Royal Plaza Health & Rehabilitation
2870 Juniper Drive, Lewiston ID 83501 · (208) 746-2855 · 69.04% estimated occupancy 1Updated: Aug 1, 2020 · By Sara Levinsohn
Royal Plaza Health & Rehabilitation is a nursing home located in Lewiston, Idaho, a city with a total of 34,230 people. We awarded this facility an A- overall grade, ranking it in the top 25 percent of all nursing homes in the nation. Based on our assessment, this place ought to be a wonderful choice for most people. This also is a very consistent nursing home with consistently strong ratings in all four of the major categories we assessed. Additional information about these categories can be found below.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 63 Beds
CCRC :
For profit - Corporation
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Nurse Quality
To go along with its strong overall score, we gave this nursing home an A- for nursing. Our nursing score is primarily based on the nursing home's level of nurse staffing. This nursing home provides 3.8 hours of nursing care per resident per day. Finally, we also assessed certain nursing quality measures in computing our nursing grades. These include minimizing residents' pressure ulcers and major falls. We look at these areas as good indicators of the caliber of nursing care provided, since better care tends to reduce these problems.
Short-term Care Quality
This facility also received a very impressive short-term care score. In fact, this ended up being this nursing home's second strongest category grade. In that category, this facility received a score of A-. Short-term care scores are critical for individuals in need of rehabilitation. Rehabilitation usually utilizes additional skilled nursing. This means a broad spectrum of nursing services, spanning from registered nurses to physical and speech therapists, as well as other forms of therapy. This facility provides more services with registered nurses and physical therapists than most nursing homes we looked at. The last measure we looked at in this category is the percentage of residents that ultimately returned home from the facility. We found that it fared respectably with 48.8 percent of its residents returning home.
Facility Inspections
Moving on to our inspection category, this facility excelled in that category, which is based on the nursing home's recent inspection reports. In fact, we gave it an impressive grade of A- for that category. We weigh several aspects of a nursing home's inspection report in determining these inspection grades. One key factor is deficiencies. You should keep in mind that the severity of the deficiencies is arguably more important than the quantity of deficiencies, as some of these are quite insignificant. This particular nursing home had just a single deficiency on its inspection report and it was not one deemed to pose a threat to patient health or safety. Finally, this facility had no substantiated complaints this year from residents, which is an excellent sign.
Long-term Care Quality
The final category we graded is long-term care, where this facility was given an A-. This rounded out a very favorable report card. Very few nursing homes received an A- or better in in each area we assessed. Nursing homes that excel in long-term care tend to provide patients with better supervision and stay on top of routine healthcare services. One of the data points we considered on top of nursing hours is vaccines. This nursing home provided the pneumonia vaccination to 100 percent of its residents. This is a great way to minimize unnecessary deaths and hospitalizations for the senior population. Finally, this place was able to limit hospitalizations. Indeed, it had less than one hospitalization per one thousand long-term resident days, which is a remarkably low figure.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Royal Plaza Health & Rehabilitation Quality Metrics
Minimizes Pressure Ulcers
This is the percentage of patients that sustained a pressure ulcer. Pressure ulcers are considered to be a barometer of the quality of nursing care . Pressure ulcers, which are also known as bed sores, are routinely the result of patients staying in one position for too long.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This indicates the percentage of patients who sustained a fall resulting in major injury.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This figure tells you the percent of long-term residents that sustained UTI's. Although more of these infections may reflect poorly on a nursing home's hygiene protocols, it can be problematic to compare between nursing homes due to facilities having varying reporting standards.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This datapoint is a measure of the percentage of long-term care patients receiving antipsychotic medications. While antipsychotic drugs play an important role in caring for many residents, it is important to confirm these drugs are being used appropriately. In some situations, increased usage of these drugs may suggest a facility is using these medications to subdue residents.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This statistic tells you the percentage of long-term care residents which were given antianxiety medication. These drugs are commonly prescribed to residents experiencing anxiety or depression.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This indicates the percent of residents exhibiting depressive symptoms. Increased rates of depression could indicate a lower level of care.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This tells you the percentage of patients who have received the flu and pneumonia vaccines. Higher vaccination rates should be the norm at this point.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This metric measures the percentage of long-term care patients who needed more assistance with activities of daily living over time. Activities of daily living include activities such as moving around and eating. Some believe that this is a measure of a patient's well-being.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This metric tracks the percentage of long-term patients that retained mobility levels. Some experts believe that mobility is critical to patients mental and physical health.
Percentage of Residents
Higher is Better
Hospitalizations
This tells you the number of times residents are hospitalized per 1,000 days of care. There is usually 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 metric tracks the number of rehospitalizations 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 emergency room visits per 1,000 days of short-term patient care.
Percentage of Patients
Lower is Better
Short-term Care: Facilitates Functional Improvement
This tells you the percentage of short-term stay residents who experienced functional improvements, such as with activities of daily living.
Percentage of Resident
Higher is Better