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Royalton Manor, LLC

Nursing Home Facility

288 Peace Blvd, St Joseph, MI 49085

Nursing Home Care Senior Living
Royalton Manor, LLC

Royalton Manor, LLC is a senior care community located in St Joseph, MI. It provides nursing home care and senior living for older adults in the St Joseph area. To learn more or schedule a tour, call (269) 556-9050.

Operated by Ciena Healthcare/Laurel Health Care, which runs 58 communities in our directory.

Employer rating 3.0 out of 5 878 reviews from their own employees on Indeed. See what they say.

With 123 beds, Royalton Manor, LLC is one of the larger communities in the area, senior care communities in St Joseph average about 61 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.

Federal reporting puts occupancy at about 91% of its licensed beds, which is high; communities this full often maintain a waiting list, so it is worth calling well before you need a place.

Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. The individual scores differ noticeably: 3 stars for staffing against 1 star for health inspections, so it is worth reading both before deciding. Its most recent standard health inspection was in April 2025 and recorded 17 deficiencies.

Residents receive about 3.3 hours of nursing care per day on average, including 0.8 hours from a registered nurse. Nursing staff turnover over the past year was about 45%.

The community is located in Berrien County, MI.

Medicare five-star ratings

  • Overall ★★★★★ 1/5
  • Health inspections ★★★★★ 1/5
  • Staffing ★★★★★ 3/5
  • Quality measures ★★★★★ 3/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 56 problems at Royalton Manor, LLC. 3 findings involved harm to a resident. 24 came from investigating complaints by residents or families.

In the last three years Medicare fined this home twice, a total of $173,966. Medicare also stopped paying for new admissions once in that period.

Findings from the most recent inspection cycle

  • Caused harm to a resident, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Inspected April 2025. Corrected by May 13, 2025.

  • Could cause more than minimal harm, widespread Nutrition and Dietary

    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.

    Inspected March 2026, after a complaint. Corrected by April 14, 2026.

  • Could cause more than minimal harm, widespread Nutrition and Dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Inspected March 2026, after a complaint. Corrected by April 14, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Inspected March 2026, after a complaint. Corrected by April 14, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Inspected March 2026, after a complaint. Corrected by April 14, 2026.

  • Could cause more than minimal harm, one or a few residents Nutrition and Dietary

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Inspected March 2026, after a complaint. Corrected by April 14, 2026.

  • Could cause more than minimal harm, widespread Nutrition and Dietary

    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.

    Inspected April 2025. Corrected by May 13, 2025.

  • Could cause more than minimal harm, widespread Nutrition and Dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Inspected April 2025. Corrected by May 13, 2025.

Show 9 more
  • Could cause more than minimal harm, a pattern Resident Rights

    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.

    Inspected April 2025. Corrected by May 13, 2025.

  • Could cause more than minimal harm, a pattern Resident Assessment and Care Planning

    Ensure services provided by the nursing facility meet professional standards of quality.

    Inspected April 2025. Corrected by May 13, 2025.

  • Could cause more than minimal harm, a pattern Nursing and Physician Services

    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.

    Inspected April 2025. Corrected by May 13, 2025.

  • Could cause more than minimal harm, a pattern Pharmacy Service

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Inspected April 2025. Corrected by May 13, 2025.

  • Could cause more than minimal harm, a pattern Infection Control

    Provide and implement an infection prevention and control program.

    Inspected April 2025. Corrected by May 13, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide enough food/fluids to maintain a resident's health.

    Inspected April 2025. Corrected by May 13, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

    Inspected April 2025. Corrected by June 12, 2025.

  • Could cause more than minimal harm, one or a few residents Infection Control

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Inspected April 2025. Corrected by May 13, 2025.

  • Could cause more than minimal harm, one or a few residents Infection Control

    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.

    Inspected April 2025. Corrected by May 13, 2025.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Royalton Manor, LLC offers nursing home care and senior living.

Facility details

  • Organization type for-profit corporation
  • Beds / units 123
  • Occupancy 91%
  • Nursing hours per resident/day 3.3
  • Annual staff turnover 45%
  • Last health inspection April 2025

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