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B
Good

Hillsdale County Medical Care Facility

140 W Mechanic Street · Hillsdale, MI 49242

5174399341 · Government - County

170 beds134.1 residents286 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A+
Excellent
Total Staff
B
Good
RN Staff
B
Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Hillsdale County Medical Care Facility receives an overall staffing grade of B (Good). With 5.1157 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.713 HPRD, below the recommended 0.75. It is 1.22 HPRD above the national average.

Weekend staffing decreases noticeably — dropping 17.55% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (1)

⚠️RN staffing (0.713 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
5.1157hrs/resident/day▲ 1.22
CMS benchmark: 3.48
RN HPRD
0.713hrs/resident/day▲ 0.03
Recommended: 0.75
Weekend Drop-off
17.55%
5.3827 weekday → 4.4382 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
3.4164hrs/resident/day
Direct care aides
LPN HPRD
0.9546hrs/resident/day
Licensed practical nurses
Consistency
0.52std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Hillsdale County Average-0.26 HPRD
5.38
05.12 HPRD
vs. Michigan State Average+1.09 HPRD
4.03
05.12 HPRD
vs. National Average+1.22 HPRD
3.90
05.12 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Hillsdale County Medical Care Facility ★
Hillsdale · This facility
—
B
5.11570.713★★★☆☆
The Laurels of Coldwater
Coldwater
17.4 mi
D
3.17310.3797★★★☆☆
Maple Lawn Medical Care Facility
Coldwater
17.8 mi
A
4.76230.9769★★★★★
Arbor Manor Care Center
Spring Arbor
19.5 mi
B
4.73120.5616★★☆☆☆
Faith Haven Senior Care Centre
Jackson
23 mi
B
3.59510.5999★★☆☆☆
Jackson County Medical Care Facility
Jackson
25 mi
A
5.08550.888★★★★★

Inspection History & Penalties

Health inspection results from state surveys — most recent first

6
Inspections
36
Total Deficiencies
$145,217
Fines Assessed
Oct 2, 2025Health
5 deficiencies cited· Includes actual harm
▼
Sep 15, 2025Health
2 deficiencies cited
▼
Dec 10, 2024Health
6 deficiencies cited· Includes actual harm
▼
Apr 22, 2024Health
1 deficiency cited· Includes actual harm
▼
Oct 4, 2023Health
6 deficiencies cited· Includes actual harm
▼
Aug 31, 2022Health
16 deficiencies cited
▼

Penalty History

Dec 10, 2024Fine
$64,227
Dec 10, 2024Payment Denial
Apr 22, 2024Fine
$80,990
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.