A ceiling lift tilt management system includes first and second motor units, which are attachable to a rail system of a medical care facility. Each motor unit includes a flexible strap, which can be coiled or uncoiled within the motor unit to raise or lower a spreader bar attached thereto. Coiling or uncoiling of the straps can cause raising or lowering of a sling attached to the spreader bars. The system also allows for tilting of the spreader bars by coiling or uncoiling a leading motor unit strap. The system includes a control system that measures the relative lengths of the two straps in order to ensure that relative tilt between the spreader bars does not exceed a threshold. Once a threshold tilt for height difference is reached, further user requests for additional tilting are prohibited. Patient comfort and safety are therefore ensured.