Hillsdale County Medical Care FacilityCMS ratings, inspections and fines
- Address
- 140 W Mechanic Street, Hillsdale, MI 49242
- CCN
- 235197
- Ownership type
- Government, county
- Certified beds
- 170
- Chain
- None in the CMS record
- Residents per day
- 131
- CMS flags
- CMS abuse icon
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Hillsdale County Medical Care Facility an overall rating of 3 of 5 stars. The last standard survey was on 26 Feb 2026. The latest survey cycle has 12 health citations. The median for nursing homes in Michigan is 8. CMS lists 3 fines with a total of $314,537 for this home in its penalties file. CMS also lists 1 payment denial.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Hillsdale County median | Michigan median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 3 | 5.0 | 3.0 | 3.0 |
| Health inspection rating | 2 | 5.0 | 3.0 | 2.8 |
| Staffing rating | 5 | 5.0 | 4.0 | 2.9 |
| Quality measure rating | 4 | 4.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 2 homes in the county, 422 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Michigan median |
|---|---|---|---|
| Cycle 1 (latest) | 26 Feb 2026 | 12 | 8 |
| Cycle 2 | 10 Dec 2024 | 6 | 9 |
| Cycle 3 | No date | 7 | 10 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | I0 | ||
| No actual harm, potential for more than minimal harm | F0 | ||
| No actual harm, potential for minimal harm | A0 | C0 |
Survey cycle 1 (latest): 12 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 26 Feb 2026 | F0578 | 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. | D | Standard survey | 20 Mar 2026 |
| 26 Feb 2026 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 20 Mar 2026 |
| 26 Feb 2026 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 20 Mar 2026 |
| 26 Feb 2026 | F0688 | 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. | D | Standard survey | 20 Mar 2026 |
| 26 Feb 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 20 Mar 2026 |
| 2 Oct 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 30 Oct 2025 |
| 2 Oct 2025 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 30 Oct 2025 |
| 2 Oct 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 30 Oct 2025 |
| 2 Oct 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 30 Oct 2025 |
| 2 Oct 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 30 Oct 2025 |
| 15 Sep 2025 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Complaint investigation | 8 Oct 2025 |
| 15 Sep 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 8 Oct 2025 |
Survey cycle 2: 6 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 10 Dec 2024 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Standard survey | 9 Jan 2025 |
| 10 Dec 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Standard survey | 9 Jan 2025 |
| 10 Dec 2024 | F0610 | Respond appropriately to all alleged violations. | E | Standard survey | 9 Jan 2025 |
| 10 Dec 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 9 Jan 2025 |
| 10 Dec 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 9 Jan 2025 |
| 10 Dec 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 9 Jan 2025 |
Survey cycle 3: 7 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 22 Apr 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | H | Complaint investigation | 17 May 2024 |
| 4 Oct 2023 | F0641 | Ensure each resident receives an accurate assessment. | B | Standard survey | 20 Oct 2023 |
| 4 Oct 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 20 Oct 2023 |
| 4 Oct 2023 | F0685 | Assist a resident in gaining access to vision and hearing services. | D | Standard survey | 20 Oct 2023 |
| 4 Oct 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 20 Oct 2023 |
| 4 Oct 2023 | F0761 | Ensure 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. | D | Standard survey | 20 Oct 2023 |
| 4 Oct 2023 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard survey | 20 Oct 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 15 Sep 2025 | Fine | $169,320 | |
| 10 Dec 2024 | Fine | $64,227 | |
| 10 Dec 2024 | Payment denial | 10 | |
| 22 Apr 2024 | Fine | $80,990 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Michigan median | Michigan average (CMS) |
|---|---|---|---|
| All nurse staff | 5.38 | 3.80 | 3.99 |
| Registered nurses (RN) | 0.67 | 0.70 | 0.78 |
| Licensed practical nurses (LPN) | 0.95 | 0.88 | |
| Nurse aides | 3.76 | 2.33 | |
| All nurse staff, weekends | 4.68 | 3.30 | 3.50 |
- Nurse staff turnover in a year
- 34.0%
- Nurse staff turnover, Michigan median
- 44.6%
- RN turnover in a year
- 20.8%
- Administrators who left in a year
- No data
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Michigan median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 21.3% | 9.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 4.5% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.5% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.6% | 2.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 17.0% | 10.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.2% | 4.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 14.8% | 13.5% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- Government, county
- Legal business name
- County of Hillsdale
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| County of Hillsdale | 5% or greater direct ownership interest | 100% | 1 Jan 1970 |
The site shows organisations only. It does not show the names of persons.
Other homes in Hillsdale County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Hillsdale Hospital McGuire & Macritchie Long Term | Hillsdale | 5 of 5 | 2 | $0 | 22 Dec 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Hillsdale County Medical Care Facility (CCN 235197). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/hillsdale-county-medical-care-facility-hillsdale-mi-235197/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Hillsdale County Medical Care Facility last inspected?
- The latest inspection with a citation in the CMS record was on 26 Feb 2026. It was a standard survey. It gave 5 citations. The standard survey before the last one was on 10 Dec 2024.
- Who operates Hillsdale County Medical Care Facility?
- The CMS record gives the ownership type as government, county. CMS lists no chain for the home. The CMS ownership file names no organisation for operational or managerial control. This site does not show the names of persons.
- Is Hillsdale County Medical Care Facility a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 2 homes in Michigan as Special Focus Facilities and 10 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.