Memory care
Royalton Manor, LLC
0.00 reviews · 0 verifiedSt Joseph, MILic. 235623
DENYCMS payment denial (29 days)Source: CMS Penalties
FINECMS fine: $121,186Source: CMS Penalties
FINECMS fine: $52,780Source: CMS Penalties
VBP-SLow SNF VBP readmission measure score (0.0)Source: CMS SNF VBP (PDC)
Provided by facility
Royalton Manor, LLC is a for-profit nursing home located in St. Joseph, MI. It is affiliated with Ciena Healthcare and offers a range of services for residents. The facility has 123 certified beds and an average daily resident count of 110. Staffing levels include 3.24 nurse hours per resident per day, which is below the state average. The home has faced multiple deficiencies in inspections, particularly related to nutrition, resident rights, and infection control. The facility aims to provide a supportive environment for its residents, although it has received citations for various care standards.
CMS Care CompareView on Medicare.gov →
Medicare overall
1/5Medicare.gov Care Compare stars are shown for context only. They are never part of the Unbeatable composite score.
Staffing (PBJ)
3.21 total HPRDRN 0.76 · weekend 86%Oct 2025 – Dec 2025
Survey history
12 inspections72 deficiencies on record
Federal IDs
CCN 235623
Overall: 1/5 · Health: 1/5 · Staffing: 3/5 · QM: 3/5
Unbeatable ratings come only from verified family, staff, and professional reviews on this site. CMS stars, staffing, and citations are public regulatory signals — useful for context, not blended into our score.
Recent inspections
Health surveyMar 2026 · CMS5 deficiencies
- F-550SS D — Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- F-689SS D — Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F-803SS 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.
- F-804SS D — Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F-812SS F — Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Health surveyJun 2025 · CMS1 deficiencies
- F-726SS 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.
Health surveyApr 2025 · CMS12 deficiencies
- F-584SS 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.
- F-604SS G — Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- F-658SS E — Ensure services provided by the nursing facility meet professional standards of quality.
- F-692SS D — Provide enough food/fluids to maintain a resident's health.
- F-694SS D — Provide for the safe, appropriate administration of IV fluids for a resident when needed.
- F-726SS 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.
- F-755SS E — Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- F-801SS 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.
- F-812SS F — Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F-880SS E — Provide and implement an infection prevention and control program.
- F-883SS D — Develop and implement policies and procedures for flu and pneumonia vaccinations.
- F-887SS 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.
Fire safetyApr 2025 · STATE FIRE MARSHAL5 deficiencies
- K-321SS E — Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- K-363SS E — Install corridor and hallway doors that block smoke.
- K-914SS F — Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- K-918SS F — Have generator or other power source capable of supplying service within 10 seconds.
- K-920SS D — Ensure proper usage of power strips and extension cords.
Health surveyFeb 2025 · CMS3 deficiencies
- F-550SS D — Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- F-658SS D — Ensure services provided by the nursing facility meet professional standards of quality.
- F-691SS D — Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Health surveyOct 2024 · CMS1 deficiencies
- F-684SS G — Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Health surveyAug 2024 · CMS6 deficiencies
- F-622SS 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.
- F-623SS D — Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- F-658SS D — Ensure services provided by the nursing facility meet professional standards of quality.
- F-684SS D — Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F-757SS D — Ensure each resident’s drug regimen must be free from unnecessary drugs.
- F-842SS D — Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Health surveyJun 2024 · CMS1 deficiencies
- F-689SS D — Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Health surveyApr 2024 · CMS20 deficiencies
- F-550SS E — Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- F-558SS D — Reasonably accommodate the needs and preferences of each resident.
- F-600SS D — Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- F-609SS E — Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- F-656SS D — Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F-657SS D — Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- F-658SS D — Ensure services provided by the nursing facility meet professional standards of quality.
- F-679SS D — Provide activities to meet all resident's needs.
- F-686SS G — Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- F-690SS 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.
- F-699SS D — Provide care or services that was trauma informed and/or culturally competent.
- F-730SS E — Observe each nurse aide's job performance and give regular training.
- F-756SS D — Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- F-761SS 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.
- F-804SS E — Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F-805SS D — Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- F-812SS F — Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F-880SS E — Provide and implement an infection prevention and control program.
- F-921SS E — Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- F-947SS E — Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Fire safetyApr 2024 · STATE FIRE MARSHAL4 deficiencies
- K-321SS E — Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- K-353SS F — Inspect, test, and maintain automatic sprinkler systems.
- K-363SS E — Install corridor and hallway doors that block smoke.
- K-920SS E — Ensure proper usage of power strips and extension cords.
Health surveyApr 2023 · CMS7 deficiencies
- F-550SS E — Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- F-583SS D — Keep residents' personal and medical records private and confidential.
- F-600SS D — Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- F-689SS D — Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F-725SS D — Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- F-812SS F — Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F-880SS E — Provide and implement an infection prevention and control program.
Fire safetyApr 2023 · STATE FIRE MARSHAL7 deficiencies
- K-222SS E — Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- K-321SS E — Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- K-324SS D — Provide properly protected cooking facilities.
- K-345SS E — Have approved installation, maintenance and testing program for fire alarm systems.
- K-353SS F — Inspect, test, and maintain automatic sprinkler systems.
- K-363SS E — Install corridor and hallway doors that block smoke.
- K-372SS F — Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
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Operated by CIENA HEALTHCARE/LAUREL HEALTH CARE (privately held) since 2007.
Contact
Write a review288 Peace Blvd
St Joseph, MI 49085