Royal Oaks Care Center

Although this nursing home's overall score was as bad as it gets, it didn't perform as badly in nursing. In fact, we gave it a C for this category. In calculating a nursing home's nursing grade, we look at the amount of time nurses are seeing patients and the level of skill of the nurses. This place provides 0.2 hours of nursing care per resident daily. This is a lower figure than we were hoping for. Finally, our nursing scores also factor in quality-based metrics, such as preventing major falls. Despite not having the most impressive total nursing hours per resident, this place actually performed admirably in the area of preventing major falls. This is generally an indicator that a facility has quality controls in place. Some falls can be avoided if a nursing home provides enough nurses to assist its residents.

Sadly, this facility's second most favorable category was short-term care. However, with a D in this area, it still fared somewhat badly. In computing our short-term care scores, we look at the facility's skilled nursing services, such as those performed by registered nurses, speech therapists, physical therapists and other types of skilled professionals. Our purpose is to formulate a barometer for sizing up the rehabilitation services of various facilities. Given its grade in this area, we weren't surprised to discover that this facility was well below average in terms of the quantity of registered nurse and physical therapy hours offered to its patients based on the measures we looked at. The final item we considered in this area is the percentage of residents that who were able to eventually return home from the facility. This facility struggled quite a bit in this metric as well, with just 0 percent of its residents returning home.

Among this facility's alarming category grades was an F for its inspection grade. More often than not, this means we found some red flags on the facility's inspection reports. You should pay close attention to any deficiencies on a nursing home's inspection reports when it receives this poor of an inspection score. We recommend you scrutinize the severity of those deficiencies. This particular facility had 3 deficiencies on its inspection report. The only favorable thing we found is that none of the deficiencies were in the categories that indicate they posed a threat to patient safety or health. Finally, this facility was cited by CMS for possible abuse or neglect. We would not recommend this facility under any circumstance.

The final category we rated is long-term care, where this nursing home was given a rock bottom grade here also. We gave it an abysmal F in this area, which is obviously a major concern. Nursing homes that do not fare well in this category typically aren't as well-staffed and are lagging in a few of the areas of routine medical care we looked at. Once we looked at the quantity of care provided by nurses aids and other staff, we then analyzed the facility's vaccination record. Frankly, we were a bit bothered by the fact that this facility vaccinated 74.004196 percent of its patients for pneumonia, which happens to be several points less than what we expected. Surprisingly, this facility was actually able to limit hospitalizations. With only 0.01 hospitalizations per 1,000 long-term resident days, this nursing home had less hospitalizations than most nursing homes. This was its best feature in this category.