Pinnacle Care of Battle Creek, Battle Creek, Michigan

113
Citations from health inspectionsMichigan average: 32 a home: 5
Residents harmed or put in dangerMichigan average: 2.0 a home: $133,946
Fines from the federal governmentMichigan average: $29,376 a home: 2 out of 5
Overall rating in starsMichigan average: 3.1

The figures come from Medicare Care Compare files released October 8, 2026 by CMS, the federal Medicare agency. The citations span each home's three most recent inspection cycles plus their complaint visits, going back to March 2017 at the earliest; the fines span about three years, beginning September 2023. Browse the CMS files

11 inspection visits produced 113 citations. Residents were in immediate danger in one finding. Residents were found hurt in four cases. Federal fines came to $133,946 (two fines). Two times, Medicare stopped paying for new admissions.

A candidate for Special Focus. For its list of nursing homes with past poor inspection results, CMS has named this home a candidate.

The CMS abuse icon is shown for this home. Care Compare adds it after a citation for abuse or neglect. Either a resident was harmed recently, or harm could have resulted over two inspections in a row.

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Quick Look at the Record

The home's overall star rating: 2 out of 5
Rating for health inspections: 1 out of 5
Rating for staffing: 1 out of 5
Rating for quality of care: 5 out of 5
Nurse time for each resident: 1.78 hours each dayThe Michigan average is 3.99 hours
Time from registered nurses: 0.00 hours each dayThe Michigan average is 0.78 hours
Nursing staff who left during one year: Not sent to CMS
Beds that are certified: 82
Ownership: Partnership (for profit)
Chain: This home is not part of a chain
Street address: 675 Wagner Drive, Battle Creek, Michigan 49017
County: Calhoun

Each inspection's citations

Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.

Two citations dated June 18, 2026

F868 Quality Group Membership and Quarterly Meetings: risk of harm, no one found hurt, widespread, found on a complaint visit.
F600 Freedom From Abuse and Neglect: residents were harmed, one or a few residents, found on a complaint visit.

Six citations dated March 6, 2026

F947 Nurse Aide Skills, Dementia, and Abuse Training: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F865 Written Quality Improvement Plan: risk of harm, no one found hurt, widespread, found on a complaint visit.
F801 Qualified Kitchen and Dietitian Staff: risk of harm, no one found hurt, widespread, found on a complaint visit.
F726 Nurses and Aides Have Needed Skills: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F680 Qualified Activities Director: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F678 CPR and Basic Life Support: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.

Three citations dated Jan. 22, 2026

F628 Required Transfer Paperwork and Notices: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F627 Safe Transfer or Discharge Meeting Resident Needs: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F600 Freedom From Abuse and Neglect: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

One citation dated Sept. 10, 2025

F600 Freedom From Abuse and Neglect: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

