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.
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).
Last yrNowTrend
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).
Last yrNowTrend
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.
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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
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 10 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 11 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $22,315 was recorded.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
PENALTY
A federal fine of $26,130 was recorded.
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.