Royal Oak Nursing Center
Nursing Home · 37300 Royal Oak Lane, Dade City, FL 33525 · 3525673122
B
graded on 75% of our rubric
An owner or operator name matches the HHS-OIG exclusion list (LEIE). Verify independently.
Why you can trust this grade. HearthGrades is independent and free to use. Every grade is computed from public CMS and state records on a fixed, published rubric — safety inspections, staffing, clinical outcomes, enforcement and financial stability. This provider was graded on 75% of that rubric. No facility can pay to change its grade or where it appears, and we take no money from the providers we grade. See the full methodology.
Scores by dimension
| Dimension | Score | Data confidence |
|---|---|---|
| Safety & compliance | 3.0 / 5 | high |
| Staffing | 3.4 / 5 | high |
| Clinical outcomes | 3.1 / 5 | high |
| Enforcement | 5.0 / 5 | high |
| Financial stability | 4.8 / 5 | med |
Key facts
| Care type | Nursing Home |
| Beds | 120 |
| Ownership | Non Profit - Corporation |
| Operator | Royal Oak Nursing Center, Llc |
| Chain size | 16 facilities |
| Certified since | 1981-05-07 |
| CMS overall star | 4 / 5 |
| Accepts Medicaid | Yes |
| Price tier | $$$$ of 5 · ~$459/day reported charge (within FL) |
Inspection & enforcement record
- Health-inspection citations: 0 immediate jeopardy · 0 actual harm · 14 potential for harm · 0 minor
- Federal fines: $0 · payment denials: 0 · penalty actions: 0
Recent inspection findings
The 8 most recent health-inspection deficiencies on file with CMS, newest first. Severity is the CMS scope/severity scale (A–L); G and above mean actual harm or immediate jeopardy. "Corrected" shows the date the facility certified the fix.
| Date | Finding | Severity | Status |
|---|---|---|---|
| 2026-02-02 | Provide and implement an infection prevention and control program. (Infection Control Deficiencies, tag 0880) | D | corrected 2026-02-28 |
| 2024-03-28 | Allow residents to self-administer drugs if determined clinically appropriate. (Resident Rights Deficiencies, tag 0554) | D | corrected 2024-04-27 |
| 2024-03-28 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Resident Assessment and Care Planning Deficiencies, tag 0656) | D | corrected 2024-04-27 |
| 2024-03-28 | Provide care and assistance to perform activities of daily living for any resident who is unable. (Quality of Life and Care Deficiencies, tag 0677) | D | corrected 2024-04-27 |
| 2024-03-28 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. (Quality of Life and Care Deficiencies, tag 0684) | E | corrected 2024-04-27 |
| 2024-03-28 | Provide care or services that was trauma informed and/or culturally competent. (Quality of Life and Care Deficiencies, tag 0699) | D | corrected 2024-04-27 |
| 2024-03-28 | Provide and implement an infection prevention and control program. (Infection Control Deficiencies, tag 0880) | E | corrected 2024-04-27 |
| 2022-01-14 | Provide care and assistance to perform activities of daily living for any resident who is unable. (Quality of Life and Care Deficiencies, tag 0677) | E | corrected 2022-02-14 |
Staffing
Nurse hours per resident per day (CMS Payroll-Based Journal) — the strongest objective predictor of care. "Expected" is what CMS's case-mix model says this facility's resident acuity calls for.
- Total nurse staffing: 3.68 hrs/resident/day (expected 3.65 for this facility's resident acuity — at or above expected) (US median 3.69 · FL 3.66)
- Registered-nurse staffing: 0.71 hrs/resident/day (expected 0.64 for this facility's resident acuity — at or above expected) (US median 0.58)
- Breakdown: nurse aide 2.26 · LPN 0.71 hrs/resident/day
- Weekend total staffing: 3.21 hrs/resident/day (expected 3.24 for this facility's resident acuity — below expected)
- Annual nursing-staff turnover: 40.2% · RN turnover 40.0% (US median 45.3% · lower is better)
- Resident acuity (nursing case-mix index): 1.31 (1.0 ≈ national average; higher = more care-intensive residents)
Clinical outcomes — the measures behind the score
The 8 CMS MDS quality measures (2025Q1-2025Q4) driving this facility's clinical score — the same measures behind the CMS QM star. All are adverse-event rates: lower is better. Worst first. The quarterly column shows the four most recent quarters (Q1→Q4); benchmarks are the national percentile and the FL state median.
