Composite
90.9 / 100 percentile
Screener / 235536
D
Pinnacle Care of Battle Creek
snfMISFF: SFF Candidate
675 Wagner Drive, Battle Creek, MI 49017 · CCN 235536 · chain ZENITH CARE LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
82
Model
v1.2
Reads as: riskier than 90.9% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.
Score model5Components16CHOW radar1Distress radar1Staffing16Penalties4Deficiencies111Licensure0Ownership19Related party6Transactions1Comps12Market rent35
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 96.9 | 95.5 | 0.30 | 0.2308 | 22.36 | in index |
| financial risk | 90.8 | 78.5 | 0.30 | 0.2308 | 20.95 | in index |
| staffing risk | 97.5 | 97.5 | 0.25 | 0.1923 | 18.75 | in index |
| chow risk | 46.7 | 44.8 | 0.15 | 0.1154 | 5.39 | in index |
| billing conduct | 0.0 | 0.0 | 0.30 | 0.2308 | 0.00 | in index |
weighted_contribution sums to pre_rank_index over rows where counts_toward_index is true. The composite is the facility's percentile position of that index within its peer group, so contributions explain the input, and the rank explains the score.
Component scores and registry models
16| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 0.0 | A | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 25.0 | B | v0.1-pos | default · in composite | Change-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure. |
| chow risk | 64.7 | C | v0.6 | default · in composite | |
| financial risk | 78.5 | D | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.1 | — | v0.1 | default · in composite | R23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite. |
| p chow 12m | 0.0 | — | v0.1 | default · in composite | R22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite. |
| regulatory risk | 95.5 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 97.5 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 95.2 | F | v0.1 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 75.2 | D | v0.2 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 70.6 | D | v0.3 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 77.5 | D | v0.4 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| regulatory risk | 95.4 | F | v0.1 | superseded | Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| regulatory risk | 95.4 | F | v0.2 | superseded | Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| staffing risk | 97.5 | F | v0.1 | superseded | Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| staffing risk | 97.5 | F | v0.2 | superseded | Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.
CHOW radar — 12-month sale probability
full board →p(CHOW, 12m)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
7.0
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| Current owner tenure (years) | 3.33 | -1.52 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 0.69 | -0.25 | |
| Total nurse staffing (HPRD) | 2.05 | +0.20 | |
| Contract staffing share | 0.00 | -0.10 |
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.
Distress radar — 12-month termination probability
full board →p(termination, 12m)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
41.8
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Chain size (log) | 0.69 | +0.80 | |
| For-profit ownership | 1.00 | -0.69 | |
| Total nurse staffing (HPRD) | 2.05 | +0.49 | |
| Deficiencies, last 12 months | 10.00 | -0.43 | |
| Staffing trend, last 4 quarters | -0.79 | -0.39 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Current owner tenure (years) | 3.33 | -0.25 |
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.
Staffing vs peers
16| 2025Q4 HPRD | This facility | MI median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.05 | 3.52 | 3.28 | 2.90–3.77 |
| RN | 0.00 | 0.47 | 0.39 | 0.25–0.58 |
| Weekend total | 2.05 | 3.32 | 3.11 | — |
| Weekday total | 2.05 | 3.61 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 57.7 | 2.05 | 0.00 | 0.00 | 2.05 | 2.05 | 0.0% |
| 2025Q3 | 92 | 57.6 | 2.10 | 0.11 | 0.08 | 1.90 | 2.16 | 0.0% |
| 2025Q2 | 91 | 61.8 | 2.65 | 0.45 | 0.41 | 1.79 | 2.46 | 0.2% |
| 2025Q1 | 90 | 66.4 | 2.71 | 0.51 | 0.49 | 1.71 | 2.55 | 0.0% |
| 2024Q4 | 92 | 58.5 | 2.84 | 0.49 | 0.57 | 1.79 | 2.59 | 0.0% |
| 2024Q3 | 92 | 50.1 | 3.04 | 0.58 | 0.55 | 1.91 | 2.95 | 0.0% |
| 2024Q2 | 91 | 46.5 | 3.47 | 0.67 | 0.70 | 2.09 | 3.28 | 0.0% |
| 2024Q1 | 91 | 51.4 | 2.98 | 0.53 | 0.67 | 1.78 | 2.87 | 0.0% |
| 2023Q4 | 92 | 51.5 | 2.95 | 0.40 | 0.73 | 1.82 | 2.91 | 0.0% |
| 2023Q3 | 92 | 56.5 | 3.18 | 0.40 | 0.88 | 1.90 | 3.05 | 13.0% |
| 2023Q2 | 91 | 58.3 | 2.73 | 0.31 | 0.70 | 1.72 | 2.55 | 0.0% |
| 2023Q1 | 90 | 56.1 | 2.96 | 0.37 | 0.70 | 1.89 | 2.67 | 0.0% |
| 2022Q4 | 92 | 57.5 | 2.82 | 0.39 | 0.63 | 1.80 | 2.59 | 0.0% |
| 2022Q3 | 92 | 60.5 | 2.41 | 0.50 | 0.43 | 1.48 | 2.20 | 3.0% |
| 2022Q2 | 91 | 54.4 | 2.57 | 0.52 | 0.36 | 1.70 | 2.26 | 7.6% |
| 2022Q1 | 90 | 57.6 | 2.75 | 0.61 | 0.48 | 1.66 | 2.47 | 0.3% |
HPRD is census-weighted: total hours over the quarter divided by total resident-days, not an average of daily ratios. Source is CMS Payroll-Based Journal daily records; only SNFs report PBJ, so other settings legitimately return zero rows.
Penalties
4fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-04-17 | Fine | $51,875 | CMS provider data |
| 2025-04-17 | Payment Denial | — | CMS provider data |
