Royal Oak Nursing Center

Name: Royal Oak Nursing Center
Address: 37300 ROYAL OAK LANE, Dade City, FL, 33525, US
Telephone: 3525673122

37300 Royal Oak Lane, Dade City, FL 33525 · Pasco County · 120 certified beds · avg 108 residents/day · certified since May 7, 1981

Part of chain: HEALTH SERVICES MANAGEMENT (16 facilities, chain avg rating 2.9★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.06

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5

⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (14)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Feb 2, 2026	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
Mar 28, 2024	E · Potential for harm, repeated	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Mar 28, 2024	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Mar 28, 2024	D · Potential for harm, one-off	The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate.
Mar 28, 2024	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Mar 28, 2024	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Mar 28, 2024	D · Potential for harm, one-off	The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from.
Jan 14, 2022	E · Potential for harm, repeated	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Jan 14, 2022	E · Potential for harm, repeated	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Jan 14, 2022	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Jan 14, 2022	D · Potential for harm, one-off	The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.
Jan 14, 2022	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Jan 14, 2022	D · Potential for harm, one-off	The facility did not regularly inspect bed frames, mattresses, and bed rails for safety, or the rails and mattresses were not attached safely to the frames.
Oct 15, 2020	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (6 → 6).

Year	Citations	Worst severity that year
2020	1	D
2022	6	E
2024	6	E
2026	1	D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Florida avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.06	4.03	3.95	top 34% in Florida; top 37% in the U.S.
Registered Nurse hours	0.76	0.76	0.69	top 38% in Florida; top 31% in the U.S.
Weekend total nurse staffing	3.59	3.68	3.50	top 44% in Florida; top 38% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.40	0.53	0.48	bottom 41% in Florida; top 48% in the U.S.
Total nursing staff turnover (%)	41.2	41.4	45.8	top 47% in Florida; top 40% in the U.S.
RN turnover (%)	35.0	46.0	42.9	top 29% in Florida; top 38% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.75, RN 0.70, weekend 3.32. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5

Who owns this facility

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
Health Services Management, INC.	Organization	5% or Greater Direct Ownership Interest	100%	10/01/2000
Baxter, Kevin	Individual	Corporate Officer	NOT APPLICABLE	11/01/1990
Fisher, Scott	Individual	Corporate Officer	NOT APPLICABLE	04/02/2012
Fisher, Scott	Individual	Operational/Managerial Control	NOT APPLICABLE	11/01/1990
Gant, Amy	Individual	Operational/Managerial Control	NOT APPLICABLE	08/17/2015
Gant, Amy	Individual	ADP of the SNF	NOT APPLICABLE	08/17/2015
Hashmi, Haseeb	Individual	Operational/Managerial Control	NOT APPLICABLE	03/01/2024
Hashmi, Haseeb	Individual	ADP of the SNF	NOT APPLICABLE	03/01/2024
Health Services Management, INC.	Organization	Operational/Managerial Control	NOT APPLICABLE	10/01/2000
Jackson, Brian	Individual	Corporate Officer	NOT APPLICABLE	11/01/1990
Jackson, Brian	Individual	Operational/Managerial Control	NOT APPLICABLE	11/01/1990
National Health Investors, INC.	Organization	5% or Greater Mortgage Interest	NOT APPLICABLE	11/01/1990
National Health Investors, INC.	Organization	ADP of the SNF	NOT APPLICABLE	11/01/1990
Nhi-Reit of Florida, LLC	Organization	5% or Greater Mortgage Interest	NOT APPLICABLE	11/01/1990
Nhi-Reit of Florida, LLC	Organization	ADP of the SNF	NOT APPLICABLE	11/01/1990
Shatz, Jim	Individual	Corporate Officer	NOT APPLICABLE	04/06/2021
Shatz, Jim	Individual	Operational/Managerial Control	NOT APPLICABLE	11/01/1990
White, Joshua	Individual	Corporate Officer	NOT APPLICABLE	11/01/1990
White, Joshua	Individual	Operational/Managerial Control	NOT APPLICABLE	11/01/1990

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"If my family member is able to manage their own medications, would you allow it, and how is that decided?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"How do you learn about each resident's background and history, and how does that shape their care?"
"What is your current medication error rate, and what have you changed to bring errors down?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Dade City Health and Rehabilitation Center	0.4 mi	Dade City, FL	★☆☆☆☆	1/5	abuseSFF
Solaris Healthcare Zephyrhills	6.1 mi	Zephyrhills, FL	★★★★★	4/5
Hillside Health and Rehabilitation Center	7.2 mi	Zephyrhills, FL	★★★☆☆	2/5
Solaris Healthcare Lake Zephyr	8.6 mi	Zephyrhills, FL	★★★☆☆	3/5
Blue Heron Health and Rehabilitation	13.1 mi	Wesley Chapel, FL	★★★★☆	3/5
Baldomero Lopez Memorial Veterans Nursing Home	16.5 mi	Land O Lakes, FL	★★★★★	4/5
Northbrook Center for Rehabilitation and Healing	18.1 mi	Brooksville, FL	★★☆☆☆	2/5
Brooksville Healthcare Center	18.2 mi	Brooksville, FL	★★★☆☆	3/5
Aviata at Brooksville	18.9 mi	Brooksville, FL	★★★☆☆	3/5

Compare this facility with the 3 closest →

All facilities in Dade City →

Facility data as of CMS processing date 2026-08-01. CCN 105385.

The Care File

Visit checklist — Royal Oak Nursing Center

37300 Royal Oak Lane, Dade City, FL 33525 · 3525673122

Health inspection rating 3/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "How do you learn about each resident's background and history, and how does that shape their care?"
☐ "What is your current medication error rate, and what have you changed to bring errors down?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 105385 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)