Hillsdale County Medical Care Facility

140 W Mechanic Street, Hillsdale, MI 49242 · CCN 235197 · 170 certified beds · Data as of 2026-07-01

CMS overall3 of 5CMS inspections2 of 5CMS staffing5 of 5CMS quality4 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 4 citation(s) in the last three years where CMS determined a resident was actually harmed.

CMS has flagged this facility with its abuse icon, which marks facilities cited for abuse in recent inspections.

Serious inspection findings

2025-10-02 ACTUAL HARM (tag F0684, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2025-10-02 ACTUAL HARM (tag F0600, severity G)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2024-12-10 ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-04-22 ACTUAL HARM (tag F0686, severity H)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2023-10-04 ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Staffing, from payroll records

Nursing hours / resident / day

5.05

state median 3.44

Weekend staffing gap

−13%

fewer nursing hours on weekends · state median −6%

RN hours / resident / day

0.56

registered nurses only

Contract (agency) staff

0%

share of all nursing hours

Nursing staff turnover

34%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

4 enforcement action(s), totaling $314,537 in fines.

DateTypeAmount
2025-09-15Fine$169,320
2024-12-10Fine$64,227
2024-12-10Payment Denialpayment denial
2024-04-22Fine$80,990

Ownership

Ownership type: Government - County.

Full citation history

By severity: No harm, potential for minimal harm: 1 · Actual harm: 5 · Potential for more than minimal harm: 19

Survey dateTagCategorySeverityCorrected
2026-02-26F0578Resident Rights DeficienciesDnot recorded
2026-02-26F0641Resident Assessment and Care Planning DeficienciesDnot recorded
2026-02-26F0655Resident Assessment and Care Planning DeficienciesDnot recorded
2026-02-26F0688Quality of Life and Care DeficienciesDnot recorded
2026-02-26F0880Infection Control DeficienciesDnot recorded
2025-10-02F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesGnot recorded
2025-10-02F0607Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2025-10-02F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2025-10-02F0610Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2025-10-02F0684Quality of Life and Care DeficienciesGnot recorded
2025-09-15F0604Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2025-09-15F0689Quality of Life and Care DeficienciesDnot recorded
2024-12-10F0604Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2024-12-10F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesEnot recorded
2024-12-10F0610Freedom from Abuse, Neglect, and Exploitation DeficienciesEnot recorded
2024-12-10F0656Resident Assessment and Care Planning DeficienciesDnot recorded
2024-12-10F0689Quality of Life and Care DeficienciesGnot recorded
2024-12-10F0690Quality of Life and Care DeficienciesDnot recorded
2024-04-22F0686Quality of Life and Care DeficienciesHnot recorded
2023-10-04F0641Resident Assessment and Care Planning DeficienciesBnot recorded
2023-10-04F0657Resident Assessment and Care Planning DeficienciesDnot recorded
2023-10-04F0685Quality of Life and Care DeficienciesDnot recorded
2023-10-04F0689Quality of Life and Care DeficienciesGnot recorded
2023-10-04F0761Pharmacy Service DeficienciesDnot recorded
2023-10-04F0919Environmental DeficienciesDnot recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Hillsdale County Medical Care Facility, Hillsdale” at medicare.gov/care-compare.