Michigan › Berrien County › St Joseph
Royalton Manor, LLC
288 Peace Blvd, St Joseph, MI 49085
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Royalton Manor, LLC is a For-profit, corporation nursing home in St Joseph, Michigan, certified for 123 beds and caring for about 113 residents a day.
CMS gives it 1 of 5 stars overall, below the Michigan median of 3; the health inspection rating is 1, staffing 3 and quality measures 3.
Inspectors recorded 56 health deficiencies across the three most recent survey cycles (17, 31, 8 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 45.5 per 100 beds, more than the state median of 29.4.
CMS lists 3 penalties in the period covered: fines totalling $174K and 1 payment denial.
Reported nurse staffing is 3.3 hours per resident per day (0.8 RN), close to the Michigan median of 3.8; nursing staff turnover is 44.6%.
Compared with county, state and nation
| Measure | This facility | Berrien Co. median | Michigan median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 1 | 3 | 3.0 |
| Health citations, 3 cycles | 56 | 41 | 29 | 28.7 |
| Citations per 100 beds | 45.5 | 45.5 | 29.4 | 26.8 |
| Total nurse hours per resident day | 3.3 | 3.9 | 3.8 | 3.9 |
| RN hours per resident day | 0.8 | 0.6 | 0.7 | 0.7 |
| Nursing staff turnover | 44.6% | 44.6% | 44.6% | 45.8% |
| Fines listed | $173,966 | $8,827 | $0 | — |
County and state figures are medians across facilities (7 in the county, 422 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Michigan average per facility for the same cycle, as published by CMS. Standard health survey dates: 16 Apr 2025, 3 Apr 2024.
Severity mix: G ×3 D ×33 E ×14 F ×6
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 19 Mar 2026 | F0803 | Ensure 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. | F | Complaint investigation | 14 Apr 2026 |
| 19 Mar 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 14 Apr 2026 |
| 19 Mar 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 14 Apr 2026 |
| 19 Mar 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 14 Apr 2026 |
| 19 Mar 2026 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Complaint investigation | 14 Apr 2026 |
| 26 Jun 2025 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Complaint investigation | 28 May 2025 |
| 16 Apr 2025 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | G | Standard survey | 13 May 2025 |
| 16 Apr 2025 | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | Standard survey | 13 May 2025 |
| 16 Apr 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 13 May 2025 |
| 16 Apr 2025 | F0584 | Honor 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. | E | Standard survey | 13 May 2025 |
| 16 Apr 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 13 May 2025 |
| 16 Apr 2025 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | Standard survey | 13 May 2025 |
| 16 Apr 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 13 May 2025 |
| 16 Apr 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 13 May 2025 |
| 16 Apr 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 13 May 2025 |
| 16 Apr 2025 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Standard survey | 12 Jun 2025 |
| 16 Apr 2025 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 13 May 2025 |
| 16 Apr 2025 | F0887 | Educate 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 member's vaccination status. | D | Standard survey | 13 May 2025 |
| 20 Feb 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 18 Mar 2025 |
| 20 Feb 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 18 Mar 2025 |
| 20 Feb 2025 | F0691 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D | Complaint investigation | 18 Mar 2025 |
| 3 Oct 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 29 Oct 2024 |
| 1 Aug 2024 | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | Complaint investigation | 4 Sep 2024 |
| 1 Aug 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Complaint investigation | 4 Sep 2024 |
| 1 Aug 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 4 Sep 2024 |
| 1 Aug 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 4 Sep 2024 |
| 1 Aug 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Complaint investigation | 4 Sep 2024 |
| 1 Aug 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 4 Sep 2024 |
| 6 Jun 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 10 Jul 2024 |
| 3 Apr 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 29 Apr 2024 |
| 3 Apr 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 29 Apr 2024 |
| 3 Apr 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint investigation | 29 Apr 2024 |
| 3 Apr 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 29 Apr 2024 |
