Home / North Dakota / Killdeer
Hill Top Home of Comfort Inc
95 Hill Top Dr, Killdeer, ND 58640 · Dunn County · (701) 764-5682
60 certified beds, about 59 residents a day · Non profit - Corporation · Medicare and Medicaid since 1989
CMS Care Compare ratings, data as of September 1, 2026 · CCN 355092 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on August 27, 2025, inspectors cited 1 health deficiency (the North Dakota average is 5.6, the national average 9.2).
Of 7 health citations since July 2023, 3 were rated as actual harm or immediate jeopardy to residents (3 immediate jeopardy).
CMS lists 1 fine totaling $198,960 in the last three years; the largest was $198,960, and the latest is dated July 16, 2024.
Nurses and nurse aides worked 4.33 hours per resident per day, against 4.42 across North Dakota and 3.86 nationally. Registered nurses accounted for 0.99 of those hours.
33.3% of nursing staff left within the year CMS measured (North Dakota average 48.8%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 7 health citations on file.
August 27, 2025Standard inspection · 1 citation
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, review of the medical record, and review of facility policy, the facility failed to ensure that each resident receives the necessary respiratory care and services in accordance with professional standards of practice for 1 of 1 sampled resident (Resident #29) observed with oxygen. Failure to follow physician's orders regarding oxygen tubing changes at scheduled intervals has the potential to cause respiratory infections or adverse effects.
July 16, 2024Standard inspection, Complaint inspection · 5 citations
- K Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on record review, review of facility policy, and staff interviews, the facility failed to ensure residents remained free from resident to resident abuse for 1 of 2 sampled residents (Resident #48), 1 supplemental resident (Resident #34), and 1 of 2 closed records (Resident #210). Failure to identify physical or sexual abuse placed residents at risk for possible mental and emotional distress, and/or physical injury. During the on-site recertification survey, the team consulted with the State Survey Agency (SSA) and determined an Immediate Jeopardy (IJ) situation existed on 08/16/23. The IJ was identified when nurse's notes in Resident #34's and #210's medical records, dated 08/16/23, identified the residents had engaged in kissing and touching. [...]
- K Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on record review, review of facility policy, and staff interview, the facility failed to report potential abuse to the State Survey Agency (SSA) for 1 of 2 sampled residents (Resident #48), 1 supplemental resident (Resident #34), and 1 of 2 closed records (Resident #210). Failure to report potential abuse between cognitively impaired residents to the SSA, placed Resident #34, #48, #210, and other residents at risk for possible abuse and/or injury. During the on-site recertification survey, the team consulted with the State Survey Agency (SSA) and determined an Immediate Jeopardy (IJ) situation existed on 08/16/23. The IJ resulted from facility staff failing to report physical and sexual abuse between Resident #34, Resident #48, and Resident #210 to the SSA. [...]
- K Respond appropriately to all alleged violations.
Inspectors wroteBased on record review, review of facility policy, and staff interviews, the facility failed to investigate resident to resident abuse for 1 of 2 sampled residents (Resident #48), 1 supplemental resident (Resident #34), and 1 of 2 closed records (Resident #210). Failure to investigate alleged violations of resident to resident abuse, ensure residents were protected during each investigation, and implement corrective actions/evaluate their effectiveness following each investigation, placed Resident #34, #48, #210, and other residents at risk for possible mental and emotional distress and/or physical injury. During the on-site recertification survey, the team consulted with the State Survey Agency (SSA) and determined an Immediate Jeopardy (IJ) situation existed on 08/16/23. [...]
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review, review of the Long-Term Care Facility Resident Assessment Instrument (RAI) 3.0 User's Manual (Version 1.18.11), and staff interview, the facility failed to ensure accurate coding of the Minimum Data Set (MDS) for 2 of 15 sampled residents (Resident #20 and #51). Failure to accurately complete the MDS does not allow each resident's assessment to reflect their current status/needs and may affect the accurate development of a comprehensive care plan and the care provided to the residents.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on record review, review of facility policy, and staff interview, the facility failed to review and revise care plans for 2 of 15 sampled residents (Resident #48 and #56). Failure to review and revise the care plan limited staff's ability to communicate needs, ensure continuity of care, and may negatively impact the care provided to residents.
July 26, 2023Standard inspection · 1 citation
- F 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.
