Calhoun County Medical Care: Abuse Substantiated - MI
That exchange, documented in a November 2025 federal inspection report at Calhoun County Medical Care Facility, sits at the center of a substantiated abuse finding that left a resident with both physical injuries and emotional distress. Two certified nursing assistants, identified in the report as CNA L and CNA D, were fired four days after the incident. The federal government rated the harm as actual, not potential.
The incident occurred on November 7, 2025.
What the inspection report describes is a resident, identified only as R1, standing next to her bed and raising her voice. CNA D was present in the room. So was CNA L. At some point a second staff member entered and directed the question to CNA L: is everything alright in here? CNA L said yes. R1 said no, and told the staff member what was happening. She keeps pushing me, R1 said. She keeps pulling on my arms and telling me to lay down.
CNA D's account, as recorded by inspectors, was that R1 wanted CNA L out of her room and wanted the police called.
The facility investigated. It substantiated the allegations against both aides. Its own findings concluded that what CNA L and CNA D did caused and contributed to the emotional distress and physical injuries R1 sustained that day. Both were terminated on November 11, 2025.
What makes the finding harder to set aside is what was already in both employees' personnel files.
CNA L had received training on preventing, recognizing, and reporting abuse in January 2024. She had completed a separate course on abuse prevention and the Elder Justice Act in July 2023. She had dementia-specific training in April 2024. By the time R1 was standing next to her bed screaming for police, CNA L had cycled through the curriculum more than once.
CNA D's record looked similar. Abuse prevention and Elder Justice Act training in March 2025. Dementia training in July 2025, just four months before the incident.
The training did not stop what happened on November 7.
Federal inspectors tagged the violation under F0600, the regulation covering abuse, neglect, and exploitation. The level of harm was marked actual. The number of residents affected was listed as few, the inspection report's lowest category by count but not by consequence.
What the report does not say is also worth noting. It does not describe what physical injuries R1 sustained. It does not say whether she was treated, whether she required medical attention, or what her condition was in the days that followed. It does not say how long the incident lasted before the second staff member walked in, or what prompted that person to enter the room. It does not say whether R1 had a history of interactions with CNA L, or whether any concerns had been raised about either aide before November 7.
The inspection was complaint-driven, meaning someone reported what happened before federal surveyors arrived. The report does not identify who filed the complaint.
What it does document, in CNA L's own employee file, is an email. The email described a resident standing next to her bed raising her voice. A staff member came in and asked if everything was alright. CNA L said yes. The resident said no, and said CNA L keeps pushing me and pulling on my arms telling me to lay down.
That account appears twice in the inspection record, once as CNA D's statement and once as documentation already sitting in CNA L's file. The facility had the information. It investigated. It reached the same conclusion the federal record now reflects: the abuse happened, it was substantiated, and it caused real harm to a real person.
R1 is not named. Her age is not given. The report identifies her only by a number and by what she said, loudly enough that another staff member came to check, and clearly enough that when asked directly, she described exactly what was being done to her.
She said she wanted the police called.
The inspection report, filed November 24, 2025, is now part of the federal record for Calhoun County Medical Care Facility in Battle Creek. The two aides who were present in that room on November 7 no longer work there. What R1 sustained that day, the physical injuries and the emotional distress the facility's own investigation confirmed, is documented. What it cost her is not something the inspection report measures.
She was standing next to her bed, raising her voice, asking for someone to make it stop. Another staff member finally walked in. CNA L said everything was fine.
R1 said it was not.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Calhoun County Medical Care Facility from 2025-11-24 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 24, 2026 · Our methodology
Calhoun County Medical Care Facility in Battle Creek, MI was cited for abuse-related violations during a health inspection on November 24, 2025.
Two certified nursing assistants, identified in the report as CNA L and CNA D, were fired four days after the incident.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.