Velarion Records
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Skilled nursing facility · CMS certification number 235623

Royalton Manor, LLC

St Joseph, Michigan · Medicare and Medicaid

Certified beds, as filed in Care Compare: 123

Download this facility’s record (CSV)

A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.

In Care Compare’s provider information: Penalties: 3 · Fines: 2 · Fines, total amount: $173,966.00 · Payment denials: 1. The most recent penalty on file: April 16, 2025, Fine, $121,186. Every penalty on file ↓

For this facility: the citable document with full history — $295 · an email when this record changes — $99/month

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 28, 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$16,305,164CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$5,142,090CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$11,163,074CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,491,773CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$328,699CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$801,497CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$472,798CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $472,798 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components123CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components45,018CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days1,589CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days16,010CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days12,916CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components30,515CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges36CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges102CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges83CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components221CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days44.14CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days156.96CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days138.08CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1434368, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended December 31, 2023

Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 13, 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$14,033,139CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$4,982,080CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,051,059CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,615,409CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$564,350CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$389,654CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$174,696CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$174,696 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components123CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components26,794CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components135CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days61.27CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days198.47CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1391955, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended December 31, 2022

Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 28, 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$11,506,938CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$4,131,722CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,375,216CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,253,547CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,878,331CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$326,500CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,551,831CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,551,831 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components123CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components22,463CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components80CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days71.18CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days280.79CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1360273, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended December 31, 2021

Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 17, 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$13,035,938CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$5,444,784CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,591,154CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,466,828CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,875,674CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,030,082CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$845,592CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$845,592 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
FigureAs filedWhere it comes from
Total facility beds, all components123CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components24,426CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components81CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days41.27CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days301.56CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1334942, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended December 31, 2020

Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on June 21, 2022.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$20,440,226CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$8,251,696CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$12,188,530CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$12,392,491CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$203,961CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,519,156CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,315,195CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,315,195 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
FigureAs filedWhere it comes from
Total facility beds, all components123CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components38,172CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components318CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days44.87CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days120.04CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1321287, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended December 31, 2019

Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on November 23, 2020.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$18,021,572CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$5,094,993CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$12,926,579CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,431,642CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,494,937CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,954CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,497,891CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,497,891 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
FigureAs filedWhere it comes from
Total facility beds, all components123CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components41,310CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components146CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days37.76CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days282.95CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1274228, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended December 31, 2018

Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 22, 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$13,686,538CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,011,712CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,674,826CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,565,487CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$109,339CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$7,526CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$116,865CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $116,464 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
FigureAs filedWhere it comes from
Total facility beds, all components123CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components35,820CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components126CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days24.86CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days284.29CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1241714, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended December 31, 2017

Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 21, 2018.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$12,097,803CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,858,492CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,239,311CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,552,308CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$312,997CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$26,009CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$286,988CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$286,988 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
FigureAs filedWhere it comes from
Total facility beds, all components123CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components33,471CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components294CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days26.11CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days113.85CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1209837, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2016, ended December 31, 2016

Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 26, 2017.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$13,280,055CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,066,445CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,213,610CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,871,000CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$342,610CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$8,209CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$350,819CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $350,819 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
FigureAs filedWhere it comes from
Total facility beds, all components123CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components35,261CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components344CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days23.91CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days102.5CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1175169, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended December 31, 2015

Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 11, 2016.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$14,402,633CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,856,078CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,546,555CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,856,638CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$689,917CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$5,525CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$695,442CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $695,442 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
FigureAs filedWhere it comes from
Total facility beds, all components123CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components35,343CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components421CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days30.23CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days83.95CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1140679, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2014, ended December 31, 2014

Cost report for January 1, 2014 to December 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 14, 2015.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$14,610,406CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$4,494,829CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,115,577CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,211,921CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$96,344CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$6,047CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$90,297CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$90,297 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
FigureAs filedWhere it comes from
Total facility beds, all components123CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components35,910CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components395CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days30.84CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days90.91CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1107937, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2013, ended December 31, 2013

Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 28, 2015.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$15,765,581CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$5,072,436CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,693,145CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,310,637CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$382,508CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$9,962CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$392,470CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $392,470 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
FigureAs filedWhere it comes from
Total facility beds, all components123CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components38,860CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components664CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days33.43CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days58.52CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1116483, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2012, ended December 31, 2012

Cost report for January 1, 2012 to December 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 16, 2013.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$15,079,375CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$5,012,088CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,067,287CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,414,464CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$652,823CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$6,041CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$658,864CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $658,705 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
FigureAs filedWhere it comes from
Total facility beds, all components123CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components45,203CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components388CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days30.39CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days116.5CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1046900, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2011, ended December 31, 2011

Cost report for January 1, 2011 to December 31, 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 31, 2012.

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Total patient revenue$13,655,501CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$4,042,971CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,612,530CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,517,994CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$94,536CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$8,950CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$103,486CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $103,486 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2011
FigureAs filedWhere it comes from
Total facility beds, all components123CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components38,137CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components364CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days33.51CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days104.77CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1018317, read from the public cost report file SNF10FY2011.zip.

Fiscal year 2010, ended December 31, 2010

Cost report for January 1, 2010 to December 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 8, 2011.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$8,173,548CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$7,865,284CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$308,264CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$9,548CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $317,812 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
FigureAs filedWhere it comes from
Total facility beds, all components123CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components33,606CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components308CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days38.41CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days209.21CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days109.11CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 416896, read from the public cost report file SNFFY2010.zip.

Fiscal year 2009, ended December 31, 2009

Cost report for January 1, 2009 to December 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 24, 2010.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$7,464,468CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$7,311,297CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$153,171CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$12,099CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $165,270 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
FigureAs filedWhere it comes from
Total facility beds, all components93CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components30,152CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components211CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days46.22CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days284.85CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days142.9CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 386208, read from the public cost report file SNFFY2009.zip.

Fiscal year 2008, ended December 31, 2008

Cost report for January 1, 2008 to December 31, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on August 21, 2009.

Revenue and expenses, fiscal year 2008
FigureAs filedWhere it comes from
Net patient revenue$6,622,777CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$6,254,544CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$368,233CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$213,331CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $581,564 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2008
FigureAs filedWhere it comes from
Total facility beds, all components93CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components27,909CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components276CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days34.93CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days322.76CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days101.12CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 355172, read from the public cost report file SNFFY2008.zip.

Fiscal year 2007, ended December 31, 2007

Cost report for February 16, 2007 to December 31, 2007 — a reporting period of 318 days, on form CMS-2540-96, settled, processed by CMS on October 17, 2008.

Revenue and expenses, fiscal year 2007
FigureAs filedWhere it comes from
Net patient revenue$4,761,465CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,700,369CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$61,096CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$1,755CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $62,851 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2007
FigureAs filedWhere it comes from
Total facility beds, all components93CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components20,243CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components192CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days43.3CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days333.18CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days105.43CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 327007, read from the public cost report file SNFFY2007.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated October 1, 2026 (Care Compare ownership).

Owner or managerRoleTypeOwnership percentageAssociation
CIENA HEALTHCARE MANAGEMENT INCADP OF THE SNFOrganizationNOT APPLICABLEsince 03/21/2025
DEUTSCH, NEALADP OF THE SNFIndividualNOT APPLICABLEsince 08/01/2009
GARDINA, ANNAADP OF THE SNFIndividualNOT APPLICABLEsince 08/01/2009
KHAN, ANISADP OF THE SNFIndividualNOT APPLICABLEsince 12/16/1997
MOHAMMAD A QAZI LIVING TRUST DATED 09/26/97ADP OF THE SNFOrganizationNOT APPLICABLEsince 12/16/2007
PAPENDICK, KEITHADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2025
QAZI, MOHAMMADADP OF THE SNFIndividualNOT APPLICABLEsince 12/16/2007
RAZA, ALIADP OF THE SNFIndividualNOT APPLICABLEsince 03/19/2024
KHAN, ANISMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 12/16/1997
QAZI, MOHAMMADMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 12/16/2007
CIENA HEALTHCARE MANAGEMENT INCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 12/16/2007
KHAN, ANISOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 12/16/2007
PAPENDICK, KEITHOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 01/01/2025
QAZI, MOHAMMADOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 12/16/2007
RAZA, ALIOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 03/19/2024

Medicare enrollment

As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of ROYALTON MANOR, LLC (enrollment ID O20060418000026).

CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
MOHAMMAD A QAZI LIVING TRUST DATED 09/26/97Organization5% OR GREATER DIRECT OWNERSHIP INTEREST100.0012/16/2007
Private equity company: No
Real estate investment trust: No
Holding company: No
MOHAMMAD A. QAZIIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST100.0012/16/2007
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ALI RAZAIndividualADP OF THE SNFNot stated in the filing03/19/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ANIS KHANIndividualADP OF THE SNFNot stated in the filing12/16/1997
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ANNA GARDINAIndividualADP OF THE SNFNot stated in the filing08/01/2009
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
CIENA HEALTHCARE MANAGEMENT INCOrganizationADP OF THE SNFNot stated in the filing03/21/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
KEITH L PAPENDICKIndividualADP OF THE SNFNot stated in the filing01/01/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MOHAMMAD A QAZI LIVING TRUST DATED 09/26/97OrganizationADP OF THE SNFNot stated in the filing12/16/2007
Private equity company: No
Real estate investment trust: No
Holding company: No
MOHAMMAD A. QAZIIndividualADP OF THE SNFNot stated in the filing12/16/2007
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
NEAL H DEUTSCHIndividualADP OF THE SNFNot stated in the filing08/01/2009
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
No owner named in the filingIndividualADP OF THE SNFNot stated in the filing02/16/2007
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
No owner named in the filingOrganizationADP OF THE SNFNot stated in the filing03/21/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
No owner named in the filingIndividualADP OF THE SNFNot stated in the filing01/17/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
No owner named in the filingOrganizationADP OF THE SNFNot stated in the filing03/21/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
No owner named in the filingIndividualADP OF THE SNFNot stated in the filing03/01/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
No owner named in the filingIndividualADP OF THE SNFNot stated in the filing12/01/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
No owner named in the filingOrganizationADP OF THE SNFNot stated in the filing02/16/2007
Private equity company: No
Real estate investment trust: No
Holding company: No
ANIS KHANIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing12/16/1997
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MOHAMMAD A. QAZIIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing12/16/2007
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ALI RAZAIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing03/19/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ANIS KHANIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing12/16/2007
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
CIENA HEALTHCARE MANAGEMENT INCOrganizationOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing12/16/2007
Private equity company: No
Real estate investment trust: No
Holding company: No
KEITH L PAPENDICKIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing01/01/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MOHAMMAD A. QAZIIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing12/16/2007
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
1July 9, 2026July 9, 20261914
2April 16, 2025April 16, 2025175
3April 3, 2024April 3, 2024274
3April 5, 2023April 5, 2023147

From the Care Compare inspection summary file NH_SurveySummary_Oct2026.csv, processed on October 1, 2026.

