Starfile / Michigan

Pinnacle Care of Battle Creek

675 Wagner Drive, Battle Creek, MI 49017 · CCN 235536

SFF Candidate Abuse icon

Inspection history vs Michigan & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$140,507

Number of fines

3

Number of penalties

5

Payment denials

2

Inspection citations (112)1 immediate jeopardy3 actual harm

1. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2026-01-22 · Health · corrected 2026-02-20

   Potential for more than minimal harm

2. DF0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.2026-01-22 · Health · corrected 2026-02-20

   Potential for more than minimal harm

3. DF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2026-01-22 · Health · corrected 2026-02-20

   Potential for more than minimal harm

4. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-09-10 · Health · corrected 2025-10-04

   Potential for more than minimal harm

5. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-05-12 · Health · corrected 2025-06-20

   Potential for more than minimal harm

6. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2025-05-12 · Health · corrected 2025-06-20

   Potential for more than minimal harm

7. EF0558Reasonably accommodate the needs and preferences of each resident.2025-05-12 · Health · corrected 2025-08-15

   Potential for more than minimal harm

8. DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2025-05-12 · Health · corrected 2025-06-20

   Potential for more than minimal harm

9. DF0584Honor 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.2025-05-12 · Health · corrected 2025-06-20

   Potential for more than minimal harm

10. DF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.2025-05-12 · Health · corrected 2025-06-20

    Potential for more than minimal harm

11. DF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-05-12 · Health · corrected 2025-06-20

    Potential for more than minimal harm

12. DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2025-05-12 · Health · corrected 2025-08-15

    Potential for more than minimal harm

13. DF0637Assess the resident when there is a significant change in condition2025-05-12 · Health · corrected 2025-06-20

    Potential for more than minimal harm

14. DF0641Ensure each resident receives an accurate assessment.2025-05-12 · Health · corrected 2025-08-15

    Potential for more than minimal harm

15. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-05-12 · Health · corrected 2025-08-15

    Potential for more than minimal harm

16. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-05-12 · Health · corrected 2025-08-15

    Potential for more than minimal harm

17. DF0679Provide activities to meet all resident's needs.2025-05-12 · Health · corrected 2025-06-20

    Potential for more than minimal harm

18. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-05-12 · Health · corrected 2025-06-20

    Potential for more than minimal harm

19. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-05-12 · Health · corrected 2025-06-20

    Actual harm

20. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-05-12 · Health · corrected 2025-08-15

    Immediate jeopardy

21. DF0692Provide enough food/fluids to maintain a resident's health.2025-05-12 · Health · corrected 2025-06-20

    Potential for more than minimal harm

22. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-05-12 · Health · corrected 2025-06-20

    Potential for more than minimal harm

23. CF0732Post nurse staffing information every day.2025-05-12 · Health · corrected 2025-06-20

    Potential for minimal harm

24. EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2025-05-12 · Health · corrected 2025-06-20

    Potential for more than minimal harm

25. DF0759Ensure medication error rates are not 5 percent or greater.2025-05-12 · Health · corrected 2025-06-20

    Potential for more than minimal harm

26. EF0761Ensure 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.2025-05-12 · Health · corrected 2025-08-15

    Potential for more than minimal harm

27. EF0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.2025-05-12 · Health · corrected 2025-06-20

    Potential for more than minimal harm

28. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-05-12 · Health · corrected 2025-06-20

    Potential for more than minimal harm

29. FF0865Have a plan that describes the process for conducting QAPI and QAA activities.2025-05-12 · Health · corrected 2025-08-15

    Potential for more than minimal harm

30. DF0880Provide and implement an infection prevention and control program.2025-05-12 · Health · corrected 2025-06-20

    Potential for more than minimal harm

31. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2025-05-12 · Health · corrected 2025-08-15

    Potential for more than minimal harm

32. BF0887Educate 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.2025-05-12 · Health · corrected 2025-06-20

    Potential for minimal harm

33. EF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2025-05-12 · Health · corrected 2025-06-20

    Potential for more than minimal harm

34. FF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2025-05-12 · Health · corrected 2025-06-20

    Potential for more than minimal harm

35. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-04-17 · Health · corrected 2025-05-12

