Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Hillsdale County Medical Care Facility

Hillsdale, MI · 170 certified beds · Last Life Safety survey February 26, 2026

CMS Certification Number 235197 · first certified April 1970

Ownership

Independently operated (no chain recorded by CMS) · Government - County

No change of ownership on CMS record since January 1, 2016, when the records begin.

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within MI

9 citations — more than 28% of the 422 certified nursing homes in MI. Compared within MI rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 2 citations; the earlier surveys in the window averaged 3.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens February 2027 — about 5 months from now. This facility’s last Life Safety survey was February 2026. Facilities in MI are typically surveyed 12–14 months after the last one (median 13), measured over 723 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Physical environment (health survey)

5 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 9 Life Safety citations above. The Physical Environment Index

F-0880 Provide and implement an infection prevention and control program.
F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0919 Make sure that a working call system is available in each resident's bathroom and bathing area.

How that compares

Citations on file over three years

Compared with the median facility in MI, and nationally. Surveyors differ markedly between states, so the MI figure is the meaningful one.

Citations on file over three years, compared
Measure	Citations
This facility	9
Median facility in MI	14
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
October 4, 2023	1
December 10, 2024	6
February 26, 2026	2

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0920	Ensure proper usage of power strips and extension cords.	2	2026-02-26
K-0363	Install corridor and hallway doors that block smoke.	1	2024-12-10
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	1	2026-02-26
K-0353	Inspect, test, and maintain automatic sprinkler systems.	1	2024-12-10
K-0324	Provide properly protected cooking facilities.	1	2024-12-10
K-0222	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.	1	2024-12-10
K-0347	Properly provide smoke detection systems in areas open to corridors.	1	2024-12-10
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	1	2023-10-04

What the citations cover

Citations by CMS category

Smoke Deficiencies 5
Gas, Vacuum, and Electrical Systems Deficiencies 2
Egress Deficiencies 2

Citations by CMS category
Category	Citations
Smoke Deficiencies	5
Gas, Vacuum, and Electrical Systems Deficiencies	2
Egress Deficiencies	2

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

February 26, 2026 — 2 citations

Citations issued on February 26, 2026
Tag	What the surveyor checks	Status
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	Deficient, Provider has date of correction (March 20, 2026)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (March 20, 2026)

December 10, 2024 — 6 citations

Citations issued on December 10, 2024
Tag	What the surveyor checks	Status
K-0222	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.	Deficient, Provider has date of correction (December 23, 2024)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (January 13, 2025)
K-0347	Properly provide smoke detection systems in areas open to corridors.	Deficient, Provider has date of correction (December 5, 2024)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (December 13, 2024)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (December 23, 2024)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (December 23, 2024)

October 4, 2023 — 1 citation

Citations issued on October 4, 2023
Tag	What the surveyor checks	Status
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	Deficient, Provider has date of correction (October 13, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.