Hilltop Healthcare Rehabilitation and Skilled Nurs
2501 Rice Lake Road · Duluth, MN · 55811 · 2186256421
140 certified beds For profit - Partnership
Why this verdict
- Federal penalties on record: $168,221 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
2 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
$168,221 in federal fines in the last 24 months
3 fines — CMS fines are reserved for verified, serious non-compliance.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 3.38 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.90 | 0.55–0.75 |
| Weekend hours / resident-day | 3.01 | ≈ weekday level |
| Nursing turnover / year | 57% | median 45% |
| Fines (3-yr window) | 3 · $168,221 |
Inspection citations (39 in the current record)
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Potential for harm · D March 12, 2026
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected April 8, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 12, 2026
Respond appropriately to all alleged violations.
Corrected April 8, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 12, 2026
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected April 8, 2026 · Resident Rights
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Potential for harm · D March 12, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected April 8, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 12, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 8, 2026 · Quality of Life and Care
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Potential for harm · D March 12, 2026
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected April 8, 2026 · Pharmacy Service
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Potential for harm · F March 12, 2026
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected April 8, 2026 · Nutrition and Dietary
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Potential for harm · E March 12, 2026
Provide and implement an infection prevention and control program.
Corrected April 8, 2026 · Infection Control
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Potential for harm · D March 12, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 8, 2026 · Quality of Life and Care
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No harm found · C March 12, 2026
Post nurse staffing information every day.
Corrected April 8, 2026 · Nursing and Physician Services
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Potential for harm · D May 2, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected May 20, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 2, 2025
Ensure each resident receives an accurate assessment.
Corrected May 20, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 2, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected May 20, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 2, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 20, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 2, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected May 20, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 2, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 20, 2025 · Quality of Life and Care
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Potential for harm · D May 2, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected May 20, 2025 · Quality of Life and Care
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Potential for harm · D May 2, 2025
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected May 20, 2025 · Nursing and Physician Services
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Potential for harm · D May 2, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected May 20, 2025 · Pharmacy Service
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Potential for harm · D May 2, 2025
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.
Corrected May 20, 2025 · Pharmacy Service
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Potential for harm · F May 2, 2025
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Corrected May 20, 2025 · Nutrition and Dietary
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Actual harm · G March 13, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 6, 2025 · Quality of Life and Care
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Immediate jeopardy · J January 17, 2025 · found via complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected January 15, 2025 · Quality of Life and Care
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Immediate jeopardy · J September 5, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 27, 2024 · Quality of Life and Care
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Potential for harm · D September 5, 2024 · found via complaint
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected September 27, 2024 · Nursing and Physician Services
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 13, 2025 | Fine | $14,505 |
| January 17, 2025 | Fine | $26,130 |
| September 5, 2024 | Fine | $127,586 |
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 245366 · certified since August 1, 1986. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.