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Nursing home report

HILLTOP HEALTHCARE REHABILITATION AND SKILLED NURS

DULUTH, MN · Medicare-certified · 140 beds

Needs attention
For-profit
1 of 5 overall

1 out of 5 stars overall. Hilltop Healthcare Rehabilitation and Skilled Nurs has low quality measures (1 star), a 2-star health inspection rating, 4-star staffing, reported nurse staffing below the federal benchmark (3.38 vs 4.1 hours/resident/day), $176,031 in fines over the last 24 months, and a recent federal penalty.

Facility ratings

Health inspections

Staffing

3.3811 hrs/resident/day

Quality measures

Last inspection: March 12, 2026Penalties, last 24 months: $176,031recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3811.

Staffing detail

Registered nurses
0.90
Licensed practical nurses
0.46
Nurse aides
2.02
Weekend nursing
3.01

Hours per resident per day.

Total staff turnover: 57%
Registered nurse turnover: 65%

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

24.6%18.9%Improving

Residents with a fall causing major injury

7.1%1.1%Improving

Residents with pressure ulcers (bedsores)

7.6%6.5%Improving

Residents with a urinary tract infection

3.2%2.2%Improving

Residents who lost too much weight

6.2%7%Worsening

Residents who were physically restrained

2%1.1%Improving

Residents needing more help with daily activities

26.9%15.1%Improving

Residents whose ability to walk got worse

43%9.7%Improving

Long-stay residents on antianxiety or sleep medication

15.5%13.7%Improving

Short-stay residents newly given an antipsychotic

4.9%2.3%Improving

Residents with a long-term catheter

3.7%0%Improving

Residents with new or worsening incontinence

26.8%22.6%Improving

Residents with depressive symptoms

13%13.8%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

95.9%97.8%Improving

Short-stay residents given the seasonal flu vaccine

84.8%

Short-stay residents given the pneumonia vaccine

79.2%90.1%Improving

What the inspectors found

The home failed to ensure staff provided basic life support, including CPR, before emergency medical personnel arrived. Cited January 2025 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 678 — 42 CFR §483.24(a)(3) — S/S: J

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited September 2024 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: J

The home failed to provide enough support staff to safely and effectively run food and nutrition services. Cited March 2026 — widespread issue, potential for harm.

View the original federal record

F-Tag 802 — 42 CFR §483.60 — S/S: F

The home failed to make sure residents were served meals and snacks at times that fit their needs, preferences, and requests. Cited May 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 809 — 42 CFR §483.60 — S/S: F

The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited March 2026 — limited pattern, potential for harm.

View the original federal record

F-Tag 880 — 42 CFR §483.80(a) — S/S: E

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 10 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 11 health deficiencies.

    See what inspectors found
  4. PENALTY

    A federal fine of $22,315 was recorded.

  5. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  6. PENALTY

    A federal fine of $26,130 was recorded.

  7. PENALTY

    A federal fine of $127,586 was recorded.

Penalties & enforcement

On record with Medicare: 3 fines · $176,031 in total fines.

  • Federal fine

    Mar 13, 2025

    $22,315
  • Federal fine

    Jan 17, 2025

    $26,130
  • Federal fine

    Sep 5, 2024

    $127,586

Operator & ownership

Ownership
For profit - Partnership
Occupancy
105.3 residents on an average day (75% of 140 beds)
Resident voice
Resident & family councils
Medicare history
Certified for 39 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.