The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited April 2024 — limited pattern, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: H
Nursing home report
Hillsdale County Medical Care Facility & Rehabilitation Center
Registered name: Hillsdale County Medical Care Facility
Hillsdale, MI · Medicare-certified · 170 beds
Needs attention
Abuse citationGovernment-run
Data as of July 1, 2026
3 of 5 overall
Hillsdale County Medical Care Facility & Rehabilitation Center has a 3-star overall rating, with a 2-star health inspection rating, 5-star staffing, and 4-star quality measures. It reports 5.38 nurse hours per resident per day versus the 4.1 federal benchmark, along with $233,547 in fines in the last 24 months and a recent abuse citation.
Facility ratings
Health inspections
Staffing
5.3776 hrs/resident/day
Quality measures
Last inspection: February 26, 2026Penalties, last 24 months: $233,547recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 5.3776.
Staffing detail
- Registered nurses
- 0.67
- Licensed practical nurses
- 0.95
- Nurse aides
- 3.76
- Weekend nursing
- 4.68
Hours per resident per day.
Total staff turnover: 34%
Registered nurse turnover: 21%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
16.8%15.9%Improving
Residents with a fall causing major injury
3.3%2.4%Improving
Residents with pressure ulcers (bedsores)
3%4.7%Worsening
Residents with a urinary tract infection
6.7%2.5%Improving
Residents who lost too much weight
7.8%4.4%Improving
Residents who were physically restrained
0.8%0.8%No change
Residents needing more help with daily activities
11.2%30.6%Worsening
Residents whose ability to walk got worse
12.5%23.8%Worsening
Long-stay residents on antianxiety or sleep medication
25.2%25.2%No change
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
3.1%5.1%Worsening
Residents with new or worsening incontinence
17.5%14.5%Improving
Residents with depressive symptoms
4.3%6.8%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
96.7%100%Improving
Short-stay residents given the seasonal flu vaccine
—87%—
Short-stay residents given the pneumonia vaccine
90.7%95.2%Improving
What the inspectors found
The nursing home failed to protect residents from abuse and neglect by others. Cited October 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited October 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited December 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited December 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 609 — 42 CFR §483.12 — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $169,320 was recorded.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $64,227 was recorded.
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 3 fines · $314,537 in total fines · 1 payment denial.
- $169,320
Federal fine
Sep 15, 2025
- 10 days
Medicare/Medicaid payment denial
Dec 10, 2024
- $64,227
Federal fine
Dec 10, 2024
- $80,990
Federal fine
Apr 22, 2024
Operator & ownership
- Ownership
- Government - County
- Occupancy
- 130.9 residents on an average day (77% of 170 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 56 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.