facebook tracking Hillsdale County Medical Care Facility, Hillsdale MI
Skip to content

Hillsdale County Medical Care Facility

All states › Michigan › Hillsdale › Hillsdale County Medical Care Facility

140 W Mechanic Street Hillsdale, MI 49242 · Hillsdale County

(517) 439-9341

All 2 nursing homes in Hillsdale, MI (2 take Medicaid)

Cited for abuse Accepts Medicare Accepts Medicaid 170 certified beds Government

CMS certification number 235197 · See this home on Medicare Care Compare

CMS abuse icon CMS marks this nursing home with its abuse icon. CMS shows the icon for homes with abuse citations in recent inspections: an abuse citation where residents were harmed (scope and severity G or higher) within the past year, or abuse citations at D or higher (potential for harm) in each of the last two years. Shown as of October 2026. Details on Care Compare.

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

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. Inspectors issued 25 citations in the last three years. CMS imposed 4 penalties, including $255,275 in fines, in that time. For short-term rehab patients CMS rates quality 1 out of 5; for long-term residents, 3 out of 5. Those results differ a lot, so ask about the unit your family member would be on. CMS currently shows its abuse icon for this home (see above).

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%).

Nursing care per resident per day 5.36 hours
Above the Michigan median of 3.86 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.66 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 4.63 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 35.1% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 32% a year Share of registered nurses who left over a year.
Administrators who left — Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds170
Residents per day 135 About 79% of beds filled, on average
OwnershipGovernment - County
Payment acceptedMedicare and Medicaid
Certified sinceApril 1970
Legal business nameCOUNTY OF HILLSDALE

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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0578 · Deficient, Provider has date of correction (Mar 20, 2026)

DEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Deficient, Provider has date of correction (Mar 20, 2026)

DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0655 · Deficient, Provider has date of correction (Mar 20, 2026)

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.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0688 · Deficient, Provider has date of correction (Mar 20, 2026)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Mar 20, 2026)

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.

Actual harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Deficient, Provider has date of correction (Oct 30, 2025)

GProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Actual harm · Quality of Life and Care Deficiencies · Tag F0684 · Complaint inspection · Deficient, Provider has date of correction (Oct 30, 2025)

DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 · Complaint inspection · Deficient, Provider has date of correction (Oct 30, 2025)

DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Complaint inspection · Deficient, Provider has date of correction (Oct 30, 2025)

DRespond appropriately to all alleged violations.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 · Complaint inspection · Deficient, Provider has date of correction (Oct 30, 2025)

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.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0604 · Complaint inspection · Deficient, Provider has date of correction (Oct 8, 2025)

DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Oct 8, 2025)

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.

Actual harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Jan 9, 2025)

ETimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Deficient, Provider has date of correction (Jan 9, 2025)

ERespond appropriately to all alleged violations.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 · Deficient, Provider has date of correction (Jan 9, 2025)

DEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0604 · Deficient, Provider has date of correction (Jan 9, 2025)

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Jan 9, 2025)

DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0690 · Deficient, Provider has date of correction (Jan 9, 2025)

April 22, 2024 · 1 citation, includes actual harm · includes complaint inspection

HProvide appropriate pressure ulcer care and prevent new ulcers from developing.

Actual harm · Quality of Life and Care Deficiencies · Tag F0686 · Complaint inspection · Deficient, Provider has date of correction (May 17, 2024)

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.

Actual harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Oct 20, 2023)

DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Deficient, Provider has date of correction (Oct 20, 2023)

DAssist a resident in gaining access to vision and hearing services.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0685 · Deficient, Provider has date of correction (Oct 20, 2023)

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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Oct 20, 2023)

DMake sure that a working call system is available in each resident's bathroom and bathing area.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0919 · Deficient, Provider has date of correction (Oct 20, 2023)

BEnsure each resident receives an accurate assessment.

Potential for minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Deficient, Provider has date of correction (Oct 20, 2023)

Questions to ask on a tour of Hillsdale County Medical Care Facility

  1. 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?
  2. CMS cited the home under its abuse and neglect rules on October 2, 2025. How are staff trained, and how are concerns reported?
  3. 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?
  4. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  5. 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.

DateTypeAmount 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 monthOverallInspectionStaffingQuality
October 2026 2/5 2/5 4/5 2/5
August 2026 3/5 2/5 5/5 4/5
Add this rating badge to your websiteFree. Shows Hillsdale County Medical Care Facility's Medicare star rating and updates itself.

Size and colour

Preview

Hillsdale County Medical Care Facility Medicare star rating badge

Paste it where the badge should appear: in WordPress, a Custom HTML block or a footer widget; on other sites, any spot that accepts HTML. The badge updates itself when CMS publishes new ratings.

Examples, sizes and help on the badge page ›

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.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Hillsdale Hospital McGuire & Macritchie Long Term Hillsdale · 1.6 mi away ★★★★★ Inspection 5/5 · Staffing 5/5 38 beds · Medicaid
The Laurels of Coldwater Coldwater · 17.4 mi away ★★☆☆☆ Inspection 2/5 · Staffing 3/5 169 beds · Medicaid
Maple Lawn Medical Care Facility Coldwater · 17.8 mi away ★★★★★ Inspection 4/5 · Staffing 5/5 114 beds · Medicaid
Arbor Manor Rehabilitation and Nursing Center Spring Arbor · 19.5 mi away ★★★☆☆ Inspection 3/5 · Staffing 4/5 122 beds · Medicaid
Cascade Senior Care Center Jackson · 22.6 mi away ★★★☆☆ Inspection 3/5 · Staffing 2/5 108 beds · Medicaid

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

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.

Compare

https://www.nursinghomesineachstate.com/michigan/hillsdale/hillsdale-county-medical-care-facility/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.