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140 W Mechanic Street Hillsdale, MI 49242 · Hillsdale County
All 2 nursing homes in Hillsdale, MI (2 take Medicaid)
CMS certification number 235197 · See this home on Medicare Care Compare
Is Hillsdale County Medical Care Facility a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Hillsdale County Medical Care Facility as of October 2026.
CMS rates it 2 out of 5 stars overall, below the Michigan average of 3.2.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 5.36 hours per resident per day at Hillsdale County Medical Care Facility, above the Michigan median of 3.86 (US median: 3.72). About 0.66 of those hours are from registered nurses. On weekends it falls to 4.63 hours, 14% below its all-week average. 35.1% of nursing staff left within a year (Michigan median 43.8%).
About this nursing home
Paying for care at Hillsdale County Medical Care Facility: Medicare and Medicaid
Hillsdale County Medical Care Facility is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Michigan's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on February 26, 2026 and found 5 deficiencies, plus 5 from complaint inspections in the same period. In total, inspectors issued 25 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 25 citations at Hillsdale County Medical Care Facility across 6 inspection dates, 8 of them from complaint investigations. 5 were at the actual-harm level (G–I), most recently on October 2, 2025. The most common areas cited were freedom from abuse, neglect, and exploitation (8) and quality of life and care (8). The most serious was cited under the CMS rule to "provide appropriate pressure ulcer care and prevent new ulcers from developing" (tag F0686, level H, April 22, 2024). 8 citations were under CMS's abuse, neglect and exploitation rules.
February 26, 2026 · 5 citations
DHonor 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.
DEnsure each resident receives an accurate assessment.
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
DProvide 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.
DProvide and implement an infection prevention and control program.
October 2, 2025 · 5 citations, includes actual harm · includes complaint inspection
GProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
GProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DRespond appropriately to all alleged violations.
September 15, 2025 · 2 citations · includes complaint inspection
DEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
December 10, 2024 · 6 citations, includes actual harm
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
ETimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
ERespond appropriately to all alleged violations.
DEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
April 22, 2024 · 1 citation, includes actual harm · includes complaint inspection
HProvide appropriate pressure ulcer care and prevent new ulcers from developing.
October 4, 2023 · 6 citations, includes actual harm
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DAssist a resident in gaining access to vision and hearing services.
DEnsure 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.
DMake sure that a working call system is available in each resident's bathroom and bathing area.
BEnsure each resident receives an accurate assessment.
Questions to ask on a tour of Hillsdale County Medical Care Facility
- Inspectors cited the home at the actual-harm level on April 22, 2024 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on October 2, 2025. How are staff trained, and how are concerns reported?
- CMS rates short-stay quality 1 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
4 penalties in the last three years, including $255,275 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Sep 15, 2025 | Fine | $110,058 |
| Dec 10, 2024 | Fine | $64,227 |
| Dec 10, 2024 | Payment Denial | 10 days of payments denied |
| Apr 22, 2024 | Fine | $80,990 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 2/5 | 2/5 | 4/5 | 2/5 |
| August 2026 | 3/5 | 2/5 | 5/5 | 4/5 |
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Location
Hospitals near Hillsdale County Medical Care Facility
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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1.6 mi
Hillsdale Community Health Center HillsdaleEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 3h 0m for patients treated and sent home
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17.8 mi
Insight Hospital and Medical Center Coldwater ColdwaterEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 2h 30m for patients treated and sent home
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23.9 mi
Community Hospitals and Wellness Centers MontpelierEmergency roomMedian ER visit 1h 31m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Hillsdale County Medical Care Facility › All nursing homes in Hillsdale ›
Compare Hillsdale County Medical Care Facility with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Hillsdale Hospital McGuire & Macritchie Long Term · Hillsdale · 5 stars · 1.6 mi
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.