Hillsdale County Medical Care Facility: Staffing, Turnover, and Inspection Record
Hillsdale County Medical Care Facility is a 170-bed government-run nursing home in Hillsdale, Michigan. In the CMS August 2026 release it reported 3.76 nurse aide hours per resident per day, 61% above the Michigan average of 2.33, and 34.0% nursing staff turnover (Michigan average 44.1%).
Hillsdale County Medical Care Facility
140 W Mechanic StreetHillsdale, MI 49242
Hillsdale County
CMS Care Compare, August 2026 release
Cited for abuse or neglect. CMS marks this home with its abuse icon: it was cited for abuse or neglect that caused harm on its most recent inspection cycle, or for abuse or neglect with potential for harm on each of its last two cycles.
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Hillsdale County Medical Care Facility, nurse aides logged 3.76 hours per resident per day, 61% above the Michigan average. With about 131 residents a day, that works out to roughly 492 aide hours a day, or about 61 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 13% below the all-days figure.
| Hours per resident per day | This home | Michigan avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 3.76 | 2.33 | 2.32 |
| Licensed practical nurses | 0.95 | 0.88 | 0.86 |
| Registered nurses | 0.67 | 0.78 | 0.69 |
| All nursing staff | 5.38 | 3.99 | 3.86 |
| All nursing staff, weekends | 4.68 | 3.50 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
34.0% of nursing staff at Hillsdale County Medical Care Facility left over the year CMS measured, against a Michigan average of 44.1% and a US average of 45.8%. Registered nurse turnover was 20.8%.
Inspections and penalties
State inspectors last completed a standard health inspection on Feb 26, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 12 health deficiencies (Michigan average 10.1). CMS lists 3 fines totaling $314,537 and 1 payment denial in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Sep 15, 2025 | Fine | $169,320 |
| Dec 10, 2024 | Fine | $64,227 |
| Dec 10, 2024 | Payment Denial | 10 days from Jan 3, 2025 |
| Apr 22, 2024 | Fine | $80,990 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Hillsdale County Medical Care Facility holds 3 of 5 overall; the Michigan average is 3.1.
About Hillsdale County Medical Care Facility
- Ownership: Government - County
- Legal name: County of Hillsdale
- Medicare and Medicaid certified since: Apr 6, 1970
- Councils: resident council
- Area: rural
Nursing homes near Hillsdale County Medical Care Facility
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Hillsdale Hospital McGuire & Macritchie Long Term Hillsdale | 1.6 | 38 | 3.14 | 5.70 | 51.5% | 5 | None |
| The Laurels of Coldwater Coldwater | 17.4 | 169 | 1.84 | 3.15 | 23.3% | 2 | None |
| Maple Lawn Medical Care Facility Coldwater | 17.8 | 114 | 3.00 | 4.67 | 30.9% | 5 | None |
| Arbor Manor Rehabilitation and Nursing Center Spring Arbor | 19.5 | 122 | 3.23 | 4.73 | 51.6% | 3 | None |
| Cascade Senior Care Center Jackson | 22.6 | 108 | 2.75 | 4.27 | — | 3 | None |
| Mission Point Health Campus of Jackson Jackson | 22.8 | 50 | 2.11 | 4.17 | 61.9% | 2 | None |
| Faith Haven Senior Care Centre Jackson · abuse citation | 23.0 | 81 | 2.20 | 3.46 | 51.6% | 2 | $15,872 |
| Evergreen Healthcare Center Montpelier | 24.8 | 69 | 1.67 | 3.27 | 46.5% | 3 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.