Velarion Records

Skilled nursing facility · CMS certification number 165580

Royal Oaks Nursing and Rehabilitation Center

Urbandale, Iowa · Medicare and Medicaid

Certified beds, as filed in Care Compare: 115

Download this facility’s record (CSV)

A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.

CMS lists this facility as a Special Focus Facility candidate (Care Compare Special Focus Status: SFF Candidate)

In Care Compare’s provider information: Penalties: 6 · Fines: 4 · Fines, total amount: $434,825.00 · Payment denials: 2. The most recent penalty on file: February 11, 2026, Fine, $311,880. Every penalty on file ↓

For this facility: the citable document with full history — $295 · an email when this record changes — $99/month

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on October 14, 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$15,697,435CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$4,724,978CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,972,457CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,578,591CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,393,866CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$4,992CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,398,858CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,398,858 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components115CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components42,090CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days1,971CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days22,972CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days5,399CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components30,342CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges25CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges13CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges109CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components147CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days78.84CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,767.08CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days206.41CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1440866, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended December 31, 2023

Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 27, 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$13,339,726CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,622,406CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,717,320CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,517,515CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$800,195CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$71CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$800,124CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$800,124 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components115CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components30,011CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components92CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days70.57CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days764.73CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days326.21CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1396118, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended December 31, 2022

Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 27, 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$13,111,963CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$4,311,179CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,800,784CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,859,337CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,058,553CMS-2540-10 worksheet G300000 line 500 column 100
Total other income−$75,090CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,133,643CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,133,643 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components115CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components30,358CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components212CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days61.16CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days13.83CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days143.2CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1365585, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended December 31, 2021

Cost report for July 1, 2021 to December 31, 2021 — a reporting period of 183 days, not a full year, on form CMS-2540-10, settled, processed by CMS on September 22, 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$6,574,706CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,971,728CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,602,978CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,330,380CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$272,598CMS-2540-10 worksheet G300000 line 500 column 100
Total other income−$55,756CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$216,842CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $216,842 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
FigureAs filedWhere it comes from
Total facility beds, all components115CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components15,606CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components165CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days58.07CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days326.1CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days94.58CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1333622, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended December 31, 2020

Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on May 24, 2022.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$10,731,392CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,334,024CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,397,368CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,684,706CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$712,662CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$681,043CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,393,705CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,221,042 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
FigureAs filedWhere it comes from
Total facility beds, all components115CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components34,759CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components237CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days46.54CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days336.3CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days146.66CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1316762, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended December 31, 2019

Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on June 4, 2021.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$9,852,032CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,371,798CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,480,234CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,668,351CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$188,117CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,785CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$185,332CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$384,974 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
FigureAs filedWhere it comes from
Total facility beds, all components115CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components33,699CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components236CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days37.9CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days592.55CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days142.79CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1285401, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended December 31, 2018

Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 21, 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$8,821,198CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$809,242CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,011,956CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,197,662CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$185,706CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,303CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$184,403CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$392,603 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
FigureAs filedWhere it comes from
Total facility beds, all components115CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components33,011CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components287CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days31.91CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days448.52CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days115.02CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1241557, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended December 31, 2017

Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 26, 2018.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$8,627,675CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,036,737CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,590,938CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,302,162CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$711,224CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$3,233CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$707,991CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$707,991 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
FigureAs filedWhere it comes from
Total facility beds, all components130CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components32,228CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components235CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days33.05CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days805.48CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days137.14CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1202859, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2016, ended December 31, 2016

Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on July 21, 2017.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$9,907,258CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,301,932CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,605,326CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,286,345CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$318,981CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,297CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$320,278CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $326,903 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
FigureAs filedWhere it comes from
Total facility beds, all components130CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components34,965CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components317CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days33.84CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days273.79CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days110.3CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1170303, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended December 31, 2015

Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 15, 2016.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$10,241,601CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,399,330CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,842,271CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,022,766CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$819,505CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$594CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$820,099CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $820,099 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
FigureAs filedWhere it comes from
Total facility beds, all components130CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components34,568CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components296CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days32.59CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days397.68CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days116.78CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1141303, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2014, ended December 31, 2014