Deficiencies cited

70 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
August 12, 2026HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.DYesDeficient, Provider has plan of correctionSeptember 15, 2026
July 9, 2026HealthF 0554Resident Rights DeficienciesAllow residents to self-administer drugs if determined clinically appropriate.DNoDeficient, Provider has date of correctionAugust 17, 2026
July 9, 2026HealthF 0557Resident Rights DeficienciesHonor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DYesDeficient, Provider has date of correctionAugust 17, 2026
July 9, 2026HealthF 0558Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.DNoDeficient, Provider has date of correctionAugust 17, 2026
July 9, 2026HealthF 0580Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DNoDeficient, Provider has date of correctionAugust 17, 2026
July 9, 2026HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DNoDeficient, Provider has date of correctionAugust 17, 2026
July 9, 2026HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.DNoDeficient, Provider has date of correctionAugust 17, 2026
July 9, 2026HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.DNoDeficient, Provider has date of correctionAugust 17, 2026
July 9, 2026HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.ENoDeficient, Provider has date of correctionAugust 17, 2026
July 9, 2026HealthF 0690Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.EYesDeficient, Provider has date of correctionAugust 17, 2026
July 9, 2026HealthF 0693Quality of Life and Care DeficienciesEnsure 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.DYesDeficient, Provider has date of correctionAugust 17, 2026
July 9, 2026HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FNoDeficient, Provider has date of correctionAugust 17, 2026
July 9, 2026HealthF 0842Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DNoDeficient, Provider has date of correctionAugust 17, 2026
July 9, 2026HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.FYesDeficient, Provider has date of correctionAugust 17, 2026
March 19, 2026HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DYesDeficient, Provider has date of correctionApril 14, 2026
March 19, 2026HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DYesDeficient, Provider has date of correctionApril 14, 2026
March 19, 2026HealthF 0803Nutrition and Dietary DeficienciesEnsure 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.FYesDeficient, Provider has date of correctionApril 14, 2026
March 19, 2026HealthF 0804Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.DYesDeficient, Provider has date of correctionApril 14, 2026
March 19, 2026HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FYesDeficient, Provider has date of correctionApril 14, 2026
June 26, 2025HealthF 0726Nursing and Physician Services DeficienciesEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DYesPast Non-ComplianceMay 28, 2025
April 16, 2025HealthF 0584Resident Rights DeficienciesHonor 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.ENoDeficient, Provider has date of correctionMay 13, 2025
April 16, 2025HealthF 0604Freedom from Abuse, Neglect, and Exploitation DeficienciesEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.GNoDeficient, Provider has date of correctionMay 13, 2025
April 16, 2025HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.ENoDeficient, Provider has date of correctionMay 13, 2025
April 16, 2025HealthF 0692Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.DNoDeficient, Provider has date of correctionMay 13, 2025
April 16, 2025HealthF 0694Quality of Life and Care DeficienciesProvide for the safe, appropriate administration of IV fluids for a resident when needed.DNoDeficient, Provider has date of correctionJune 12, 2025
April 16, 2025HealthF 0726Nursing and Physician Services DeficienciesEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.ENoDeficient, Provider has date of correctionMay 13, 2025
April 16, 2025HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.ENoDeficient, Provider has date of correctionMay 13, 2025
April 16, 2025HealthF 0801Nutrition and Dietary DeficienciesEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.FNoDeficient, Provider has date of correctionMay 13, 2025
April 16, 2025HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FNoDeficient, Provider has date of correctionMay 13, 2025
April 16, 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.ENoDeficient, Provider has date of correctionMay 13, 2025
April 16, 2025HealthF 0883Infection Control DeficienciesDevelop and implement policies and procedures for flu and pneumonia vaccinations.DNoDeficient, Provider has date of correctionMay 13, 2025
April 16, 2025HealthF 0887Infection Control DeficienciesEducate 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.DNoDeficient, Provider has date of correctionMay 13, 2025
February 20, 2025HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DYesDeficient, Provider has date of correctionMarch 18, 2025
February 20, 2025HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.DYesDeficient, Provider has date of correctionMarch 18, 2025
February 20, 2025HealthF 0691Quality of Life and Care DeficienciesProvide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.DYesDeficient, Provider has date of correctionMarch 18, 2025
October 3, 2024HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.GYesDeficient, Provider has date of correctionOctober 29, 2024
August 1, 2024HealthF 0622Resident Rights DeficienciesNot transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DYesDeficient, Provider has date of correctionSeptember 4, 2024
August 1, 2024HealthF 0623Resident Rights DeficienciesProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DYesDeficient, Provider has date of correctionSeptember 4, 2024
August 1, 2024HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.DYesDeficient, Provider has date of correctionSeptember 4, 2024
August 1, 2024HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DYesDeficient, Provider has date of correctionSeptember 4, 2024
August 1, 2024HealthF 0757Pharmacy Service DeficienciesEnsure each resident’s drug regimen must be free from unnecessary drugs.DYesDeficient, Provider has date of correctionSeptember 4, 2024
August 1, 2024HealthF 0842Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DYesDeficient, Provider has date of correctionSeptember 4, 2024
June 6, 2024HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DYesDeficient, Provider has date of correctionJuly 10, 2024
April 3, 2024HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EYesDeficient, Provider has date of correctionApril 29, 2024
April 3, 2024HealthF 0558Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.DYesDeficient, Provider has date of correctionApril 29, 2024
April 3, 2024HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DYesDeficient, Provider has date of correctionApril 29, 2024
April 3, 2024HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EYesDeficient, Provider has date of correctionApril 29, 2024
April 3, 2024HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DYesDeficient, Provider has date of correctionApril 29, 2024
April 3, 2024HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DYesDeficient, Provider has date of correctionApril 29, 2024
April 3, 2024HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.DNoDeficient, Provider has date of correctionApril 29, 2024
April 3, 2024HealthF 0679Quality of Life and Care DeficienciesProvide activities to meet all resident's needs.DNoDeficient, Provider has date of correctionApril 29, 2024
April 3, 2024HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.GYesDeficient, Provider has date of correctionApril 29, 2024
April 3, 2024HealthF 0690Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DNoDeficient, Provider has date of correctionApril 29, 2024
April 3, 2024HealthF 0699Quality of Life and Care DeficienciesProvide care or services that was trauma informed and/or culturally competent.DNoDeficient, Provider has date of correctionApril 29, 2024
April 3, 2024HealthF 0730Nursing and Physician Services DeficienciesObserve each nurse aide's job performance and give regular training.ENoDeficient, Provider has date of correctionApril 29, 2024
April 3, 2024HealthF 0756Pharmacy Service DeficienciesEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DNoDeficient, Provider has date of correctionApril 29, 2024
April 3, 2024HealthF 0761Pharmacy Service DeficienciesEnsure 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.DNoDeficient, Provider has date of correctionApril 29, 2024
April 3, 2024HealthF 0804Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.ENoDeficient, Provider has date of correctionApril 29, 2024
April 3, 2024HealthF 0805Nutrition and Dietary DeficienciesEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.DNoDeficient, Provider has date of correctionApril 29, 2024
April 3, 2024HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FNoDeficient, Provider has date of correctionApril 29, 2024
April 3, 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.ENoDeficient, Provider has date of correctionApril 29, 2024
April 3, 2024HealthF 0921Environmental DeficienciesMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.ENoDeficient, Provider has date of correctionApril 29, 2024
April 3, 2024HealthF 0947Nursing and Physician Services DeficienciesEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.ENoDeficient, Provider has date of correctionApril 29, 2024
April 5, 2023HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.ENoDeficient, Provider has date of correctionApril 18, 2023
April 5, 2023HealthF 0583Resident Rights DeficienciesKeep residents' personal and medical records private and confidential.DNoDeficient, Provider has date of correctionApril 18, 2023
April 5, 2023HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DNoDeficient, Provider has date of correctionApril 18, 2023
April 5, 2023HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DNoDeficient, Provider has date of correctionApril 18, 2023
April 5, 2023HealthF 0725Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.DNoDeficient, Provider has date of correctionApril 18, 2023
April 5, 2023HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FNoDeficient, Provider has date of correctionApril 18, 2023
April 5, 2023HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.ENoDeficient, Provider has date of correctionApril 18, 2023

