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Nursing HomeMedicaid

Hillsdale County Medical Care Facility

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

140 W Mechanic Street, Hillsdale, MI 49242170 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
4.2/5

based on 54 Google reviews

5
4
3
2
1
Hillsdale County Medical Care Facility Nursing Home in Hillsdale, MI — Street View
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What this means for your family

While the facility has a long history of being clean and accommodating, recent reviews suggest a decline in staff professionalism and responsiveness. We recommend visiting during off-hours to observe staff interaction levels firsthand and asking management specifically about how they are addressing recent concerns regarding staff attentiveness.

Google Reviews

Google Reviews

54 reviews on Google
Hillsdale County Medical Care Facility receives frequent praise for its clean, well-maintained environment and generally friendly staff who foster a family-like atmosphere. However, recent reviews highlight concerns regarding unprofessional behavior from specific staff members and a perceived decline in quality under new management. Families should weigh the facility's long-standing reputation for cleanliness against these more recent reports of poor communication and neglectful care.

Quality Themes

Tap a score for details
Food10.0Staff6.0Clean9.0Activities8.0MedsN/AMemoryN/AComms3.0ValueN/A

Strengths

  • Clean, well-maintained building and grounds
  • Friendly and caring staff
  • Pet-friendly environment
  • Active engagement and activities for residents

Concerns

  • Unprofessional or rude staff interactions (mentioned by 3 reviewers)
  • Neglectful care or lack of urgency (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2341.0'16(1)4.14.5'18(16)5.04.6'20(11)2.42.0'24(1)4.2'26(5)

Distribution · 57 analyzed

5
34
4
13
3
2
2
3
1
5

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1We've heard wonderful things about how clean and well-maintained the grounds are here; could you show us some of the common areas?
  • 2Since we know how important social connection is, what kind of daily activities or group engagements do you have planned for the residents?
  • 3We noticed your staffing rating is exceptional; how do you ensure that this high level of care remains consistent across all shifts?
  • 4How does the nursing team handle communication with families to ensure we are always kept up-to-date on any changes in a resident's health?
  • 5In the event of a sudden medical change or an emergency during the night, what is the specific protocol for notifying the family and providing care?
  • 6We love that this is a pet-friendly environment; how do you manage visits from family pets to ensure everyone stays comfortable?

Personalized based on this facility's data


Key Review Excerpts

Since her arrived and with the care of a fantastic staff for the most part she has accomplished marked improvement. Very pleased with this place. Also the fact that they are pet friendly and understand how much it means to be able to see and spend time with our four legged friends can mean to the patients there.

Long-term resident's family · 2018★★★★

All very friendly. Very clean. Workers very attentive. Very accommodating for family and friends. My mom loves the food and choices. Love all the workers.

Long-term resident's family · 2023★★★★

A CNA named Allison was playing on her phone for 30 minutes while gma was waiting to be changed after soiling herself. I wonder what happens when i’m away if that happens when i’m there.

Long-term resident's family · 2026☆☆☆☆
Source: 54 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.74hrs
98%
Registered nurses for medical care
Total Nursing
5.26hrs
OK
All nurses + aides combined
Staff Turnover
32%
Lower is better (< 30% = good)
RN Turnover
13%
Lower is better (< 30% = good)

RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

7

measures

Worse Than Avg

9

measures

Mixed Results

1

measures

Long-Stay Residents
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility18.9%
Worse than Avg
Here
18.9%
US
14.4%
MI
11.2%
😔

Residents with depression symptoms

↓ Lower is better
This Facility5.0%
Mixed vs Avgs
Here
5.0%
US
12.1%
MI
4.2%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility25.7%
Worse than Avg
Here
25.7%
US
19.5%
MI
19.5%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.0%
Better than Avg
Here
99.0%
US
93.4%
MI
95.2%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
MI
95.0%
🩺

Residents with a long-term catheter

↓ Lower is better
This Facility4.7%
Worse than Avg
Here
4.7%
US
0.9%
MI
0.9%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility91.7%
Better than Avg
Here
91.7%
US
81.8%
MI
83.0%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility87.0%
Better than Avg
Here
87.0%
US
79.8%
MI
79.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
MI
1.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

12deficiencies
4penalties
Above state avg (9.8)
8 complaint-triggered
$145,217 in fines

This facility has concerning patterns with families filing multiple complaints, including recent issues in 2025 involving protection from abuse and restraint use. The most recurring problems involve accident prevention and safety hazards, protection from abuse and neglect, and medication management. While all documented deficiencies show correction dates, the facility has struggled with basic safety oversight and care planning across multiple surveys, with 8 complaint-triggered deficiencies indicating family concerns about resident treatment and safety protocols.

Feb 26, 2026Routine
7
0211Potential for harm · PatternCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor 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.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0655Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0688Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide 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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Oct 2, 2025Complaint
5
0600Actual harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0684Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0607Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Sep 15, 2025Complaint
2
0604Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Dec 10, 2024Routine
12
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0609Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0610Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0222Potential for harm · PatternCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0324Potential for harm · PatternCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0347Potential for harm · PatternCorrected

Smoke Deficiencies

Properly provide smoke detection systems in areas open to corridors.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0604Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Apr 22, 2024Complaint
1
0686Actual harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Oct 4, 2023Routine
7
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0685Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Assist a resident in gaining access to vision and hearing services.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure 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.

0919Potential for harm · IsolatedCorrected

Environmental Deficiencies

Make sure that a working call system is available in each resident's bathroom and bathing area.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0641Minimal · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

Federal Penalties

Fine

Sep 15, 2025

$169,320

Fine

Dec 10, 2024

$64,227

Payment Denial

Dec 10, 2024

10-day denial

Fine

Apr 22, 2024

$80,990

Ownership & Operations

Who Operates This Facility

Owner / Operator

Hillsdale County Medical Care Facility

Organization Type

government

Ownership & Management

Owners

County of Hillsdale

Owner · Organization

100%

Key personnel

Lopresto, KellyManaging Control - Governing BodyMunson, JaneManaging Control - Governing BodyEsterline, TerryContracted Managing EmployeeKimball, LawrenceContracted Managing EmployeeMunson, JaneOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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