The nursing home failed to protect residents from abuse and neglect by others. Cited July 2024 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: K
Nursing home report
HILL TOP HOME OF COMFORT INC
KILLDEER, ND · Medicare-certified · 60 beds
Needs attention
Non-profit
2 of 5 overall
Hill Top Home of Comfort Inc in Killdeer, ND has an overall 2-star rating, with a 1-star health inspection rating but 5 stars for staffing and 4 stars for quality measures. It reports 4.56 nurse hours per resident per day versus the 4.1 federal benchmark, along with $198,960 in fines in the last 24 months and a recent federal penalty.
Facility ratings
Health inspections
Staffing
4.5564 hrs/resident/day
Quality measures
Last inspection: August 27, 2025Penalties, last 24 months: $198,960recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.5564.
Staffing detail
- Registered nurses
- 1.00
- Licensed practical nurses
- 0.23
- Nurse aides
- 3.32
- Weekend nursing
- 3.74
Hours per resident per day.
Total staff turnover: 30%
Registered nurse turnover: 23%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
13.1%Improving
Residents with a fall causing major injury
3%Improving
Residents with pressure ulcers (bedsores)
0.5%Worsening
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
6.8%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
21.2%Worsening
Residents whose ability to walk got worse
12.8%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
12.8%Improving
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0.8%Worsening
Residents with new or worsening incontinence
24.4%Steady
Residents with depressive symptoms
2.6%Worsening
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the pneumonia vaccine
100%Steady
What the inspectors found
The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited July 2024 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 609 — 42 CFR §483.12 — S/S: K
The home failed to respond appropriately to all reported abuse or neglect concerns. Cited July 2024 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 610 — 42 CFR §483.12 — S/S: K
The home failed to have enough qualified staff to properly provide food and nutrition services. Cited July 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 801 — 42 CFR §483.60 — S/S: F
The home failed to provide safe and appropriate breathing care when a resident needed it. Cited August 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 695 — 42 CFR §483.25(i) — S/S: D
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $198,960 was recorded.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $198,960 in total fines.
- $198,960
Federal fine
Jul 16, 2024
Operator & ownership
- Ownership
- Non profit - Corporation
- Occupancy
- 58.4 residents on an average day (97% of 60 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 37 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.