Nursing HomeInspections

Hillsdale County Medical Care Facility

Nursing home in Hillsdale, MI

Medicare & Medicaid certified3★ overall (CMS)CMS abuse icon

Call (517) 439-9341Send a messageMap ↗

Public-record details

Address
140 W Mechanic Street, Hillsdale, MI 49242
Phone
(517) 439-9341
Listed under
Government-owned
Medicare CCN
235197
Overall star rating
3 of 5 ★★★☆☆
Health inspection rating
2 of 5
Staffing rating
5 of 5
Quality measures rating
4 of 5
Certified beds
170
Average residents per day
131
Ownership
Government, county
Legal business name
County of Hillsdale
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Apr 6, 1970
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 235197. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Feb 26, 2026. CMS lists 25 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 4, 2023 to Feb 26, 2026): 8 from complaint inspections, 5 at the “actual harm” level or higher. CMS shows its abuse icon for this facility, which it uses for nursing homes cited for abuse at the harm level recently or at the potential-harm level in each of the last two years.

InspectionCitationSeverity
Feb 26, 2026Honor 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…
Resident Rights		D
Potential for more than minimal harm, isolated
Feb 26, 2026Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Feb 26, 2026Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Feb 26, 2026Provide 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.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Feb 26, 2026Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Oct 2, 2025Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Oct 2, 2025Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Oct 2, 2025Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Oct 2, 2025Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		G
Actual harm, isolated
Oct 2, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection		G
Actual harm, isolated
Sep 15, 2025Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Sep 15, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 25. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 3 fines totalling $314,537 and 1 denial of Medicare payment for new admissions in the last three years.

Sep 15, 2025Fine: $169,320
Dec 10, 2024Fine: $64,227
Dec 10, 2024Payment denial for 10 days from Jan 3, 2025
Apr 22, 2024Fine: $80,990

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
5.38 hours
Registered nurse (RN) time per resident per day
0.67 hours
Nurse aide time per resident per day
3.76 hours
Total nurse staffing on weekends
4.68 hours
Nursing staff turnover (yearly)
34%
RN turnover (yearly)
21%

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Hillsdale

Hillsdale Hospital McGuire & Macritchie Long Term168 South Howell Street · Hillsdale, MI 49242 · (517) 437-5440 · Nonprofit9 health citations in 3 inspection cycles · last standard inspection Dec 22, 2025 · no CMS fines in 3 yrsMedicare & Medicaid certified5★ overall (CMS)

All 2 in Hillsdale →