Karen Acres Care Center
Availability Unknown
Royal Oaks Nursing and Rehabilitation Center
4614 Nw 84th Street
Urbandale, IA 50322 · Polk County
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Official website not yet verified
Overall: state avg 3.1 · U.S. 3.0
Staffing: state avg 3.8 · U.S. 3.0
Source: CMS Care Compare (data as of October 1, 2026)
Important notices from CMS:
- CMS lists this facility as a candidate for its Special Focus Facility program, which is reserved for nursing homes with a persistent record of serious quality problems. Candidates are not yet enrolled in the program.
Safety at a glance
8Serious citations (actual harm or immediate jeopardy), last 3 inspection cycles
71Total health citations, last 3 inspection cycles
$324,988Federal fines, last 3 years (4 fines)
Most recent standard inspection: August 6, 2026.
Most recent serious findings
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
G
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
K
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Availability
Availability Unknown
This facility has not confirmed current availability. We never estimate vacancies. Please call (515) 270-6838 to ask about openings and waiting lists.
E-mail this facility about openings We help you write the message; you send it from your own e-mail.
Nurse staffing
- Total nurse hours per resident per day
- 4.06 hours · state avg 3.86, U.S. 3.90
- Registered nurse (RN) hours per resident per day
- 0.46 hours
- Total nurse hours on weekends
- 3.60 hours · state avg 3.38
- Nursing staff turnover (yearly)
- 65.9% · state avg 44.1%
- RN turnover (yearly)
- 90.9%
- Administrators who left (yearly)
- 1
Hours per resident per day = total nursing hours worked ÷ number of residents. Higher usually means more hands-on time. Values are from payroll records reported to CMS (Payroll-Based Journal).
Source: CMS Provider Information (data as of October 1, 2026)
Paying for care
Medicaid: This nursing home is certified to accept Medicaid. It is also Medicare certified, so Medicare can pay for short-term skilled care after a qualifying hospital stay.
In Iowa, Medicaid long-term care is provided through HCBS Elderly Waiver.
Pricing
Published price: Not Yet Verified
What families report paying
No family reports yet. To protect privacy and avoid misleading figures, we show a summary only after 5 reports.
Yearly price increases
No increase reports yet. Shown after 5 reports.
Nursing home care may be paid by Medicare (short-term skilled care after a qualifying hospital stay), Medicaid (if eligible), long-term care insurance, or privately. This facility is Medicaid certified.
Family Cameras & Video Access
- Family-installed room cameras
- Not Verified
- Facility-provided room cameras
- Not Verified
- Authorized remote family viewing
- Not Verified
- Live video visitation
- Not Verified
We have not yet verified this facility’s camera policy. Rules for in-room cameras vary by state and usually require consent from the resident and any roommate. Ask the facility for its written electronic-monitoring policy.
Applying & contacting
- Online admission application
- Not yet checked
- Online waiting-list form
- Not yet checked
- Online inquiry form
- Not yet checked
- Online tour scheduling
- Not yet checked
Application checklist & links Applying to several facilities? Add each one to your compare list and open the apply page.
Ownership
- Ownership type
- For profit - Limited Liability company
- Chain / affiliation
- Cedar View Holdings
- Legal business name
- Royal Oaks Nursing and Rehabilitation Center LLC
| Owner or manager | Role | Share |
|---|---|---|
| AMARANTHINE HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| 4614 NW 84TH STREET PROPCO LLC | ADP OF THE SNF | — |
| CARESAGE ADMINISTRATIVE CONSULTING, LLC | ADP OF THE SNF | — |
| CEDAR VIEW HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — |
| CEDAR VIEW HOLDINGS LLC | ADP OF THE SNF | — |
| CEDAR VIEW TR | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — |
| CEDAR VIEW TR | ADP OF THE SNF | — |
| CLINICAL CONSULTING SERVICES LLC | ADP OF THE SNF | — |
| GREATOREX, TINA | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — |
| IOWA 5784 LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — |
| IOWA 5784 LLC | ADP OF THE SNF | — |
| JSJ 2020 FAM TR | ADP OF THE SNF | — |
Source: CMS Provider Information (data as of October 1, 2026)
About this listing
- CMS Certification Number
- 165580
- Certified beds
- 115
- Average residents per day
- 84
- Medicare / Medicaid
- Medicare and Medicaid
- Continuing care retirement community
- No
- First certified
- July 9, 2007
- Last confirmed by official source
- October 1, 2026
Read full inspection narratives at Medicare Care Compare or ProPublica Nursing Home Inspect.
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