Advantage Living Center - Roseville

In addition to receiving a poor overall score, we also gave this facility poor scores in our categories. It received just a D for its short-term care grade, which was its highest category. With our short-term care rating, we try to craft a valuable gauge for rehabilitation services. In doing so, we look at a facility's level of skilled nursing services, including both registered nurses and physical therapy, as well as respiratory therapy. With a score of this caliber for this category, we were not stunned to discover that this facility was below average in two of the key staffing metrics we focus on. The facility supplied far fewer registered nurse and physical therapist hours per resident than most other facilities. The final datapoint we assessed in this category is the percentage of residents that who were able to eventually return home from the nursing home. This nursing home struggled quite a bit in this area as well, with just 5.3 percent of its residents returning home. This was quite a bit below average.

This facility's second best category was nursing, but even there it received a grade of just D. This is still a well below average grade. We looked at the licensure of nurses employed by the facility, as well as the quantity of time those nurses spent with residents, in calculating our rating in this area. With only 0.2 hours of nursing care per patient daily, this place's nurse staffing levels were far below average. Finally, we also looked at some nursing quality-based metrics in calculating our nursing grades. This place fared well in the area of avoiding major falls and pressure ulcers. We consider these datapoints to be reliable indicators of the quality of nursing care.

Among this place's alarming category grades was a lowly F for its inspection score. Typically, this indicates we found some red flags on the facility's government inspection reports. With places that received this bad of an inspection rating, we recommend scrutinizing any severe deficiencies on its inspection report. This nursing home was assessed a category G through L deficiency, which rank among the more severe categories of deficiencies. This generally indicates that the deficiencies found by inspectors had potential to create actual harm to residents. We are also concerned by the fact that this facility was flagged by CMS for possible abuse or neglect. We prefer to avoid facilities with this designation. Please do your best to find an alternative nursing home.

The final area we rated is long-term care, in which this facility received a very poor score here also. Unfortunately, we gave it an F for this category, which is definitely a major concern. When nursing homes receive a grade in this range in this category it typically means the facility did not perform well in our quality measures relating to patient care. After we finished looking at the volume of care provided by nurses, we turned to the nursing home's vaccination data. We were a bit concerned this facility vaccinated a relatively low 75.302666 percent of its residents for pneumonia. To our surprise, this facility was actually able to limit hospitalizations. With only 0.01 hospitalizations per 1,000 long-term resident days, this nursing home has less hospitalizations than the average nursing home. This was its best score in this category.