Hillsdale County Medical Care Facility – Hillsdale, MI

CMS Verified | 2026-03-01

Hillsdale County Medical Care Facility

140 W Mechanic Street, Hillsdale, MI 49242
(517) 439-9341
170 beds
All Hillsdale facilities
3.0*
Overall
2.0*
Health Inspection
3.0*
Quality Care
5.0*
Staffing
72.95
Score /100
#6918
National Rank

#6918
of 14703 facilities
National
53.0% position
#179
of 423 in MI
State Rank
#2
of 2 in Hillsdale
County Rank
#2
of 2 in Hillsdale
City Rank
#2
of 2 in ZIP 49242
ZIP Rank






About Hillsdale County Medical Care FacilityHillsdale County Medical Care Facility is located at 140 W Mechanic Street, Hillsdale, MI, reachable at (517) 439-9341. This Government – County facility operates 170.0 certified beds and serves an average of 134 residents per day. Medicare and Medicaid services have been provided since 1970-04-06. The facility currently holds a average (3-star) overall CMS rating.
Facility

Hillsdale County Medical Care Facility

Address

140 W Mechanic Street, Hillsdale, MI 49242

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 170 Certified Beds
  • Ownership: Government – County
  • Resident Council: Resident
  • Automatic Sprinklers: Yes

Quick Verdict

Overall Quality
⚠️ Average (3★) overall rating
Health Inspection
⚠️ Below Average (2★) health inspection
Staffing
✅ Excellent (5★) staffing rating
Quality of Care
⚠️ Average (3★) quality of care
Compliance
❌ 13 fine(s) over 5 years
5-Year Trend
Declining over 5 years
72.95
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#6918 of 14703 nationally – #179 of 423 in Michigan

Who Is This Facility Best For?

Hillsdale County Medical Care Facility offers a mid-range care option in Hillsdale, MI. Above-average staffing levels make it a good option for residents needing intensive nursing care.

Overall Rating 2022-2026

Total Nurse Hours/Day 2022-2026

Current Ratings (2026)

Overall Rating

3 / 5
Health Inspection

2 / 5
Staffing Rating

5 / 5
Quality Measures (QM)

3 / 5
Long-Stay QM Rating

3 / 5
Short-Stay QM Rating

3 / 5

5-Year Rating Trends

Overall Rating

Health Inspection Rating

Quality of Care (QM)

Staffing Rating

Average Residents per Day

Occupancy % (Residents / Beds)

Staffing InsightHillsdale County Medical Care Facility currently provides 5 hours 7 minutes of total nurse staffing per resident per day, including 43 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 5 out of 5 reflects strong nurse coverage. Total nursing staff turnover is 31.1%, near the national average.

Current Staffing Hours Per Resident Per Day (2026)

Total Nurse Staffing5 hours 7 minutes
Nurse Aide Hours3 hours 27 minutes
Licensed Practical Nurse (LPN) Hours57 minutes
Registered Nurse (RN) Hours43 minutes
Physical Therapist Hours3 minutes

National average total nurse staffing is approximately 3.5 hours per day

Weekend Staffing Hours Per Resident Per Day (2026)

Weekend Total Nurse Hours4 hours 26 minutes
Weekend Registered Nurse (RN) Hours27 minutes

Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.

5-Year Staffing Trends

Total Nurse Hours/Day

Registered Nurse (RN) Hours/Day

Licensed Practical Nurse (LPN) Hours/Day

Nurse Aide Hours/Day

Total Staff Turnover %

Registered Nurse (RN) Turnover %

Compliance Summary⚠️ CMS has flagged Hillsdale County Medical Care Facility with an abuse icon, indicating a history of reported abuse or neglect incidents. Families should review the detailed inspection reports on Medicare.gov before considering this facility. In the current reporting period, the facility received 2 fine(s) totaling $145,217. 21 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. There were 1 Medicare payment denial(s) in the current period.
Number of Fines (current period) 2
Total Fines Amount $145217.0
Payment Denials 1
Total Penalties 3
Abuse Flag on Record Y
Total Weighted Health Survey Score 100.0 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#6,918
of 14,703
National
Top 47%
#179
of 423
MI State
Top 42% in MI
#2
of 2
️ Hillsdale County
#2 of 2
#2
of 2
️ Hillsdale
#2 of 2
#2
of 2
ZIP 49242
#2 of 2

Nationally, Hillsdale County Medical Care Facility ranks 6918th out of 14,703 facilities (composite score: 73.0/100), placing it in the above average nationwide. Within MI, it ranks 179th out of 423 nursing homes. In Hillsdale, it ranks 2nd out of 2 facilities. Among facilities sharing its ZIP code, it ranks 2nd of 2. For 2026 staffing: total nurse hours rank #1,039 nationally and RN hours rank #4,749 nationally (#202 in MI).

How do we calculate these rankings?

Total Nurse Staffing – Year-by-Year National and State Ranks

Year Hours/Day National Rank MI State Rank Note
2022 4.78 #1,496 / 14,703 #47 / 423 Top 25%
2023 4.91 #1,245 / 14,703 #46 / 423 Top 10%
2024 4.71 #1,608 / 14,703 #51 / 423 Top 25%
2025 4.62 #1,983 / 14,703 #67 / 423 Top 25%
2026 5.12 #1,039 / 14,703 #35 / 423 Top 10%

Registered Nurse (RN) Hours – Year-by-Year National and State Ranks

Year Hours/Day National Rank MI State Rank Note
2022 0.85 #3,266 / 14,703 #143 / 423 Top 25%
2023 0.64 #5,436 / 14,703 #231 / 423 Above average
2024 0.73 #4,077 / 14,703 #175 / 423 Above average
2025 0.74 #4,155 / 14,703 #182 / 423 Above average
2026 0.71 #4,749 / 14,703 #202 / 423 Above average

Total Nurse Rank – National (lower number = better)

Registered Nurse Rank – National (lower number = better)

Frequently Asked Questions

Hillsdale County Medical Care Facility is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1970-04-06. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (517) 439-9341 or your local Medicaid office to verify current eligibility.

Hillsdale County Medical Care Facility holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 3 out of 5 stars. This is made up of three components: Health Inspection (2★), Staffing (5★), and Quality of Resident Care (3★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 73.0/100, placing it #6918 of 14703 facilities nationally and #179 of 423 in Michigan. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Hillsdale County Medical Care Facility receives a reported average of 5 hours 7 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 43 minutes; Licensed Practical Nurse (LPN) — 57 minutes; Nurse Aide — 3 hours 27 minutes. On weekends, total nurse staffing is 4 hours 26 minutes per resident per day. The CMS Staffing Rating for this facility is 5 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 31.1%. Families are encouraged to ask about current staffing schedules during their facility visit.

⚠️ CMS has flagged Hillsdale County Medical Care Facility with an abuse icon, indicating a history of reported abuse or neglect incidents. Families should review the detailed inspection reports on Medicare.gov before considering this facility. In the current reporting period, the facility received 2 fine(s) totaling $145,217. 21 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. There were 1 Medicare payment denial(s) in the current period. In the most recent CMS reporting period, the facility received 2 fine(s) totaling $145,217, and 1 Medicare payment denial(s). Total penalties: 3. The Total Weighted Health Survey Score is 100.0 (lower scores are better). IMPORTANT: CMS has flagged this facility with an abuse icon — indicating a reported history of abuse or neglect. Families should review the full inspection report on medicare.gov/care-compare before deciding. Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Hillsdale County Medical Care Facility ranks 6918th out of 14,703 facilities (composite score: 73.0/100), placing it in the above average nationwide. Within MI, it ranks 179th out of 423 nursing homes. In Hillsdale, it ranks 2nd out of 2 facilities. Among facilities sharing its ZIP code, it ranks 2nd of 2. For 2026 staffing: total nurse hours rank #1,039 nationally and RN hours rank #4,749 nationally (#202 in MI). Our composite quality score of 73.0/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Hillsdale, visit: https://nursinghomesnearme.org/michigan/hillsdale/

Contact and Location

ADR
Address

140 W Mechanic Street, Hillsdale, MI 49242
Get directions on Google Maps

TEL
LLC
Legal Name

COUNTY OF HILLSDALE

MAP
Browse by Location

All Michigan ·
Hillsdale County ·
Hillsdale ·
ZIP 49242

Facility Details

Number of Certified Beds 170
Average Residents / Day 134 (79% occupancy)
Ownership Type Government – County
Provider Type Medicare and Medicaid
County Hillsdale County, MI
City Hillsdale, MI
ZIP Code 49242
Approved Since April 6, 1970
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 235197
Data Processing Date March 1, 2026
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org

Leave a Comment