| 3 Apr 2024 | F0730 | Observe each nurse aide's job performance and give regular training. | E | Standard survey | 29 Apr 2024 |
| 3 Apr 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 29 Apr 2024 |
| 3 Apr 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 29 Apr 2024 |
| 3 Apr 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard survey | 29 Apr 2024 |
| 3 Apr 2024 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | Standard survey | 29 Apr 2024 |
| 3 Apr 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 29 Apr 2024 |
| 3 Apr 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 29 Apr 2024 |
| 3 Apr 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 29 Apr 2024 |
| 3 Apr 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 29 Apr 2024 |
| 3 Apr 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 29 Apr 2024 |
| 3 Apr 2024 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 29 Apr 2024 |
| 3 Apr 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 29 Apr 2024 |
| 3 Apr 2024 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 29 Apr 2024 |
| 3 Apr 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 29 Apr 2024 |
| 3 Apr 2024 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard survey | 29 Apr 2024 |
| 3 Apr 2024 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Standard survey | 29 Apr 2024 |
| 5 Apr 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 18 Apr 2023 |
| 5 Apr 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 18 Apr 2023 |
| 5 Apr 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 18 Apr 2023 |
| 5 Apr 2023 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 18 Apr 2023 |
| 5 Apr 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard survey | 18 Apr 2023 |
| 5 Apr 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 18 Apr 2023 |
| 5 Apr 2023 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Standard survey | 18 Apr 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 16 Apr 2025 | Payment denial | — | 29 days |
| 16 Apr 2025 | Fine | $121,186 | |
| 3 Oct 2024 | Fine | $52,780 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Michigan average. Turnover: nursing staff 44.6%, RNs 58.3%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Michigan median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 28.6% | 9.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.8% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.6% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.6% | 2.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 37.8% | 10.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 7.1% | 4.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 7.3% | 13.5% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Royalton Manor, Llc. Chain: Ciena Healthcare/Laurel Health Care (81 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Ciena Healthcare Management Inc | Operational/managerial control | NOT APPLICABLE | 12/16/2007 |
| Ciena Healthcare Management Inc | Adp of the snf | NOT APPLICABLE | 03/21/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Berrien County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Coventry House Inn | St Joseph | 32 | 4 | 3 | 5 | 31 | 96.9 | — | 8 Jan 2026 |
| Corewell Health Rehabilitation & Nursing Center - | Stevensville | 111 | 3 | 2 | 5 | 33 | 29.7 | $9K | 16 Apr 2026 |
| Niles Care Center, LLC | Niles | 100 | 2 | 1 | 2 | 41 | 41.0 | $158K | 17 Apr 2026 |
| The Orchards At Niles | Niles | 84 | 1 | 1 | 4 | 69 | 82.1 | — | 23 Jan 2026 |
| West Woods of Bridgman | Bridgman | 92 | 1 | 1 | 3 | 45 | 48.9 | — | 30 Jun 2026 |
| West Woods of Niles | Niles | 121 | 1 | 1 | 4 | 41 | 33.9 | $17K | 10 Feb 2026 |
All 7 facilities in Berrien County
Questions and answers
How many deficiencies has Royalton Manor, LLC been cited for?
56 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Michigan median is 29 per facility.
Has Royalton Manor, LLC been fined?
Yes. CMS lists fines totalling $174K in the period covered, plus 1 payment denial.
How does staffing at Royalton Manor, LLC compare?
Reported total nurse staffing is 3.3 hours per resident per day against a Michigan median of 3.8 and a national average of 3.9.
Who operates Royalton Manor, LLC?
It is part of the Ciena Healthcare/Laurel Health Care chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Ciena Healthcare Management Inc. Individual owners and managers are not listed on this site.
When was Royalton Manor, LLC last inspected?
The most recent survey or investigation in the CMS record is dated 19 Mar 2026; the most recent standard health survey was 16 Apr 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.