Royalton Manor, LLC
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 59 Google reviews

Watch Royalton Manor, LLC
Get an email when new inspections, ratings, or penalties are published for this facility.
We’ll only email you about this — no spam, unsubscribe anytime.
Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Above-median deficiencies (13 vs median 8.0)
Bottom 25% in MI · Meets national RN staffing standard · Worst in CIENA HEALTHCARE/LAUREL HEALTH CARE chain · $173,966 in fines
What this means for your family
While some families report excellent experiences with the rehabilitation team and facility cleanliness, the recurring reports of medication errors and neglect are extremely concerning. If you consider this facility, we strongly recommend conducting unannounced visits and asking for a detailed plan on how they ensure medication safety and adequate staffing levels during off-hours.
Google Reviews
Google Reviews
59 reviews on Google“Royalton Manor receives highly polarized feedback, with some families praising the facility as clean and supportive, while others report severe, life-threatening lapses in care. Critical concerns include medication errors, neglect of basic needs, and understaffing, particularly in the memory care and rehabilitation units. Prospective families should be aware of the significant divide between positive experiences and reports of dangerous clinical incompetence.”
Quality Themes
Tap a score for detailsStrengths
- Clean, well-maintained facility
- Professional and kind nursing staff
- Effective rehabilitation therapy department
- Responsive administrative leadership
Concerns
- Medication administration errors (mentioned by 4 reviewers)
- Understaffing leading to slow response times (mentioned by 4 reviewers)
- Neglect of basic resident needs (hydration, hygiene) (mentioned by 4 reviewers)
- Poor communication and difficulty reaching staff by phone (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 95 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1I've heard wonderful things about how clean and well-maintained the facility is; could you show me around the common areas?
- 2What specific protocols do you have in place to ensure medication is administered accurately and on schedule every day?
- 3How do you ensure that residents' basic needs, like hydration and personal hygiene, are consistently met even during busy shifts?
- 4If we have a question or an urgent concern, what is the best way to reach the administrative team or nursing staff directly?
- 5What does a typical day look like for residents in terms of daily activities and social engagement?
- 6How is the dining experience managed here, and how do you ensure residents receive nutritious meals they enjoy?
Personalized based on this facility's data
Key Review Excerpts
“Upon the first week, a nurse came and administered her meds into her PICC line. After the nurse walked out, my mother in law looked down to see that it was not her name on the meds. They gave her someone else’s meds!!!”
“In 8 weeks my husband was able to heal and gain enough strength while in Royalton Rehabilitation wing to be able to come home to continue his therapy and healing in a familiar environment. There are many caring and competent individuals at this facility and their therapy department is fantastic.”
“I work for an assisted living facility in New Jersey and have high expectations for situations such like this, and I cannot thank each and every care giver/nurse enough for their kindness, ease to communicate with, and overall professionalism.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
5
measures
8
measures
4
measures
Residents whose walking got worse
Residents needing more daily help over time
Residents on antipsychotic medication
Residents whose bladder or bowel control got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents who lost too much weight
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has significant ongoing problems with families filing multiple complaint reports about care quality, staffing competency, and medication management. The facility shows persistent issues across surveys with fire safety systems, nursing staff training, and infection control that continue appearing year after year. While all deficiencies show correction dates, the recurring pattern of similar problems—particularly the complaint-triggered issues around resident safety and care standards—suggests systemic challenges that may impact resident well-being.
Mar 19, 2026Complaint5
Nutrition and Dietary Deficiencies
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Jun 26, 2025Complaint1
Nursing and Physician Services Deficiencies
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.
Apr 16, 2025Routine17
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Nutrition and Dietary Deficiencies
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Nursing and Physician Services Deficiencies
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.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Rights Deficiencies
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.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies
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.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Feb 20, 2025Complaint3
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Oct 3, 2024Complaint1
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Aug 1, 2024Complaint6
Resident Rights Deficiencies
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.
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Federal Penalties
Fine
Apr 16, 2025
$121,186
Payment Denial
Apr 16, 2025
29-day denial
Fine
Oct 3, 2024
$52,780
Ownership & Operations
Who Operates This Facility
Royalton Manor, LLC
for profit
Chain Affiliation
Ciena Healthcare/laurel Health Care
83 facilities nationwide
Chain avg rating: 2.9/5 · Rank 77 of 84 (Worst)
Ownership & Management
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
59 reviews from families & visitors
Official Website
Visit cienahealthcare.com
Medicare data downloads
Original nursing home datasets
EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.
Safer Alternatives Nearby
Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.
Woodland Terrace of St. Joseph Unit 2
< 1 miAssisted Living · Saint Joseph, MI
Woodland Terrace of St. Joseph Unit 3
< 1 miAssisted Living · Saint Joseph, MI
Woodland Terrace of St. Joseph
< 1 miAssisted Living · St. Joseph, MI
Caretel Inns of Royalton - Bristol
< 1 miAssisted Living · Saint Joseph, MI
Fullerton House
< 1 miAssisted Living · St. Joseph, MI
Caretel Inns of Royalton - Dover
< 1 miAssisted Living · Saint Joseph, MI