Starfile / Minnesota

HILLTOP HEALTHCARE REHABILITATION AND SKILLED NURS

2501 RICE LAKE ROAD, DULUTH, MN 55811 · CCN 245366

Inspection history vs Minnesota & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$244,730

Number of fines

3

Number of penalties

3

Payment denials

0

Inspection citations (48)2 immediate jeopardy1 actual harm

1. DF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.2025-05-02 · Health · corrected 2025-05-20

   Potential for more than minimal harm

2. DF0641Ensure each resident receives an accurate assessment.2025-05-02 · Health · corrected 2025-05-20

   Potential for more than minimal harm

3. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2025-05-02 · Health · corrected 2025-05-20

   Potential for more than minimal harm

4. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-05-02 · Health · corrected 2025-05-20

   Potential for more than minimal harm

5. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-05-02 · Health · corrected 2025-05-20

   Potential for more than minimal harm

6. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-05-02 · Health · corrected 2025-05-20

   Potential for more than minimal harm

7. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2025-05-02 · Health · corrected 2025-05-20

   Potential for more than minimal harm

8. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2025-05-02 · Health · corrected 2025-05-20

   Potential for more than minimal harm

9. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-05-02 · Health · corrected 2025-05-20

   Potential for more than minimal harm

10. DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2025-05-02 · Health · corrected 2025-05-20

    Potential for more than minimal harm

11. FF0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.2025-05-02 · Health · corrected 2025-05-20

    Potential for more than minimal harm

12. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-03-13 · Health · corrected 2025-03-06

    Actual harm

13. JF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.2025-01-17 · Health · corrected 2025-01-15

    Immediate jeopardy

14. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-09-05 · Health · corrected 2024-09-27

    Immediate jeopardy

15. CF0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.2024-09-05 · Health · corrected 2024-09-27

    Potential for minimal harm

16. DF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2024-09-05 · Health · corrected 2024-09-27

    Potential for more than minimal harm

17. CF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.2024-02-16 · Health · corrected 2024-03-15

    Potential for minimal harm

18. DF0641Ensure each resident receives an accurate assessment.2024-02-16 · Health · corrected 2024-03-18

    Potential for more than minimal harm

19. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-02-16 · Health · corrected 2024-03-15

    Potential for more than minimal harm

20. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-02-16 · Health · corrected 2024-03-15

    Potential for more than minimal harm

21. EF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2024-02-16 · Health · corrected 2024-03-15

    Potential for more than minimal harm

22. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-02-16 · Health · corrected 2024-03-15

    Potential for more than minimal harm

23. DF0880Provide and implement an infection prevention and control program.2024-02-16 · Health · corrected 2024-03-15

    Potential for more than minimal harm

24. EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-02-16 · Health · corrected 2024-03-15

    Potential for more than minimal harm

25. DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2023-11-22 · Health · corrected 2023-12-27

    Potential for more than minimal harm

26. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2023-06-12 · Health · corrected 2023-07-24

    Potential for more than minimal harm

27. DF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2023-06-12 · Health · corrected 2023-07-24

    Potential for more than minimal harm

28. DF0558Reasonably accommodate the needs and preferences of each resident.2023-06-12 · Health · corrected 2023-07-24

    Potential for more than minimal harm

29. EF0567Honor the resident's right to manage his or her financial affairs.2023-06-12 · Health · corrected 2023-07-26

    Potential for more than minimal harm

30. DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2023-06-12 · Health · corrected 2023-07-24

    Potential for more than minimal harm

31. DF0583Keep residents' personal and medical records private and confidential.2023-06-12 · Health · corrected 2023-07-24

    Potential for more than minimal harm

32. DF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2023-06-12 · Health · corrected 2023-07-24

    Potential for more than minimal harm

33. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-06-12 · Health · corrected 2023-07-24

    Potential for more than minimal harm

34. DF0659Provide care by qualified persons according to each resident's written plan of care.2023-06-12 · Health · corrected 2023-07-24

    Potential for more than minimal harm

35. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-06-12 · Health · corrected 2023-07-24

    Potential for more than minimal harm

36. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-06-12 · Health · corrected 2023-07-24

    Potential for more than minimal harm

37. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-06-12 · Health · corrected 2023-07-24

    Potential for more than minimal harm

38. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-06-12 · Health · corrected 2023-07-24

    Potential for more than minimal harm

39. DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-06-12 · Health · corrected 2023-07-24

    Potential for more than minimal harm

40. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2023-06-12 · Health · corrected 2023-07-26

    Potential for more than minimal harm

41. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-06-12 · Health · corrected 2023-07-24

    Potential for more than minimal harm

42. DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2023-06-12 · Health · corrected 2023-07-26

    Potential for more than minimal harm

43. DF0759Ensure medication error rates are not 5 percent or greater.2023-06-12 · Health · corrected 2023-07-24

    Potential for more than minimal harm

44. DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2023-06-12 · Health · corrected 2023-07-26

    Potential for more than minimal harm

45. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2023-06-12 · Health · corrected 2023-07-26

    Potential for more than minimal harm

46. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-06-12 · Health · corrected 2023-07-24

    Potential for more than minimal harm

47. DF0880Provide and implement an infection prevention and control program.2023-06-12 · Health · corrected 2023-07-24

    Potential for more than minimal harm

48. FF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2023-06-12 · Health · corrected 2023-07-16

    Potential for more than minimal harm

Ownership

Other facilities in DULUTH

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.