| 2024-02-09 | Fine | $82,071 | CMS provider data |
| 2024-02-09 | Payment Denial | — | CMS provider data |
Total fines on record: $133,946
Deficiencies
111B × 3C × 1D × 57E × 34F × 12G × 3J × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-03-06 | Health · complaint | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | E | 2026-03-27 |
| 2026-03-06 | Health · complaint | F0680 | Ensure the activities program is directed by a qualified professional. | D | 2026-03-27 |
| 2026-03-06 | Health · complaint | F0726 | 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. | E | 2026-05-15 |
| 2026-03-06 | Health · complaint | F0801 | 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. | F | 2026-05-15 |
| 2026-03-06 | Health · complaint | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | 2026-05-15 |
| 2026-03-06 | Health · complaint | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | 2026-05-15 |
| 2026-01-22 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2026-02-20 |
| 2026-01-22 | Health · complaint | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | 2026-02-20 |
| 2026-01-22 | Health · complaint | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | 2026-02-20 |
| 2025-09-10 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-10-04 |
| 2025-05-12 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-06-20 |
| 2025-05-12 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2025-06-20 |
| 2025-05-12 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | 2025-08-15 |
| 2025-05-12 | Health | F0578 | Honor 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. | D | 2025-06-20 |
| 2025-05-12 | Health | F0584 | 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. | D | 2025-06-20 |
| 2025-05-12 | Health | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | 2025-06-20 |
| 2025-05-12 | Health | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | 2025-06-20 |
| 2025-05-12 | Health | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | 2025-08-15 |
| 2025-05-12 | Health | F0637 | Assess the resident when there is a significant change in condition | D | 2025-06-20 |
| 2025-05-12 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2025-08-15 |
| 2025-05-12 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2025-08-15 |
| 2025-05-12 | Health | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2025-08-15 |
| 2025-05-12 | Health | F0679 | Provide activities to meet all resident's needs. | D | 2025-06-20 |
| 2025-05-12 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2025-06-20 |
| 2025-05-12 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2025-06-20 |
| 2025-05-12 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2025-08-15 |
| 2025-05-12 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2025-06-20 |
| 2025-05-12 | Health | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | 2025-06-20 |
| 2025-05-12 | Health | F0732 | Post nurse staffing information every day. | C | 2025-06-20 |
| 2025-05-12 | Health | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | 2025-06-20 |
| 2025-05-12 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2025-06-20 |
| 2025-05-12 | Health | F0761 | 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. | E | 2025-08-15 |
| 2025-05-12 | Health | F0809 | Ensure 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. | E | 2025-06-20 |
| 2025-05-12 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-06-20 |
| 2025-05-12 | Health | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | 2025-08-15 |
| 2025-05-12 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2025-06-20 |
| 2025-05-12 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2025-08-15 |
| 2025-05-12 | Health | F0887 | 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. | B | 2025-06-20 |
| 2025-05-12 | Health | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | 2025-06-20 |
| 2025-05-12 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | 2025-06-20 |
| 2025-04-17 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2025-05-12 |
| 2025-04-17 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2025-06-17 |
| 2025-04-17 | Health · complaint | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | 2025-05-12 |
| 2024-12-18 | Health · complaint | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | 2025-01-31 |
| 2024-09-26 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-10-28 |
| 2024-09-26 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-10-28 |
| 2024-03-19 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-04-22 |
| 2024-03-19 | Health | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2024-06-06 |
| 2024-03-19 | Health | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | 2024-06-06 |
| 2024-03-19 | Health · complaint | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2024-06-06 |
| 2024-03-19 | Health | F0622 | 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. | D | 2024-04-22 |
| 2024-03-19 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2024-04-22 |
| 2024-03-19 | Health · complaint | F0625 | Notify 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. | D | 2024-06-06 |
| 2024-03-19 | Health | F0637 | Assess the resident when there is a significant change in condition | D | 2024-04-22 |
| 2024-03-19 | Health | F0641 | Ensure each resident receives an accurate assessment. | E | 2024-04-22 |