Cost report for January 1, 2014 to December 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 4, 2015.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$9,893,767CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,176,497CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,717,270CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,482,907CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,234,363CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$27,190CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,261,553CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,095,874 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
FigureAs filedWhere it comes from
Total facility beds, all components130CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components37,139CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components199CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days33.17CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,169.85CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days186.63CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1106665, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2013, ended December 31, 2013

Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 11, 2014.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$8,721,900CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$967,286CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,754,614CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,228,540CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$526,074CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$18,818CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$544,892CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $544,892 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
FigureAs filedWhere it comes from
Total facility beds, all components130CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components35,065CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components248CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days29.38CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days426.08CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days141.39CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1075590, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2012, ended December 31, 2012

Cost report for January 1, 2012 to December 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 9, 2013.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$8,339,901CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$860,926CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,478,975CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,683,877CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$795,098CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$21,533CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$816,631CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $655,991 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
FigureAs filedWhere it comes from
Total facility beds, all components130CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components35,358CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components270CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days35.57CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days262.35CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days130.96CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1045998, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2011, ended December 31, 2011

Cost report for January 1, 2011 to December 31, 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 27, 2012.

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Total patient revenue$8,121,355CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$842,709CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,278,646CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,614,803CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$663,843CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$53,135CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$716,978CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $569,255 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2011
FigureAs filedWhere it comes from
Total facility beds, all components130CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components34,488CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components222CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days29.26CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days560.73CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days155.35CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1012759, read from the public cost report file SNF10FY2011.zip.

Fiscal year 2010, ended December 31, 2010

Cost report for January 1, 2010 to December 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 25, 2011.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$7,060,183CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$6,655,917CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$404,266CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$71,985CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$102,086CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: $374,165 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
FigureAs filedWhere it comes from
Total facility beds, all components180CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components32,965CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components235CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days25.99CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days967.2CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days140.28CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 412633, read from the public cost report file SNFFY2010.zip.

Fiscal year 2009, ended December 31, 2009

Cost report for January 1, 2009 to December 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 30, 2010.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$4,456,945CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,740,309CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$1,283,364CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$31,961CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$1,251,403 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
FigureAs filedWhere it comes from
Total facility beds, all components180CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components23,510CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components248CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days26.03CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days308.24CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days94.8CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 384391, read from the public cost report file SNFFY2009.zip.

Fiscal year 2008, ended October 31, 2008

Cost report for January 1, 2008 to October 31, 2008 — a reporting period of 304 days, on form CMS-2540-96, settled, processed by CMS on April 19, 2010.

Revenue and expenses, fiscal year 2008
FigureAs filedWhere it comes from
Net patient revenue$2,206,904CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,199,664CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$1,992,760CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$2,782CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$275,948CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: −$2,265,926 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2008
FigureAs filedWhere it comes from
Total facility beds, all components180CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components11,630CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components117CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days29.29CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days274.25CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days99.4CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 367634, read from the public cost report file SNFFY2008.zip.

Fiscal year 2007, ended December 31, 2007

Cost report for July 9, 2007 to December 31, 2007 — a reporting period of 175 days, not a full year, on form CMS-2540-96, settled, processed by CMS on August 18, 2008.

Revenue and expenses, fiscal year 2007
FigureAs filedWhere it comes from
Net patient revenue$742,926CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,055,449CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$1,312,523CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$341CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$7,432CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: −$1,319,614 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2007
FigureAs filedWhere it comes from
Total facility beds, all components180CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components4,079CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components23CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days46.5CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days177.35CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 324329, read from the public cost report file SNFFY2007.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated September 1, 2026 (Care Compare ownership).

