Hilltop Healthcare Rehabilitation And Skilled Nurs has received an F grade based on CMS data, with a score of 12/100 — placing it among the lowest-rated nursing facilities in Minnesota. Families considering this Duluth facility should carefully review its inspection history and quality metrics.
Staffing at Hilltop Healthcare Rehabilitation And Skilled Nurs is near the national average, with 3.70 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 48 deficiencies at Hilltop Healthcare Rehabilitation And Skilled Nurs, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. suitable and nourishing alternative meals.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.70 | 3.8 | Average |
| Registered Nurses (RN) | 0.94 | 0.7 | Above Average |
| Licensed Practical Nurses (LPN) | 0.52 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 2.24 | 2.4 | Average |
| Weekend Total Nursing | 3.22 | 3.8 | Below Average |
| Weekend RN Hours | 0.63 | 0.7 | Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0809 Severity FEnsure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative mealsMay 1, 2025 · Nutrition and Dietary Deficiencies
- Tag 0605 Severity DPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.May 1, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0641 Severity DEnsure each resident receives an accurate assessment.May 1, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0645 Severity DPASARR screening for Mental disorders or Intellectual DisabilitiesMay 1, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0656 Severity DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.May 1, 2025 · Resident Assessment and Care Planning Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 6.6% | 4.5% | Worse |
| Falls with major injury | 4.4% | 3.0% | Worse |
| On antipsychotic medication | 22.7% | 14.5% | Worse |
| Urinary tract infections | 4.6% | 2.5% | Worse |
| ADL decline (daily activities) | 18.3% | 14.0% | Worse |
| Excessive weight loss | 3.5% | 7.5% | Better |
| New/worsened incontinence | 23.0% | 45.0% | Better |
⚠️ Penalties & Fines
3 penalties recorded by CMS
Total fines: $244,730
How This Grade Was Calculated
This facility's grade of F is based on a score of 12 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 4★ → 16 pts (max 20)
- Quality Measures Rating: 1★ → 3 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -10 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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