| 2024-03-19 | Health · complaint | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2024-06-06 |
| 2024-03-19 | Health | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2024-06-06 |
| 2024-03-19 | Health | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | D | 2024-04-22 |
| 2024-03-19 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-04-22 |
| 2024-03-19 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-06-06 |
| 2024-03-19 | Health | F0688 | Provide 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. | D | 2024-04-22 |
| 2024-03-19 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2024-04-22 |
| 2024-03-19 | Health | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | G | 2024-04-22 |
| 2024-03-19 | Health | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | 2024-04-22 |
| 2024-03-19 | Health | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | 2024-06-06 |
| 2024-03-19 | Health | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | 2024-04-22 |
| 2024-03-19 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2024-04-22 |
| 2024-03-19 | Health | F0758 | Implement 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. | D | 2024-04-22 |
| 2024-03-19 | Health | F0761 | 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. | E | 2024-06-06 |
| 2024-03-19 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-06-06 |
| 2024-03-19 | Health · complaint | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | 2024-06-06 |
| 2024-03-19 | Health · complaint | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | 2024-06-06 |
| 2024-03-19 | Health | F0881 | Implement a program that monitors antibiotic use. | F | 2024-04-22 |
| 2024-03-19 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2024-04-22 |
| 2024-03-19 | Health | F0887 | 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. | D | 2024-04-22 |
| 2024-03-19 | Health | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | 2024-06-06 |
| 2024-03-19 | Health · complaint | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | 2024-06-06 |
| 2024-03-19 | Health · complaint | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | 2024-04-22 |
| 2024-02-09 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2024-03-04 |
| 2024-02-09 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | B | 2024-03-04 |
| 2022-12-22 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2023-01-31 |
| 2022-12-22 | Health | F0559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | 2023-01-31 |
| 2022-12-22 | Health | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | D | 2023-01-31 |
| 2022-12-22 | Health | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | B | 2023-01-31 |
| 2022-12-22 | Health | F0578 | Honor 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. | D | 2023-01-31 |
| 2022-12-22 | Health | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2023-01-31 |
| 2022-12-22 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-01-31 |
| 2022-12-22 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2023-01-31 |
| 2022-12-22 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2023-01-31 |
| 2022-12-22 | Health | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | 2023-01-31 |
| 2022-12-22 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2023-01-31 |
| 2022-12-22 | Health | F0679 | Provide activities to meet all resident's needs. | E | 2023-01-31 |
| 2022-12-22 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2023-01-31 |
| 2022-12-22 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2023-01-31 |
| 2022-12-22 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2023-01-31 |
| 2022-12-22 | Health | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | 2023-01-31 |
| 2022-12-22 | Health | F0726 | 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. | E | 2023-01-31 |
| 2022-12-22 | Health | F0727 | Have 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. | D | 2023-01-31 |
| 2022-12-22 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | D | 2023-01-31 |
| 2022-12-22 | Health | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | E | 2023-01-31 |
| 2022-12-22 | Health | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | 2023-01-31 |
| 2022-12-22 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2023-01-31 |
| 2022-12-22 | Health | F0761 | 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. | D | 2023-01-31 |
| 2022-12-22 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-01-31 |
| 2022-12-22 | Health | F0839 | Employ staff that are licensed, certified, or registered in accordance with state laws. | D | 2023-01-31 |
| 2022-12-22 | Health | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | 2023-01-31 |
| 2022-12-22 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2023-01-31 |
| 2022-12-22 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2023-01-31 |
| 2022-12-22 | Health | F0887 | 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. | E | 2023-01-31 |
| 2022-12-22 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | 2023-01-31 |
| 2022-12-22 | Health | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | 2023-01-31 |
scope_severity uses the CMS letter grid: A is least serious, L most. J, K and L are immediate jeopardy. Rows are the surveyor's findings of record, not the model's opinion.
