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CMS Nursing Home Compare · March 2026

Hill Top Home of Comfort INC

95 Hill Top Dr, Killdeer, ND 58640

Hill Top Home of Comfort INC, a 60-bed non profit - corporation nursing facility in Killdeer, ND, holds a 2-star CMS overall rating - below the 3.0-star national average, with nurse staffing above the national norm. 3 inspection findings reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 7017645682

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2 / 5
Below average · CMS overall · nat'l 3.0
4.50
Well above average · nurse hrs/day · nat'l 3.89
7
Inspection findings · 3 serious
$199K
Federal penalties (1)

Health Inspection

1/5

Staffing

5/5

Quality Measures

4/5

Long-Stay Quality

4/5

Facility Information

Provider Number
355092
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
Beds
60
Residents
59
In Hospital
No
County
Dunn
Last Inspection
Aug 27, 2025

Staffing Data

How the 4.50 total nursing hours per resident-day are staffed:

RN Hours
0.93 (nat'l avg: 0.68)
LPN Hours
0.30
CNA Hours
3.28
Total Nursing Hours
4.50 (nat'l avg: 3.89)
PT Hours
0.00
Nursing Turnover
33.3%
RN Turnover
23.1%

What the CMS Record Reveals About Hill Top Home of Comfort INC

Hill Top Home of Comfort INC operates 60 certified beds in Killdeer, ND with approximately 59 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (1★), staffing levels (5★), and quality measures (4★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 7 deficiency records from recent surveys, of which 3 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $199K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 4.50 total nursing hours per resident day (national average 3.89), with RN coverage at 0.93 per resident day, the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "Non profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Hill Top Home of Comfort INC falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 33.3%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (7 most recent)

D - Isolated - Minimal harm Aug 27, 2025 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 12, 2025

D - Isolated - Minimal harm Jul 16, 2024 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 10, 2024

D - Isolated - Minimal harm Jul 16, 2024 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 10, 2024

K - Pattern - Jeopardy Jul 16, 2024 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Aug 10, 2024

K - Pattern - Jeopardy Jul 16, 2024 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Aug 10, 2024

K - Pattern - Jeopardy Jul 16, 2024 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Aug 10, 2024

F - Widespread - Minimal harm Jul 26, 2023 Tag: 0801

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Category: Nutrition and Dietary Deficiencies

Corrected: Aug 30, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 21.1% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.4% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.0% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 3.4% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 16.7% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 0.0% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 19.0% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay N/A Yes
Percentage of long-stay residents who lose too much weight Long Stay 7.2% No
Percentage of long-stay residents who have depressive symptoms Long Stay 0.9% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 13.7% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 22.3% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay N/A No

Penalty History 1 penalties totaling $199K

Date Type Amount
Jul 16, 2024 Fine $199K

Frequently Asked Questions

What is the overall CMS rating for Hill Top Home of Comfort INC?
Hill Top Home of Comfort INC has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (1★), staffing levels (5★), and quality measures (4★).
What are the staffing levels at Hill Top Home of Comfort INC?
Hill Top Home of Comfort INC reports 4.50 total nursing hours per resident day (national average: 3.89). RN hours are 0.93 per resident day (national average: 0.68). Nursing staff turnover is 33.3%.
How many beds does Hill Top Home of Comfort INC have?
Hill Top Home of Comfort INC has 60 certified beds with approximately 59 residents. The facility is located at 95 Hill Top Dr, Killdeer, ND 58640.
Does Hill Top Home of Comfort INC have any deficiencies on record?
Yes, Hill Top Home of Comfort INC has 7 deficiencies on record from recent inspections. Of these, 3 are classified as causing actual harm or jeopardy.
Has Hill Top Home of Comfort INC received any fines or penalties?
Yes, Hill Top Home of Comfort INC has received 1 penalties totaling $199K.
Who owns Hill Top Home of Comfort INC?
Hill Top Home of Comfort INC is classified as "Non profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Hill Top Home of Comfort INC last inspected?
The most recent health inspection for Hill Top Home of Comfort INC was on Aug 27, 2025. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for Hill Top Home of Comfort INC?
Hill Top Home of Comfort INC is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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