Hillsdale County Medical Care Facility
140 W Mechanic Street, Hillsdale, MI 49242
Hillsdale County Medical Care Facility is a nursing home in Hillsdale, Michigan. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating2 of 5
- Last standard health inspectionFebruary 26, 2026 (8 months ago)
- Health citations since October 4, 202325 (Michigan average 32)
- Fines in the past three years3, $255,275 in total
- CMS flagsCMS abuse icon
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CMS flags
CMS abuse icon
CMS adds this icon when it cites a home for abuse that hurt a resident in the past year. It also adds it when it cites a home for abuse that could have hurt someone, in each of the past two years.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 28, 2026
Star rating
The CMS overall star rating changed from 3 of 5 to 2 of 5.
Star rating
The CMS staffing star rating changed from 5 of 5 to 4 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 2 of 5.
CMS update of October 8, 2026
Fine
CMS changed the fine from September 15, 2025 from $169,320 to $110,058.
CMS update of April 29, 2026
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
Health inspection on February 26, 2026
5 citationsCMS lists this as a standard inspection.
Show the 5 citations
Citation F0578. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on March 20, 2026.
Citation F0641. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident receives an accurate assessment.
CMS lists it as corrected on March 20, 2026.
CMS has cited this home for F0641 2 times since 2023.
Citation F0655. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
CMS lists it as corrected on March 20, 2026.
Citation F0688. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on March 20, 2026.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on March 20, 2026.
Fire safety inspection on February 26, 2026
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
Citation K0211. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Keep aisles, corridors, and exits free of obstruction in case of emergency.
CMS lists it as corrected on March 20, 2026.
Citation K0920. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure proper usage of power strips and extension cords.
CMS lists it as corrected on March 20, 2026.
CMS has cited this home for K0920 2 times since 2024.
CMS update of December 15, 2025
Star rating
The CMS overall star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS health inspection star rating changed from 3 of 5 to 2 of 5.
CMS abuse icon
CMS added its abuse icon to this home.
CMS update of November 20, 2025
Name
CMS lists a new name for this home. It was HILLSDALE CO MEDICAL CARE FACI.
Health inspection on October 2, 2025
5 citationsCMS lists this as a complaint inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
148 of 422 Michigan homes (35%) got a citation at the actual harm level in 2025.
Show the 5 citations
Citation F0600. Severity G: actual harm, isolated.
The rule CMS cited:
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS lists it as corrected on October 30, 2025.
Citation F0684. Severity G: actual harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on October 30, 2025.
Citation F0607. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
CMS lists it as corrected on October 30, 2025.
Citation F0609. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS lists it as corrected on October 30, 2025.
CMS has cited this home for F0609 2 times since 2024.
Citation F0610. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Respond appropriately to all alleged violations.
CMS lists it as corrected on October 30, 2025.
CMS has cited this home for F0610 2 times since 2024.
Health inspection on September 15, 2025
2 citationsCMS lists this as a complaint inspection.
CMS fine of $110,058 on September 15, 2025.
Show the 2 citations
Citation F0604. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
CMS lists it as corrected on October 8, 2025.
CMS has cited this home for F0604 2 times since 2024.
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on October 8, 2025.
CMS has cited this home for F0689 3 times since 2023.
CMS update of June 25, 2025
Fine
CMS changed the fine from December 10, 2024 from $98,810 to $64,227.
CMS update of April 30, 2025
Star rating
The CMS overall star rating changed from 3 of 5 to 4 of 5.
Star rating
The CMS staffing star rating changed from 4 of 5 to 5 of 5.
CMS update of February 26, 2025
Star rating
The CMS overall star rating changed from 4 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS staffing star rating changed from 5 of 5 to 4 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
Fine
CMS changed the fine from April 22, 2024 from $124,600 to $80,990.
January 3, 2025
Payment stoppedCMS stopped payment for new admissions from January 3, 2025, for 10 days.
