Nursing HomeInspections

Royalton Manor, LLC

Nursing home in St Joseph, MI

Medicare & Medicaid certified1★ overall (CMS)

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Public-record details

Address
288 Peace Blvd, St Joseph, MI 49085
Phone
(269) 556-9050
Listed under
For-profit
Medicare CCN
235623
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
4 of 5
Quality measures rating
3 of 5
Certified beds
123
Average residents per day
112
Ownership
For-profit, corporation
Legal business name
Royalton Manor, LLC
Chain
Ciena Healthcare/laurel Health Care (80 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Feb 16, 2007
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 235623. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Jul 9, 2026. CMS lists 63 health citations for this facility across its last three standard inspection cycles and complaint inspections (Apr 3, 2024 to Aug 12, 2026): 29 from complaint inspections, 3 at the “actual harm” level or higher.

InspectionCitationSeverity
Aug 12, 2026Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Jul 9, 2026Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights		D
Potential for more than minimal harm, isolated
Jul 9, 2026Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Jul 9, 2026Reasonably accommodate the needs and preferences of each resident.
Resident Rights		D
Potential for more than minimal harm, isolated
Jul 9, 2026Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights		D
Potential for more than minimal harm, isolated
Jul 9, 2026Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jul 9, 2026Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jul 9, 2026Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jul 9, 2026Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Jul 9, 2026Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jul 9, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		E
Potential for more than minimal harm, pattern
Jul 9, 2026Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care · complaint inspection		E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 63. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $173,966 and 1 denial of Medicare payment for new admissions in the last three years.

Apr 16, 2025Fine: $121,186
Apr 16, 2025Payment denial for 29 days from May 14, 2025
Oct 3, 2024Fine: $52,780

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.39 hours
Registered nurse (RN) time per resident per day
0.81 hours
Nurse aide time per resident per day
1.90 hours
Total nurse staffing on weekends
2.92 hours
Nursing staff turnover (yearly)
37%
RN turnover (yearly)
38%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in St Joseph

Coventry House Inn3905 Lorraine Path · St Joseph, MI 49085 · (269) 428-1111 · For-profit31 health citations in 3 inspection cycles · last standard inspection Jan 8, 2026 · no CMS fines in 3 yrsMedicare & Medicaid certified5★ overall (CMS)

All 2 in St Joseph →

Public record, not an endorsement. This listing was compiled from public records as of 2026-11-07 and may be incomplete or out of date. Nursing Home Inspections does not vet, employ, recommend or guarantee nursing homes; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Nursing Home Inspections is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error