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Nursing HomeMedicaid

Royal Oak Nursing Center

Strong Medicare quality ratings; families often praise compassionate and attentive nursing staff. Still worth an in-person visit.

37300 Royal Oak Lane, Joynerville · Dade City, FL 33525120 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
3.9/5

based on 75 Google reviews

5
4
3
2
1

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What this means for your family

This facility has a strong reputation for effective physical therapy and a welcoming environment, but it is critical to be aware of the reported staffing shortages on weekends. We strongly recommend that you visit frequently, especially during off-hours, and maintain proactive communication with the administration to ensure your loved one's specific care needs are being met.

Google Reviews

Google Reviews

75 reviews on Google
Royal Oak Nursing Center receives highly polarized feedback, with many families praising the compassionate, attentive staff and effective rehabilitation services, while others report severe concerns regarding neglect and poor communication. While some families describe the facility as a 'home-like' environment with excellent care, multiple reviewers have documented incidents of understaffing, hygiene issues, and a lack of responsiveness to medical needs.

Quality Themes

Tap a score for details
Food7.0Staff6.0Clean4.0Activities8.0Meds3.0MemoryN/AComms3.0ValueN/A

Strengths

  • Compassionate and attentive nursing staff
  • Effective physical and occupational therapy
  • Welcoming and home-like atmosphere
  • Responsive administrative leadership

Concerns

  • Significant understaffing, especially on weekends (mentioned by 4 reviewers)
  • Poor communication with family members regarding medical updates (mentioned by 3 reviewers)
  • Hygiene and cleanliness issues, including dirty rooms and bathrooms (mentioned by 3 reviewers)
  • Neglect of basic needs, such as toileting and repositioning (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'15(1)'17(3)'19(6)'21(4)'23(6)'25(19)'26(21)

Distribution · 76 analyzed

5
56
4
2
3
0
2
2
1
16

How They Respond to Reviews

100%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1It is wonderful to see how much the leadership team engages with the community; how does the administration typically share important medical updates or changes in care with family members?
  • 2We have heard such lovely things about the compassion of your nursing staff; how do you ensure that this level of attentive care remains consistent during the weekends?
  • 3With the focus on physical and occupational therapy being a strength here, how do the therapists work with residents to help them maintain their independence in their daily routines?
  • 4What specific protocols do you have in place to ensure that room cleanliness and personal hygiene standards are strictly maintained for every resident?
  • 5Could you walk us through the process for managing medications and how you ensure there are no gaps in care during shift changes?
  • 6In the event of a medical emergency after hours, what is the immediate procedure for notifying the family and coordinating with doctors?

Personalized based on this facility's data


Key Review Excerpts

The staff is nothing short of amazing! The not only care about the residents they care for their families. The food is also delicious. They have lots of activities. It is also very clean.

Memory care family member · 2025★★★★★

My dad was here for 3.5 days, & it was heartbreaking how much his physical & mental health declined in that short time. Not near enough staff to appropriately care for rehab patients, especially on the wkends.

Long-term resident's family · 2023☆☆☆☆

My mother went in for a UTI rehab... That was not done in a wheelchair constantly. She went from 150 pounds to 129 pounds in the timeframe that she was there... Waited a half an hour for a CNA to come.

Rehab patient's family · 2025☆☆☆☆
Source: 75 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.71hrs
95%
Registered nurses for medical care
Total Nursing
3.68hrs
90%
All nurses + aides combined
Staff Turnover
40%
Lower is better (< 30% = good)
RN Turnover
40%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

10

measures

Worse Than Avg

3

measures

Mixed Results

4

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility33.7%
Worse than Avg
Here
33.7%
US
15.3%
FL
10.6%
Pasco
12.7%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.6%
Better than Avg
Here
0.6%
US
12.1%
FL
4.1%
Pasco
2.1%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility22.8%
Worse than Avg
Here
22.8%
US
19.4%
FL
11.5%
Pasco
15.2%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility5.9%
Better than Avg
Here
5.9%
US
15.5%
FL
8.7%
Pasco
7.8%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
FL
98.1%
Pasco
98.9%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility15.0%
Better than Avg
Here
15.0%
US
19.5%
FL
15.0%
Pasco
16.8%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility94.0%
Mixed vs Avgs
Here
94.0%
US
79.8%
FL
94.7%
Pasco
95.4%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility96.0%
Mixed vs Avgs
Here
96.0%
US
81.8%
FL
94.8%
Pasco
96.3%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.8%
Better than Avg
Here
0.8%
US
1.6%
FL
1.5%
Pasco
1.3%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

7deficiencies
Near state avg (7.3)
1 complaint-triggered

Royal Oak Nursing Center has 25 deficiencies across three surveys, all corrected by the facility. The most frequent issues involve fire safety and building maintenance, medication management, and daily care assistance. Problems appear to be different across surveys rather than recurring, suggesting the facility addresses issues when identified. No families filed complaints that triggered federal inspections during this period.

Feb 2, 2026Complaint
1
0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Mar 28, 2024Routine
8
0684Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0554Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0699Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care or services that was trauma informed and/or culturally competent.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0521Potential for harm · IsolatedCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Jan 14, 2022Routine
7
0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0759Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0726Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

0909Potential for harm · IsolatedCorrected

Environmental Deficiencies

Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

0351Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

Oct 15, 2020Routine
10
0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure 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.

0211Potential for harm · IsolatedCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0223Potential for harm · IsolatedCorrected

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

0293Potential for harm · IsolatedCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0325Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have properly installed hallway dispensers for alcohol-based hand rub.

0345Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0921Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0923Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Royal Oak Nursing Center

Organization Type

nonprofit

Chain Affiliation

Chain Name

Health Services Management

Chain Size

16 facilities nationwide

Chain avg rating: 3.1/5 · Rank 6 of 16

Ownership & Management

Owners

Health Services Management, INC.

Owner · Organization

100%

Key personnel

National Health Investors, INC.5% or Greater Mortgage InterestNhi-Reit of Florida, LLC5% or Greater Mortgage InterestBaxter, KevinOfficer / DirectorFisher, ScottOfficer / DirectorJackson, BrianOfficer / Director
Source: Medicare provider data

Contact

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References & Resources

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