Nursing homeActive
Hillsdale County Medical Care Facility
140 W Mechanic Street, Hillsdale, MI 492425174399341170 certified beds · 131 residentsGovernment - CountyMedicare and Medicaid
Surveys on file
6
since 2023
Deficiencies
25
● 1● 19● 5
Penalties · 3 yrs
$314,537
3 fines · 1 action
Last survey
2026-02-26
Standard
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 2
Staffing 5
Quality 4
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Michigan LARA · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-02-26 | Standard | 050 | CMS-2567 (Care Compare) | — |
| 2025-10-02 | Complaint | 032 | CMS-2567 (Care Compare) | — |
| 2025-09-15 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2024-12-10 | Standard | 051 | CMS-2567 (Care Compare) | — |
| 2024-04-22 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2023-10-04 | Standard | 141 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Michigan LARA publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F578Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-20Record 235197-20260226-F578
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-20Record 235197-20260226-F641
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-20Record 235197-20260226-F655
F688Provide 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-20Record 235197-20260226-F688
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-20Record 235197-20260226-F880
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity GHarm
Abuse & neglect
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-10-30Record 235197-20251002-F600
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-10-30Record 235197-20251002-F684
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-30Record 235197-20251002-F607
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-30Record 235197-20251002-F609
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-30Record 235197-20251002-F610
F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-08Record 235197-20250915-F604
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-08Record 235197-20250915-F689
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-01-09Record 235197-20241210-F689
F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-09Record 235197-20241210-F604
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-01-09Record 235197-20241210-F609
F610Respond appropriately to all alleged violations.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-01-09Record 235197-20241210-F610
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-09Record 235197-20241210-F656
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-09Record 235197-20241210-F690
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity HHarm
Care planning
Pattern; actual harm that is not immediate jeopardy.Corrected 2024-05-17Record 235197-20240422-F686
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2023-10-20Record 235197-20231004-F689
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-20Record 235197-20231004-F657
F685Assist a resident in gaining access to vision and hearing services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-20Record 235197-20231004-F685
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-20Record 235197-20231004-F761
F919Make sure that a working call system is available in each resident's bathroom and bathing area.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-20Record 235197-20231004-F919
F641Ensure each resident receives an accurate assessment.Scope/severity BPaperwork
Care planningRecords
Pattern; potential for minimal harm.Corrected 2023-10-20Record 235197-20231004-F641
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2025-09-15 | Civil money penalty | $169,320 | CMS · Penalties |
| 2024-12-10 | Civil money penalty | $64,227 | CMS · Penalties |
| 2024-12-10 | Denial of payment for new admissions Payment denial for 10 days, from 2025-01-03 | — | CMS · Penalties |
| 2024-04-22 | Civil money penalty | $80,990 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.67
Facility
Michigan
National
Michigan 0.78 · National 0.69
Total nurse hours per resident day5.38
Facility
Michigan
National
Michigan 3.99 · National 3.86
Weekend total nurse hours4.68
Facility
Michigan
National
Michigan 3.50 · National 3.42
Total nursing staff turnover34%
Facility
Michigan
National
Michigan 44% · National 46%
Registered nurse turnover21%
Facility
Michigan
National
Michigan 39% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Michigan | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 3.2% | 5.1% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 2.6% | 3.0% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 14.8% | 14.8% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 2.5% | 1.5% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.8% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 21.3% | 10.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 5.1% | 5.4% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 25.4% | 19.4% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| County Of Hillsdale Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Esterline, Terry Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Esterline, Terry Individual | CONTRACTED MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Esterline, Terry Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Kimball, Lawrence Individual | CONTRACTED MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Kimball, Lawrence Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Lopresto, Kelly Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Lopresto, Kelly Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Lopresto, Kelly Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Munson, Jane Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Munson, Jane Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Munson, Jane Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Munson, Jane Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Michigan.
No county cost figures on file for Hillsdale.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Hillsdale Hospital McGuire & Macritchie Long Term Hillsdale | 1.6 mi | 2025-12-22 | 081 |
| Arbor Manor Rehabilitation and Nursing Center Spring Arbor | 19.5 mi | 2026-05-07 | 0281 |
| The Laurels of Coldwater Coldwater | 17.4 mi | 2026-06-04 | 0320 |
| Faith Haven Senior Care Centre Jackson | 23.0 mi | 2026-05-29 | 1324 |
| Maple Lawn Medical Care Facility Coldwater | 17.8 mi | 2025-08-27 | 1111 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |