nursing home in Hillsdale, MI
Hillsdale County Medical Care Facility
140 W Mechanic Street, Hillsdale, MI 49242 · (517) 439-9341
★★★★★3
Average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★5
- Quality measures★★★★★4
- Abuse citation
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Hillsdale County Medical Care Facility at a glance
Hillsdale County Medical Care Facility is a 170-bed government nursing home in Hillsdale, Michigan (Hillsdale County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the Michigan average of 3.1.
Residents receive about 5.4 hours of nursing care per day (0.7 of them from registered nurses), better than the state average of 4 hours.
Its most recent standard health inspection (February 26, 2026) found 12 health citations. The Michigan average is 9.9.
Federal regulators fined it 3 times in the past three years, totaling $255,275.
Nursing staff turnover is 34% per year (state average 44.1%).
Facility details
- Type
- Nursing home
- Ownership
- Government - County
- Beds
- 170
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- April 6, 1970
- Resident/family council
- Resident
- County
- Hillsdale County
- CMS Certification Number
- 235197
Ratings
| Measure | This facility | Michigan avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 3.1 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 5 / 5 | 3.6 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.9 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 4 / 5 | 4 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 4 / 5 | 3.5 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Michigan avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 5.38 hrs | 3.99 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 0.67 hrs | 0.78 hrs | 0.69 hrs | Average |
| Nurse aide hours per resident per day (higher is better) | 3.76 hrs | 2.33 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 4.68 hrs | 3.50 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 34% | 44.1% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 20.8% | 39.2% | 42.9% | Better |
Inspections
| Measure | This facility | Michigan avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 12 | 10 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 7 | 3 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 82 | 89.4 | 80.6 | Average |
Penalties
| Measure | This facility | Michigan avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 3 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $255,275 | $29,376 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 4 | 1 | 1 | Worse |
Size
| Measure | This facility | Michigan avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 170 | 104 | 107 | |
| Average residents per day | 131 | 86 | 86 | |
| Occupancy | 77% | 83.4% | 80.9% |
Long-stay residents
| Measure | This facility | Michigan avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 2.6% | 3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 3.2% | 5.1% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 14.8% | 14.8% | 15.4% | Average |
| Long-stay residents with a urinary tract infection (lower is better) | 2.5% | 1.5% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 4.5% | 0.8% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 21.3% | 10.8% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 17% | 12% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 5.1% | 5.4% | 5.2% | Average |
| Long-stay residents with depressive symptoms (lower is better) | 5.9% | 4.3% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0.8% | 0.1% | 0.1% | Worse |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 25.4% | 19.4% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 19.4% | 20% | 19% | Average |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 95% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 99.2% | 95.3% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Michigan avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 1.1% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 87% | 79.5% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 92.6% | 83.3% | 82% | Better |
Inspection citations
State inspectors cited this home for 25 health deficiencies and 9 fire safety deficiencies in the inspection records CMS currently publishes. 5 citations involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| February 26, 2026 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | E Potential harm, pattern | Corrected March 20, 2026 |
| February 26, 2026 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | E Potential harm, pattern | Corrected March 20, 2026 |
| February 26, 2026 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected March 20, 2026 |
| February 26, 2026 Standard | 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. Resident Rights Deficiencies · Tag F0578 | D Potential harm, isolated | Corrected March 20, 2026 |
| February 26, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected March 20, 2026 |
| February 26, 2026 Standard | 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. Quality of Life and Care Deficiencies · Tag F0688 | D Potential harm, isolated | Corrected March 20, 2026 |
| February 26, 2026 Standard | Create 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 Deficiencies · Tag F0655 | D Potential harm, isolated | Corrected March 20, 2026 |
| October 2, 2025 Complaint | Protect 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 Deficiencies · Tag F0600 | G Actual harm, isolated | Corrected October 30, 2025 |
| October 2, 2025 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | G Actual harm, isolated | Corrected October 30, 2025 |
| October 2, 2025 Complaint | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | D Potential harm, isolated | Corrected October 30, 2025 |
| October 2, 2025 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected October 30, 2025 |
| October 2, 2025 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected October 30, 2025 |
| September 15, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected October 8, 2025 |
| September 15, 2025 Complaint | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0604 | D Potential harm, isolated | Corrected October 8, 2025 |
| December 10, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected December 13, 2024 |
| December 10, 2024 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected December 23, 2024 |
| December 10, 2024 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | E Potential harm, pattern | Corrected December 23, 2024 |
| December 10, 2024 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | E Potential harm, pattern | Corrected December 23, 2024 |
| December 10, 2024 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | E Potential harm, pattern | Corrected January 13, 2025 |
| December 10, 2024 Fire safety | Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Tag K0347 | E Potential harm, pattern | Corrected December 5, 2024 |
| December 10, 2024 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected January 9, 2025 |
| December 10, 2024 Standard | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | E Potential harm, pattern | Corrected January 9, 2025 |
| December 10, 2024 Standard | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | E Potential harm, pattern | Corrected January 9, 2025 |
| December 10, 2024 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected January 9, 2025 |
| December 10, 2024 Standard | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0604 | D Potential harm, isolated | Corrected January 9, 2025 |
| December 10, 2024 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected January 9, 2025 |
| April 22, 2024 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | H Actual harm, pattern | Corrected May 17, 2024 |
| October 4, 2023 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected October 13, 2023 |
| October 4, 2023 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected October 20, 2023 |
| October 4, 2023 Standard | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Tag F0919 | D Potential harm, isolated | Corrected October 20, 2023 |
| October 4, 2023 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected October 20, 2023 |
| October 4, 2023 Standard | Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · Tag F0685 | D Potential harm, isolated | Corrected October 20, 2023 |
| October 4, 2023 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected October 20, 2023 |
| October 4, 2023 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | B No harm, pattern | Corrected October 20, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with 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. How to read inspection citations.
