Royalton Manor, LLC – St Joseph, MI

CMS Verified | 2026-03-01

Royalton Manor, LLC

288 Peace Blvd, St Joseph, MI 49085
(269) 556-9050
123 beds
All St Joseph facilities
1.0*
Overall
1.0*
Health Inspection
2.0*
Quality Care
3.0*
Staffing
44.39
Score /100
#14454
National Rank

#14454
of 14703 facilities
National
1.7% position
#418
of 423 in MI
State Rank
#7
of 7 in Berrien
County Rank
#2
of 2 in St Joseph
City Rank
#2
of 2 in ZIP 49085
ZIP Rank






About Royalton Manor, LLCRoyalton Manor, Llc is located at 288 Peace Blvd, St Joseph, MI, reachable at (269) 556-9050. This For profit – Corporation facility operates 123.0 certified beds and serves an average of 102 residents per day. It is part of the Ciena Healthcare/Laurel Health Care network (84 facilities nationwide). Medicare and Medicaid services have been provided since 2007-02-16. The facility currently holds a poor (1-star) overall CMS rating — families are encouraged to review inspection reports carefully before making a decision.
Facility

Royalton Manor, LLC

Address

288 Peace Blvd, St Joseph, MI 49085

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 123 Certified Beds
  • Ownership: For profit – Corporation
  • Resident Council: Resident
  • Automatic Sprinklers: Yes
  • Network: CIENA HEALTHCARE/LAUREL HEALTH CARE

Quick Verdict

Overall Quality
❌ Poor (1★) overall rating
Health Inspection
❌ Poor (1★) health inspection
Staffing
⚠️ Average (3★) staffing rating
Quality of Care
⚠️ Below Average (2★) quality of care
Compliance
❌ 18 fine(s) over 5 years
5-Year Trend
Declining over 5 years
44.39
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#14454 of 14703 nationally – #418 of 423 in Michigan

Who Is This Facility Best For?

Royalton Manor, Llc may be considered for families with limited options in St Joseph, MI, but its lower CMS ratings suggest careful due diligence is warranted.

Overall Rating 2022-2026

Total Nurse Hours/Day 2022-2026

Current Ratings (2026)

Overall Rating

1 / 5
Health Inspection

1 / 5
Staffing Rating

3 / 5
Quality Measures (QM)

2 / 5
Long-Stay QM Rating

2 / 5
Short-Stay QM Rating

2 / 5

5-Year Rating Trends

Overall Rating

Health Inspection Rating

Quality of Care (QM)

Staffing Rating

Average Residents per Day

Occupancy % (Residents / Beds)

Staffing InsightRoyalton Manor, Llc currently provides 3 hours 18 minutes of total nurse staffing per resident per day, including 51 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating is 3 out of 5 (average). RN staffing hours have fluctuated between 37 and 51 min/day over the past five years, indicating some instability in skilled nurse coverage. Total nursing staff turnover stands at 44.7% — above the national average of ~35%.

Current Staffing Hours Per Resident Per Day (2026)

Total Nurse Staffing3 hours 18 minutes
Nurse Aide Hours1 hour 51 minutes
Licensed Practical Nurse (LPN) Hours35 minutes
Registered Nurse (RN) Hours51 minutes
Physical Therapist Hours3 minutes

National average total nurse staffing is approximately 3.5 hours per day

Weekend Staffing Hours Per Resident Per Day (2026)

Weekend Total Nurse Hours2 hours 50 minutes
Weekend Registered Nurse (RN) Hours32 minutes

Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.

5-Year Staffing Trends

Total Nurse Hours/Day

Registered Nurse (RN) Hours/Day

Licensed Practical Nurse (LPN) Hours/Day

Nurse Aide Hours/Day

Total Staff Turnover %

Registered Nurse (RN) Turnover %

Compliance SummaryIn the current reporting period, the facility received 2 fine(s) totaling $173,966. 121 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. There were 1 Medicare payment denial(s) in the current period.
Number of Fines (current period) 2
Total Fines Amount $173966.0
Payment Denials 1
Total Penalties 3
Abuse Flag on Record N
Total Weighted Health Survey Score 178.0 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#14,454
of 14,703
National
Bottom 5%
#418
of 423
MI State
Bottom 5% in MI
#7
of 7
️ Berrien County
#7 of 7
#2
of 2
️ St Joseph
#2 of 2
#2
of 2
ZIP 49085
#2 of 2

Nationally, Royalton Manor, Llc ranks 14454th out of 14,703 facilities (composite score: 44.4/100), placing it in the bottom 25% nationwide. Within MI, it ranks 418th out of 423 nursing homes. In St Joseph, it ranks 2nd out of 2 facilities. Among facilities sharing its ZIP code, it ranks 2nd of 2. For 2026 staffing: total nurse hours rank #11,105 nationally and RN hours rank #3,110 nationally (#143 in MI).

How do we calculate these rankings?

Total Nurse Staffing – Year-by-Year National and State Ranks

Year Hours/Day National Rank MI State Rank Note
2022 3.31 #9,468 / 14,703 #279 / 423 Below average
2023 2.68 #13,303 / 14,703 #394 / 423 ⚠️ Bottom 10%
2024 4.55 #2,039 / 14,703 #70 / 423 Top 25%
2025 3.47 #9,091 / 14,703 #305 / 423 Below average
2026 3.30 #11,105 / 14,703 #361 / 423 ⚠️ Bottom 25%

Registered Nurse (RN) Hours – Year-by-Year National and State Ranks

Year Hours/Day National Rank MI State Rank Note
2022 0.62 #6,554 / 14,703 #248 / 423 Above average
2023 0.37 #10,726 / 14,703 #359 / 423 Below average
2024 0.69 #4,648 / 14,703 #200 / 423 Above average
2025 0.95 #2,197 / 14,703 #102 / 423 Top 25%
2026 0.85 #3,110 / 14,703 #143 / 423 Top 25%

Total Nurse Rank – National (lower number = better)

Registered Nurse Rank – National (lower number = better)

Frequently Asked Questions

Royalton Manor, Llc is certified as a Medicare and Medicaid facility and has been approved to provide these services since 2007-02-16. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (269) 556-9050 or your local Medicaid office to verify current eligibility.

Royalton Manor, Llc holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 1 out of 5 stars. This is made up of three components: Health Inspection (1★), Staffing (3★), and Quality of Resident Care (2★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 44.4/100, placing it #14454 of 14703 facilities nationally and #418 of 423 in Michigan. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Royalton Manor, Llc receives a reported average of 3 hours 18 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 51 minutes; Licensed Practical Nurse (LPN) — 35 minutes; Nurse Aide — 1 hour 51 minutes. On weekends, total nurse staffing is 2 hours 50 minutes per resident per day. The CMS Staffing Rating for this facility is 3 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 44.7%. Families are encouraged to ask about current staffing schedules during their facility visit.

In the current reporting period, the facility received 2 fine(s) totaling $173,966. 121 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. There were 1 Medicare payment denial(s) in the current period. In the most recent CMS reporting period, the facility received 2 fine(s) totaling $173,966, and 1 Medicare payment denial(s). Total penalties: 3. The Total Weighted Health Survey Score is 178.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Royalton Manor, Llc ranks 14454th out of 14,703 facilities (composite score: 44.4/100), placing it in the bottom 25% nationwide. Within MI, it ranks 418th out of 423 nursing homes. In St Joseph, it ranks 2nd out of 2 facilities. Among facilities sharing its ZIP code, it ranks 2nd of 2. For 2026 staffing: total nurse hours rank #11,105 nationally and RN hours rank #3,110 nationally (#143 in MI). Our composite quality score of 44.4/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in St Joseph, visit: https://nursinghomesnearme.org/michigan/st-joseph/

Contact and Location

ADR
Address

288 Peace Blvd, St Joseph, MI 49085
Get directions on Google Maps

TEL
LLC
Legal Name

ROYALTON MANOR, LLC

MAP
Browse by Location

All Michigan ·
Berrien County ·
St Joseph ·
ZIP 49085

Facility Details

Number of Certified Beds 123
Average Residents / Day 102 (83% occupancy)
Ownership Type For profit – Corporation
Provider Type Medicare and Medicaid
County Berrien County, MI
City St Joseph, MI
ZIP Code 49085
Approved Since February 16, 2007
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 235623
Data Processing Date March 1, 2026
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org