Quick answers
- Where is Royalton Manor, LLC?
- 288 Peace Blvd, St Joseph, MI 49085, in Berrien County, Michigan.
- What is the phone number of Royalton Manor, LLC?
- (269) 556-9050, as listed by Medicare (CMS).
- What is the Medicare star rating of Royalton Manor, LLC?
- Medicare overall rating: 1 out of 5 stars (CMS data updated 2026-10-01).
- Has Royalton Manor, LLC been fined?
- Medicare lists 2 fines totaling $173,966 and 1 payment denial.
- What did inspectors find at Royalton Manor, LLC?
- In its last three inspection cycles (April 3, 2024 to August 12, 2026), Medicare lists 63 health citations; the most serious was level G. 3 were level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (April 3, 2024 to August 12, 2026), Royalton Manor, LLC had 63 health citations; the most serious was level G (actual harm to residents). 3 of them were level G or higher (actual harm or immediate jeopardy). It was fined $173,966 in total (2 fines, the latest on April 16, 2025) and had 1 Medicare payment denial. Nurse staffing is 3.39 hours per resident per day; the Michigan average is 4.03 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: July 9, 2026 — 19 health citations
Inspections in this cycle: March 19, 2026 (complaint investigation); July 9, 2026 (complaint investigation); July 9, 2026 (standard health inspection); August 12, 2026 (complaint investigation).
Show 19 citations (levels A to F, no actual harm)
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0880 Level F
“Provide and implement an infection prevention and control program.”
F0803 Level F
“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.”
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0689 Level E
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0690 Level E
“Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.”
F0686 Level D
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
F0554 Level D
“Allow residents to self-administer drugs if determined clinically appropriate.”
F0557 Level D
“Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.”
F0558 Level D
“Reasonably accommodate the needs and preferences of each resident.”
F0580 Level D
“Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0693 Level D
“Ensure 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.”
F0842 Level D
“Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0804 Level D
“Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.”
Previous cycle: April 16, 2025 — 17 health citations
Inspections in this cycle: October 3, 2024 (complaint investigation); February 20, 2025 (complaint investigation); April 16, 2025 (standard health inspection); June 26, 2025 (complaint investigation).
F0604 Level G
“Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.”
actual harm to residents; isolated (a few residents) · Freedom from Abuse, Neglect, and Exploitation Deficiencies
F0684 Level G
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 15 less serious citations (levels A to F)
F0801 Level F
“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.”
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0584 Level E
“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.”
F0658 Level E
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0726 Level E
“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.”
F0755 Level E
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0726 Level D
“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.”
F0692 Level D
“Provide enough food/fluids to maintain a resident's health.”
F0694 Level D
“Provide for the safe, appropriate administration of IV fluids for a resident when needed.”
F0883 Level D
“Develop and implement policies and procedures for flu and pneumonia vaccinations.”
F0887 Level D
“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.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0691 Level D
“Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.”
Earlier cycle: April 3, 2024 — 27 health citations
Inspections in this cycle: April 3, 2024 (complaint investigation); April 3, 2024 (standard health inspection); June 6, 2024 (complaint investigation); August 1, 2024 (complaint investigation).
F0686 Level G
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 26 less serious citations (levels A to F)
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0550 Level E
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0609 Level E
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0730 Level E
“Observe each nurse aide's job performance and give regular training.”
F0804 Level E
“Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0921 Level E
“Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.”
F0947 Level E
“Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.”
F0622 Level D
“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.”
F0623 Level D
“Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0757 Level D
“Ensure each resident’s drug regimen must be free from unnecessary drugs.”
F0842 Level D
“Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0558 Level D
“Reasonably accommodate the needs and preferences of each resident.”
F0600 Level D
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0657 Level D
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0679 Level D
“Provide activities to meet all resident's needs.”
F0690 Level D
“Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.”
F0699 Level D
“Provide care or services that was trauma informed and/or culturally competent.”
F0756 Level D
“Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.”
F0761 Level D
“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.”
F0805 Level D
“Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (23)
K0211 Level F
“Keep aisles, corridors, and exits free of obstruction in case of emergency.”
K0321 Level F
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0324 Level F
“Provide properly protected cooking facilities.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0511 Level F
“Have properly installed electrical wiring and gas equipment.”
K0521 Level F
“Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.”
K0711 Level F
“Provide a written emergency evacuation plan.”
K0761 Level F
“To conduct inspection, testing and maintenance of fire doors by qualified individuals.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
K0223 Level E
“Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.”
K0232 Level E
“Have corridors or aisles that are unobstructed and are at least 8 feet in width.”
K0355 Level E
“Properly select, install, inspect, or maintain portable fire extinguishes.”
K0362 Level E
“Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.”
K0920 Level E
“Ensure proper usage of power strips and extension cords.”
K0914 Level F
“Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
K0321 Level E
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0363 Level E
“Install corridor and hallway doors that block smoke.”
K0920 Level D
“Ensure proper usage of power strips and extension cords.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0321 Level E
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0363 Level E
“Install corridor and hallway doors that block smoke.”
K0920 Level E
“Ensure proper usage of power strips and extension cords.”
Fines and payment denials
Total fines over about the last three years: $173,966 (2 fines). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| April 16, 2025 | Fine | $121,186 |
| April 16, 2025 | Payment denial | from May 14, 2025, 29 days |
| October 3, 2024 | Fine | $52,780 |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Michigan | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.81 | 0.78 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.69 | 0.89 | 0.86 |
| Nurse aide hours per resident per day | 1.90 | 2.36 | 2.35 |
| Total nurse staff hours per resident per day | 3.39 | 4.03 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 2.92 | 3.50 | 3.43 |
| RN hours per resident per day on the weekend | 0.46 | 0.49 | 0.48 |
| Nursing staff turnover (per year) | 36.8% | 44.6% | 45.3% |
| RN turnover (per year) | 37.5% | 39.2% | 42.5% |
| Administrators who left in the last year | 0.0 | 0.4 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 80 nursing homes: Ciena Healthcare/Laurel Health Care.
Owners and managers Medicare lists (1)
| Name | Role | Share | Since |
|---|---|---|---|
| Ciena Healthcare Management Inc | Management company (operational or managerial control) | NOT APPLICABLE | December 16, 2007 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 123 |
| Average residents per day | 112.3 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – corporation |
| Group or chain (affiliated entity) | Ciena Healthcare/Laurel Health Care |
| First approved by Medicare/Medicaid | 2007-02-16 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 288 Peace Blvd, St Joseph, MI 49085 |
| County | Berrien County |
| State | Michigan |
| Phone | (269) 556‑9050 |
| CMS Certification Number | 235623 |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Coventry House Inn0.3 mi · St Joseph, MI · 5 of 5 stars
- Corewell Health Rehabilitation & Nursing Center -2.3 mi · Stevensville, MI · 2 of 5 stars
- West Woods of Bridgman9.3 mi · Bridgman, MI · 1 of 5 stars
- The Orchards at Niles17 mi · Niles, MI · 1 of 5 stars
- Niles Care Center, LLC19 mi · Niles, MI · 1 of 5 stars
Nearest hospital emergency rooms
- Lakeland Hospital, St Joseph3.5 mi · St Joseph, MI · Acute Care Hospital
- Corewell Health Watervliet Hospital14 mi · Watervliet, MI · Acute Care Hospital
- Beacon Dowagiac18 mi · Dowagiac, MI · Critical Access Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13