Owner or managerRoleTypeOwnership percentageAssociation
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
GREATOREX, TINA5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividualNO 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
SCHIOWITZ, MARC5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividualNO PERCENTAGE PROVIDEDsince 01/01/2025
SEBBAG, GABRIEL5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividualNO PERCENTAGE PROVIDEDsince 01/01/2025
4614 NW 84TH STREET PROPCO LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 01/01/2025
CARESAGE ADMINISTRATIVE CONSULTING, LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 01/01/2025
CEDAR VIEW HOLDINGS LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 03/25/2025
CEDAR VIEW TRADP OF THE SNFOrganizationNOT APPLICABLEsince 03/25/2025
CLINICAL CONSULTING SERVICES LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 01/01/2025
IOWA 5784 LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 03/25/2025
JSJ 2020 FAM TRADP OF THE SNFOrganizationNOT APPLICABLEsince 01/01/2025
JSJ PROPERTY LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 01/01/2025
OCONNER, MICHAELADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2025
REITER, JENNIFERADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2025
SAMARA FAM TRADP OF THE SNFOrganizationNOT APPLICABLEsince 01/01/2025
SUMMATION FINANCIAL SERVICES LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 01/01/2025
THE BRYN MAWR TRUST COMPANY OF DELAWAREADP OF THE SNFOrganizationNOT APPLICABLEsince 01/01/2025
OCONNER, MICHAELOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 01/01/2025
REITER, JENNIFEROPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 01/01/2025
SEBBAG, GABRIELTRUSTEE OF THE SNFIndividualNOT APPLICABLEsince 01/01/2025

Medicare enrollment

As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of ROYAL OAKS NURSING AND REHABILITATION CENTER LLC (enrollment ID O20250213003775).

CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
AMARANTHINE HOLDINGS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1001/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
CEDAR VIEW HOLDINGS LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST241/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
CEDAR VIEW TROrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST241/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
GABRIEL J SEBBAGIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST521/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
IOWA 5784 LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST521/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
MARC SCHIOWITZIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST1001/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
SAMARA FAM TROrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST241/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
SAMARA FAMILY HOLDINGS LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST241/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
TINA GREATOREXIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST1001/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
4614 NW 84TH STREET PROPCO LLCOrganizationADP OF THE SNFNot stated in the filing1/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
CARESAGE ADMINISTRATIVE CONSULTING, LLCOrganizationADP OF THE SNFNot stated in the filing1/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
CEDAR VIEW HOLDINGS LLCOrganizationADP OF THE SNFNot stated in the filing3/25/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
CEDAR VIEW TROrganizationADP OF THE SNFNot stated in the filing3/25/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
CLINICAL CONSULTING SERVICES LLCOrganizationADP OF THE SNFNot stated in the filing1/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
IOWA 5784 LLCOrganizationADP OF THE SNFNot stated in the filing3/25/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
JENNIFER REITERIndividualADP OF THE SNFNot stated in the filing1/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JSJ 2020 FAM TROrganizationADP OF THE SNFNot stated in the filing1/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
JSJ PROPERTY LLCOrganizationADP OF THE SNFNot stated in the filing1/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
MICHAEL P OCONNERIndividualADP OF THE SNFNot stated in the filing1/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
SAMARA FAM TROrganizationADP OF THE SNFNot stated in the filing1/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
SUMMATION FINANCIAL SERVICES LLCOrganizationADP OF THE SNFNot stated in the filing1/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
THE BRYN MAWR TRUST COMPANY OF DELAWAREOrganizationADP OF THE SNFNot stated in the filing1/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
JENNIFER REITERIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing1/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MICHAEL P OCONNERIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing1/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
GABRIEL J SEBBAGIndividualTRUSTEE OF THE SNFNot stated in the filing1/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
1May 20, 2025May 20, 20253412
2July 1, 2024July 1, 2024285
3April 4, 2023April 4, 2023164

From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.

