Royalton Manor, LLC

288 Peace Blvd, St Joseph, MI 49085 · CCN 235623 · 123 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections1 of 5CMS staffing3 of 5CMS quality3 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 3 citation(s) in the last three years where CMS determined a resident was actually harmed.

Serious inspection findings

2025-04-16 ACTUAL HARM (tag F0604, severity G)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
2024-10-03 ACTUAL HARM (tag F0684, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2024-04-03 ACTUAL HARM (tag F0686, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Staffing, from payroll records

Nursing hours / resident / day

3.01

state median 3.44

Weekend staffing gap

−12%

fewer nursing hours on weekends · state median −6%

RN hours / resident / day

0.51

registered nurses only

Contract (agency) staff

1%

share of all nursing hours

Nursing staff turnover

45%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

3 enforcement action(s), totaling $173,966 in fines.

DateTypeAmount
2025-04-16Fine$121,186
2025-04-16Payment Denialpayment denial
2024-10-03Fine$52,780

Ownership

Ownership type: For profit - Corporation. Part of the CIENA HEALTHCARE/LAUREL HEALTH CARE chain.

Other facilities under the same ownership, with their CMS overall ratings:

Full citation history

By severity: Actual harm: 3 · Potential for more than minimal harm: 53

Survey dateTagCategorySeverityCorrected
2026-03-19F0550Resident Rights DeficienciesDnot recorded
2026-03-19F0689Quality of Life and Care DeficienciesDnot recorded
2026-03-19F0803Nutrition and Dietary DeficienciesFnot recorded
2026-03-19F0804Nutrition and Dietary DeficienciesDnot recorded
2026-03-19F0812Nutrition and Dietary DeficienciesFnot recorded
2025-06-26F0726Nursing and Physician Services DeficienciesDnot recorded
2025-04-16F0584Resident Rights DeficienciesEnot recorded
2025-04-16F0604Freedom from Abuse, Neglect, and Exploitation DeficienciesGnot recorded
2025-04-16F0658Resident Assessment and Care Planning DeficienciesEnot recorded
2025-04-16F0692Quality of Life and Care DeficienciesDnot recorded
2025-04-16F0694Quality of Life and Care DeficienciesDnot recorded
2025-04-16F0726Nursing and Physician Services DeficienciesEnot recorded
2025-04-16F0755Pharmacy Service DeficienciesEnot recorded
2025-04-16F0801Nutrition and Dietary DeficienciesFnot recorded
2025-04-16F0812Nutrition and Dietary DeficienciesFnot recorded
2025-04-16F0880Infection Control DeficienciesEnot recorded
2025-04-16F0883Infection Control DeficienciesDnot recorded
2025-04-16F0887Infection Control DeficienciesDnot recorded
2025-02-20F0550Resident Rights DeficienciesDnot recorded
2025-02-20F0658Resident Assessment and Care Planning DeficienciesDnot recorded
2025-02-20F0691Quality of Life and Care DeficienciesDnot recorded
2024-10-03F0684Quality of Life and Care DeficienciesGnot recorded
2024-08-01F0622Resident Rights DeficienciesDnot recorded
2024-08-01F0623Resident Rights DeficienciesDnot recorded
2024-08-01F0658Resident Assessment and Care Planning DeficienciesDnot recorded
2024-08-01F0684Quality of Life and Care DeficienciesDnot recorded
2024-08-01F0757Pharmacy Service DeficienciesDnot recorded
2024-08-01F0842Resident Assessment and Care Planning DeficienciesDnot recorded
2024-06-06F0689Quality of Life and Care DeficienciesDnot recorded
2024-04-03F0550Resident Rights DeficienciesEnot recorded
2024-04-03F0558Resident Rights DeficienciesDnot recorded
2024-04-03F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2024-04-03F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesEnot recorded
2024-04-03F0656Resident Assessment and Care Planning DeficienciesDnot recorded
2024-04-03F0657Resident Assessment and Care Planning DeficienciesDnot recorded
2024-04-03F0658Resident Assessment and Care Planning DeficienciesDnot recorded
2024-04-03F0679Quality of Life and Care DeficienciesDnot recorded
2024-04-03F0686Quality of Life and Care DeficienciesGnot recorded
2024-04-03F0690Quality of Life and Care DeficienciesDnot recorded
2024-04-03F0699Quality of Life and Care DeficienciesDnot recorded
2024-04-03F0730Nursing and Physician Services DeficienciesEnot recorded
2024-04-03F0756Pharmacy Service DeficienciesDnot recorded
2024-04-03F0761Pharmacy Service DeficienciesDnot recorded
2024-04-03F0804Nutrition and Dietary DeficienciesEnot recorded
2024-04-03F0805Nutrition and Dietary DeficienciesDnot recorded
2024-04-03F0812Nutrition and Dietary DeficienciesFnot recorded
2024-04-03F0880Infection Control DeficienciesEnot recorded
2024-04-03F0921Environmental DeficienciesEnot recorded
2024-04-03F0947Nursing and Physician Services DeficienciesEnot recorded
2023-04-05F0550Resident Rights DeficienciesEnot recorded
2023-04-05F0583Resident Rights DeficienciesDnot recorded
2023-04-05F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2023-04-05F0689Quality of Life and Care DeficienciesDnot recorded
2023-04-05F0725Nursing and Physician Services DeficienciesDnot recorded
2023-04-05F0812Nutrition and Dietary DeficienciesFnot recorded
2023-04-05F0880Infection Control DeficienciesEnot recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Royalton Manor, LLC, St Joseph” at medicare.gov/care-compare.