Hillsdale County Medical Care Facility
140 W Mechanic Street, Hillsdale, MI 49242 · (517) 439-9341
Government - County · 170 certified beds
Abuse icon Medicare's Care Compare says: “This nursing home has been cited for abuse.” Medicare marks homes recently cited for harm or potential harm from abuse or neglect, and caps their health inspection rating at 2 stars.
Hillsdale County Medical Care Facility has a 3-star overall rating from Medicare, out of 5. Its last standard inspection, in February 2026, found 5 citations (the Michigan average is 9.9). It was fined 3 times in the last three years, $255,275 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 3 out of 5 stars · Average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 2 out of 5 stars · Below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 4 out of 5 stars · Above average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 5 out of 5 stars · Much above average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on February 26, 2026 found 5 citations. What an inspection citation means
- Honor 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.February 26, 2026 · F0578 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident receives an accurate assessment.February 26, 2026 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedFebruary 26, 2026 · F0655 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide 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.February 26, 2026 · F0688 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.February 26, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 8 citations.
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.October 2, 2025 · F0600 · Level of harm: Actual harm · Residents affected: Few
- Develop and implement policies and procedures to prevent abuse, neglect, and theft.October 2, 2025 · F0607 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.October 2, 2025 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Respond appropriately to all alleged violations.October 2, 2025 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.October 2, 2025 · F0684 · Level of harm: Actual harm · Residents affected: Few
- Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.September 15, 2025 · F0604 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.September 15, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.April 22, 2024 · F0686 · Level of harm: Actual harm · Residents affected: Some
Fines and payment denials
- Fine of $110,058September 15, 2025
- Fine of $64,227December 10, 2024
- Fine of $80,990April 22, 2024
- Medicare payment denial for 10 daysStarting January 3, 2025
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Michigan average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 5.38 | 3.99 | 3.86 |
| Registered nurses (RN) | 0.67 | 0.78 | 0.69 |
| Licensed practical nurses (LPN) | 0.95 | 0.88 | 0.86 |
| Nurse aides | 3.76 | 2.33 | 2.32 |
| Total nursing staff turnover | 34% | 44.1% | 45.8% |
About this home
| Ownership | Government - County |
| Certified beds | 170 |
| Average residents per day | 130.9 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Hillsdale Hospital McGuire & Macritchie Long Term Hillsdale · ★★★★★ 5 out of 5 stars
- Lynwood Manor Healthcare Center Adrian · ★★★★★ 3 out of 5 stars
- Lenawee Medical Care Facility Adrian · ★★★★★ 3 out of 5 stars
- Adrian Bay Rehabilitation and Nursing Center Adrian · ★★★★★ 2 out of 5 stars
- Springcreek Rehabilitation and Nursing Center Adrian · ★★★★★ 2 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Hillsdale County Medical Care Facility on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.