Skilled nursing · KILLDEER, ND

HILL TOP HOME OF COMFORT INC

95 HILL TOP DR, KILLDEER, ND 58640

60 bedsNon profit - Corporation
5.5Clarity
Score history
Aug 20265.5 flagged
Jul 20265.5
Jun 20265.5

Rescored monthly from the federal and state record.

The Palmelle ReadUpdated 11 Jul 2026

The record on Hill Top Home of Comfort cuts both ways. On one side, staff turnover is roughly half the U.S. rate. On the other, CMS rates it 2 out of 5 stars overall and 1 for the health inspection that drives it, and inspectors levied $198,960 in federal fines over the last 36 months. The sections below show exactly where each number comes from — read them before you tour.

palmelle

Written by Palmelle from federal and state records. Last updated 11 Jul 2026. Not paid for or edited by the facility.

In their own words

No description from the operator yet. If you manage this facility, claim this listing to tell families your side — and respond to the record below. Claimed pages also stop showing nearby alternatives: the page becomes yours alone.

The record

CMS Care Compare · Jun 2026
Federal ratings
Overall★★☆☆☆ 2 of 5
Health inspection★☆☆☆☆ 1 of 5
Staffing★★★★★ 5 of 5
Quality measures★★★★☆ 4 of 5

Staffing · hours per resident per day

Registered-nurse time with each resident, dailyhigher is better

This home
1 hr
National
47 min

All nursing time with each resident, dailyhigher is better

This home
4 hr 33 min
National
3 hr 37 min

Nurses who quit each yearlower is better

This home
29.8%
National
53%

Medication & safety · share of long-stay residents

On antipsychotic medicationlower is bettersee why ↓

This home
19%
National
14%

On sedatives / sleep medicationlower is better

This home
13.7%
National
15%

Falls causing major injurylower is bettersee why ↓

This home
3.4%
National
1.6%

Physically restrainedlower is better

This home
0%
National
1.1%
Penalties & citations · last 36 months
Federal fines$198,960 · 1 penalty
Abuse iconNone
Conflict flags in latest reconcile3

ND does not publish a state inspection feed Palmelle can verify. This record is built from federal data only.

What the pattern says

Palmelle pattern checks · v1

Mixed — worth touring with these questions in hand.

  • No sedation pattern. Sleep-medication use is below national norms. Antipsychotic use is elevated, but paired with high staffing this reads clinical, not custodial — ask the medical director about their reduction program.
  • The falls number is the outlier: 2× the national rate. 3.4% of long-stay residents had a fall with major injury vs 1.6% nationally. High staffing makes this surprising, which is exactly why it needs asking about: one bad cluster, a reporting artifact, or a real problem.
  • $198,960 in federal fines. 1 penalty in the last 36 months — the citation detail is in the record above.

These checks are computed the same way for every facility. Good patterns and bad ones both print.

Nearby & comparable

Same records, same rules

Questions families ask

What is the CMS rating for HILL TOP HOME OF COMFORT INC?
HILL TOP HOME OF COMFORT INC has an overall CMS Care Compare rating of 2 out of 5 stars.
Has HILL TOP HOME OF COMFORT INC been cited for resident harm?
HILL TOP HOME OF COMFORT INC has $198,960 in federal fines across 1 penalties in the last 36 months. Details appear in the record above.
What should I ask on a tour?
Ask about staff-to-resident ratios by shift, weekend coverage, and any measure flagged red in the record above — those are the places this facility's numbers leave open questions.