With a score of 8/100, Royal Oaks Nursing And Rehabilitation Center ranks in the bottom tier of Iowa nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.
Staffing levels are a potential concern at Royal Oaks Nursing And Rehabilitation Center, with 3.37 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.
Recent CMS inspections identified 59 deficiencies at Royal Oaks Nursing And Rehabilitation Center, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.37 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.46 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.71 | 0.7 | Average |
| Certified Nursing Assistants (CNA) | 2.21 | 2.4 | Average |
| Weekend Total Nursing | 3.08 | 3.8 | Below Average |
| Weekend RN Hours | 0.33 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0725 Severity KProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Oct 21, 2025 · Nursing and Physician Services Deficiencies
- Tag 0684 Severity DProvide appropriate treatment and care according to orders, resident’s preferences and goals.Oct 21, 2025 · Quality of Life and Care Deficiencies
- Tag 0842 Severity DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standarOct 21, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0689 Severity GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.May 19, 2025 · Quality of Life and Care Deficiencies
- Tag 0760 Severity GEnsure that residents are free from significant medication errors.May 19, 2025 · Pharmacy Service Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 6.1% | 4.5% | Worse |
| Falls with major injury | 3.0% | 3.0% | Average |
| On antipsychotic medication | 20.4% | 14.5% | Worse |
| Urinary tract infections | 1.0% | 2.5% | Better |
| ADL decline (daily activities) | 15.7% | 14.0% | Worse |
| Excessive weight loss | 6.1% | 7.5% | Better |
| New/worsened incontinence | 26.0% | 45.0% | Better |
⚠️ Penalties & Fines
3 penalties recorded by CMS
Total fines: $122,691
How This Grade Was Calculated
This facility's grade of F is based on a score of 8 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -10 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
Other Facilities in Iowa
- CIowa Jewish Senior Life CenterDes Moines
- FHarmony Cedar RapidsCedar Rapids
- AChautauqua Guest Home #2Charles City
- AOaknoll Retirement ResidenceIowa City
- DHarmony DavenportDavenport