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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G4 | H1 | I· |
| Potential harm | D18 | E9 | F1 |
| Minimal | A· | B1 | C· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Feb 26, 2026 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Feb 26, 2026 | Health | Health Standard | 5 | Potential harm | — | Open → |
| Oct 2, 2025 | Health | Health Complaint | 5 | Actual harm | — | Open → |
| Sep 15, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Dec 10, 2024 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| Dec 10, 2024 | Health | Health Standard | 6 | Actual harm | — | Open → |
| Apr 22, 2024 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Oct 4, 2023 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Oct 4, 2023 | Health | Health Standard | 6 | Actual harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Sep 15, 2025 | Civil money penalty (fine) | $110,058 | — | 235197|Fine|138745 |
| Dec 10, 2024 | Denial of payment for new admissions | — | Jan 3, 2025 · 10 days | 235197|Payment Denial|2025-01-03 |
| Dec 10, 2024 | Civil money penalty (fine) | $64,227 | — | 235197|Fine|59075 |
| Apr 22, 2024 | Civil money penalty (fine) | $80,990 | — | 235197|Fine|58978 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G4 | H1 | I· |
| Potential harm | D18 | E9 | F1 |
| Minimal | A· | B1 | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Feb 26, 2026 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 20, 2026 | |
| Feb 26, 2026 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 20, 2026 | |
| Feb 26, 2026 | F-0578 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| County of Hillsdale | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jan 1, 1970 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| County of Hillsdale | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jan 1, 1970 |
| Kelly Lopresto | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Oct 1, 2024 |
| Jane Munson | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Nov 12, 2015 |
| Terry Esterline | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 10, 2020 |
| Jane Munson | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Nov 12, 2015 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Hillsdale Hospital Mcguire & Macritchie Long Term 168 South Howell Street, Hillsdale, MI 49242 CCN 235567 | 2.7 km | 38 | Dec 22, 2025 | 121 harm | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 235197 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 235197 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| D · Potential harm Isolated |
| Corrected Mar 20, 2026 |
| Feb 26, 2026 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 20, 2026 |
| Feb 26, 2026 | F-0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 20, 2026 |
| Feb 26, 2026 | F-0688 | 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. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 20, 2026 |
| Feb 26, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Mar 20, 2026 |
| Oct 2, 2025 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | G · Actual harm Isolated | Corrected Oct 30, 2025 | Complaint |
| Oct 2, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Oct 30, 2025 | Complaint |
| Oct 2, 2025 | F-0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 30, 2025 | Complaint |
| Oct 2, 2025 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 30, 2025 | Complaint |
| Oct 2, 2025 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 30, 2025 | Complaint |
| Sep 15, 2025 | F-0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 8, 2025 | Complaint |
| Sep 15, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 8, 2025 | Complaint |
| Dec 10, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Jan 9, 2025 |
| Dec 10, 2024 | 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. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 23, 2024 |
| Dec 10, 2024 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 13, 2025 |
| Dec 10, 2024 | K-0347 | Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 5, 2024 |
| Dec 10, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 13, 2024 |
| Dec 10, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 23, 2024 |
| Dec 10, 2024 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 23, 2024 |
| Dec 10, 2024 | F-0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 9, 2025 |
| Dec 10, 2024 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jan 9, 2025 |
| Dec 10, 2024 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jan 9, 2025 |
| Dec 10, 2024 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 9, 2025 |
| Dec 10, 2024 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 9, 2025 |
| Apr 22, 2024 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | H · Actual harm Pattern | Corrected May 17, 2024 | Complaint |
| Oct 4, 2023 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Oct 20, 2023 |
| Oct 4, 2023 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 13, 2023 |
| Oct 4, 2023 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 20, 2023 |
| Oct 4, 2023 | F-0685 | Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 20, 2023 |
| Oct 4, 2023 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Oct 20, 2023 |
| Oct 4, 2023 | F-0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 20, 2023 |
| Oct 4, 2023 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | B · Minimal Pattern | Corrected Oct 20, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 5.95 (case-mix index 1.26).
| Terry Esterline | Individual | Managing employee | CONTRACTED MANAGING EMPLOYEE | not provided | Apr 10, 2020 |
| Lawrence Kimball | Individual | Managing employee | CONTRACTED MANAGING EMPLOYEE | not provided | Apr 10, 2020 |
| Kelly Lopresto | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Oct 1, 2024 |
| Jane Munson | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Nov 12, 2015 |
| Terry Esterline | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 8, 2025 |
| Lawrence Kimball | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 8, 2025 |
| Kelly Lopresto | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 8, 2025 |
| Jane Munson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 8, 2025 |