The home failed to ensure residents were free from physical restraints unless they were needed for medical treatment. Cited April 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 604 — 42 CFR §483.12 — S/S: G
Nursing home report
Royalton Manor, LLC
St Joseph, MI · Medicare-certified · 123 beds
Needs attention
For-profitChain member
1 of 5 overall
Royalton Manor, LLC has a 1 out of 5 overall rating, with a 1-star health inspection rating and staffing below the federal benchmark (3.24 hours per resident per day vs. 4.1). It also has a recent federal penalty and $173,966 in fines over the last 24 months.
Facility ratings
Health inspections
Staffing
3.2408 hrs/resident/day
Quality measures
Last inspection: March 19, 2026Penalties, last 24 months: $173,966recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2408.
Staffing detail
- Registered nurses
- 0.76
- Licensed practical nurses
- 0.66
- Nurse aides
- 1.82
- Weekend nursing
- 2.77
Hours per resident per day.
Total staff turnover: 38%
Registered nurse turnover: 48%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
9.3%5%Improving
Residents with a fall causing major injury
3.6%4.3%Worsening
Residents with pressure ulcers (bedsores)
8.4%9.1%Worsening
Residents with a urinary tract infection
2.4%0%Improving
Residents who lost too much weight
0%1.2%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
23.2%36.2%Worsening
Residents whose ability to walk got worse
44%39.9%Improving
Long-stay residents on antianxiety or sleep medication
19.2%16.9%Improving
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
1.6%1.4%No change
Residents with new or worsening incontinence
40%23.4%Improving
Residents with depressive symptoms
5.6%2.4%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—93.3%—
Long-stay residents given the pneumonia vaccine
95.2%98.9%Improving
Short-stay residents given the seasonal flu vaccine
—59%—
Short-stay residents given the pneumonia vaccine
75.5%92%Improving
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited October 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited April 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The home failed to ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited March 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 803 — 42 CFR §483.60 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited March 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $121,186 was recorded.
- INSPECTION
Health inspection found 12 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $52,780 was recorded.
Penalties & enforcement
On record with Medicare: 2 fines · $173,966 in total fines · 1 payment denial.
- 29 days
Medicare/Medicaid payment denial
Apr 16, 2025
- $121,186
Federal fine
Apr 16, 2025
- $52,780
Federal fine
Oct 3, 2024
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of CIENA HEALTHCARE/LAUREL HEALTH CARE · 83 homes · 2.9 stars avg
- Occupancy
- 110.6 residents on an average day (90% of 123 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 19 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.