Nursing HomeInspections

Royalton Manor, LLC

Nursing home in St Joseph, MI

Medicare & Medicaid certified1★ overall (CMS)

Call (269) 556-9050Send a messageMap ↗

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
3 of 5
Quality measures rating
3 of 5
Certified beds
123
Average residents per day
113
Ownership
For-profit, corporation
Legal business name
Royalton Manor, LLC
Chain
Ciena Healthcare/laurel Health Care (81 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 2026-09-30.

Inspection record

Most recent standard health inspection: Apr 16, 2025. CMS lists 56 health citations for this facility across its last three standard inspection cycles and complaint inspections (Apr 5, 2023 to Mar 19, 2026): 24 from complaint inspections, 3 at the “actual harm” level or higher.

InspectionCitationSeverity
Mar 19, 2026Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 19, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 19, 2026Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 19, 2026Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary · complaint inspection		F
Potential for more than minimal harm, widespread
Mar 19, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · complaint inspection		F
Potential for more than minimal harm, widespread
Jun 26, 2025Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services · complaint inspection		D
Potential for more than minimal harm, isolated
Apr 16, 2025Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Apr 16, 2025Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Apr 16, 2025Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control		D
Potential for more than minimal harm, isolated
Apr 16, 2025Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff…
Infection Control		D
Potential for more than minimal harm, isolated
Apr 16, 2025Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights		E
Potential for more than minimal harm, pattern
Apr 16, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning		E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 56. 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 Aug 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 Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.29 hours
Registered nurse (RN) time per resident per day
0.77 hours
Nurse aide time per resident per day
1.83 hours
Total nurse staffing on weekends
2.77 hours
Nursing staff turnover (yearly)
45%
RN turnover (yearly)
58%
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 certified4★ overall (CMS)

All 2 in St Joseph →