It's one thing renting a room in the host's own living apartment (like the old couchsurfing) and another renting a room in a shared rented-out apartment. The latter one might be plagued way more by the mentioned fake reviews.
This - I wish they had categories for "host lives here too" and "this is a boarding house." You can usually figure it out by scrutinizing the reviews, but I'd like to see it overtly stated.