Home›North Dakota›Dunn County›HILL TOP HOME OF COMFORT INC
A
Very Good

HILL TOP HOME OF COMFORT INC

95 HILL TOP DR · KILLDEER, ND 58640

7017645682 · Non profit - Corporation

60 beds59 residents86 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A
Very Good
Total Staff
A
Very Good
RN Staff
A
Very Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

HILL TOP HOME OF COMFORT INC receives an overall staffing grade of A (Very Good). With 4.5042 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has adequate registered nurse (RN) coverage. It is 0.61 HPRD above the national average.

Weekend staffing decreases noticeably — dropping 21.31% compared to weekdays. The facility relies heavily on temporary agency staff (20.53% of hours), suggesting potential workforce instability.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (1)

⚠️20.53% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
4.5042hrs/resident/day▲ 0.61
CMS benchmark: 3.48
RN HPRD
0.9269hrs/resident/day▲ 0.24
Recommended: 0.75
Weekend Drop-off
21.31%
4.7928 weekday → 3.7715 weekend
⚠ Significant weekend reduction
Agency Staff
20.53%
5.25% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.9606hrs/resident/day
Direct care aides
LPN HPRD
0.3005hrs/resident/day
Licensed practical nurses
Consistency
0.6048std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Dunn County Average+0.00 HPRD
4.50
04.50 HPRD
vs. North Dakota State Average+0.08 HPRD
4.43
04.50 HPRD
vs. National Average+0.61 HPRD
3.90
04.50 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
HILL TOP HOME OF COMFORT INC ★
KILLDEER · This facility
—
A
4.50420.9269★★☆☆☆
ST LUKES HOME
DICKINSON
33 mi
A+
5.75441.2629★★★★★
ST BENEDICTS HEALTH CENTER
DICKINSON
33.2 mi
B
3.73510.9438★★★★★
MCKENZIE COUNTY HEALTHCARE SYSTEMS LONG TERM CARE
WATFORD CITY
38.4 mi
A
4.68811.0201★★★★☆
RICHARDTON HEALTH CENTER INC
RICHARDTON
39.2 mi
A
4.25641.1697★★★★★
KNIFE RIVER CARE CENTER
BEULAH
46.2 mi
A+
5.20741.132★★★☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
7
Total Deficiencies
$198,960
Fines Assessed
Aug 27, 2025Health
1 deficiency cited
▼
Jul 16, 2024Health
5 deficiencies cited· Includes actual harm
▼
Jul 26, 2023Health
1 deficiency cited
▼

Penalty History

Jul 16, 2024Fine
$198,960
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.