Deficiencies cited

78 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
June 11, 2026HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DYesDeficient, Provider has date of correctionJuly 8, 2026
June 11, 2026HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.GYesDeficient, Provider has date of correctionJuly 8, 2026
June 11, 2026HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DYesDeficient, Provider has date of correctionJuly 8, 2026
June 11, 2026HealthF 0690Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DYesDeficient, Provider has date of correctionJuly 8, 2026
June 11, 2026HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DYesDeficient, Provider has date of correctionJuly 8, 2026
June 11, 2026HealthF 0865Administration DeficienciesHave a plan that describes the process for conducting QAPI and QAA activities.FYesDeficient, Provider has date of correctionJuly 8, 2026
June 11, 2026HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DYesDeficient, Provider has date of correctionJuly 8, 2026
April 9, 2026HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.DYesDeficient, Provider has date of correctionJuly 8, 2026
April 9, 2026HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.DYesDeficient, Provider has date of correctionJuly 8, 2026
April 9, 2026HealthF 0690Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DYesDeficient, Provider has date of correctionJuly 8, 2026
April 9, 2026HealthF 0760Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.DYesDeficient, Provider has date of correctionJuly 8, 2026
April 9, 2026HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DYesDeficient, Provider has date of correctionJuly 8, 2026
February 11, 2026HealthF 0554Resident Rights DeficienciesAllow residents to self-administer drugs if determined clinically appropriate.DYesDeficient, Provider has date of correctionFebruary 23, 2026
February 11, 2026HealthF 0584Resident Rights DeficienciesHonor 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.EYesDeficient, Provider has date of correctionFebruary 23, 2026
February 11, 2026HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.DYesDeficient, Provider has date of correctionFebruary 23, 2026
February 11, 2026HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.DYesDeficient, Provider has date of correctionJuly 8, 2026
February 11, 2026HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DYesDeficient, Provider has date of correctionFebruary 23, 2026
February 11, 2026HealthF 0690Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.GYesDeficient, Provider has date of correctionJuly 8, 2026
February 11, 2026HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.EYesDeficient, Provider has date of correctionJuly 8, 2026
October 22, 2025HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DYesDeficient, Provider has date of correctionNovember 7, 2025
October 22, 2025HealthF 0725Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.KYesPast Non-ComplianceOctober 9, 2025
October 22, 2025HealthF 0842Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DYesDeficient, Provider has date of correctionNovember 7, 2025
May 20, 2025HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DYesDeficient, Provider has date of correctionJune 13, 2025
May 20, 2025HealthF 0655Resident Assessment and Care Planning DeficienciesCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDNoDeficient, Provider has date of correctionJune 13, 2025
May 20, 2025HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.DNoDeficient, Provider has date of correctionJune 13, 2025
May 20, 2025HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GYesDeficient, Provider has date of correctionJune 13, 2025
May 20, 2025HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.DNoDeficient, Provider has date of correctionJune 13, 2025
May 20, 2025HealthF 0740Quality of Life and Care DeficienciesEnsure each resident must receive and the facility must provide necessary behavioral health care and services.DYesDeficient, Provider has date of correctionJune 13, 2025
May 20, 2025HealthF 0760Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.GYesDeficient, Provider has date of correctionJune 13, 2025
May 20, 2025HealthF 0761Pharmacy Service DeficienciesEnsure 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.DYesDeficient, Provider has date of correctionJune 13, 2025
May 20, 2025HealthF 0804Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.ENoDeficient, Provider has date of correctionJune 13, 2025
May 20, 2025HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FYesDeficient, Provider has date of correctionJune 13, 2025
May 20, 2025HealthF 0842Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.ENoDeficient, Provider has date of correctionJune 13, 2025
May 20, 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.ENoDeficient, Provider has date of correctionJune 13, 2025
December 13, 2024HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EYesDeficient, Provider has date of correctionJanuary 17, 2025
December 13, 2024HealthF 0558Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.EYesDeficient, Provider has date of correctionJanuary 17, 2025
December 13, 2024HealthF 0584Resident Rights DeficienciesHonor 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.EYesDeficient, Provider has date of correctionJanuary 17, 2025
December 13, 2024HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DYesDeficient, Provider has date of correctionJanuary 17, 2025
December 13, 2024HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.DYesDeficient, Provider has date of correctionJanuary 17, 2025
December 13, 2024HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.EYesDeficient, Provider has date of correctionJanuary 17, 2025
December 13, 2024HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.EYesDeficient, Provider has date of correctionJanuary 17, 2025
December 13, 2024HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DYesDeficient, Provider has date of correctionJanuary 17, 2025
December 13, 2024HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.JYesDeficient, Provider has date of correctionJanuary 17, 2025
