Home›Browse›Michigan›Saint Joseph›Royalton Manor

Nursing homeFAID #6347

Royalton Manor

288 PEACE BLVD, ST JOSEPH, MI, 49085

(269) 556-9050

www.cienahealthcare.com/locations/royalton-manor

123 licensed beds

CMS rates Royalton Manor 1 out of 5 overall. Federal inspectors issued 86 citations across 15 inspections in the last three years, with $173,966 in fines. Listing last updated 2026-11-06.

★★★★★1/5CMS Five-Star overall1/5 health inspections4/5 staffing3/5 quality measuresSource: CMS Care Compare

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Photo via Google · Royalton Manor

Address

288 Peace Blvd

St Joseph, MI 49085

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Public record summary

What we can show you for free.

Bed capacity

123

CMS facility ID

235623

Care type

Nursing home

County

Berrien

Facility name

Royalton Manor

Street address

288 PEACE BLVD

City / state / ZIP

St Joseph, MI 49085

Phone

(269) 556-9050

Website

www.cienahealthcare.com/locations/royalton-manor

About this facility — Royalton Manor

Royalton Manor is a Medicare/Medicaid-certified skilled nursing facility in Saint Joseph, Michigan. It is licensed for 123 beds — above the median for skilled nursing facilities in Michigan (100 beds).

It is one of 9 senior care facilities in Saint Joseph and 423 skilled nursing facilities across Michigan. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Ciena Healthcare/laurel Health Care, a group of 81 facilities on this site.

Federal inspectors have cited Royalton Manor 86 times across 15 inspections in the last three years, including 9 food-safety citations, and CMS has imposed $173,966 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

Ciena Healthcare/laurel Health Care

Ownership type

For profit - Corporation

Registered owners & officers

Ciena Healthcare Management Inc

Operational control · Additional disclosable party — since 2007

Deutsch, Neal

Additional disclosable party — since 2009

Gardina, Anna

Additional disclosable party — since 2009

Khan, Anis

Governing body · Operational control · Additional disclosable party — since 1997

Mohammad a Qazi Living Trust Dated 09/26/97

Additional disclosable party — since 2007

Papendick, Keith

Operational control · Additional disclosable party — since 2025

Qazi, Mohammad

Governing body · Operational control · Additional disclosable party — since 2007

Raza, Ali

Operational control · Additional disclosable party — since 2024

Regulatory standing

Licensed / certified since

2007-02-16

CMS overall rating

1 of 5 stars

Health deficiencies

19 at the last standard inspection

Federal fines

$173,966 total

Last standard inspection

2026-07-09

Nurse staffing

3.4 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$524 per day (≈ $15,930/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

0% Medicaid · 3% Medicare · 97% private/other

Occupancy

60% (fiscal year 2023)

Vs. state median

12% above the MI median of $466/day — full state cost breakdown

Services & coverage

Licensed beds

123

Medicare

Accepted

Medicaid

Accepted

Wheelchair accessible

entrance and parking

Visiting hours

Daily Open 24 hours

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 9 food-safety citations on its three-year record — flagged below among the inspections.

2026-08-12Health inspectionComplaint-triggered1 citation

F-0686

D · No harm foundFrom a complaint

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2026-09-15

2026-07-09Health inspectionComplaint-triggered13 citations

F-0554

D · No harm found

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2026-08-17

F-0557

D · No harm foundFrom a complaint

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Corrected 2026-08-17

F-0558

D · No harm found

Reasonably accommodate the needs and preferences of each resident.

Corrected 2026-08-17

F-0580

D · No harm found

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2026-08-17

F-0656

D · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2026-08-17

F-0658

D · No harm found

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2026-08-17

F-0677

D · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2026-08-17

F-0689

E · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2026-08-17

F-0690

E · No harm foundFrom a complaint

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2026-08-17

F-0693

D · No harm foundFrom a complaint

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.

Corrected 2026-08-17

F-0812

F · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2026-08-17

F-0842

D · No harm found

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2026-08-17

F-0880

F · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2026-08-17

11 earlier / fire-safety inspections (72 citations)

2026-03-19Health inspectionComplaint-triggered5 citations

F-0550

D · No harm foundFrom a complaint

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2026-04-14

F-0689

D · No harm foundFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2026-04-14

F-0803

F · No harm foundFood safetyFrom a complaint

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.

Corrected 2026-04-14

F-0804

D · No harm foundFood safetyFrom a complaint

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2026-04-14

F-0812

F · No harm foundFood safetyFrom a complaint

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2026-04-14

2025-06-26Health inspectionComplaint-triggered1 citation

F-0726

D · No harm foundFrom a complaint

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.