    Actual harm

36. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-04-17 · Health · corrected 2025-06-17

    Potential for more than minimal harm

37. EF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-04-17 · Health · corrected 2025-05-12

    Potential for more than minimal harm

38. FF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2024-12-18 · Health · corrected 2025-01-31

    Potential for more than minimal harm

39. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-09-26 · Health · corrected 2024-10-28

    Potential for more than minimal harm

40. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-09-26 · Health · corrected 2024-10-28

    Potential for more than minimal harm

41. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-03-19 · Health · corrected 2024-04-22

    Potential for more than minimal harm

42. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2024-03-19 · Health · corrected 2024-06-06

    Potential for more than minimal harm

43. EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2024-03-19 · Health · corrected 2024-06-06

    Potential for more than minimal harm

44. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2024-03-19 · Health · corrected 2024-06-06

    Potential for more than minimal harm

45. DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2024-03-19 · Health · corrected 2024-04-22

    Potential for more than minimal harm

46. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-03-19 · Health · corrected 2024-04-22

    Potential for more than minimal harm

47. DF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2024-03-19 · Health · corrected 2024-06-06

    Potential for more than minimal harm

48. DF0637Assess the resident when there is a significant change in condition2024-03-19 · Health · corrected 2024-04-22

    Potential for more than minimal harm

49. EF0641Ensure each resident receives an accurate assessment.2024-03-19 · Health · corrected 2024-04-22

    Potential for more than minimal harm

50. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-03-19 · Health · corrected 2024-06-06

    Potential for more than minimal harm

51. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-03-19 · Health · corrected 2024-06-06

    Potential for more than minimal harm

52. DF0660Plan the resident's discharge to meet the resident's goals and needs.2024-03-19 · Health · corrected 2024-04-22

    Potential for more than minimal harm

53. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-03-19 · Health · corrected 2024-04-22

    Potential for more than minimal harm

54. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-03-19 · Health · corrected 2024-06-06

    Potential for more than minimal harm

55. DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2024-03-19 · Health · corrected 2024-04-22

    Potential for more than minimal harm

56. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-03-19 · Health · corrected 2024-04-22

    Potential for more than minimal harm

57. GF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-03-19 · Health · corrected 2024-04-22

    Actual harm

58. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-03-19 · Health · corrected 2024-04-22

    Potential for more than minimal harm

59. DF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2024-03-19 · Health · corrected 2024-06-06

    Potential for more than minimal harm

60. EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-03-19 · Health · corrected 2024-04-22

    Potential for more than minimal harm

61. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-03-19 · Health · corrected 2024-04-22

    Potential for more than minimal harm

62. DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2024-03-19 · Health · corrected 2024-04-22

    Potential for more than minimal harm

63. EF0761Ensure 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.2024-03-19 · Health · corrected 2024-06-06

    Potential for more than minimal harm

64. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-03-19 · Health · corrected 2024-06-06

    Potential for more than minimal harm

65. FF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2024-03-19 · Health · corrected 2024-06-06

    Potential for more than minimal harm

66. FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2024-03-19 · Health · corrected 2024-06-06

    Potential for more than minimal harm

67. FF0881Implement a program that monitors antibiotic use.2024-03-19 · Health · corrected 2024-04-22

    Potential for more than minimal harm

68. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-03-19 · Health · corrected 2024-04-22

    Potential for more than minimal harm

69. DF0887Educate 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.2024-03-19 · Health · corrected 2024-04-22

    Potential for more than minimal harm

70. EF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2024-03-19 · Health · corrected 2024-06-06

    Potential for more than minimal harm

71. EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2024-03-19 · Health · corrected 2024-06-06

    Potential for more than minimal harm

72. FF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2024-03-19 · Health · corrected 2024-04-22

    Potential for more than minimal harm

73. DF0558Reasonably accommodate the needs and preferences of each resident.2024-02-09 · Health · corrected 2024-03-04

    Potential for more than minimal harm

74. BF0610Respond appropriately to all alleged violations.2024-02-09 · Health · corrected 2024-03-04

    Potential for minimal harm

75. EF0584Honor 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.2023-05-17 · Health · corrected 2023-06-19

    Potential for more than minimal harm

76. FF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2023-05-17 · Health · corrected 2023-06-19

    Potential for more than minimal harm

77. DF0610Respond appropriately to all alleged violations.2023-05-17 · Health · corrected 2023-06-19

    Potential for more than minimal harm

78. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-05-17 · Health · corrected 2023-06-19