Licensure actions
0No licensure actions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Ownership
19| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| PINNACLE BATTLE CREEK HOLDING LLC | Individual has financial interest in both related organization and provider | 100% | 2023-04-01 | current | hcris_a_8_1 |
| PINNACLE BATTLE CREEK HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2023-04-01 | current | pecos_ownership |
| PINNACLE BATTLE CREKK HOLDING LLC | Individual has financial interest in both related organization and provider | 100% | 2023-04-01 | current | hcris_a_8_1 |
| ISHAKIS, YOCHANAN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 60% | 2023-04-01 | current | pecos_ownership |
| LEVINE, YISROEL | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 40% | 2023-04-01 | current | pecos_ownership |
| EVANS, KAY | W-2 MANAGING EMPLOYEE | — | 2023-05-18 | current | pecos_ownership |
| MENDOZA, VIOLET | W-2 MANAGING EMPLOYEE | — | 2023-04-01 | current | pecos_ownership |
| PINNACLE BATTLE CREEK HOLDING LLC | Individual has financial interest in both related organization and provider | — | 2024-01-01 | current | hcris_a_8_1 |
| PINNACLE BATTLE CREKK HOLDING LLC | Individual has financial interest in both related organization and provider | — | 2024-01-01 | current | hcris_a_8_1 |
| ZENITH CARE LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-04-01 | current | pecos_ownership |
| RHEMA BC RE | Individual has financial interest in both related organization and provider | 100% | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| RHEMA BC RE | Individual has financial interest in both related organization and provider | 100% | 2021-01-01 | ended 2021-06-30 | hcris_a_8_1 |
| YOCHANAN ISHAKIS | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 60% | 2023-04-01 | ended 2026-05-18 | pecos_ownership |
| YISROEL LEVINE | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 40% | 2023-04-01 | ended 2026-05-18 | pecos_ownership |
| BATTLE CREEK MI PROPCO LLC | Corporation, partnership or other organization has financial interest in provider | — | 2023-01-01 | ended 2023-03-31 | hcris_a_8_1 |
| BATTLE CREEK MI PROPCO LLC | Corporation, partnership or other organization has financial interest in provider | — | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| BATTLE CREEK MI PROPCO LLC | Corporation, partnership or other organization has financial interest in provider | — | 2021-07-01 | ended 2021-12-31 | hcris_a_8_1 |
| KAY EVANS | W-2 MANAGING EMPLOYEE | — | 2023-05-18 | ended 2026-05-18 | pecos_ownership |
| VIOLET MENDOZA | W-2 MANAGING EMPLOYEE | — | 2023-04-01 | ended 2026-05-18 | pecos_ownership |
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Transactions
1| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2023-04-01 | — | PINNACLE CARE OF BATTLE CREEK LLC | MOMENTOUS HEALTH AT BATTLE CREEK | chow |
Comparable trades — MI snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-09-01 | Niles Care Center, LLC | — | — | — | 100 | NILES CARE CENTER LLC |
| 2025-07-01 | Medilodge of Zeeland | — | — | — | 138 | ZEELAND OPCO LLC |
| 2025-07-01 | Optalis Health & Rehabilitation of Muskegon | — | — | — | 107 | OPTALIS MUSKEGON OPCO LLC |
| 2025-07-01 | Optalis Health & Rehabilitation at Kent-Crossing | — | — | — | 182 | OPTALIS BELTLINE OPCO LLC |
| 2025-07-01 | Optalis Health & Rehabilitation at Leonard | — | — | — | 69 | OPTALIS LEONARD OPCO LLC |
| 2025-07-01 | Optalis Health & Rehabilitation of Ionia | — | — | — | 107 | OPTALIS IONIA OPCO LLC |
