All states › North Dakota › Killdeer › Hill Top Home of Comfort
95 Hill Top Dr Killdeer, ND 58640 · Dunn County
CMS certification number 355092 · See this home on Medicare Care Compare
Is Hill Top Home of Comfort a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Hill Top Home of Comfort as of October 2026.
CMS rates it 2 out of 5 stars overall, below the North Dakota average of 3.3.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 4.44 hours per resident per day at Hill Top Home of Comfort, about the same as the North Dakota median of 4.42 (US median: 3.72). About 1.04 of those hours are from registered nurses. On weekends it falls to 3.55 hours, 20% below its all-week average. Ask how weekends are staffed. 39.7% of nursing staff left within a year (North Dakota median 47.6%). 2 administrators left in the past year.
About this nursing home
Paying for care at Hill Top Home of Comfort: Medicare and Medicaid
Hill Top Home of Comfort is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet North Dakota's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on August 27, 2025 and found 1 deficiency. In total, inspectors issued 7 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 7 citations at Hill Top Home of Comfort across 3 inspection dates, 5 of them from complaint investigations. 3 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on July 16, 2024 (complaint inspection). The most common areas cited were freedom from abuse, neglect, and exploitation (3) and resident assessment and care planning (2). The most serious was cited under the CMS rule to "protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody" (tag F0600, level K, July 16, 2024). 3 citations were under CMS's abuse, neglect and exploitation rules.
August 27, 2025 · 1 citation
DProvide safe and appropriate respiratory care for a resident when needed.
July 16, 2024 · 5 citations, includes immediate jeopardy · includes complaint inspection
KProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
KTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
KRespond appropriately to all alleged violations.
DEnsure each resident receives an accurate assessment.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
July 26, 2023 · 1 citation
FEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Questions to ask on a tour of Hill Top Home of Comfort
- Inspectors cited the home at the immediate-jeopardy level on July 16, 2024 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on July 16, 2024. How are staff trained, and how are concerns reported?
- Weekend staffing is 20% below the all-week average. Who is on duty on Saturday nights?
- Several administrators left in the past year. What has changed for residents since then?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
1 penalty in the last three years, including $198,960 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Jul 16, 2024 | Fine | $198,960 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 2/5 | 1/5 | 5/5 | 5/5 |
| August 2026 | 2/5 | 1/5 | 5/5 | 5/5 |
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Location
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Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.