CCN 165580 · Polk County, Iowa
Royal Oaks Nursing and Rehabilitation Center
4614 NW 84th Street, Urbandale, IA 50322
Royal Oaks Nursing and Rehabilitation Center is a 115-bed for-profit nursing home in Urbandale, Iowa, first certified for Medicare or Medicaid in 2007. CMS rates it 1 out of 5 stars overall in its September 2026 data, and it averaged 87.2 residents a day, about 76% of its certified beds. It has an active FHA-insured Section 232 loan: $11.5 million originally, at 5.29%, with $11.5 million outstanding as of September 30, 2026 and maturity in April 2061.
Facility facts
- Certified beds
- 115
- Average residents per day
- 87.2 (75.8% of beds)
- Ownership type
- For profit - Corporation
- Certification
- Medicare and Medicaid
- Legal business name
- Royal Oaks Nursing and Rehabilitation Center LLC
- Certified since
- Jul 9, 2007
- Chain or affiliated group
- Cedar View Holdings (9 facilities, chain average 1.2 stars)
- Location
- Urban
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Iowa median | US median |
|---|---|---|---|
| Overall rating | 1 of 5 | State spread: 78 at 1, 61 at 2, 86 at 3, 69 at 4, 91 at 5 | |
| Health inspections | 1 of 5 | ||
| Quality measures | 3 of 5 | ||
| Staffing | 2 of 5 | ||
| Total nurse hours per resident per day | 3.63 | 3.69 | 3.68 |
| RN hours per resident per day | 0.48 | 0.70 | 0.58 |
| Weekend nurse hours per resident per day | 3.30 | ||
| Nursing staff turnover | 66.7% | 41.9% | 44.9% |
| Occupancy (residents / beds) | 75.8% | 83.6% | 85.7% |
| Fines reported by CMS | 4 totaling $434,146 | ||
| Health deficiencies, latest standard survey | 34 (May 20, 2025) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Royal Oaks Nursing and Rehabilitation Center does not meet it today: overall rating 1, health inspection rating 1. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Amaranthine Holdings LLCOrganization | Direct Ownership Interest | 100% | 01/01/2025 |
| Cedar View Holdings LLCOrganization | Indirect Ownership Interest | n/a | 01/01/2025 |
| Cedar View TrOrganization | Indirect Ownership Interest | n/a | 01/01/2025 |
| Iowa 5784 LLCOrganization | Indirect Ownership Interest | n/a | 01/01/2025 |
| Samara Family Holdings LLCOrganization | Indirect Ownership Interest | n/a | 01/01/2025 |
| Greatorex, TinaIndividual | Indirect Ownership Interest | n/a | 01/01/2025 |
| Schiowitz, MarcIndividual | Indirect Ownership Interest | n/a | 01/01/2025 |
| Sebbag, GabrielIndividual | Indirect Ownership Interest | n/a | 01/01/2025 |
| Oconner, MichaelIndividual | Operational / Managerial Control | n/a | 01/01/2025 |
| Reiter, JenniferIndividual | Operational / Managerial Control | n/a | 01/01/2025 |
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| Jan 1, 2025 | Royal Oaks Nursing and Rehabilitation Center LLC | Opco Urbandale Ia LLC |
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| Mar 25, 2026 | 223(f) refinance or purchaseHUD project name: Royal Oaks Nursing and Rehabilitation Center, 115 beds. Lender at endorsement: Dwight Capital LLC | $11,520,000 | Active: 5.29%, $11,472,060 balanceMatures Apr 1, 2061. Servicer: Dwight Capital LLC | 07422095 |
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.