Royal Park Health and Rehabilitation
7411 North Nevada, Spokane WA 99208 · (509) 489-2273 · 83.84% estimated occupancy 1Updated: Aug 1, 2020 · By Nick Reese
Royal Park Health and Rehabilitation is in Spokane, Washington. The city has many options. This is a good facility with a B- overall grade. This grade is right in line with the city grade in Spokane. Based on the data we reviewed, there are definitely far worse places out there. One of the highlights of this facility's report card is its strong short-term care rating, which we will address in the next paragraph.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 164 Beds
CCRC :
For profit - Corporation
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Short-term Care Quality
This facility really excelled in the category of short-term care. In fact, we awarded it an impressive grade of A for that category, which is one of our best grades. This salvaged its overall profile. In determining these short-term care grades, we quantify the facility's skilled nursing services, such as those performed by registered nurses, occupational therapists, physical therapists and other types of skilled professionals. The objective is to create a scale for comparing the rehabilitation services of different nursing homes. This nursing home provides more services with physical therapists and registered nurses than most nursing homes we looked at. This is usually a favorable sign. The final metric we assessed in this category is the percentage of patients that returned home from the facility. We found that it performed as well as just about any nursing home in Washington in this area with 59.5 percent of its patients returning home.
Nurse Quality
This facility also excelled in our nursing category, where it earned a grade of B+. Few facilities performed better in this area. We scrutinized the licensure of nurses at the nursing home, as well as the number of hours the nurses worked with patients, in determining our rating in this category. This facility provided 4 hours of nursing care per resident per day. This is an impressive figure which typically leads to higher quality care. Finally, this facility also performed well in several of the quality-based metrics we looked at. By way of illustration, in terms of the number of its residents sustaining falls which lead to serious injury, this nursing home performed as well as any nursing home in the country. Avoiding major falls is typically a good indicator that a place has reliable quality controls in place. Major falls can typically be avoided if more nurses aids and better safety protocols are in place.
Facility Inspections
This facility's third best category grade came in the area of government inspections. In that category, we gave this facility a B. It actually outperformed most nursing homes in this category. Perhaps the most important factor we look at in determining our inspection grades is deficiencies. These deficiencies can be found on a nursing home's inspection reports. Facilities with higher grades in this area most likely avoided the most severe deficiencies involving things like patient abuse. Although this facility had some deficiencies on its inspection report, none of them were major deficiencies based on CMS' scale. Keep in mind that deficiency-free inspections are uncommon in this industry.
Long-term Care Quality
This facility's least impressive category is long-term care, which is the final area we assessed. Unfortunately, we gave it an F in this area. Even with a few respectable grades in other areas, this grade is nevertheless of a concern so we would like to to make sure you are aware. In a long-term care environment, the nursing home's primary objective is to keep patients healthy and safe. This is different than skilled nursing or short-term care where the goal is to rehabilitate residents. Based on its grade in this category, we were surprised to discover that this facility had favorable subcategory scores in both nursing hours and its vaccination records. Indeed, this facility provided the pneumonia vaccine to 100 percent of its residents. This percentage is actually better than many nursing homes. Surprisingly, this nursing home was able to limit hospitalizations. With only 0.66 hospitalizations per 1,000 long-term resident days, this facility has less hospitalizations than most nursing homes. Sadly, some of its other scores in the category weren't as favorable as these.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Royal Park Health and Rehabilitation Quality Metrics
Minimizes Pressure Ulcers
This is the percent of patients that suffered from a pressure ulcer. Pressure ulcers are considered by many experts to be a barometer of the quality of nursing care . Pressure ulcers, also known as bed sores, are often caused by residents not being moved frequently enough.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This figure indicates the percent of long-term stay patients who have had a fall which resulted in major injury. Falls can arise for a variety of reasons, but excessive numbers of falls could be a sign of lower levels of patient supervision.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This is the percent of residents who sustained a urinary tract infection. Urinary tract infections are routinely associated with poor nursing care. More frequent bathing can minimize the percentage of residents in a nursing home who suffer from UTI's. Note that this metric is affected by by the fact that facilities have different reporting standards for urinary tract infections.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This indicates the percent of patients who were given antipsychotic medications. Antipsychotic medications are prescribed to residents for a variety of medical conditions, such as cognitive disorders. Tragically, in some cases, high levels of antipsychotic drug use may indicate a facility is using these drugs to subdue residents.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This is the percent of residents given antianxiety drugs. These drugs are used to treat residents experiencing anxiety and depression.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This indicates the percentage of residents who are showing signs of depression.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This tells you the percentage of patients who were given the pneumonia and flu vaccines. Higher vaccination rates should be demanded by residents.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This is the percentage of patients who required more assistance with activities of daily living over time. Higher levels of needing for assistance with ADL's may be a sign of decline of a resident's well-being.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This datapoint measures the percentage of long-term stay residents that were able to retain mobility. Some experts argue that the ability to move around is critical to patients health.
Percentage of Residents
Higher is Better
Hospitalizations
This tells you the number of hospitalizations per thousand days of patient care. There is typically a correlation between avoiding hospitalizations and the overall quality of care.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This is a measure of the number of times residents are rehospitalized per 1,000 days of short-term care.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
This indicates the number of times residents are sent to the emergency room per 1,000 days of short-term patient care.
Percentage of Patients
Lower is Better
Short-term Care: Facilitates Functional Improvement
This indicates the percentage of short-term stay patients who saw functional improvements, such as with activities of daily living.
Percentage of Resident
Higher is Better