| Measure | 4-qtr avg | Quarterly (Q1→Q4) | Benchmark |
|---|---|---|---|
| Percentage of long-stay residents whose ability to walk independently worsened (long stay) | 33.7% | 38 → 41.5 → · → · | worse than 96% of US homes · FL median 8.7% |
| Percentage of long-stay residents with pressure ulcers (long stay) | 5.8% | 8.6 → 6.9 → 4.6 → 2.8 | worse than 69% of US homes · FL median 4.4% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder (long stay) | 0.8% | 1.6 → 0.8 → 0.7 → 0 | worse than 67% of US homes · FL median 0% |
| Percentage of short-stay residents who newly received an antipsychotic medication (short stay) | 0.8% | 1.9 → 0 → 0.8 → 0.8 | better than 55% of US homes · FL median 1% |
| Percentage of long-stay residents whose need for help with daily activities has increased (long stay) | 11.1% | 7.9 → 12.3 → 9.8 → 15.6 | better than 59% of US homes · FL median 7.7% |
| Percentage of long-stay residents with a urinary tract infection (long stay) | 0.3% | 0 → 0 → 0 → 1.4 | better than 71% of US homes · FL median 0.2% |
| Percentage of long-stay residents who received an antipsychotic medication (long stay) | 5.9% | 4.5 → 8.6 → 5.2 → 5.2 | better than 83% of US homes · FL median 7.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury (long stay) | 0.6% | 1.2 → 1.2 → 0 → 0 | better than 89% of US homes · FL median 2.3% |
What this costs
- This facility's reported avg daily charge: $459/day · $$$$ (price tier 4 of 5 among Florida nursing homes) — from its own federal cost report, FY ending 2024-09. Gross charges across all payers and services: higher than a quoted private rate, but computed identically for every facility, which makes the tier a fair within-state comparison.
- Payer mix (resident days): 59% Medicaid · 19% Medicare · 22% other/private · 87% occupancy
- Florida median (quoted rates): $340/day semi-private · $400/day private (national: $315 · $355)
- Accepts Medicaid: yes
- This facility's quoted rate: not public. This facility's quoted private rate isn't published by any federal or state source. Medicare covers short rehab stays (up to 100 days, copays after day 20); long-term stays are private pay until savings spend down to Medicaid. How to get the real number →
Market medians: CareScout Cost of Care Survey 2025 (collected July–November 2025), state-level — individual providers vary widely around a median. Facility-level prices aren't published by any government source; how to get a real quote.
Hospitals serving Pasco County
Hospitals in the same county — those with an emergency department first, then by CMS hospital star rating. Useful for transfers and emergencies.
| Hospital | City | ER | CMS star | Type |
|---|---|---|---|---|
| Adventhealth Wesley Chapel | Wesley Chapel | Yes | 5★ | Acute care |
| Adventhealth Zephyrhills | Zephyrhills | Yes | 4★ | Acute care |
| Morton Plant North Bay Hospital | New Port Richey | Yes | 3★ | Acute care |
| HCA Florida Bayonet Point Hospital | Hudson | Yes | 2★ | Acute care |
| HCA Florida Trinity Hospital | Trinity | Yes | 2★ | Acute care |
| Baycare Hospital Wesley Chapel | Wesley Chapel | Yes | — | Acute care |
Compare nearby
- A- Baldomero Lopez Memorial Veterans Nursing Home · Land O Lakes
- B+ Solaris Healthcare Zephyrhills · Zephyrhills
- B+ Life Care Center Of New Port Richey · New Port Richey
- B Solaris Healthcare Lake Zephyr · Zephyrhills
- B Blue Heron Health And Rehabilitation · Wesley Chapel
- B Bayonet Point Health Center By Harborview · Hudson
Full interactive report card → Facility's own website ↗ CMS Care Compare ↗
Source: CMS Provider Information + Health Deficiencies + Penalties (as of 2026-05). Part of our Pasco County nursing homes coverage. Spot an error? Tell us.