30 citations dated May 12, 2025

F921 A Safe, Clean Building: risk of harm, no one found hurt, widespread.
F919 Working Call System in Bathrooms: risk of harm, no one found hurt, a pattern, several residents.
F887 Coronavirus Vaccine Education, Offering, and Records: minimal risk to residents, a pattern, several residents.
F883 Flu and Pneumonia Vaccines: risk of harm, no one found hurt, one or a few residents.
F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents.
F865 Written Quality Improvement Plan: risk of harm, no one found hurt, widespread.
F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, widespread.
F809 Meals and Snacks at Preferred Times: risk of harm, no one found hurt, a pattern, several residents.
F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, a pattern, several residents.
F759 Medication Error Rate of 5 Percent or More: risk of harm, no one found hurt, one or a few residents.
F756 Monthly Drug Regimen Review: risk of harm, no one found hurt, a pattern, several residents.
F732 Post Daily Nurse Staffing Information: minimal risk to residents, widespread.
F725 Enough Nursing Staff: risk of harm, no one found hurt, a pattern, several residents.
F692 Enough Food and Fluids: risk of harm, no one found hurt, one or a few residents.
F689 Accident Hazards and Supervision: immediate danger to residents, one or a few residents.
F686 Pressure Ulcer (Bedsore) Care: residents were harmed, one or a few residents.
F684 Quality of Care: risk of harm, no one found hurt, a pattern, several residents.
F679 Activities That Meet Every Resident's Needs: risk of harm, no one found hurt, one or a few residents.
F657 Updating the Care Plan on Time: risk of harm, no one found hurt, one or a few residents.
F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents.
F641 Accurate Resident Assessments: risk of harm, no one found hurt, one or a few residents.
F637 Reassess After a Major Change in Condition: risk of harm, no one found hurt, one or a few residents.
F636 Complete Assessments at Admission and Yearly: risk of harm, no one found hurt, one or a few residents.
F628 Required Transfer Paperwork and Notices: risk of harm, no one found hurt, one or a few residents.
F605 Avoid Unnecessary Sedating or Psychiatric Drugs: risk of harm, no one found hurt, one or a few residents.
F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, one or a few residents.
F578 The Right to Refuse Treatment: risk of harm, no one found hurt, one or a few residents.
F558 Meeting Residents' Needs and Preferences: risk of harm, no one found hurt, a pattern, several residents.
F552 Keep Residents Informed About Health and Care: risk of harm, no one found hurt, one or a few residents.
F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents.

Three citations dated April 17, 2025

F690 Bladder, Bowel and Catheter Care: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F677 Help With Daily Living: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F600 Freedom From Abuse and Neglect: residents were harmed, one or a few residents, found on a complaint visit.

One citation dated Dec. 18, 2024

F925 Pest Control Program: risk of harm, no one found hurt, widespread, found on a complaint visit.

Two citations dated Sept. 26, 2024

F684 Quality of Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

32 citations dated March 19, 2024

F925 Pest Control Program: risk of harm, no one found hurt, widespread, found on a complaint visit.
F921 A Safe, Clean Building: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F919 Working Call System in Bathrooms: risk of harm, no one found hurt, a pattern, several residents.
F887 Coronavirus Vaccine Education, Offering, and Records: risk of harm, no one found hurt, one or a few residents.
F883 Flu and Pneumonia Vaccines: risk of harm, no one found hurt, one or a few residents.
F881 Antibiotic Use Monitoring Program: risk of harm, no one found hurt, widespread.
F867 Ongoing Quality Review Group and Correction Plans: risk of harm, no one found hurt, widespread, found on a complaint visit.
F835 Run the Facility Effectively: risk of harm, no one found hurt, widespread, found on a complaint visit.
F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, widespread.
F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, a pattern, several residents.
F758 Psychotropic Drugs and PRN Orders: risk of harm, no one found hurt, one or a few residents.
F757 Unnecessary Drugs: risk of harm, no one found hurt, one or a few residents.
F756 Monthly Drug Regimen Review: risk of harm, no one found hurt, a pattern, several residents.
F740 Behavioral Health Care and Services: risk of harm, no one found hurt, one or a few residents.
F725 Enough Nursing Staff: risk of harm, no one found hurt, a pattern, several residents.
F690 Bladder, Bowel and Catheter Care: residents were harmed, one or a few residents.
F689 Accident Hazards and Supervision: risk of harm, no one found hurt, a pattern, several residents.
F688 Range of Motion and Mobility: risk of harm, no one found hurt, one or a few residents.
F684 Quality of Care: risk of harm, no one found hurt, one or a few residents.
F677 Help With Daily Living: risk of harm, no one found hurt, one or a few residents.
F660 Discharge Planning That Meets Resident Goals: risk of harm, no one found hurt, one or a few residents.
F657 Updating the Care Plan on Time: risk of harm, no one found hurt, one or a few residents.
F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F641 Accurate Resident Assessments: risk of harm, no one found hurt, a pattern, several residents.
F637 Reassess After a Major Change in Condition: risk of harm, no one found hurt, one or a few residents.
F625 Written Notice of Bed Hold Policy: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F623 Notice Before Transfer or Discharge: risk of harm, no one found hurt, one or a few residents.
F622 Valid Reasons and Paperwork for Transfer or Discharge: risk of harm, no one found hurt, one or a few residents.
F582 Notice of Medicare and Medicaid Coverage and Costs: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F565 Right to Resident and Family Groups: risk of harm, no one found hurt, a pattern, several residents.
F561 Respect Resident Choices and Self Determination: risk of harm, no one found hurt, one or a few residents.
F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents.

