Above average — CMS composite of the measures below.
The next survey window likely opens around November 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Community Pride Care Center during CMS and state inspections, most recent first.
Failure to implement the Legionella management plan and COVID test a resident with respiratory symptoms. The facility had a written Legionella policy, but the Maintenance Director, Housekeeper-L, Housekeeping Supervisor-M, DON, and Administrator all reported no knowledge of a facility-specific water management plan, water system mapping, identified risk areas, or documented implementation of the plan. The report also states A resident with signs and symptoms of a respiratory illness was not COVID tested.
Failure to document antibiotic duration or rationale for ongoing use: The facility did not have documented duration of use for prescribed antibiotics or a documented reason to continue antibiotics indefinitely for multiple residents. For one resident, orders for nitrofurantoin/Macrodantin showed daily use without an end date, and the care plan noted urinary incontinence but did not show a clinical indication for continuous antibiotic therapy.
Two residents had Ozempic syringes that were not dated after opening or access. RN-G prepared one resident's Ozempic 0.25 mg syringe, which had two doses already given, and another resident's Ozempic 1 mg syringe, which had three doses already given. The DON confirmed both syringes should have had an expiration date after the first dose was administered.
A facility failed to implement the required PPE during the care of a resident under Enhanced Barrier Precautions (EBP). The resident, with complex medical conditions and infections, required staff to wear gowns and gloves during high-contact care activities. Observations showed staff did not wear gowns, despite acknowledging the need for them. The Director of Nursing confirmed the non-compliance with EBP protocols.
A resident with mental debility fell from a bathing chair and sustained a head injury because the safety belt was not used. The facility lacked a policy for securing residents in bathing chairs and did not conduct a thorough investigation into the incident. Staff were unaware of the requirement to use safety belts, and the Director of Nursing confirmed the absence of such a policy.
A resident with mental debility and dependency on assistance for daily activities was left unattended in a bathing chair without a safety belt, resulting in a fall and head injury. Staff were unaware of the need to secure residents in bathing chairs, and the facility lacked a policy addressing this safety measure.
Failure to Implement Water Management and Respiratory Testing Procedures
Penalty
Summary
The facility failed to implement its water management policy to prevent the potential growth of Legionella in the facility water system. Review of the undated Legionella Management Policy showed the facility had defined control and management of Legionella bacteria in water systems, identified a Legionella management team, and stated that staff would take corrective actions if control limits such as temperature levels, disinfection levels, or manufacturer recommendations were not met. However, during interviews, the Maintenance Director stated he was unaware of a facility-specific water management plan, any mapping of the water system, any identified areas of concern, or any mitigation plan to reduce the likelihood of waterborne illness. Additional interviews showed the Housekeeper-L denied having training or knowledge of a plan to run water in unoccupied rooms or any training on the Legionella mitigation plan, and the Housekeeping Supervisor-M also denied any training or knowledge of the Legionella Management plan or any requirement for mitigation of waterborne illness. The DON confirmed there was no documented evidence of implementation of the Legionella management plan, and the Administrator stated he was unaware of any mitigation plan for waterborne illness, the roles required of environmental services, or any facility map of the water system identifying areas of concern or risk related to waterborne illnesses. The report also states the facility failed to COVID test Resident 6 when the resident had signs and symptoms of a respiratory illness.
Failure to Document Antibiotic Duration or Rationale for Ongoing Use
Penalty
Summary
The facility failed to document the duration of use for prescribed antibiotics or document a rationale to continue antibiotics indefinitely for Residents 15, 31, and 37. The deficiency was identified during record review and interview, and the sample size was 8 with a facility census of 45. The facility policy for the Antimicrobial Stewardship Program stated that the program was intended to promote appropriate antimicrobial use, improve antibiotic prescribing practices, and monitor antibiotic use through an established stewardship committee as part of the infection prevention and control program. For Resident 15, the After Visit Summary from the hospital discharge/admission orders to the nursing facility dated 10/3/25 included Nitrofurantoin 50 mg, 1 capsule daily, with no ordered duration for use. The physician's orders dated 10/7/25 included Macrodantin (nitrofurantoin) 50 mg, 1 capsule daily at bedtime, again with no evidence of how long the resident was to continue the medication. The care plan dated 10/16/25 noted the resident was incontinent of urine, but it did not indicate the resident was taking antibiotic medication or provide a clinical indication for continuous antibiotic use.
