All states › Michigan › St Joseph › Royalton Manor
288 Peace Blvd St Joseph, MI 49085 · Berrien County
All 2 nursing homes in St Joseph, MI (2 take Medicaid)
CMS certification number 235623 · See this home on Medicare Care Compare
Is Royalton Manor a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Royalton Manor as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Michigan average of 3.2.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.39 hours per resident per day at Royalton Manor, below the Michigan median of 3.86 (US median: 3.72). About 0.81 of those hours are from registered nurses. On weekends it falls to 2.92 hours, 14% below its all-week average. 36.8% of nursing staff left within a year (Michigan median 43.8%).
About this nursing home
Paying for care at Royalton Manor: Medicare and Medicaid
Royalton Manor is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Michigan's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on July 9, 2026 and found 9 deficiencies, plus 10 from complaint inspections in the same period. In total, inspectors issued 63 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 63 citations at Royalton Manor across 10 inspection dates, 29 of them from complaint investigations. 3 were at the actual-harm level (G–I), most recently on April 16, 2025. The most common areas cited were quality of life and care (16) and resident rights (11). The most serious was cited under the CMS rule to "ensure that each resident is free from the use of physical restraints, unless needed for medical treatment" (tag F0604, level G, April 16, 2025). 3 citations were under CMS's abuse, neglect and exploitation rules.
August 12, 2026 · 1 citation · includes complaint inspection
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
July 9, 2026 · 13 citations · includes complaint inspection
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FProvide and implement an infection prevention and control program.
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DAllow residents to self-administer drugs if determined clinically appropriate.
DHonor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
DReasonably accommodate the needs and preferences of each resident.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
March 19, 2026 · 5 citations · includes complaint inspection
FEnsure 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.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
June 26, 2025 · 1 citation · includes complaint inspection
DEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
April 16, 2025 · 12 citations, includes actual harm
GEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.
FEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EHonor 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.
EEnsure services provided by the nursing facility meet professional standards of quality.
EEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
EProvide and implement an infection prevention and control program.
DProvide enough food/fluids to maintain a resident's health.
DProvide for the safe, appropriate administration of IV fluids for a resident when needed.
DDevelop and implement policies and procedures for flu and pneumonia vaccinations.
DEducate 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.
February 20, 2025 · 3 citations · includes complaint inspection
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
October 3, 2024 · 1 citation, includes actual harm · includes complaint inspection
GProvide appropriate treatment and care according to orders, resident’s preferences and goals.
August 1, 2024 · 6 citations · includes complaint inspection
DNot transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
DProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DEnsure each resident’s drug regimen must be free from unnecessary drugs.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
June 6, 2024 · 1 citation · includes complaint inspection
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
April 3, 2024 · 20 citations, includes actual harm · includes complaint inspection
GProvide appropriate pressure ulcer care and prevent new ulcers from developing.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
ETimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
EObserve each nurse aide's job performance and give regular training.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
EProvide and implement an infection prevention and control program.
EMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
EEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
DReasonably accommodate the needs and preferences of each resident.
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide activities to meet all resident's needs.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DProvide care or services that was trauma informed and/or culturally competent.
DEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
DEnsure 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.
DEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Questions to ask on a tour of Royalton Manor
- Inspectors cited the home at the actual-harm level on April 16, 2025 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on April 16, 2025. How are staff trained, and how are concerns reported?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
3 penalties in the last three years, including $173,966 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Apr 16, 2025 | Fine | $121,186 |
| Apr 16, 2025 | Payment Denial | 29 days of payments denied |
| Oct 3, 2024 | Fine | $52,780 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 4/5 | 3/5 |
| August 2026 | 1/5 | 1/5 | 3/5 | 3/5 |
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Location
Hospitals near Royalton Manor
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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3.4 mi
Lakeland Hospital, St Joseph St JosephEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 33m for patients treated and sent home
-
14.2 mi
Corewell Health Watervliet Hospital WatervlietEmergency roomMedian ER visit 1h 39m for patients treated and sent home
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17.8 mi
Borgess-Lee Memorial Hospital DowagiacEmergency roomMedian ER visit 1h 14m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Royalton Manor › All nursing homes in St Joseph ›
Compare Royalton Manor with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Coventry House Inn · St Joseph · 5 stars · 0.3 mi
- Corewell Health Rehabilitation & Nursing Center · Stevensville · 2 stars · 2.3 mi
Other Ciena Healthcare/Laurel Health Care nursing homes in Michigan
- Regency at Grand Blanc · Grand Blanc · 5 stars
- Regency on the Lake - Fort Gratiot · Fort Gratiot · 5 stars
- The Laurels of Mt. Pleasant · Mt. Pleasant · 5 stars
- Lakeview Manor Healthcare Center · Tawas City · 5 stars
- Regency at Lansing West · Lansing · 5 stars
- Fountain View of Monroe · Monroe · 5 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 80 Ciena Healthcare/Laurel Health Care nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.