Health inspection on December 10, 2024
6 citationsCMS lists this as a standard inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
141 of 422 Michigan homes (33%) got a citation at the actual harm level in 2024.
CMS fine of $64,227 on December 10, 2024.
Show the 6 citations
Citation F0689. Severity G: actual harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on January 9, 2025.
Citation F0609. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS lists it as corrected on January 9, 2025.
Citation F0610. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Respond appropriately to all alleged violations.
CMS lists it as corrected on January 9, 2025.
Citation F0604. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
CMS lists it as corrected on January 9, 2025.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on January 9, 2025.
Citation F0690. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
CMS lists it as corrected on January 9, 2025.
Fire safety inspection on December 10, 2024
6 citationsCMS lists this as a standard inspection.
Show the 6 citations
Citation K0353. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on December 13, 2024.
Citation K0222. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on December 23, 2024.
Citation K0324. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on January 13, 2025.
Citation K0347. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Properly provide smoke detection systems in areas open to corridors.
CMS lists it as corrected on December 5, 2024.
Citation K0363. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Install corridor and hallway doors that block smoke.
CMS lists it as corrected on December 23, 2024.
Citation K0920. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure proper usage of power strips and extension cords.
CMS lists it as corrected on December 23, 2024.
Health inspection on April 22, 2024
1 citationCMS lists this as a complaint inspection.
Severity H is the second-highest of CMS's four levels. It means a resident was harmed.
141 of 422 Michigan homes (33%) got a citation at the actual harm level in 2024.
CMS fine of $80,990 on April 22, 2024.
Show the 1 citation
Citation F0686. Severity H: actual harm, pattern.
The rule CMS cited:
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS lists it as corrected on May 17, 2024.
CMS update of January 31, 2024
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
Health inspection on October 4, 2023
6 citationsCMS lists this as a standard inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
82 of 422 Michigan homes (19%) got a citation at the actual harm level in 2023.
Show the 6 citations
Citation F0689. Severity G: actual harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on October 20, 2023.
Citation F0657. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS lists it as corrected on October 20, 2023.
Citation F0685. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Assist a resident in gaining access to vision and hearing services.
CMS lists it as corrected on October 20, 2023.
Citation F0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on October 20, 2023.
Citation F0919. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Make sure that a working call system is available in each resident's bathroom and bathing area.
CMS lists it as corrected on October 20, 2023.
Citation F0641. Severity B: potential for minimal harm, pattern.
The rule CMS cited:
Ensure each resident receives an accurate assessment.
CMS lists it as corrected on October 20, 2023.
Fire safety inspection on October 4, 2023
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation K0321. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on October 13, 2023.
CMS star ratings
- 2 of 5CMS overall star rating
- 2 of 5CMS health inspection star rating
- 4 of 5CMS staffing star rating
- 2 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (517) 439-9341
- Last standard health inspection
- February 26, 2026 (8 months ago)
- Certified beds
- 170
- Residents per day, on average
- 134.5
- Ownership type
- Government - County
- Legal business name
- County of Hillsdale
- Chain
- Not listed by CMS
- Takes part in
- Medicare and Medicaid
Fewer health citations than the Michigan average (25 vs 32).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- COUNTY OF HILLSDALE5% or greater direct ownership interest · 100% · since 01/01/1970
- ESTERLINE, TERRYOperational/managerial control · not applicable · since 04/10/2020
Questions
When was Hillsdale County Medical Care Facility last inspected?
CMS lists February 26, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Hillsdale County Medical Care Facility have?
CMS lists 25 health citations since October 4, 2023. CMS also calls these deficiencies.
Has Hillsdale County Medical Care Facility been fined?
CMS lists 3 fines in the past three years, $255,275 in total.
What is the CMS star rating of Hillsdale County Medical Care Facility?
Its CMS overall star rating is 2 of 5.
Is Hillsdale County Medical Care Facility a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.