Royalton Manor, LLC: Staffing, Turnover, and Inspection Record
Royalton Manor, LLC is a 123-bed for-profit nursing home in St Joseph, Michigan, part of Ciena Healthcare/Laurel Health Care. In the CMS August 2026 release it reported 1.83 nurse aide hours per resident per day, 21% below the Michigan average of 2.33, and 44.6% nursing staff turnover (Michigan average 44.1%).
Royalton Manor, LLC
288 Peace BlvdSt Joseph, MI 49085
Berrien County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Royalton Manor, LLC, nurse aides logged 1.83 hours per resident per day, 21% below the Michigan average. With about 113 residents a day, that works out to roughly 206 aide hours a day, or about 26 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 16% below the all-days figure.
| Hours per resident per day | This home | Michigan avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.83 | 2.33 | 2.32 |
| Licensed practical nurses | 0.69 | 0.88 | 0.86 |
| Registered nurses | 0.77 | 0.78 | 0.69 |
| All nursing staff | 3.29 | 3.99 | 3.86 |
| All nursing staff, weekends | 2.77 | 3.50 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
44.6% of nursing staff at Royalton Manor, LLC left over the year CMS measured, against a Michigan average of 44.1% and a US average of 45.8%. Registered nurse turnover was 58.3%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Apr 16, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 17 health deficiencies (Michigan average 10.1). CMS lists 2 fines totaling $173,966 and 1 payment denial in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Apr 16, 2025 | Fine | $121,186 |
| Apr 16, 2025 | Payment Denial | 29 days from May 14, 2025 |
| Oct 3, 2024 | Fine | $52,780 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Royalton Manor, LLC holds 1 of 5 overall; the Michigan average is 3.1.
About Royalton Manor, LLC
- Ownership: For profit - Corporation
- Chain: Ciena Healthcare/Laurel Health Care, 81 homes
- Medicare and Medicaid certified since: Feb 16, 2007
- Councils: resident council
- Area: urban
Nursing homes near Royalton Manor, LLC
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Coventry House Inn St Joseph | 0.3 | 32 | 2.30 | 4.37 | 34.1% | 4 | None |
| Corewell Health Rehabilitation & Nursing Center Stevensville | 2.3 | 111 | 2.34 | 4.15 | 27.5% | 3 | $8,827 |
| West Woods of Bridgman Bridgman | 9.3 | 92 | 2.74 | 3.96 | 47.6% | 1 | None |
| The Orchards at Niles Niles | 17.1 | 84 | 2.58 | 3.93 | 49.4% | 1 | None |
| Niles Care Center, LLC Niles | 18.7 | 100 | 1.98 | 3.45 | 67.8% | 2 | $158,405 |
| The Timbers of Cass County Dowagiac | 18.7 | 108 | 2.11 | 3.46 | 28.9% | 2 | None |
| Hamilton Grove New Carlisle | 21.8 | 85 | 2.40 | 4.04 | 51.1% | 4 | None |
| West Woods of Niles Niles | 22.2 | 121 | 2.67 | 3.92 | 38.1% | 1 | $16,800 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
Explore next
Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.