Fines and payment denials
CMS reports 4 federal penalties in the past three years, including $255,275 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| September 15, 2025 | Fine | $110,058 |
| December 10, 2024 | Payment Denial | 10 days from January 3, 2025 |
| December 10, 2024 | Fine | $64,227 |
| April 22, 2024 | Fine | $80,990 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| COUNTY OF HILLSDALE Organization | 5% or greater direct ownership interest | 100% | 01/01/1970 |
| ESTERLINE, TERRY Individual | adp of the snf | NOT APPLICABLE | 01/08/2025 |
| KIMBALL, LAWRENCE Individual | adp of the snf | NOT APPLICABLE | 01/08/2025 |
| LOPRESTO, KELLY Individual | adp of the snf | NOT APPLICABLE | 01/08/2025 |
| MUNSON, JANE Individual | adp of the snf | NOT APPLICABLE | 01/08/2025 |
| ESTERLINE, TERRY Individual | contracted managing employee | NOT APPLICABLE | 04/10/2020 |
| KIMBALL, LAWRENCE Individual | contracted managing employee | NOT APPLICABLE | 04/10/2020 |
| MUNSON, JANE Individual | corporate director | NOT APPLICABLE | 11/12/2015 |
| LOPRESTO, KELLY Individual | managing control - governing body | NOT APPLICABLE | 10/01/2024 |
| MUNSON, JANE Individual | managing control - governing body | NOT APPLICABLE | 11/12/2015 |
| ESTERLINE, TERRY Individual | operational/managerial control | NOT APPLICABLE | 04/10/2020 |
| LOPRESTO, KELLY Individual | trustee of the snf | NOT APPLICABLE | 10/01/2024 |
| MUNSON, JANE Individual | trustee of the snf | NOT APPLICABLE | 11/12/2015 |
Other nursing homes near Hillsdale County Medical Care Facility
Hillsdale Hospital McGuire & Macritchie Long Term
168 South Howell Street, Hillsdale, MI 49242 · 1.6 mi
Non-profit · 38 beds
- CMS high performer
★★★★★5Much above averageThe Laurels of Coldwater
90 N Michigan Avenue, Coldwater, MI 49036 · 17.4 mi
For-profit · 169 beds · Part of Ciena Healthcare/Laurel Health Care
★★★★★2Below averageMaple Lawn Medical Care Facility
50 Sanderson Lane, Coldwater, MI 49036 · 17.8 mi
Government · 114 beds
★★★★★5Much above averageArbor Manor Rehabilitation and Nursing Center
151 2nd Street, Spring Arbor, MI 49283 · 19.5 mi
For-profit · 122 beds
- New owner (last 12 months)
★★★★★3AverageCascade Senior Care Center
2121 Robinson Road, Jackson, MI 49203 · 22.6 mi
For-profit · 108 beds · Part of Nexcare Health Systems
★★★★★3AverageMission Point Health Campus of Jackson
703 Robinson Road, Jackson, MI 49203 · 22.8 mi
For-profit · 50 beds · Part of Mission Point Healthcare Services
★★★★★2Below average
Frequently asked questions
What is Hillsdale County Medical Care Facility's rating?
Hillsdale County Medical Care Facility has 3 out of 5 stars on the CMS overall star rating. The average for Michigan nursing homes is 3.1 stars.
How many inspection citations did Hillsdale County Medical Care Facility receive?
Its most recent standard health inspection found 12 citations, compared with a Michigan average of 9.9. Every citation is listed on this page with its severity.
Does Hillsdale County Medical Care Facility accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Hillsdale County Medical Care Facility?
It is government - county. The ownership section on this page lists the owners and managers reported to CMS.
Where is Hillsdale County Medical Care Facility and how do I contact it?
Hillsdale County Medical Care Facility is at 140 W Mechanic Street, Hillsdale, MI 49242. Phone: (517) 439-9341.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.