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
Data as of July 1, 2026
1 of 5 overall
Royalton Manor, LLC (St Joseph, MI) has an overall rating of 1 out of 5 stars, with a 1-star health inspection rating. Staffing is 3.29 hours per resident per day, below the federal benchmark of 4.1, and the facility has had $173,966 in fines in the last 24 months with a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.2913 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 3.2913.
Staffing detail
- Registered nurses
- 0.77
- Licensed practical nurses
- 0.69
- Nurse aides
- 1.83
- Weekend nursing
- 2.77
Hours per resident per day.
Total staff turnover: 45%
Registered nurse turnover: 58%
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
6.9%11.3%Worsening
Residents with a fall causing major injury
3.6%3.1%No change
Residents with pressure ulcers (bedsores)
9.9%5.4%Improving
Residents with a urinary tract infection
0%1.1%Worsening
Residents who lost too much weight
0%20.7%Worsening
Residents who were physically restrained
1.2%0%Improving
Residents needing more help with daily activities
20.6%27.5%Worsening
Residents whose ability to walk got worse
35.8%31.7%Improving
Long-stay residents on antianxiety or sleep medication
17.6%14.3%Improving
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
2.1%0%Improving
Residents with new or worsening incontinence
25.5%33%Worsening
Residents with depressive symptoms
5.5%3.3%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
97.6%99%Improving
Short-stay residents given the seasonal flu vaccine
—59%—
Short-stay residents given the pneumonia vaccine
79.2%94.4%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 · 82 homes · 2.8 stars avg
- Occupancy
- 112.5 residents on an average day (91% 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.