Nursing home
Hillsdale County Medical Care Facility
140 W Mechanic Street, Hillsdale, MI 49242 · Map
Government - County · 170 certified beds
Hillsdale County Medical Care Facility is a Medicare-certified nursing home in Hillsdale, Michigan. CMS rates it 3 out of 5 stars overall (5/5 for staffing, 2/5 for health inspections). Nurse staffing is 5.12 hours per resident per day, above the Michigan average of 4.03. Its most recent inspection on Dec 10, 2024 cited 13 deficiencies. Note: it carries a CMS abuse icon.
- CMS abuse iconThis facility has an active abuse icon on its CMS record.
- 2 fines totaling $145,217In CMS records: 3 total penalties, 1 Medicare payment denial.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Hillsdale County Medical Care Facility compares
This facility vs. the Michigan and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Michigan avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 5.12 | 4.03 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.71 | 0.77 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 3.45 | 2.38 | 2.34 | above avg |
| Nursing staff turnover | 31.1% | 44.4% | 46.4% | below avg |
| Deficiencies cited, last inspection | 13.0 | 9.8 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 2 fines totaling $145,217, 3 total penalties, 1 Medicare payment denial.
What inspectors found at Hillsdale County Medical Care Facility
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Actual harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Oct 2, 2025 · Full report (PDF) - Actual harm
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 · Oct 2, 2025 · Full report (PDF) - Potential for harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Oct 2, 2025 · Full report (PDF) - Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Oct 2, 2025 · Full report (PDF) - Potential for harm
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Oct 2, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Sep 15, 2025 · Full report (PDF) - Potential for harm
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Sep 15, 2025 · Full report (PDF) - Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Dec 10, 2024 · Full report (PDF) - Potential for harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Dec 10, 2024 · Full report (PDF) - Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Dec 10, 2024 · Full report (PDF) - Potential for harm
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 · Dec 10, 2024 · Full report (PDF) - Potential for harm
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 · Dec 10, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 140 W Mechanic Street
Hillsdale, MI 49242 - CMS certification #
- 235197
- Ownership
- Government - County
- Certified beds
- 170
- Avg residents/day
- 134.1
- Provider type
- Medicare and Medicaid
- First certified
- 1970-04-06
- Setting
- Rural
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Hillsdale County Medical Care Facility using Google Maps.
Other public records
- Website says Nurse 24 hours a day
- Staff pay 1 federal wage case with violations found, since 2022
Full public records, with dates and sources
Care and services
From the community’s website
What Hillsdale County Medical Care Facility says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Nurse on site: 24 hours a day.
Residents are cared for 24 hours a day, seven days a week by our nursing staff, which includes physicians and nurses.
(page, checked Oct 15, 2026)
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for Jun 3, 2022 to Jun 2, 2024. Violations found: Overtime. Back wages: $2,757 owed to 42 employees. Employer as DOL recorded it: Hillsdale County Medical Facility. Case 1992853.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby care
- Nearest hospital with an emergency room
- Hillsdale Hospital, Hillsdale. 1.7 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Hillsdale Hospital McGuire & Macritchie Long Term, Hillsdale. 1.6 miles away, straight line.
- Nearest home health agency office
- Hillsdale Hospital, Hillsdale. 2.3 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Rite Aid. 0.2 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 49242 as micropolitan (micropolitan core).
- Dialysis within 15 miles
- Fmc - Hillsdale, Jonesville, 2.5 miles away, straight line (CMS rating 3 of 5 stars)
- Hospice
- 8 Medicare hospices tell CMS they serve ZIP code 49242.
Hospice Of Hillsdale County, office in Hillsdale, 1.5 miles away, straight line (CMS family survey rating 5 of 5 stars)
Henry Ford Health Hospice-Central Michigan, office in Jackson, 24.8 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- W.A. Foote Memorial Hospital, Jackson. 25.9 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane very low, inland flooding relatively low, wildfire very low, tornado relatively high, heat wave relatively low, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Hillsdale County Medical Care Facility a good nursing home?
CMS gives Hillsdale County Medical Care Facility an overall rating of 3 out of 5 stars, including 5/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Hillsdale County Medical Care Facility staffed?
Hillsdale County Medical Care Facility reports 5.12 total nurse hours per resident per day, compared with the Michigan average of 4.03.
Has Hillsdale County Medical Care Facility had inspection problems?
Its most recent CMS inspection cited 13 deficiencies.
How many beds does Hillsdale County Medical Care Facility have?
Hillsdale County Medical Care Facility is certified for 170 beds.