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.
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
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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 icon
None
Conflict flags in latest reconcile
3
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.
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.
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