Dunn County, North Dakota · Nursing home
Hill Top Home of Comfort Inc
2 of 5 overall from CMS
95 Hill Top Dr, Killdeer, ND 58640
At a glance
- Overall rating 2 of 5 Below the state average of 3.2
- Nurse time per resident, per day 4.33 hours Below the state average of 4.42
- Nursing staff who left in a year 33.3% Below the state average of 48.8%
- Health citations, last 3 inspection cycles 7 3 at the harm level or above
- Fines in 3 years $198,960 1 fine
- Certified beds in use 99.0% of 60 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Hill Top Home of Comfort Inc is a 60-bed nursing home in Killdeer, North Dakota (Dunn County). CMS rates it 2 of 5 stars overall as of Sep 2026. It reports 4.33 nurse staffing hours per resident per day, below the North Dakota average of 4.42. CMS lists 1 fine totaling $198,960 in the past three years.
- Certified beds
- 60
- Residents per day (average)
- 59.4
- Certified since
- 1989 (37 yrs)
Non profit - Corporation Participates in Medicare and Medicaid
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Hill Top Home of Comfort Inc
Chosen from this home's public data.
- CMS lists 1 fine totaling $198,960 in the past three years. What changed after the most recent one?Penalties in CMS data
- Reported nurse staffing is 3.54 hours per resident on weekends against 4.33 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
- About 99.0% of certified beds are in use on an average day. Is there a waiting list, and how long is it?Certified beds and average residents in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 2 of 5 North Dakota average 3.2
- Health inspections 1 of 5 North Dakota average 2.8
- Staffing 5 of 5 North Dakota average 4.2
- Quality measures 5 of 5 North Dakota average 2.7
The vertical line marks the North Dakota average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 4.33 h North Dakota average 4.42
- Nurse aides 3.14 h North Dakota average 2.97
- Licensed practical nurses 0.20 h North Dakota average 0.52
- Registered nurses 0.99 h North Dakota average 0.93
- All staff, weekends 3.54 h North Dakota average 3.80
How much nurse staffing is enough? All bars share one scale, 0 to 7 hours. The vertical line marks the North Dakota average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover33.3%
- North Dakota average48.8%
- Registered nurse turnover26.7%
- North Dakota average40.3%
- Administrators who left0
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the North Dakota and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | North Dakota | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 18.6% | 19.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 4.5% | 5.8% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.1% | 1.6% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.0% | 2.6% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 4.4% | 4.4% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.2% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 2.6% | 5.1% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% | 98.6% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 8.7% | 17.6% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 12.2% | 17.4% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% | 98.8% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 0.5% | 4.9% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 26.3% | 24.9% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 12.7% | 22.7% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 0.89 | 1.49 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 1.24 | 1.86 | 1.78 |
Short-stay residents
| Measure | This home | North Dakota | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% | 92.3% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% | 1.5% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Too few residents or stays to report | 88.3% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 11.6% | 19.9% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 5.8% | 11.4% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 7 health deficiencies in the three most recent inspection cycles. Of these, 3 were at the immediate jeopardy level; the rest were graded as no actual harm. 5 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Jul 16, 2024: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Aug 27, 2025 | 1 | 1 |
| Jul 16, 2024 | 5 | 1 |
| Jul 26, 2023 | 1 | 2 |
North Dakota homes averaged 5.6 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (7)
-
DPotential for more than minimal harm, isolated
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (Sep 12, 2025)
-
KImmediate jeopardy, pattern
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Aug 10, 2024)
-
KImmediate jeopardy, pattern
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Aug 10, 2024)
-
KImmediate jeopardy, pattern
Respond appropriately to all alleged violations.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Aug 10, 2024)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives an accurate assessment.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Aug 10, 2024)
Show 2 more
-
DPotential for more than minimal harm, isolated
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Aug 10, 2024)
-
FPotential for more than minimal harm, widespread
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Nutrition and Dietary · Deficient, Provider has date of correction (Aug 30, 2023)
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Jul 16, 2024 | Fine | $198,960 |
North Dakota homes averaged 1.1 fines and $27,629 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within North Dakota
- Size32 of 72 by certified beds
- North Dakota average residents per day63.3
- ChainNone listed
- Resident or family councilResident
- Homes in Dunn County1
Common questions
What is the CMS star rating for Hill Top Home of Comfort Inc?
Hill Top Home of Comfort Inc has an overall rating of 2 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is 5 and quality measures is 5.
How many beds does Hill Top Home of Comfort Inc have?
Hill Top Home of Comfort Inc has 60 certified beds. It averages 59.4 residents per day, about 99.0% of its certified beds.
How much nursing care do residents get at Hill Top Home of Comfort Inc?
The home reports 4.33 hours of nurse staffing per resident per day, including 0.99 hours from registered nurses. The North Dakota average is 4.42 hours and 0.93 hours from registered nurses.
Has Hill Top Home of Comfort Inc been fined?
Yes. CMS lists 1 fine totaling $198,960 in the past three years.
Does Hill Top Home of Comfort Inc accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 5 of 5 St Lukes Home 88beds 98.0%in use 6.30nurse hours a day
- 5 of 5 St Benedicts Health Center 124beds 91.9%in use 3.75nurse hours a day
- 4 of 5 McKenzie County Healthcare Systems Long Term Care 42beds 91.0%in use 4.27nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Dunn County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 355092. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.