Nursing home
Hill Top Home of Comfort
95 Hill Top Dr, Killdeer, ND 58640 · Map
Non profit - Corporation · 60 certified beds
Hill Top Home of Comfort is a Medicare-certified nursing home in Killdeer, North Dakota. CMS rates it 2 out of 5 stars overall (5/5 for staffing, 1/5 for health inspections). Nurse staffing is 4.50 hours per resident per day, above the North Dakota average of 4.41. Its most recent inspection on Aug 27, 2025 cited 1 deficiencies.
- 1 fine totaling $198,960In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Hill Top Home of Comfort compares
This facility vs. the North Dakota and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | North Dakota avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 4.50 | 4.41 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.93 | 0.93 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 3.28 | 2.99 | 2.34 | above avg |
| Nursing staff turnover | 33.3% | 49.0% | 46.4% | below avg |
| Deficiencies cited, last inspection | 1.0 | 5.4 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the August 27, 2025 inspection was corrected by September 12, 2025
Penalties in CMS records: 1 fine totaling $198,960, 1 total penalty.
What inspectors found at Hill Top Home of Comfort
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Aug 27, 2025 · Full report (PDF) - Immediate jeopardy
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jul 16, 2024 · Full report (PDF) - Immediate jeopardy
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jul 16, 2024 · Full report (PDF) - Immediate jeopardy
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jul 16, 2024 · Full report (PDF) - Potential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Jul 16, 2024 · Full report (PDF)
Show all 7 deficiencies
- Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Jul 16, 2024 · Full report (PDF) - Potential for harm
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.
Nutrition and Dietary Deficiencies · Jul 26, 2023
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 95 Hill Top Dr
Killdeer, ND 58640 - CMS certification #
- 355092
- Ownership
- Non profit - Corporation
- Certified beds
- 60
- Avg residents/day
- 59.0
- Provider type
- Medicare and Medicaid
- First certified
- 1989-05-10
- Setting
- Rural
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Hill Top Home of Comfort using Google Maps.
Other public records
Full public records, with dates and sources
Care and services
From the community’s website
What Hill Top Home of Comfort says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Apartment types named: private room.
Hilltop Home of Comfort is designed to feel like home, with compassionate staff, mostly private rooms, and round-the-clock skilled care.
(page, checked Oct 12, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Chi St Alexius Health Dickinson, Dickinson. 33.3 miles away, straight line. CMS overall hospital rating: 2 of 5 stars.
- Nearest Medicare nursing home
- St Lukes Home, Dickinson. 33.0 miles away, straight line.
- Nearest home health agency office
- Chi Health At Home - Hha, Dickinson. 33.0 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Thrifty White Pharmacy. 31.9 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 58640 as rural (rural area).
- Nearest geriatric medicine practice
- Monument Health Rapid City Hospital Inc, Rapid City. 230.0 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- FEMA has a flood map for this community (effective April 17, 1989), but it is not in FEMA's digital flood map data, so the zone at this address could not be read. FEMA's Map Service Center has the map. (FEMA flood map)
- Wildfire risk to homes
- In Killdeer, ND, risk to homes is greater than 89% of communities in North Dakota and 73% of communities nationwide. USDA rates the whole town or city, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: relatively high. By hazard: inland flooding relatively high, wildfire relatively high, tornado relatively high, heat wave relatively low, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | See above |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
Looking for assisted living or memory care instead?
Frequently asked questions
Is Hill Top Home of Comfort a good nursing home?
CMS gives Hill Top Home of Comfort an overall rating of 2 out of 5 stars, including 5/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Hill Top Home of Comfort staffed?
Hill Top Home of Comfort reports 4.50 total nurse hours per resident per day, compared with the North Dakota average of 4.41.
Has Hill Top Home of Comfort had inspection problems?
Its most recent CMS inspection cited 1 deficiencies.
How many beds does Hill Top Home of Comfort have?
Hill Top Home of Comfort is certified for 60 beds.