December 13, 2024HealthF 0761Pharmacy Service DeficienciesEnsure 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.DYesDeficient, Provider has date of correctionJanuary 17, 2025
December 13, 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DYesDeficient, Provider has date of correctionJanuary 17, 2025
December 13, 2024HealthF 0925Environmental DeficienciesMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.EYesDeficient, Provider has date of correctionJanuary 17, 2025
October 15, 2024HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DYesDeficient, Provider has date of correctionNovember 7, 2024
October 15, 2024HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.DYesDeficient, Provider has date of correctionNovember 7, 2024
October 15, 2024HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DYesDeficient, Provider has date of correctionNovember 7, 2024
September 7, 2024HealthF 0690Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DYesDeficient, Provider has date of correctionSeptember 25, 2024
July 1, 2024HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DNoDeficient, Provider has date of correctionAugust 1, 2024
July 1, 2024HealthF 0578Resident Rights DeficienciesHonor 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.DNoDeficient, Provider has date of correctionAugust 1, 2024
July 1, 2024HealthF 0580Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DYesDeficient, Provider has date of correctionAugust 1, 2024
July 1, 2024HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DNoDeficient, Provider has date of correctionAugust 1, 2024
July 1, 2024HealthF 0610Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.DNoDeficient, Provider has date of correctionAugust 1, 2024
July 1, 2024HealthF 0623Resident Rights DeficienciesProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DNoDeficient, Provider has date of correctionAugust 1, 2024
July 1, 2024HealthF 0644Resident Assessment and Care Planning DeficienciesCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DNoDeficient, Provider has date of correctionAugust 1, 2024
July 1, 2024HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DNoDeficient, Provider has date of correctionAugust 1, 2024
July 1, 2024HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.DYesDeficient, Provider has date of correctionAugust 1, 2024
July 1, 2024HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DNoDeficient, Provider has date of correctionAugust 1, 2024
July 1, 2024HealthF 0868Administration DeficienciesHave the Quality Assessment and Assurance group have the required members and meet at least quarterlyDNoDeficient, Provider has date of correctionAugust 1, 2024
July 1, 2024HealthF 0926Environmental DeficienciesHave policies on smoking.DNoDeficient, Provider has date of correctionAugust 1, 2024
January 30, 2024HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DYesDeficient, Provider has date of correctionFebruary 13, 2024
January 30, 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.EYesDeficient, Provider has date of correctionFebruary 13, 2024
January 30, 2024HealthF 0921Environmental DeficienciesMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EYesDeficient, Provider has date of correctionFebruary 13, 2024
December 6, 2023HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DYesDeficient, Provider has date of correctionDecember 27, 2023
December 6, 2023HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.DYesDeficient, Provider has date of correctionDecember 27, 2023
December 6, 2023HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.GYesDeficient, Provider has date of correctionDecember 19, 2023
December 6, 2023HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.GYesDeficient, Provider has date of correctionDecember 19, 2023
December 6, 2023HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EYesDeficient, Provider has date of correctionDecember 27, 2023
September 7, 2023HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.DYesDeficient, Provider has date of correctionSeptember 29, 2023
September 7, 2023HealthF 0761Pharmacy Service DeficienciesEnsure 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.DYesDeficient, Provider has date of correctionSeptember 29, 2023
April 4, 2023HealthF 0582Resident Rights DeficienciesGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DNoDeficient, Provider has date of correctionMay 4, 2023
April 4, 2023HealthF 0623Resident Rights DeficienciesProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.CNoDeficient, Provider has date of correctionMay 4, 2023
April 4, 2023HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.ENoDeficient, Provider has date of correctionMay 4, 2023
April 4, 2023HealthF 0692Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.DNoDeficient, Provider has date of correctionMay 4, 2023
April 4, 2023HealthF 0803Nutrition and Dietary DeficienciesEnsure 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.ENoDeficient, Provider has date of correctionMay 4, 2023
April 4, 2023HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.ENoDeficient, Provider has date of correctionMay 4, 2023

From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on August 1, 2026.

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
February 11, 2026Fine$311,880137790
February 11, 2026Payment DenialMarch 10, 2026120
October 22, 2025Fine$16,907135367
December 12, 2024Fine$71,13679533
December 6, 2023Fine$34,22379353
December 6, 2023Payment DenialJanuary 3, 202441

From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Corporation
Legal Business NameROYAL OAKS NURSING AND REHABILITATION CENTER LLC
Date First Approved to Provide Medicare and Medicaid Services2007-07-09
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishPolk
Telephone Number5152706838
Chain NameCEDAR VIEW HOLDINGS
Chain ID888
Special Focus StatusSFF Candidate
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds115
Average Number of Residents per Day87.2
Overall Rating1
Health Inspection Rating1
QM Rating3
Long-Stay QM Rating2
Short-Stay QM Rating3
Processing Date2026-08-01

From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on August 1, 2026.

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