Data / Nursing homes / Michigan / Royalton Manor, LLC
Royalton Manor, LLC, St Joseph, MI: 1 star rating, fined $173,966 across 2 fines and had 1 payment denial
Royalton Manor, LLC in St Joseph, MI is run by Royalton Manor, LLC, with no owner listed in the CMS ownership file, is rated 1 of 5 stars by Medicare, and was fined $173,966 across 2 fines and had 1 payment denial in the three years to October 1, 2026. CMS lists 63 health citations from inspections in that time, the latest survey on August 12, 2026, and 3 of them found actual harm or immediate jeopardy.
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- Address
- 288 Peace Blvd, St Joseph, MI 49085
- Overall rating
- 1 of 5 stars
- Health inspection rating
- 1 of 5
- Staffing rating
- 4 of 5
- Quality measure rating
- 3 of 5
- Certified beds
- 123
- Residents per day
- 112 on average
- Ownership type
- For profit, corporation
- Legal business name
- Royalton Manor, LLC
- Chain
- Ciena Healthcare/Laurel Health Care, 80 facilities
- Fines
- $173,966 across 2 fines, three years to October 1, 2026
- Payment denials
- 1
- Health citations
- 63, of which 3 with actual harm or immediate jeopardy
- Latest survey
- August 12, 2026
- CMS Certification Number
- 235623
- On Care Compare
- Medicare Care Compare
Fines and payment denials
Every fine and payment denial CMS lists for this facility in the three years, newest first.
| Date | Type | Fine amount | Denial starts | Denial days | Source |
|---|---|---|---|---|---|
| April 16, 2025 | Fine | $121,186 | Not listed | data.cms.gov | |
| April 16, 2025 | Payment denial | Not listed | May 14, 2025 | 29 | data.cms.gov |
| October 3, 2024 | Fine | $52,780 | Not listed | data.cms.gov |
Recent health citations
Citations from health inspections, newest first.
| Survey date | Tag | What CMS cited | Scope and severity | Status | Corrected on | Source |
|---|---|---|---|---|---|---|
| August 12, 2026 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D: isolated, no actual harm, potential for more than minimal harm | Plan of correction | September 15, 2026 | data.cms.gov |
| July 9, 2026 | F880 | Provide and implement an infection prevention and control program. | F: widespread, no actual harm, potential for more than minimal harm | Corrected | August 17, 2026 | data.cms.gov |
| July 9, 2026 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 17, 2026 | data.cms.gov |
| July 9, 2026 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F: widespread, no actual harm, potential for more than minimal harm | Corrected | August 17, 2026 | data.cms.gov |
| July 9, 2026 | F693 | Ensure 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. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 17, 2026 | data.cms.gov |
| July 9, 2026 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | August 17, 2026 | data.cms.gov |
| July 9, 2026 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | August 17, 2026 | data.cms.gov |
| July 9, 2026 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 17, 2026 | data.cms.gov |
| July 9, 2026 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 17, 2026 | data.cms.gov |
| July 9, 2026 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 17, 2026 | data.cms.gov |
| July 9, 2026 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 17, 2026 | data.cms.gov |
| July 9, 2026 | F558 | Reasonably accommodate the needs and preferences of each resident. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 17, 2026 | data.cms.gov |
| July 9, 2026 | F557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 17, 2026 | data.cms.gov |
| July 9, 2026 | F554 | Allow residents to self-administer drugs if determined clinically appropriate. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 17, 2026 | data.cms.gov |
| March 19, 2026 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F: widespread, no actual harm, potential for more than minimal harm | Corrected | April 14, 2026 | data.cms.gov |
| March 19, 2026 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | April 14, 2026 | data.cms.gov |
| March 19, 2026 | F803 | 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. | F: widespread, no actual harm, potential for more than minimal harm | Corrected | April 14, 2026 | data.cms.gov |
| March 19, 2026 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | April 14, 2026 | data.cms.gov |
| March 19, 2026 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | April 14, 2026 | data.cms.gov |
| June 26, 2025 | F726 | 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. | D: isolated, no actual harm, potential for more than minimal harm | Past noncompliance | May 28, 2025 | data.cms.gov |
| April 16, 2025 | F604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | G: isolated, actual harm | Corrected | May 13, 2025 | data.cms.gov |
| April 16, 2025 | F887 | 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. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | May 13, 2025 | data.cms.gov |
| April 16, 2025 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | May 13, 2025 | data.cms.gov |
| April 16, 2025 | F880 | Provide and implement an infection prevention and control program. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | May 13, 2025 | data.cms.gov |
| April 16, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F: widespread, no actual harm, potential for more than minimal harm | Corrected | May 13, 2025 | data.cms.gov |
| April 16, 2025 | F801 | 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. | F: widespread, no actual harm, potential for more than minimal harm | Corrected | May 13, 2025 | data.cms.gov |