Two citations dated Feb. 9, 2024

F610 Investigating Abuse Allegations: minimal risk to residents, a pattern, several residents, found on a complaint visit.
F558 Meeting Residents' Needs and Preferences: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

31 citations dated Dec. 22, 2022

F925 Pest Control Program: risk of harm, no one found hurt, a pattern, several residents.
F921 A Safe, Clean Building: risk of harm, no one found hurt, a pattern, several residents.
F887 Coronavirus Vaccine Education, Offering, and Records: risk of harm, no one found hurt, a pattern, several residents.
F883 Flu and Pneumonia Vaccines: risk of harm, no one found hurt, a pattern, several residents.
F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents.
F849 Arrange Hospice Care When Needed: risk of harm, no one found hurt, one or a few residents.
F839 Properly Licensed Staff: risk of harm, no one found hurt, one or a few residents.
F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, widespread.
F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, one or a few residents.
F759 Medication Error Rate of 5 Percent or More: risk of harm, no one found hurt, one or a few residents.
F756 Monthly Drug Regimen Review: risk of harm, no one found hurt, a pattern, several residents.
F744 Proper Dementia Treatment and Services: risk of harm, no one found hurt, a pattern, several residents.
F730 Review Nurse Aide Performance and Training: risk of harm, no one found hurt, one or a few residents.
F727 Required Registered Nurse and Nursing Director: risk of harm, no one found hurt, one or a few residents.
F726 Nurses and Aides Have Needed Skills: risk of harm, no one found hurt, a pattern, several residents.
F725 Enough Nursing Staff: risk of harm, no one found hurt, a pattern, several residents.
F698 Dialysis Care: risk of harm, no one found hurt, one or a few residents.
F686 Pressure Ulcer (Bedsore) Care: risk of harm, no one found hurt, one or a few residents.
F684 Quality of Care: risk of harm, no one found hurt, a pattern, several residents.
F679 Activities That Meet Every Resident's Needs: risk of harm, no one found hurt, a pattern, several residents.
F677 Help With Daily Living: risk of harm, no one found hurt, a pattern, several residents.
F657 Updating the Care Plan on Time: risk of harm, no one found hurt, a pattern, several residents.
F656 A Complete Care Plan: risk of harm, no one found hurt, a pattern, several residents.
F641 Accurate Resident Assessments: risk of harm, no one found hurt, one or a few residents.
F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents.
F600 Freedom From Abuse and Neglect: risk of harm, no one found hurt, one or a few residents.
F578 The Right to Refuse Treatment: risk of harm, no one found hurt, one or a few residents.
F577 Access to Inspection Results and Advocates: minimal risk to residents, a pattern, several residents.
F565 Right to Resident and Family Groups: risk of harm, no one found hurt, one or a few residents.
F559 Right to Choose Roommate and Notice Before Changes: risk of harm, no one found hurt, one or a few residents.
F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents.

Payment Denials and Fines

Date	Penalty	Amount
April 17, 2025	Fine	$51,875
April 17, 2025	Payment denial for new admissions	99 days
Feb. 9, 2024	Fine	$82,071
Feb. 9, 2024	Payment denial for new admissions	55 days

Ownership and Management of the Home

The home is run by Zenith Care LLC (operational or managerial control).
The direct 100% owner is Pinnacle Battle Creek Holdings LLC.

Two people with an ownership stake are also listed by CMS.

The CMS Care Compare files, updated every month, provide provider information, health deficiencies, penalties, and ownership. The CMS certification number is 235536. Other homes in Michigan.