Hillsdale County Medical Care Facility
140 W Mechanic Street · Hillsdale, MI · 49242 · 5174399341
170 certified beds Government - County
Why this verdict
- Carries CMS’s abuse warning icon.
- Federal penalties on record: $233,547 in fines in the last 24 months.
- 5 citations involved actual harm to residents.
- Staffing hours comfortably above national benchmarks.
The complete Safety Report — $19
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Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$233,547 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 2 of 5 Staffing: 5 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 5.26 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.74 | 0.55–0.75 |
| Weekend hours / resident-day | 4.61 | ≈ weekday level |
| Nursing turnover / year | 32% | median 45% |
| Fines (3-yr window) | 3 · $314,537 |
Inspection citations (25 in the current record)
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Potential for harm · D February 26, 2026
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.
Corrected March 20, 2026 · Resident Rights
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Potential for harm · D February 26, 2026
Ensure each resident receives an accurate assessment.
Corrected March 20, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 26, 2026
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected March 20, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D February 26, 2026
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.
Corrected March 20, 2026 · Quality of Life and Care
-
Potential for harm · D February 26, 2026
Provide and implement an infection prevention and control program.
Corrected March 20, 2026 · Infection Control
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Actual harm · G October 2, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected October 30, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G October 2, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 30, 2025 · Quality of Life and Care
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Potential for harm · D October 2, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected October 30, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 2, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected October 30, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 2, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected October 30, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 15, 2025 · found via complaint
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected October 8, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 15, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 8, 2025 · Quality of Life and Care
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Actual harm · G December 10, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 9, 2025 · Quality of Life and Care
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Potential for harm · D December 10, 2024
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected January 9, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E December 10, 2024
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected January 9, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E December 10, 2024
Respond appropriately to all alleged violations.
Corrected January 9, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 10, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 9, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 10, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected January 9, 2025 · Quality of Life and Care
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Actual harm · H April 22, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected May 17, 2024 · Quality of Life and Care
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Actual harm · G October 4, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 20, 2023 · Quality of Life and Care
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Potential for harm · D October 4, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected October 20, 2023 · Resident Assessment and Care Planning
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Potential for harm · D October 4, 2023
Assist a resident in gaining access to vision and hearing services.
Corrected October 20, 2023 · Quality of Life and Care
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Potential for harm · D October 4, 2023
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.
Corrected October 20, 2023 · Pharmacy Service
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Potential for harm · D October 4, 2023
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected October 20, 2023 · Environmental
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No harm found · B October 4, 2023
Ensure each resident receives an accurate assessment.
Corrected October 20, 2023 · Resident Assessment and Care Planning
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 15, 2025 | Fine | $169,320 |
| December 10, 2024 | Fine | $64,227 |
| December 10, 2024 | Payment Denial | 10 days |
| April 22, 2024 | Fine | $80,990 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 235197 · certified since April 6, 1970. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.