| 2025-04-01 | The Orchards at Big Rapids | — | — | — | 100 | BIG RAPIDS MI OPCO LLC |
| 2024-12-31 | The Orchards at Lapeer | — | — | — | 87 | LAPEER MI OPCO LLC |
| 2024-12-01 | Wexford Senior Care Center | — | — | — | 133 | WEXFORD SENIOR CARE CENTER, LLC |
| 2024-11-01 | The Orchards at Canterbury on the Lake | — | — | — | 128 | CANTERBURY MI OPCO LLC |
| 2024-09-03 | Villa at Borgess Place | — | — | — | 101 | VILLA AT BORGESS PLACE LLC |
| 2024-08-07 | Optalis Health and Rehabilitation of Grand Rapids | — | — | — | 120 | OPTALIS GRAND RAPIDS OPCO LLC |
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.
Market rent context
35| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 26025 | acs median gross | 0 | $777 | 2024-12-31 | CENSUS_ACS5 |
| county 26025 | fmr | 0 | $833 | 2025-10-01 | HUD_USER_FMR |
| county 26025 | acs median gross | 1 | $814 | 2024-12-31 | CENSUS_ACS5 |
| county 26025 | fmr | 1 | $976 | 2025-10-01 | HUD_USER_FMR |
| county 26025 | acs median gross | 2 | $1,047 | 2024-12-31 | CENSUS_ACS5 |
| county 26025 | fmr | 2 | $1,176 | 2025-10-01 | HUD_USER_FMR |
| county 26025 | acs median gross | 3 | $1,091 | 2024-12-31 | CENSUS_ACS5 |
| county 26025 | fmr | 3 | $1,410 | 2025-10-01 | HUD_USER_FMR |
| county 26025 | acs median gross | 4 | $1,339 | 2024-12-31 | CENSUS_ACS5 |
| county 26025 | fmr | 4 | $1,565 | 2025-10-01 | HUD_USER_FMR |
| county 26025 | acs median gross | 5 | $1,313 | 2024-12-31 | CENSUS_ACS5 |
| county 26025 | acs median gross | $968 | 2024-12-31 | CENSUS_ACS5 | |
| county 26025 | acs recent mover gross | $1,044 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 49017 | acs median gross | 0 | $863 | 2024-12-31 | CENSUS_ACS5 |
| zcta 49017 | acs median gross | 1 | $836 | 2024-12-31 | CENSUS_ACS5 |
| zcta 49017 | acs median gross | 2 | $1,084 | 2024-12-31 | CENSUS_ACS5 |
| zcta 49017 | acs median gross | 3 | $1,087 | 2024-12-31 | CENSUS_ACS5 |
| zcta 49017 | acs median gross | 4 | $2,025 | 2024-12-31 | CENSUS_ACS5 |
| zcta 49017 | acs median gross | $983 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 49017 | acs recent mover gross | $1,099 | 2024-12-31 | CENSUS_ACS5 | |
| zip 49017 | payment standard 110 | 0 | $902 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49017 | payment standard 90 | 0 | $738 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49017 | safmr | 0 | $820 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49017 | payment standard 110 | 1 | $1,045 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49017 | payment standard 90 | 1 | $855 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49017 | safmr | 1 | $950 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49017 | payment standard 110 | 2 | $1,265 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49017 | payment standard 90 | 2 | $1,035 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49017 | safmr | 2 | $1,150 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49017 | payment standard 110 | 3 | $1,529 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49017 | payment standard 90 | 3 | $1,251 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49017 | safmr | 3 | $1,390 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49017 | payment standard 110 | 4 | $1,705 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49017 | payment standard 90 | 4 | $1,395 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49017 | safmr | 4 | $1,550 | 2025-10-01 | HUD_USER_SAFMR |
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.