From the Care Compare health citations file NH_HealthCitations_Oct2026.csv, processed on October 1, 2026.

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
April 16, 2025Fine$121,18659120
April 16, 2025Payment DenialMay 14, 202529
October 3, 2024Fine$52,78059056

From the Care Compare penalties file NH_Penalties_Oct2026.csv, processed on October 1, 2026.

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Corporation
Legal Business NameROYALTON MANOR, LLC
Date First Approved to Provide Medicare and Medicaid Services2007-02-16
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishBerrien
Telephone Number2695569050
Chain NameCIENA HEALTHCARE/LAUREL HEALTH CARE
Chain ID144
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds123
Average Number of Residents per Day112.5
Overall Rating1
Health Inspection Rating1
QM Rating3
Long-Stay QM Rating2
Short-Stay QM Rating4
Processing Date2026-09-01

From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.

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On August 12, 2026: A deficiency was cited under tag F 0686, scope and severity D. That is one line of the alert.

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The citable document for Royalton Manor, LLC

This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Michigan at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.

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Other public records in Michigan

Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 235623.

What this page shows

This page covers a Medicare-certified nursing facility, Royalton Manor, LLC, in St Joseph, MI. The figures listed are 123 certified beds, CMS certification number 235623, and ownership as For profit - Corporation.