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
Hillsdale, MI · Medicare-certified · 170 beds
Needs attention
Abuse citationGovernment-run
3 of 5 overall
Hillsdale County Medical Care Facility has a 3 out of 5 overall rating, with strong staffing (5 out of 5; 5.26 hours per resident per day vs. the 4.1 federal benchmark) and quality measures (4 out of 5), but a weak health inspection rating (2 out of 5). It also has $64,227 in fines in the last 24 months and a recent abuse citation.
Facility ratings
Health inspections
Staffing
5.2562 hrs/resident/day
Quality measures
Last inspection: October 2, 2025Penalties, last 24 months: $64,227recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 5.2562.
Staffing detail
- Registered nurses
- 0.74
- Licensed practical nurses
- 0.87
- Nurse aides
- 3.65
- Weekend nursing
- 4.61
Hours per resident per day.
Total staff turnover: 32%
Registered nurse turnover: 13%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
14.6%Improving
Residents with a fall causing major injury
3.4%Improving
Residents with pressure ulcers (bedsores)
4.2%Improving
Residents with a urinary tract infection
2.9%Improving
Residents who lost too much weight
5.5%Improving
Residents who were physically restrained
0.6%Worsening
Residents needing more help with daily activities
18.9%Worsening
Residents whose ability to walk got worse
15.2%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
25.7%Improving
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
4.7%Improving
Residents with new or worsening incontinence
22%Improving
Residents with depressive symptoms
5%Worsening
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
99%Improving
Short-stay residents given the seasonal flu vaccine
87%Steady
Short-stay residents given the pneumonia vaccine
91.7%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 properly label and securely store medications and biologicals. Cited August 2022 — widespread issue, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: F
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
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- 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: 2 fines · $145,217 in total fines · 1 payment denial.
- 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
- 133 residents on an average day (78% 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.