| April 16, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | May 13, 2025 | data.cms.gov |
| April 16, 2025 | F726 | 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. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | May 13, 2025 | data.cms.gov |
| April 16, 2025 | F694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | June 12, 2025 | data.cms.gov |
| April 16, 2025 | F692 | Provide enough food/fluids to maintain a resident's health. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | May 13, 2025 | data.cms.gov |
| April 16, 2025 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | May 13, 2025 | data.cms.gov |
| April 16, 2025 | F584 | 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. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | May 13, 2025 | data.cms.gov |
| February 20, 2025 | F691 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | March 18, 2025 | data.cms.gov |
| February 20, 2025 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | March 18, 2025 | data.cms.gov |
| February 20, 2025 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | March 18, 2025 | data.cms.gov |
| October 3, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G: isolated, actual harm | Corrected | October 29, 2024 | data.cms.gov |
| August 1, 2024 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | September 4, 2024 | data.cms.gov |
| August 1, 2024 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | September 4, 2024 | data.cms.gov |
| August 1, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | September 4, 2024 | data.cms.gov |
| August 1, 2024 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | September 4, 2024 | data.cms.gov |
| August 1, 2024 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | September 4, 2024 | data.cms.gov |
| August 1, 2024 | F622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | September 4, 2024 | data.cms.gov |
| June 6, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | July 10, 2024 | data.cms.gov |
| April 3, 2024 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G: isolated, actual harm | Corrected | April 29, 2024 | data.cms.gov |
| April 3, 2024 | F947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | April 29, 2024 | data.cms.gov |
| April 3, 2024 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | April 29, 2024 | data.cms.gov |
| April 3, 2024 | F880 | Provide and implement an infection prevention and control program. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | April 29, 2024 | data.cms.gov |
| April 3, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F: widespread, no actual harm, potential for more than minimal harm | Corrected | April 29, 2024 | data.cms.gov |
| April 3, 2024 | F805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | April 29, 2024 | data.cms.gov |
| April 3, 2024 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | April 29, 2024 | data.cms.gov |
| April 3, 2024 | F761 | Ensure 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. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | April 29, 2024 | data.cms.gov |
| April 3, 2024 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | April 29, 2024 | data.cms.gov |
| April 3, 2024 | F730 | Observe each nurse aide's job performance and give regular training. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | April 29, 2024 | data.cms.gov |
| April 3, 2024 | F699 | Provide care or services that was trauma informed and/or culturally competent. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | April 29, 2024 | data.cms.gov |
| April 3, 2024 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | April 29, 2024 | data.cms.gov |
| April 3, 2024 | F679 | Provide activities to meet all resident's needs. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | April 29, 2024 | data.cms.gov |
| April 3, 2024 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | April 29, 2024 | data.cms.gov |
| April 3, 2024 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | April 29, 2024 | data.cms.gov |
| April 3, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | April 29, 2024 | data.cms.gov |
| April 3, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | April 29, 2024 | data.cms.gov |
| April 3, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | April 29, 2024 | data.cms.gov |
| April 3, 2024 | F558 | Reasonably accommodate the needs and preferences of each resident. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | April 29, 2024 | data.cms.gov |
| April 3, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | April 29, 2024 | data.cms.gov |
Owners and managers
Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 12 individual or personal trusts (6 managers, 6 other disclosable parties). Their names are not shown on this page.
| Organization | Role | Share | Since | Source |
|---|---|---|---|---|
| Ciena Healthcare Management Inc | Operational or managerial control | Not listed | December 16, 2007 | data.cms.gov |
| Ciena Healthcare Management Inc | Additional disclosable party | Not listed | March 21, 2025 | data.cms.gov |
| Mohammad a Qazi Living Trust Dated 09/26/97 | Additional disclosable party | Not listed | December 16, 2007 | data.cms.gov |
Also on SpecStream
- All nursing homes in Michigan
- Every nursing home Ciena Healthcare Management Inc owns or manages
- Every nursing home Mohammad a Qazi Living Trust Dated 09/26/97 owns or manages
- This facility on Medicare Care Compare
Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.