Royalton Manor, LLC
288 Peace Blvd · St Joseph, MI · 49085 · 2695569050
123 certified beds For profit - Corporation Chain: Ciena Healthcare/Laurel Health Care
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $173,966 in fines in the last 24 months.
- 3 citations involved actual harm to residents.
Red flags
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$173,966 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.24 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.76 | 0.55–0.75 |
| Weekend hours / resident-day | 2.77 | ≈ weekday level |
| Nursing turnover / year | 38% | median 45% |
| Fines (3-yr window) | 2 · $173,966 |
Inspection citations (56 in the current record)
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Potential for harm · D March 19, 2026 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 14, 2026 · Resident Rights
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Potential for harm · D March 19, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 14, 2026 · Quality of Life and Care
-
Potential for harm · F March 19, 2026 · found via complaint
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.
Corrected April 14, 2026 · Nutrition and Dietary
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Potential for harm · D March 19, 2026 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected April 14, 2026 · Nutrition and Dietary
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Potential for harm · F March 19, 2026 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 14, 2026 · Nutrition and Dietary
-
Potential for harm · D June 26, 2025 · found via complaint
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.
Corrected May 28, 2025 · Nursing and Physician Services
-
Actual harm · G April 16, 2025
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected May 13, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E April 16, 2025
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.
Corrected May 13, 2025 · Resident Rights
-
Potential for harm · E April 16, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected May 13, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D April 16, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected May 13, 2025 · Quality of Life and Care
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Potential for harm · D April 16, 2025
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected June 12, 2025 · Quality of Life and Care
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Potential for harm · E April 16, 2025
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.
Corrected May 13, 2025 · Nursing and Physician Services
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Potential for harm · E April 16, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected May 13, 2025 · Pharmacy Service
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Potential for harm · F April 16, 2025
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.
Corrected May 13, 2025 · Nutrition and Dietary
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Potential for harm · F April 16, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 13, 2025 · Nutrition and Dietary
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Potential for harm · E April 16, 2025
Provide and implement an infection prevention and control program.
Corrected May 13, 2025 · Infection Control
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Potential for harm · D April 16, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected May 13, 2025 · Infection Control
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Potential for harm · D April 16, 2025
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.
Corrected May 13, 2025 · Infection Control
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Potential for harm · D February 20, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 18, 2025 · Resident Rights
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Potential for harm · D February 20, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected March 18, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 20, 2025 · found via complaint
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Corrected March 18, 2025 · Quality of Life and Care
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Actual harm · G October 3, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 29, 2024 · Quality of Life and Care
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Potential for harm · D August 1, 2024 · found via complaint
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.
Corrected September 4, 2024 · Resident Rights
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Potential for harm · D August 1, 2024 · found via complaint
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected September 4, 2024 · Resident Rights
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Potential for harm · D August 1, 2024 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected September 4, 2024 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| April 16, 2025 | Fine | $121,186 |
| April 16, 2025 | Payment Denial | 29 days |
| October 3, 2024 | Fine | $52,780 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 235623 · certified since February 16, 2007. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.