Unlabeled Ozempic Syringes
Penalty
Summary
Drugs and biologicals used in the facility were not labeled in accordance with accepted professional principles when multi-dose Ozempic syringes for two residents were not dated after opening or access. For Resident 2, RN-G prepared Ozempic 0.25 mg, and the syringe was observed without a date showing when it was opened or when it expired; two doses had already been administered from that syringe. Review of Resident 2's MAR showed an order for Ozempic 0.25 mg once weekly on Tuesday. For Resident 21, the Ozempic syringe was also observed without a date for when it was opened or expired, and three doses had been administered from that syringe. Review of Resident 21's MAR showed an order for Ozempic 1 mg once weekly on Thursday. The DON confirmed that both Ozempic syringes should have had an expiration date after the first dose was administered.
Failure to Implement Required PPE for Resident on Enhanced Barrier Precautions
Penalty
Summary
The facility failed to implement the required Personal Protective Equipment (PPE) during the care of a resident under Enhanced Barrier Precautions (EBP). The resident, who had a medically complex condition including coronary artery disease, peripheral vascular disease, and osteomyelitis, was known to have two ulcers and an infection of the foot. Despite the resident's condition and the presence of an EBP sign on the room door, staff did not adhere to the protocol of wearing gowns and gloves during high-contact care activities. Observations revealed that staff entered the resident's room, performed care activities such as dressing, toileting, and wound care without wearing the required gowns, although gloves were used. Interviews with staff members, including a nurse aide, a medication aide, and a registered nurse, confirmed the non-compliance with EBP protocols. Each staff member acknowledged that gowns and gloves should have been worn during high-contact care activities, yet they failed to do so. The Director of Nursing also verified that the resident was on EBP and confirmed that the required PPE was not used during the provision of care. This deficiency highlights a lapse in following infection prevention and control measures, specifically regarding the use of PPE for residents at increased risk for multidrug-resistant organisms.
Failure to Investigate Fall Incident
Penalty
Summary
The facility failed to complete a thorough investigation following a fall with injury for a resident. The resident, who had mental debility and was unable to make decisions, fell from a bathing chair and sustained a laceration to the forehead. The incident occurred when the Bathing Aide reached to grab a towel, and the resident leaned out of the bathing chair and fell. The resident was not secured with a safety belt at the time of the fall, and the facility's policy did not address the use of safety belts in bathing chairs. The Care Plan was revised after the incident to include the use of bathing straps and the presence of two staff members during bathing, but there was no evidence that an investigation was conducted to determine if the safety strap was in place during the incident. Interviews with staff revealed that they were not aware of any requirement to use the safety belt for all residents while bathing. The Director of Nursing confirmed that the facility did not have a policy for securing all residents in the bathing chairs and had no evaluation process in place to assess the safety of individual residents while bathing. The facility's report to the State Agency did not include a determination that the safety strap was not in use during the incident, indicating a lack of thorough investigation into the circumstances surrounding the fall.
Failure to Ensure Resident Safety During Bathing
Penalty
Summary
The facility failed to ensure the safety of a resident during bathing, resulting in an injury. The resident, who had a history of mental debility and was dependent on assistance for daily activities, was left unattended in a bathing chair without being secured with a safety belt. As the Bathing Aide reached for a towel, the resident leaned out of the chair and fell, hitting their head on the leg of a mechanical lift. This incident resulted in a laceration to the resident's forehead, requiring sutures and an evaluation for a head injury in the emergency room. The facility's policy did not address the use of safety belts in bathing chairs, and staff were unaware of any requirement to secure residents in the chairs during bathing. Interviews with various staff members, including nurse aides and medication aides, revealed a lack of awareness regarding the need to secure residents in bathing chairs with safety belts. The Director of Nursing confirmed that the facility did not have a policy for securing all residents in bathing chairs and had no evaluation process to assess the safety of individual residents during bathing. The resident's care plan was revised after the incident to include the use of bathing straps and the presence of two staff members during bathing, but this was not in place at the time of the incident.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Battle Creek
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| St. Joseph's Rehabilitation And Care Center | 9.1 mi | ★★★★★ | 17 | 0 |
| Heritage Of Bel Air | 9.7 mi | ★★★★★ | 0 | 0 |
| Arbor Care Centers-countryside Llc | 13 mi | ★★★★★ | 16 | 0 |
| Accura Healthcare Of Pierce | 14.9 mi | ★★★★★ | 2 | 0 |
| Stanton Health Center | 19.1 mi | ★★★★★ | 2 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.