Corrected 2025-05-28

2025-04-16Health inspection12 citations

F-0584

E · No harm found

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.

Corrected 2025-05-13

F-0604

G · Actual harm

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2025-05-13

F-0658

E · No harm found

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-05-13

F-0692

D · No harm found

Provide enough food/fluids to maintain a resident's health.

Corrected 2025-05-13

F-0694

D · No harm found

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Corrected 2025-06-12

F-0726

E · No harm found

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.

Corrected 2025-05-13

F-0755

E · No harm found

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-05-13

F-0801

F · No harm foundFood safety

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.

Corrected 2025-05-13

F-0812

F · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-05-13

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-05-13

F-0883

D · No harm found

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2025-05-13

F-0887

D · No harm found

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.

Corrected 2025-05-13

2025-02-20Health inspectionComplaint-triggered3 citations

F-0550

D · No harm foundFrom a complaint

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-03-18

F-0658

D · No harm foundFrom a complaint

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-03-18

F-0691

D · No harm foundFrom a complaint

Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

Corrected 2025-03-18

2024-10-03Health inspectionComplaint-triggered1 citation

F-0684

G · Actual harmFrom a complaint

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-10-29

2024-08-01Health inspectionComplaint-triggered6 citations

F-0622

D · No harm foundFrom a complaint

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.

Corrected 2024-09-04

F-0623

D · No harm foundFrom a complaint

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2024-09-04

F-0658

D · No harm foundFrom a complaint

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-09-04

F-0684

D · No harm foundFrom a complaint

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-09-04

F-0757

D · No harm foundFrom a complaint

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2024-09-04

F-0842

D · No harm foundFrom a complaint

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-09-04

2024-06-06Health inspectionComplaint-triggered1 citation

F-0689

D · No harm foundFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-07-10

2024-04-03Health inspectionComplaint-triggered20 citations

F-0550

E · No harm foundFrom a complaint

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-04-29

F-0558

D · No harm foundFrom a complaint

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-04-29

F-0600

D · No harm foundFrom a complaint

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-04-29

F-0609

E · No harm foundFrom a complaint

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-04-29

F-0656

D · No harm foundFrom a complaint

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-04-29

F-0657

D · No harm foundFrom a complaint

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2024-04-29

F-0658

D · No harm found

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-04-29

F-0679

D · No harm found

Provide activities to meet all resident's needs.

Corrected 2024-04-29

F-0686

G · Actual harmFrom a complaint

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-04-29

F-0690

D · No harm found

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2024-04-29

F-0699

D · No harm found

Provide care or services that was trauma informed and/or culturally competent.

Corrected 2024-04-29

F-0730

E · No harm found

Observe each nurse aide's job performance and give regular training.

Corrected 2024-04-29

F-0756

D · No harm found

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2024-04-29

F-0761

D · No harm found

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.

Corrected 2024-04-29

F-0804

E · No harm foundFood safety

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2024-04-29

F-0805

D · No harm foundFood safety

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2024-04-29

F-0812

F · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-04-29

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-04-29

F-0921

E · No harm found

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2024-04-29

F-0947

E · No harm found

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Corrected 2024-04-29

2026-07-09Fire-safety inspection14 citations

K-0211

F · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2026-08-17

K-0223

E · No harm found

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2026-08-17

K-0232

E · No harm found

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

Corrected 2026-08-17

K-0321

F · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2026-08-17

K-0324

F · No harm found

Provide properly protected cooking facilities.

Corrected 2026-08-17

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2026-08-17

K-0355

E · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2026-08-17

K-0362

E · No harm found

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

Corrected 2026-08-17

K-0511

F · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2026-08-17

K-0521

F · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2026-08-17

K-0711

F · No harm found

Provide a written emergency evacuation plan.

Corrected 2026-08-17

K-0761

F · No harm found

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2026-08-17

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2026-08-17

K-0920

E · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2026-08-17

2025-04-16Fire-safety inspection5 citations

K-0321

E · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2025-05-13

K-0363

E · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2025-05-13

K-0914

F · No harm found

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2025-05-13

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-05-13

K-0920

D · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2025-05-13

2024-04-03Fire-safety inspection4 citations

K-0321

E · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-04-29

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-04-29

K-0363

E · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2024-04-29

K-0920

E · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2024-04-29

Federal penalties

2025-04-16Fine$121,186

2024-10-03Fine$52,780

2025-04-16Medicare payment denial — 29 days

Total fines$173,966

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 235623.

Quality of care & staffing

How it compares in Michigan.

