the building is old but is well keep up by good maintance men . HILTON IS VERY CLEAN. THE PHYSICAL THERAPY IS EXCELLENT, THIS SMALL NURSING HOMES IS VERY FAMILY ORIENATED AND THE STAFF IS VERY NICE AND THEY SHOW HOW MUCH THE RESIDENTS NEEDS MEAN TO THEM . THE NURSING CARE IS EXCELLENT. IAM NURSE WHO HAVE WORKED IN FANCY NURSING HOMES BUT THE CARE IS SO MUCH BETTER AT THIS SMALL FERNADALE MI HOME. THEY HAVE LONG TERM CARE AND SHORT TERM REHAB AND SPEECH THERAPY OCCIPIAONAL THERAPY AND HOSPICE CARE AND VERY GOOD SOCIAL SERVICE DEPT AND ACTIVITY DIRECTOR IS GREAT AND ALSO A NURSE. I MISS THIS PLACE AND WISH ALLPTS COULD EXPERENCE THE GREAT NURSES AND CENA'S . THEY STAY AT HILTON BECAUSE THEY LOVE THERE WORK AND PATIENTS. SLJ, LPN, madison hgts mi.