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
Registered name: HILL TOP HOME OF COMFORT INC
KILLDEER, ND · Medicare-certified · 60 beds
Needs attention
Non-profit
Data as of July 1, 2026
2 of 5 overall
Hill Top Home of Comfort has an overall 2-star rating, with a 1-star health inspection rating but 5-star staffing and quality ratings; its reported nurse staffing is 4.33 hours per resident per day, slightly above the federal benchmark of 4.1. The facility also has $198,960 in fines in the last 24 months and a recent federal penalty, with recent inspection concerns involving abuse/neglect reporting and response.
Facility ratings
Health inspections
Staffing
4.3264 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 4.3264.
Staffing detail
- Registered nurses
- 0.99
- Licensed practical nurses
- 0.20
- Nurse aides
- 3.14
- Weekend nursing
- 3.54
Hours per resident per day.
Total staff turnover: 33%
Registered nurse turnover: 27%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
15%11.6%Improving
Residents with a fall causing major injury
3.5%1.8%Improving
Residents with pressure ulcers (bedsores)
0%0%No change
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
9.3%1.8%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
19.2%9.8%Improving
Residents whose ability to walk got worse
10.6%5.7%Improving
Long-stay residents on antianxiety or sleep medication
12.3%12.5%No change
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
0%1.5%Worsening
Residents with new or worsening incontinence
24.2%33.2%Worsening
Residents with depressive symptoms
0%7.4%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the pneumonia vaccine
—100%—
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
- 59.4 residents on an average day (99% 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.