Looking at the legacy driver, this has always returned 1 since the method was refactored waaay back in 2012. It's safe to say that we don't need to rely on a field from the isMaster response.
@@ -222,7 +222,7 @@ class MongoClient
$results[$key] = [
'host' => $server->getHost(),
'port' => $server->getPort(),
- 'health' => (int) $info['ok'],
+ 'health' => 1,
'state' => $state,
'ping' => $server->getLatency(),
'lastPing' => null,