Home›Browse›Michigan›Hillsdale›Hillsdale County Medical Care Facility

Nursing homeFAID #6066

Hillsdale County Medical Care Facility

140 W Mechanic Street, HILLSDALE, MI, 49242

(517) 439-9341

www.hillsdalemedicalcare.org

170 licensed beds

★★★★★3/5CMS Five-Star overall2/5 health inspections5/5 staffing4/5 quality measuresSource: CMS Care Compare

Generate this report

Primary Report$79 Advanced Report$99

Delivered within 24–48 hours

Photo of Hillsdale County Medical Care Facility

Photo via Google · Hillsdale County Medical Care

Address

140 W Mechanic Street

Hillsdale, MI 49242

Get directions

Map facilities in this area

All facilities in Hillsdale

Public record summary

What we can show you for free.

Bed capacity

170

CMS facility ID

235197

Care type

Nursing home

County

Hillsdale

Facility name

Hillsdale County Medical Care Facility

Street address

140 W Mechanic Street

City / state / ZIP

Hillsdale, MI 49242

Phone

(517) 439-9341

Website

www.hillsdalemedicalcare.org

About this facility — Hillsdale County Medical Care Facility

Hillsdale County Medical Care Facility is a Medicare/Medicaid-certified skilled nursing facility in Hillsdale, Michigan. It is licensed for 170 beds — well above the median for skilled nursing facilities in Michigan (100 beds).

It is one of 4 senior care facilities in Hillsdale and 423 skilled nursing facilities across Michigan. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Hillsdale County Medical Care Facility 34 times across 9 inspections in the last three years, and CMS has imposed $314,537 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Ownership type

Government - County

Registered owners & officers

County of Hillsdale

Direct owner — 100% stake — since 1970

Esterline, Terry

Managing employee · Operational control · Additional disclosable party — since 2020

Kimball, Lawrence

Managing employee · Additional disclosable party — since 2020

Lopresto, Kelly

Governing body · Trustee · Additional disclosable party — since 2024

Munson, Jane

Governing body · Director · Trustee · Additional disclosable party — since 2015

Regulatory standing

Licensed / certified since

1970-04-06

CMS overall rating

3 of 5 stars

Health deficiencies

12 at the last standard inspection

Federal fines

$314,537 total

Last standard inspection

2026-02-26

Nurse staffing

5.4 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$506 per day (≈ $15,380/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

90% Medicaid · 2% Medicare · 8% private/other

Occupancy

73% (fiscal year 2023)

Vs. state median

9% above the MI median of $466/day — full state cost breakdown

Services & coverage

Licensed beds

170

Medicare

Accepted

Medicaid

Accepted

Wheelchair accessible

entrance and parking

Visiting hours

Daily 12:00 – 8:00 PM

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

CleanNo food-safety or dietary citations in the last three years of federal inspections.

2026-02-26Health inspection5 citations

F-0578

D · No harm found

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.

Corrected 2026-03-20

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2026-03-20

F-0655

D · No harm found

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

Corrected 2026-03-20

F-0688

D · No harm found

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.

Corrected 2026-03-20

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2026-03-20

2025-10-02Health inspectionComplaint-triggered5 citations

F-0600

G · Actual harmFrom a complaint

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

Corrected 2025-10-30

F-0607

D · No harm foundFrom a complaint

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

Corrected 2025-10-30

F-0609

D · No harm foundFrom a complaint

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

Corrected 2025-10-30

F-0610

D · No harm foundFrom a complaint

Respond appropriately to all alleged violations.

Corrected 2025-10-30

F-0684

G · Actual harmFrom a complaint

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

Corrected 2025-10-30

7 earlier / fire-safety inspections (24 citations)

2025-09-15Health inspectionComplaint-triggered2 citations

F-0604

D · No harm foundFrom a complaint

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

Corrected 2025-10-08

F-0689

D · No harm foundFrom a complaint

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

Corrected 2025-10-08

2024-12-10Health inspection6 citations

F-0604

D · No harm found

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

Corrected 2025-01-09

F-0609

E · No harm found

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

Corrected 2025-01-09

F-0610

E · No harm found

Respond appropriately to all alleged violations.

Corrected 2025-01-09

F-0656

D · No harm found

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

Corrected 2025-01-09

F-0689

G · Actual harm

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

Corrected 2025-01-09

F-0690

D · No harm found

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

Corrected 2025-01-09

2024-04-22Health inspectionComplaint-triggered1 citation

F-0686

H · Actual harmFrom a complaint

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

Corrected 2024-05-17

2023-10-04Health inspection6 citations

F-0641

B · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2023-10-20

F-0657

D · No harm found

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

Corrected 2023-10-20

F-0685

D · No harm found

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

Corrected 2023-10-20

F-0689

G · Actual harm

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

Corrected 2023-10-20

F-0761

D · No harm found

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.

Corrected 2023-10-20

F-0919

D · No harm found

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

Corrected 2023-10-20

2026-02-26Fire-safety inspection2 citations

K-0211

E · No harm found

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

Corrected 2026-03-20

K-0920

E · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2026-03-20

2024-12-10Fire-safety inspection6 citations

K-0222

E · No harm found

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.

Corrected 2024-12-23

K-0324

E · No harm found

Provide properly protected cooking facilities.

Corrected 2025-01-13

K-0347

E · No harm found

Properly provide smoke detection systems in areas open to corridors.

Corrected 2024-12-05

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-12-13

K-0363

E · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2024-12-23

K-0920

E · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2024-12-23

2023-10-04Fire-safety inspection1 citation

K-0321

D · No harm found

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

Corrected 2023-10-13

Federal penalties

2025-09-15Fine$169,320

2024-12-10Fine$64,227

2024-04-22Fine$80,990

2024-12-10Medicare payment denial — 10 days

Total fines$314,537

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 235197.

Visitor reviews

What people say on Google.

4.256 ratings on Google

★★★★★Blake Jenkins · 2026-03-31 · via Google
“Moved my dad in. They have been very helpful. Hes been here for 2 weeks. This facility is IMMACULATE. We appreciate that.”

★Greta Baumgarter · 2026-03-13 · via Google
“My grandma has been here for about 6 months, considering transferring care to somewhere else. 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.”

★★★★★Mark Smith · 2026-07-16 · via Google
“My sister-in-law is very happy hear.”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 34 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

Unlock the full file

Citations, owner history, lawsuits — decoded into one PDF.

$79 $99 Advanced

Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-08-31

Source

Google Business Profile

Photos, reviews & hours

Displayed with attribution · refreshed on re-run

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered