Federal inspection record · CMS data as of October 1, 2026
Hillsdale County Medical Care Facility
140 W Mechanic Street, Hillsdale, MI · (517) 439-9341
- Cited for abuse (CMS abuse icon)
- Certified beds
- 170
- Residents per day
- 135
- Ownership
- Government
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 6, 1970
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Michigan.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among Michigan homes
Hillsdale County Medical Care Facility carries 78 inspection points. That is fewer than 43% of Michigan's 420 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Michigan: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–18 pts
- 4★ 18–46 pts
- 3★ 46–78 pts
- 2★ 78–123 pts
- 1★ over 123 pts
Bars show every rated home in Michigan by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
25 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (5)
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G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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H
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Freedom from Abuse, Neglect, and Exploitation7E
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- E
Respond appropriately to all alleged violations.
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Resident Assessment and Care Planning5D
- D
Ensure each resident receives an accurate assessment.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- B
Ensure each resident receives an accurate assessment.
Quality of Life and Care4D
- D
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
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
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
Assist a resident in gaining access to vision and hearing services.
Resident Rights1D
- D
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.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Pharmacy Service1D
- D
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.
Environmental1D
- D
Make sure that a working call system is available in each resident's bathroom and bathing area.
Inspection history
2026-02-26
10 health deficiencies · 2 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)
2024-12-10
8 health deficiencies · 6 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)
2023-10-04
7 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 5 h 21 min of nursing staff time a day, 40 min of it from a registered nurse.
This home
5 h 21 min
Michigan average
4 h 2 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 35% of nursing staff and 32% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$255,275 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-09-15 | Fine | $110,058 |
| 2024-12-10 | Fine | $64,227 |
| 2024-12-10 | Payment Denial · 10 day denial | $0 |
| 2024-04-22 | Fine | $80,990 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.6 pts better | 1.1 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident daysAbout the same | 1.6 | 1.6 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.6 pts better | 100.0% | 95.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.1 pts better | 98.6% | 95.5% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.4 pts better | 2.6% | 3.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.2 pts worse | 6.7% | 4.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.7 pts better | 3.8% | 5.5% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4.8 pts worse | 24.2% | 19.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication0.7 pts better | 14.0% | 14.7% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.7 pts worse | 0.8% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened7 pts worse | 18.1% | 11.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased16.8 pts worse | 27.5% | 10.7% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder4.2 pts worse | 4.9% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.3 pts better | 1.2% | 1.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.1 pts worse | 19.5% | 19.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.6 pts better | 3.4% | 5.0% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine10.1 pts better | 93.5% | 83.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.7 pts better | 11.0% | 11.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.1 pts better | 0.0% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine16.1 pts better | 97.6% | 81.5% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admissionAbout the same | 23.9% | 23.9% | 23.4% |
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Who owns and runs it
13 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| County Of Hillsdale | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Esterline, Terry | Contracted Managing Employee · Individual | 0% | 1 facilities |
| Esterline, Terry | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Esterline, Terry | Adp Of The SNF · Individual | 0% | 1 facilities |
| Kimball, Lawrence | Contracted Managing Employee · Individual | 0% | 1 facilities |
| Kimball, Lawrence | Adp Of The SNF · Individual | 0% | 1 facilities |
| Lopresto, Kelly | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Lopresto, Kelly | Trustee Of The SNF · Individual | 0% | 1 facilities |
| Lopresto, Kelly | Adp Of The SNF · Individual | 0% | 1 facilities |
| Munson, Jane | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Munson, Jane | Corporate Director · Individual | 0% | 1 facilities |
| Munson, Jane | Trustee Of The SNF · Individual | 0% | 1 facilities |
| Munson, Jane | Adp Of The SNF · Individual | 0% | 1 facilities |
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Fire safety
9 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5F
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Provide properly protected cooking facilities.
- E
Properly provide smoke detection systems in areas open to corridors.
- E
Install corridor and hallway doors that block smoke.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Egress2E
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
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.
Gas, Vacuum, and Electrical Systems2E
- E
Ensure proper usage of power strips and extension cords.
- E
Ensure proper usage of power strips and extension cords.
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Other homes nearby
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Hillsdale Hospital McGuire & Macritchie Long Term
Hillsdale, MI
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 5 h 57 min
- Fines
- $0
-
The Laurels of Coldwater
Coldwater, MI · Ciena Healthcare/Laurel Health Care
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 2 h 59 min
- Fines
- $0
-
Maple Lawn Medical Care Facility
Coldwater, MI
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 39 min
- Fines
- $0