Hill Top Home of Comfort INC
95 Hill Top Dr, Killdeer, ND 58640 · Dunn County · 60 certified beds · avg 59 residents/day · certified since May 10, 1989
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 2/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, repeated · Jul 16, 2024 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Aug 10, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, repeated · Jul 16, 2024 · F-0609 · triggered by a complaint
The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
Why it matters: When incidents aren't reported promptly, abusers may continue harming residents and outside authorities can't step in.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Aug 10, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, repeated · Jul 16, 2024 · F-0610 · triggered by a complaint
The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.
Why it matters: When allegations aren't investigated, harm to residents can continue unchecked.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Aug 10, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (7)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Aug 27, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Jul 16, 2024 | ▲ K · Immediate jeopardy, repeated | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Jul 16, 2024 | ▲ K · Immediate jeopardy, repeated | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Jul 16, 2024 | ▲ K · Immediate jeopardy, repeated | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
| Jul 16, 2024 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · from a complaint |
| Jul 16, 2024 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint |
| Jul 26, 2023 | F · Potential for harm, facility-wide | The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (5 → 1).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 1 | 0 | F |
| 2024 | 5 | 3 | K ▲ |
| 2025 | 1 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $198,960.
| Date | Type | Amount / length |
|---|---|---|
| Jul 16, 2024 | Fine | $198,960 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | North Dakota avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 5.26 | 5.15 | 3.95 | top 44% in North Dakota; top 10% in the U.S. |
| Registered Nurse hours | 1.20 | 1.09 | 0.69 | top 29% in North Dakota; top 9% in the U.S. |
| Weekend total nurse staffing | 4.30 | 4.43 | 3.50 | bottom 41% in North Dakota; top 16% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.49 | 0.59 | 0.48 | bottom 37% in North Dakota; top 34% in the U.S. |
| Total nursing staff turnover (%) | 33.3 | 48.8 | 45.8 | top 17% in North Dakota; top 20% in the U.S. |
| RN turnover (%) | 26.7 | 40.3 | 42.9 | top 23% in North Dakota; top 24% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.33, RN 0.99, weekend 3.54. Staffing rating: 5/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Bice, Cindy | Individual | Corporate Director | NOT APPLICABLE | 12/08/2016 |
| Brown, Debbie | Individual | Corporate Director | NOT APPLICABLE | 01/01/2022 |
| Carlson, Klay | Individual | Corporate Director | NOT APPLICABLE | 12/08/2016 |
| Dolezal, John | Individual | Corporate Director | NOT APPLICABLE | 01/01/2020 |
| Knutson, Donna | Individual | Corporate Director | NOT APPLICABLE | 06/16/2021 |
| Leadbetter, Gerry | Individual | Corporate Director | NOT APPLICABLE | 02/01/2012 |
| Leadbetter, Gerry | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2012 |
| Rohde, Sandra | Individual | Corporate Director | NOT APPLICABLE | 01/01/2010 |
| Stroh, Dawn | Individual | Corporate Director | NOT APPLICABLE | 10/26/2017 |
| Tuhy, Nancy | Individual | Corporate Director | NOT APPLICABLE | 10/26/2017 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "Do you have a qualified dietician on staff, and how involved are they in each resident's nutrition plan?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| St Lukes Home | 33.0 mi | Dickinson, ND | ★★★★★ | 5/5 | |
| St Benedicts Health Center | 33.2 mi | Dickinson, ND | ★★★★★ | 5/5 | |
| McKenzie County Healthcare Systems Long Term Care | 38.4 mi | Watford City, ND | ★★★☆☆ | 3/5 | |
| Richardton Health Center INC | 39.3 mi | Richardton, ND | ★★★★★ | 5/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 355092.