Royal Oak Nursing and Rehab

Even though we did not give this nursing home a favorable overall score, we gave it a strong score in the area of short-term care, where it received a B. Short-term care grades are often used to assess a nursing home's performance with rehabilitation. To provide good rehabilitation services, facilities generally need to have higher levels of highly skilled nursing services. These types of services include registered nurses, physical therapists, occupational therapists and other highly skilled individuals. Unfortunately, we were not able to locate information on registered nurse or physical therapy staffing for this nursing home. Lastly, we considered the percentage of patients who were able to return to the community from this facility. We found that 0 percent of this facility's residents returned home.

We awarded this facility a respectable grade in the area of nursing as well, with a grade of B-. Nursing scores are largely tied to the facility's level of nurse staffing. This nursing home provides 0 hours of nursing care per resident per day. This is a much lower figure than we are used to seeing. Lastly, we also assessed several nursing quality measures. While this facility got docked a bit for its nursing hours, it actually excelled in a few of these quality-based metrics. With fewer than five percent of its patients sustaining pressure ulcers, it did very well in this metric. This is generally an indicator of quality nursing care. Pressure ulcers can typically be prevented by providing better nursing care, such as having a policy of moving a patient more often.

Sadly, this facility received an F for its long-term care score. When facilities receive this type of grade in this category it is often a bad sign for resident care and it may mean that the facility is not as well-staffed with nurses and aids. One of the criteria we considered on top of nursing hours was vaccines. This nursing home provided the pneumonia vaccine to 93.14286 percent of its patients. To our surprise, this nursing home actually fared well at keeping its patients out of the hospital. In fact, it had only 0.03 hospitalizations per one thousand long-term resident days. This was its best score in this category.

Moving on our last category of inspections, this nursing home received a grade that's as bad as it gets. We weight this category more heavily than our other categories. You should pay close attention to any deficiencies on a facility's inspection reports when it receives this poor of an inspection grade. We recommend you pay close attention to the level of severity of those deficiencies. This facility was hit with 5 deficiencies on its inspection report. The only favorable thing we can say is that none of these deficiencies were in the categories that indicate they created a threat to patient health or safety. Finally, we need to draw your attention to the fact that this nursing home received large government fines in excess of $50,000. This typically indicates that government inspectors became fed up after multiple years of bad inspections.