All states › Florida › Dade City › Royal Oak Nursing Center
37300 Royal Oak Lane Dade City, FL 33525 · Pasco County
All 2 nursing homes in Dade City, FL (2 take Medicaid)
CMS certification number 105385 · See this home on Medicare Care Compare
Is Royal Oak Nursing Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Royal Oak Nursing Center as of October 2026.
CMS rates it 4 out of 5 stars overall, above the Florida average of 3.3.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.69 hours per resident per day at Royal Oak Nursing Center, about the same as the Florida median of 3.67 (US median: 3.72). About 0.71 of those hours are from registered nurses. On weekends it falls to 3.22 hours, 13% below its all-week average. 41.7% of nursing staff left within a year (Florida median 42%).
About this nursing home
Paying for care at Royal Oak Nursing Center: Medicare and Medicaid
Royal Oak Nursing Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Florida's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on March 28, 2024 and found 6 deficiencies, plus 1 from complaint inspections in the same period. CMS notes that this home's most recent inspection was more than two years ago. In total, inspectors issued 14 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 14 citations at Royal Oak Nursing Center across 4 inspection dates, 1 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 14 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were quality of life and care (5) and pharmacy service (3). The most serious was cited under the CMS rule to "provide appropriate treatment and care according to orders, resident’s preferences and goals" (tag F0684, level E, March 28, 2024).
February 2, 2026 · 1 citation · includes complaint inspection
DProvide and implement an infection prevention and control program.
March 28, 2024 · 6 citations
EProvide appropriate treatment and care according to orders, resident’s preferences and goals.
EProvide and implement an infection prevention and control program.
DAllow residents to self-administer drugs if determined clinically appropriate.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide care or services that was trauma informed and/or culturally competent.
January 14, 2022 · 6 citations
EProvide care and assistance to perform activities of daily living for any resident who is unable.
EEnsure medication error rates are not 5 percent or greater.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
DImplement 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.
DRegularly 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.
October 15, 2020 · 1 citation
DEnsure 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.
Questions to ask on a tour of Royal Oak Nursing Center
- The last standard inspection was more than two years ago. Can I see any recent complaint inspection results?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 4/5 | 3/5 | 4/5 | 5/5 |
| August 2026 | 4/5 | 3/5 | 4/5 | 5/5 |
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Location
Hospitals near Royal Oak Nursing Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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0.3 mi
Adventhealth Dade City Dade CityEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 17m for patients treated and sent home
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6.4 mi
Florida Hospital Zephyrhills ZephyrhillsEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 30m for patients treated and sent home
- 13.0 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Royal Oak Nursing Center › All nursing homes in Dade City ›
Compare Royal Oak Nursing Center with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Solaris Healthcare Zephyrhills · Zephyrhills · 5 stars · 6.1 mi
Other Health Services Management nursing homes in Florida
- Cypress Cove Care Center · Crystal River · 5 stars
- Brooksville Healthcare Center · Brooksville · 3 stars
- Ayers Health and Rehabilitation Center · Trenton · 2 stars
- Bear Creek Nursing Center · Hudson · 2 stars
- Heather Hill Healthcare Center · New Port Richey · 2 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 16 Health Services Management nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.