehabilitation Center has 75 deficiencies on the public totals we track.

What do AHCA deficiency classes mean for Royal Oaks Nursing and Rehabilitation Center?

Florida grades assisted living deficiencies Class I through IV by how serious the risk is to residents. Class I is imminent danger; Class IV is typically paperwork with no direct resident threat. Use the class chart on this page to see how this community's totals break down.

Are there fines or complaints for Royal Oaks Nursing and Rehabilitation Center?

No fines or complaints appear on the current public rollup for Royal Oaks Nursing and Rehabilitation Center. Confirm with the latest AHCA facility profile.

Where do these deficiency numbers come from?

Totals combine Florida AHCA Health Finder class rollups with CMS Nursing Home Compare deficiency and penalty records where a CMS certification number is available.

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Royal Oaks Nursing and Rehabilitation Center deficiency data is compiled from Florida AHCA public facility comparison fields and CMS Provider Data Catalog where available (page data refreshed September 25, 2026). Facilities may contest findings; always verify with the latest official inspection report before making a care decision.