Inspection citations, 3 years

More than 91% of nursing homes in the state

State median: 43

Federal fines, 3 years

$173,966

More than 95% of nursing homes in the state

State median: $0

Nurse staffing, hours per resident per day

3.4

Higher than 14% of nursing homes in the state

State median: 3.9

Nursing staff turnover, annual

37%

Higher than 27% of nursing homes in the state

State median: 44%

Resident outcomes

On 21 federal quality measures, this facility does better than the Michigan average on 8 and worse on 8. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	26.7%	10.7%	13.5%	Worse than state
Lose too much weight	24.8%	5.5%	5.1%	Worse than state
With a catheter inserted and left in their bladder	0.8%	0.7%	0.7%	Near state average
With a urinary tract infection	1.1%	1.5%	1.5%	Better than state
Have depressive symptoms	2.9%	4.5%	13.5%	Better than state
Were physically restrained	0.0%	0.1%	0.1%	Better than state
Experiencing one or more falls with major injury	3.5%	3.0%	3.2%	Worse than state
Assessed and appropriately given the pneumococcal vaccine	99.5%	95.4%	93.7%	Near state average
Ability to walk independently worsened	31.3%	11.1%	12.7%	Worse than state
Received an antianxiety or hypnotic medication	16.6%	19.4%	19.5%	Better than state
Assessed and appropriately given the seasonal influenza vaccine	97.1%	95.5%	95.3%	Near state average
With pressure ulcers	6.5%	5.0%	4.5%	Worse than state
With new or worsened bowel or bladder incontinence	29.0%	19.4%	18.3%	Worse than state
Received an antipsychotic medication	9.5%	14.7%	15.4%	Better than state
Hospitalizations per 1000 long-stay resident days	2.02	1.74	1.81	Worse than state
Outpatient emergency department visits per 1000 long-stay resident days	0.96	1.56	1.69	Better than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	91.4%	83.4%	82.3%	Near state average
Newly received an antipsychotic medication	0.0%	1.1%	1.5%	Better than state
Were assessed and appropriately given the seasonal influenza vaccine	83.9%	81.5%	80.1%	Near state average
Were rehospitalized after a nursing home admission	27.6%	23.9%	23.4%	Worse than state
Had an outpatient emergency department visit	6.4%	11.7%	11.8%	Better than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0658 5 inspections. Ensure services provided by the nursing facility meet professional standards of quality.
F-0812 4 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F-0689 3 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0880 3 inspections. Provide and implement an infection prevention and control program.
K-0321 3 inspections. Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
K-0920 3 inspections. Ensure proper usage of power strips and extension cords.

Verify & compare

Where to check, and what's nearby.

Who to contact in Michigan

Licensing: Michigan Department of Licensing and Regulatory Affairs (LARA), Bureau of Survey and Certification
File a complaint: 800-882-6006 · Online
Long-Term Care Ombudsman: 866-485-9393. A free advocate for residents and families.
Adult Protective Services: 855-444-3911. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Lakeland Hospital, St Joseph, about 3.5 miles. CMS rating 4 of 5.
Corewell Health Watervliet Hospital, about 14 miles.
Ascension Borgess Lee Hospital, about 18 miles.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Coventry House Inn, St Joseph, about 0.3 miles. CMS rating 5 of 5.
Powell House Afc, Saint Joseph, about 0.6 miles.
The Willows, Saint Joseph, about 0.7 miles.
Storypoint St Joseph, St. Joseph, about 0.8 miles.
Corewell Health Rehabilitation & Nursing Center, Stevensville, about 2.3 miles. CMS rating 2 of 5.

Visitor reviews

What people say on Google.

3.759 ratings on Google

★★★★★Becky Heaps · 2026-05-01 · via Google
“I simply cannot say enough about how nice the staff from Royalton Manor has been to my mom and all of our family. I wish I knew everyone's names to mention but do want to say how amazing Zach Gordon - Director of Nursing and Katie - Social Services are. They have absolutely been phenomenal helping us get my mom settled in and comfortable and taking us step-by-step through everything we needed to…”

★★★★★Martha Lambert · 2026-04-24 · via Google
“When my aunt needed the higher level of nursing care, she chose to come to Royalton Manor. When her family visited in the following months, we saw the nursing staff were attentive and caring. Very early one morning I got a phone call from nurse Lisa Curry that family were needed at my aunt's bedside. Her status changed for the worse. Lisa woke me up to bad news, but the kindness in her voice…”

★★★★★Kiley Mambelli · 2026-02-24 · via Google
“I would like to express my sincere thanks to Zach, Ginger and the rest of the staff at Royalton for taking care of my father during the last three weeks of his life. 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 profes…”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 86 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

Unlock the full file

Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Google Business Profile

Photos, reviews & hours

Displayed with attribution · refreshed on re-run

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered