Hillsdale County Medical Care Facility
140 W Mechanic Street, Hillsdale, MI, 49242
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Abuse Flag
CMS has flagged this facility for a substantiated finding of resident abuse, neglect, or exploitation in its current or recent inspection cycle. Ask the facility for the specific citation and corrective-action plan during your visit, and consider contacting your state's long-term care ombudsman for context.
Source: CMS Care Compare.
CMS Star Ratings
Facility & Staffing
- Ownership
- Government - County
- Certified beds
- 170 · avg 133 residents/day
- Total nursing staff turnover
- 32.3% — lower than most Michigan nursing homesMichigan avg: 44.3% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 13% — lower than most Michigan nursing homesMichigan avg: 39.9% · National avg: 43.3% · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 3 fines · $314,537 total
- Payment denials
- 1 denial
Medicare certification
- CMS Certification Number
- 235197
- Certified beds
- 170 beds · avg 133 residents/day
- Ownership type
- Government - County
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- County Of Hillsdale
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Disclosed owners (6 on record)
- Jane Munson
Adp of The Snf · since 2025
- Kelly l Lopresto
Adp of The Snf · since 2025
- Lawrence d Kimball
Adp of The Snf · since 2025
- Terry w. Esterline
Adp of The Snf · since 2025
- (unnamed Owner)
Adp of The Snf · since 2025
- County of Hillsdale
5% or Greater Direct Ownership Interest · 100% · since 1970
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners, as of May 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 25)
- D0880·Feb 26, 2026
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0688·Feb 26, 2026
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.
- D0655·Feb 26, 2026
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
- D0641·Feb 26, 2026
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
- D0578·Feb 26, 2026
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.
- G0684·Oct 2, 2025Complaint
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D0610·Oct 2, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
- D0609·Oct 2, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Federal penalties
By year
- 20251 fine · $169K
- 20242 fines · $145K · 1 payment denial
Most recent events
- Sep 15, 2025Fine · $169K
- Dec 10, 2024Payment denial · 10 days · starting Jan 3, 2025
- Dec 10, 2024Fine · $64K
- Apr 22, 2024Fine · $81K
Largest single fine on record: $169K.
Fire-safety citations
9 Life-Safety-Code citations on file. Most recent: Feb 26, 2026. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Hillsdale County Medical Care Facilityinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.