    Potential for more than minimal harm

79. FF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2023-05-17 · Health · corrected 2023-06-19

    Potential for more than minimal harm

80. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-05-17 · Health · corrected 2023-06-19

    Potential for more than minimal harm

81. FF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2023-05-17 · Health · corrected 2023-06-19

    Potential for more than minimal harm

82. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2022-12-22 · Health · corrected 2023-01-31

    Potential for more than minimal harm

83. DF0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.2022-12-22 · Health · corrected 2023-01-31

    Potential for more than minimal harm

84. DF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2022-12-22 · Health · corrected 2023-01-31

    Potential for more than minimal harm

85. BF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.2022-12-22 · Health · corrected 2023-01-31

    Potential for minimal harm

86. DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2022-12-22 · Health · corrected 2023-01-31

    Potential for more than minimal harm

87. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2022-12-22 · Health · corrected 2023-01-31

    Potential for more than minimal harm

88. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2022-12-22 · Health · corrected 2023-01-31

    Potential for more than minimal harm

89. DF0641Ensure each resident receives an accurate assessment.2022-12-22 · Health · corrected 2023-01-31

    Potential for more than minimal harm

90. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-12-22 · Health · corrected 2023-01-31

    Potential for more than minimal harm

91. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-12-22 · Health · corrected 2023-01-31

    Potential for more than minimal harm

92. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-12-22 · Health · corrected 2023-01-31

    Potential for more than minimal harm

93. EF0679Provide activities to meet all resident's needs.2022-12-22 · Health · corrected 2023-01-31

    Potential for more than minimal harm

94. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-12-22 · Health · corrected 2023-01-31

    Potential for more than minimal harm

95. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2022-12-22 · Health · corrected 2023-01-31

    Potential for more than minimal harm

96. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2022-12-22 · Health · corrected 2023-01-31

    Potential for more than minimal harm

97. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2022-12-22 · Health · corrected 2023-01-31

    Potential for more than minimal harm

98. EF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2022-12-22 · Health · corrected 2023-01-31

    Potential for more than minimal harm

99. DF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2022-12-22 · Health · corrected 2023-01-31

    Potential for more than minimal harm

100. DF0730Observe each nurse aide's job performance and give regular training.2022-12-22 · Health · corrected 2023-01-31

     Potential for more than minimal harm

101. EF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2022-12-22 · Health · corrected 2023-01-31

     Potential for more than minimal harm

102. EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2022-12-22 · Health · corrected 2023-01-31

     Potential for more than minimal harm

103. DF0759Ensure medication error rates are not 5 percent or greater.2022-12-22 · Health · corrected 2023-01-31

     Potential for more than minimal harm

104. DF0761Ensure 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.2022-12-22 · Health · corrected 2023-01-31

     Potential for more than minimal harm

105. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-12-22 · Health · corrected 2023-01-31

     Potential for more than minimal harm

106. DF0839Employ staff that are licensed, certified, or registered in accordance with state laws.2022-12-22 · Health · corrected 2023-01-31

     Potential for more than minimal harm

107. DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2022-12-22 · Health · corrected 2023-01-31

     Potential for more than minimal harm

108. EF0880Provide and implement an infection prevention and control program.2022-12-22 · Health · corrected 2023-01-31

     Potential for more than minimal harm

109. EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2022-12-22 · Health · corrected 2023-01-31

     Potential for more than minimal harm

110. EF0887Educate 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.2022-12-22 · Health · corrected 2023-01-31

     Potential for more than minimal harm

111. EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2022-12-22 · Health · corrected 2023-01-31

     Potential for more than minimal harm

112. EF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2022-12-22 · Health · corrected 2023-01-31

     Potential for more than minimal harm

Ownership

Other facilities in Battle Creek

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.