Hill Top Home of Comfort Inc

95 Hill Top Dr · Killdeer, ND · 58640 · 7017645682

60 certified beds Non profit - Corporation

  • Staffing hours comfortably above national benchmarks.
  • Inspection results have improved across recent cycles.

Red flags

3 immediate-jeopardy citations in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

3 abuse-related citations at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

$198,960 in federal fines in the last 24 months

1 fine — CMS fines are reserved for verified, serious non-compliance.

Score breakdown

Inspection record 30% of score 42
Serious harm & abuse 20% 62
Staffing 20% 88
Federal penalties 15% 53
Trend 10% 92
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 1 of 5 Staffing: 5 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day4.563.48 min · 4.1 strong
RN hours / resident-day1.000.55–0.75
Weekend hours / resident-day3.74≈ weekday level
Nursing turnover / year30%median 45%
Fines (3-yr window)1 · $198,960

Inspection citations (7 in the current record)

  • Potential for harm · D August 27, 2025

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

    Corrected September 12, 2025 · Quality of Life and Care

  • Immediate jeopardy · K July 16, 2024 · found via complaint

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

    Corrected August 10, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · K July 16, 2024 · found via complaint

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

    Corrected August 10, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · K July 16, 2024 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected August 10, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D July 16, 2024 · found via complaint

    Ensure each resident receives an accurate assessment.

    Corrected August 10, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D July 16, 2024 · found via complaint

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

    Corrected August 10, 2024 · Resident Assessment and Care Planning

  • Potential for harm · F July 26, 2023

    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.

    Corrected August 30, 2023 · Nutrition and Dietary

Federal penalties

DateTypeAmount / length
July 16, 2024Fine$198,960

Better-scoring options nearby

No better-scoring facility within 25 miles in the current data. See the whole state.

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 355092 · certified since May 10, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.