The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2024 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: K
Nursing home report
SANFORD HILLSBORO CARE CENTER
HILLSBORO, ND · Medicare-certified · 34 beds
Needs attention
Non-profitChain member
3 of 5 overall
Sanford Hillsboro Care Center in Hillsboro, ND has a 3-star overall rating, with strong staffing (5 stars; 4.99 hours/resident/day vs. the 4.1 federal benchmark) but weaker health inspection and quality ratings (2 stars each). It has had $35,045 in fines in the last 24 months and a recent federal penalty, with recent inspection concerns involving accident hazards, care planning, and quality of services.
Facility ratings
Health inspections
Staffing
4.9935 hrs/resident/day
Quality measures
Last inspection: June 26, 2025Penalties, last 24 months: $35,045recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.9935.
Staffing detail
- Registered nurses
- 0.70
- Licensed practical nurses
- 1.19
- Nurse aides
- 3.10
- Weekend nursing
- 4.13
Hours per resident per day.
Total staff turnover: 44%
Registered nurse turnover: 50%
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
40%25%Improving
Residents with a fall causing major injury
6.9%0%Improving
Residents with pressure ulcers (bedsores)
11.8%3.2%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
7.1%14.3%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
21.4%21.4%No change
Residents whose ability to walk got worse
—13.7%—
Long-stay residents on antianxiety or sleep medication
28.6%14.3%Improving
Residents with a long-term catheter
3.3%3%No change
Residents with new or worsening incontinence
16.7%6.9%Improving
Residents with depressive symptoms
11.5%6.9%Improving
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
—96.9%—
Long-stay residents given the pneumonia vaccine
96.6%100%Improving
Short-stay residents given the pneumonia vaccine
—84.8%—
What the inspectors found
The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited June 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: D
The nursing home failed to provide services that met professional standards of quality. Cited June 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: D
The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited June 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 578 — 42 CFR §483.10 — S/S: D
The home failed to notify the resident and family in time before a transfer or discharge, including their right to appeal. Cited June 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 623 — 42 CFR §483.15 — S/S: D
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $35,045 was recorded.
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $42,488 in total fines.
- $35,045
Federal fine
Jun 5, 2024
- $7,443
Federal fine
Nov 2, 2023
Operator & ownership
- Ownership
- Non profit - Corporation
- Chain
- Part of SANFORD HEALTH · 4 homes · 2.5 stars avg
- Occupancy
- 33.4 residents on an average day (98% of 34 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 48 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.