Inspectors wroteBased on staff interview, the facility failed to ensure 1 of 1 nutrition and food services supervisor (#1) obtained the proper qualifications to serve as the director of food and nutrition services. Failure to ensure staff have the qualifications to carry out the functions of food and nutrition services has the potential to result in foodborne illness to residents, staff, and visitors.
Fire safety inspections
4 fire safety citations on file: 1 on August 27, 2025, 1 on July 16, 2024, 2 on July 26, 2023.
Every fire safety citation4 citations
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- D Have properly located and lighted "Exit" signs.
- F Install emergency lighting that can last at least 1 1/2 hours.
- F Have generator or other power source capable of supplying service within 10 seconds.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| July 16, 2024 | Fine | $198,960 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | North Dakota | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.33 | 4.42 | 3.86 |
| Registered nurses | 0.99 | 0.93 | 0.69 |
| All nursing staff on weekends | 3.54 | 3.80 | 3.42 |
| Nurse aides | 3.14 | ||
| Licensed practical nurses | 0.20 | ||
| Nursing staff turnover (share who left in a year) | 33.3% | 48.8% | 45.8% |
| Registered nurse turnover | 26.7% | 40.3% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.16 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.65 on weekdays and 3.54 on weekends, 24% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 8.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.37 in April to June 2025 to 4.33 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.33 | 0.99 | 4.65 | 3.54 | 8.4% | 0 of 90 | 59 |
| Oct to Dec 2025 | 4.56 | 1.00 | 4.88 | 3.74 | 9.5% | 0 of 92 | 58 |
| Jul to Sep 2025 | 4.50 | 0.93 | 4.79 | 3.77 | 20.5% | 0 of 92 | 59 |
| Apr to Jun 2025 | 4.37 | 0.88 | 4.67 | 3.61 | 17.4% | 0 of 91 | 59 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| North Dakota, Jan to Mar 2026 | 4.57 | 0.92 | 4.81 | 3.96 | 11.7% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | North Dakota | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 18.6 | 19.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.1 | 1.6 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 2.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.6 | 5.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 8.7 | 17.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 0.5 | 4.9 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 12.7 | 22.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 11.6 | 19.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 5.8 | 11.4 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.9 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.2 | 1.9 | 1.8 |
Owners and operators
Legal business name: HILL TOP HOME OF COMFORT INC..
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Bice, Cindy | Corporate director | Individual | 12/08/2016 | |
| Brown, Debbie | Corporate director | Individual | 01/01/2022 | |
| Carlson, Klay | Corporate director | Individual | 12/08/2016 | |
| Dolezal, John | Corporate director | Individual | 01/01/2020 | |
| Knutson, Donna | Corporate director | Individual | 06/16/2021 | |
| Leadbetter, Gerry | Corporate director | Individual | 02/01/2012 | |
| Rohde, Sandra | Corporate director | Individual | 01/01/2010 | |
| Stroh, Dawn | Corporate director | Individual | 10/26/2017 | |
| Tuhy, Nancy | Corporate director | Individual | 10/26/2017 | |
| Leadbetter, Gerry | Operational/managerial control | Individual | 02/01/2012 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 3 problems in this area, most recently on July 16, 2024: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on July 16, 2024: "Ensure each resident receives an accurate assessment."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on August 27, 2025: "Provide safe and appropriate respiratory care for a resident when needed."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on July 26, 2023: "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."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.54 hours per resident per day, below the North Dakota average of 3.80.
North Dakota contacts for a concern about a nursing home
These are the official offices in North Dakota. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: North Dakota Health and Human Services, Health Facilities Unit, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: North Dakota Long-Term Care Ombudsman Program, (855) 462-5465. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: North Dakota Deficiency Statement Search, where North Dakota publishes its own records on licensed homes.
Common questions
- What is Hill Top Home of Comfort Inc's Medicare star rating?
- CMS rates Hill Top Home of Comfort Inc 2 out of 5 stars overall, with 1 for health inspections, 5 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Hill Top Home of Comfort Inc get at its last inspection?
- 1 health deficiency at the standard inspection on August 27, 2025. The North Dakota average is 5.6.
- Has Hill Top Home of Comfort Inc been fined?
- Yes. CMS lists 1 fine totaling $198,960 in the last three years.
- Does Hill Top Home of Comfort Inc accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Hill Top Home of Comfort Inc?
- CMS lists 10 owners and managers. Legal business name: HILL TOP HOME OF COMFORT INC..
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.