Medilodge of Hillman
631 Caring Street, Hillman, MI 49746 · Montmorency County · (989) 742-4581
39 certified beds, about 37 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1982
CMS Care Compare ratings, data as of September 1, 2026 · CCN 235423 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on September 11, 2025, inspectors cited 5 health deficiencies (the Michigan average is 9.9, the national average 9.2).
Of 23 health citations since October 2023, 3 were rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $31,031 in the last three years; the largest was $31,031, and the latest is dated September 11, 2025.
Nurses and nurse aides worked 4.21 hours per resident per day, against 3.99 across Michigan and 3.86 nationally. Registered nurses accounted for 1.01 of those hours.
31.1% of nursing staff left within the year CMS measured (Michigan average 44.1%).
CMS links it to Medilodge, an affiliated group of 53 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 23 health citations on file.
September 11, 2025Standard inspection · 5 citations
- G Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents were free from abuse in review of two Residents (#26 & #19) of three residents reviewed for abuse. This deficient practice resulted in Resident #19 experiencing ongoing emotional distress, including fear of a sense of safety within the facility when in proximity of Resident #26 who was the one involved in the altercation.
- F Have enough outside ventilation via a window or mechanical ventilation, or both.
Inspectors wroteBased on observation, interview and record review, the facility failed to maintain a safe, comfortable and homelike environment by failing to ensure proper exhaust ventilation in the facility allowing the build-up of foul odors with the potential to affect all residents in the facility.
- E Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation and interview, the facility failed to maintain safe water temperatures at two hand washing sinks which could result in the potential for scalding risk to all residents that use these sinks.
- D Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide an adaptive call light to accommodate a physical impairment for one Resident (#14) of one Resident reviewed for accommodations of needs and preferences.
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on interview and record review, the facility failed to act upon pharmacist recommendations for one Resident (#2) of five residents reviewed for medication regimen review.
March 12, 2025Complaint inspection · 1 citation
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteThis citation pertains to intake MI00150640. Based on interview and record review the facility failed to provide safe and adequate assistance with bed mobility for one Resident (#2) of three residents reviewed for accidents, hazards, and supervision. This deficient practice resulted in a fall with major injury, hospitalization, and death.
October 9, 2024Standard inspection · 7 citations
- E 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.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure appropriate labeling of inhaled medications in one (East Hall) of two medication carts reviewed for medication storage, resulting in the potential for unrecognized expiration of medications, decreased medication efficacy and adverse side effects of expired medications with the potential to affect all 18 residents residing on the East Hall.
- D 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.
Inspectors wroteBased on interview and record review, the facility failed to ensure accurate advanced directive information was in place for one Resident (R16) of 13 residents reviewed for advanced directives (legal documents that allow a person to identify decisions about end-of-life care ahead of time).
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on interview and record review, the facility failed to develop and/or implement policies and procedures for ensuring the identification and reporting of potential abuse or neglect for one Resident (#93) of two residents reviewed for abuse, resulting in the potential for unidentified abuse or neglect and further exposure to abusive situations.
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on interview and record review, the facility failed to develop and/or implement policies and procedures for ensuring the thorough investigation of potential abuse or neglect for one Resident (#93) of two residents reviewed for abuse, resulting in the potential for unidentified abuse or neglect and further exposure to abusive situations.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview, and record review, the facility failed to implement fall prevention precautions for one Resident (Resident 20) of three residents reviewed for falls.
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on interview and record review, the facility failed to administer a blood pressure altering medication within ordered parameters for one Resident (#19) or five residents reviewed for unnecessary medications, resulting in the unwarranted administration of the medication and the potential for adverse side effects.
- D Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Inspectors wroteBased on interview and record review, the facility failed to attempt a gradual dose reduction (GDR) for a psychotropic medication for one Resident (R27) of five residents reviewed for unnecessary medications.
February 29, 2024Complaint inspection · 5 citations
- G Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteThis citation is linked to intake MI00141867. Based on observation, interview, and record review, the facility failed to provide pressure ulcer care per professional standards of practice for one Resident (R10) of three reviewed for pressure ulcer care. This deficient practice resulted in the worsening of a facility aquired pressure injury to an unsgateable pressure injury requiring antibiotics.
- E Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteThis citation is linked to intake MI00141807. Based on observation, interview, and record review, the facility failed to provide respiratory care per standards of practice for five Residents (R2, R3, R4, R7, and R8) of six residents reviewed for respiratory care.
- E Provide and implement an infection prevention and control program.
Inspectors wroteThis citation is linked to intake MI00141807. Based on observation, interview, and record review the facility failed to ensure infection control practices were followed with respiratory equipment/storage and during a wound dressing change per standards of practice.
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteThis citation is linked to intake MI00141867. Based on observation, interview, and record review, the facility to provide indwelling catheter care per standards of practice for two Residents (R5 and R7) of three residents reviewed for catheter care.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on observation, interview, and record review, the facility failed to assess safe self-administration of medication for one Resident (R5) of three residents reviewed for medication administration.
October 19, 2023Standard inspection · 5 citations
- F Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on observation, interview, and record review, the facility failed to consistently document narcotic drug disposition in two of two medication carts during review for medication storage. This deficient practice had the potential to affect the entire facility population and resulted in the potential for drug diversion, misappropriation, and the potential for untreated conditions related availability of medications.
- E Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain a medication administration error rate less than 5% for two Residents (R33 & R21) of three residents reviewed for medication administration. This deficient practice resulted in the potential for medical complications in resident treatment and conditions.
- E 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.
Inspectors wroteBased on observation, interview, and record review, the facility failed to securely store medications, for Resident #1 (R1) during review for medication storage. This deficient practice had the potential to result in accidental ingestion of medications not prescribed to two unidentified residents with access and the potential for associated side effects.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview, and record review the facility failed to provide dressing changes according to physician orders for one Residents (R20) of three residents reviewed for quality of care. This deficient practice resulted in missed dressing changes and the potential for decline in wound status.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure proper administration of oxygen services for one resident (#23) of three residents reviewed for oxygen services. This deficient practice resulted in the potential for respiratory complications.
Fire safety inspections
20 fire safety citations on file: 12 on September 11, 2025, 4 on October 9, 2024, 4 on October 19, 2023.
Every fire safety citation20 citations
- F Address subsistence needs for staff and patients.
- F Establish policies and procedures including evacuation.
- F Implement emergency and standby power systems.
- F 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.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Provide a written emergency evacuation plan.
- F Have simulated fire drills held at unexpected times.
- F Have generator or other power source capable of supplying service within 10 seconds.
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D Install emergency lighting that can last at least 1 1/2 hours.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Ensure proper usage of power strips and extension cords.
- F 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.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- D Ensure proper usage of power strips and extension cords.
- F Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E 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.
- E Have properly installed electrical wiring and gas equipment.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| September 11, 2025 | Fine | $31,031 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Michigan | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.21 | 3.99 | 3.86 |
| Registered nurses | 1.01 | 0.78 | 0.69 |
| All nursing staff on weekends | 3.65 | 3.50 | 3.42 |
| Nurse aides | 2.44 | ||
| Licensed practical nurses | 0.75 | ||
| Nursing staff turnover (share who left in a year) | 31.1% | 44.1% | 45.8% |
| Registered nurse turnover | 40.0% | 39.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.75 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.43 on weekdays and 3.65 on weekends, 18% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.47 in April to June 2025 to 4.21 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.21 | 1.01 | 4.43 | 3.65 | 0.0% | 0 of 90 | 37 |
| Oct to Dec 2025 | 4.51 | 1.18 | 4.82 | 3.73 | 0.0% | 0 of 92 | 36 |
| Jul to Sep 2025 | 4.52 | 1.20 | 4.84 | 3.71 | 0.0% | 0 of 92 | 36 |
| Apr to Jun 2025 | 4.47 | 1.38 | 4.77 | 3.72 | 0.0% | 0 of 91 | 37 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Michigan, Jan to Mar 2026 | 3.95 | 0.70 | 4.14 | 3.45 | 3.3% | 0.4% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Michigan | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 7.4 | 10.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.8 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.5 | 3.0 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 14.1 | 12.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.9 | 5.1 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 27.9 | 14.8 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.8 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.8 | 1.6 | 1.8 |
Owners and operators
Legal business name: HILLMAN OPCO LLC. CMS links this home to Medilodge, a group of 53 nursing homes averaging 3.1 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Fifteeninone Opco Group LLC | 5% or greater direct ownership interest | Organization | 100% | 06/24/2013 |
| B&y Healthcare S Corp | 5% or greater indirect ownership interest | Organization | 06/24/2013 | |
| B&y Trust | 5% or greater indirect ownership interest | Organization | 06/24/2013 | |
| Cody Healthcare S Corp | 5% or greater indirect ownership interest | Organization | 06/24/2013 | |
| Craig Flashner 2007 Trust | 5% or greater indirect ownership interest | Organization | 06/24/2013 | |
| Norcross, Robert | Contracted managing employee | Individual | 06/24/2013 | |
| Rogers, Stacey | Contracted managing employee | Individual | 10/20/2014 | |
| Kirk, Kristine | W-2 managing employee | Individual | 01/01/2018 | |
| Generations Healthcare Management LLC | Operational/managerial control | Organization | 06/24/2013 | |
| Prestige Administrative Services, LLC | Operational/managerial control | Organization | 01/01/2016 | |
| Flashner, Craig | Operational/managerial control | Individual | 06/24/2013 | |
| Perlstein, Yitzchok | Operational/managerial control | Individual | 06/24/2013 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 8 problems in this area, most recently on September 11, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 8 problems in this area, most recently on September 11, 2025: "Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 3 problems in this area, most recently on September 11, 2025: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on September 11, 2025: "Reasonably accommodate the needs and preferences of each resident."
Other nursing homes nearby
- Medilodge of Green View Alpena, 21.6 mi · 5 of 5 stars · 10 citations
- Medilodge of Alpena Alpena, 21.6 mi · 5 of 5 stars · 21 citations
- Medilodge of Rogers City Rogers City, 24.7 mi · 5 of 5 stars · 11 citations
Michigan contacts for a concern about a nursing home
These are the official offices in Michigan. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Michigan Department of Licensing and Regulatory Affairs, Bureau of Survey and Certification, Long Term Care Division, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Michigan Long Term Care Ombudsman Program, 1-866-485-9393. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: LARA State Licensing Search, where Michigan publishes its own records on licensed homes.
Common questions
- What is Medilodge of Hillman's Medicare star rating?
- CMS rates Medilodge of Hillman 3 out of 5 stars overall, with 2 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Medilodge of Hillman get at its last inspection?
- 5 health deficiencies at the standard inspection on September 11, 2025. The Michigan average is 9.9.
- Has Medilodge of Hillman been fined?
- Yes. CMS lists 1 fine totaling $31,031 in the last three years.
- Does Medilodge of Hillman accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Medilodge of Hillman?
- CMS lists 12 owners and managers, and links the home to Medilodge. Legal business name: HILLMAN OPCO LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.