Watkins, MN

Hilltop Health Care Center

5-star overall rating with 5-star inspections with 1 fire-safety deficiencies in the latest cycle

410 Luella Street, Watkins, MN

(320) 764-2300

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

50

Certified beds

Average residents

47

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1986-10-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.93

Registered nurse staffing · state 1.06 · national 0.68

LPN hours / resident day

0.64

Licensed practical nurse staffing · state 0.62 · national 0.87

Aide hours / resident day

2.87

Nurse aide staffing · state 2.56 · national 2.35

Total nurse hours

4.44

All reported nurse hours · state 4.23 · national 3.89

Licensed hours

1.57

RN + LPN hours · state 1.68 · national 1.54

Weekend hours

3.83

Weekend nurse staffing · state 3.68 · national 3.43

Weekend RN hours

0.46

Weekend registered nurse coverage · state 0.68 · national 0.47

Physical therapist

0.00

Reported PT staffing

Adjusted RN hours

1.07

CMS adjusted RN staffing hours

Adjusted total hours

5.12

CMS adjusted total nurse staffing hours

Case-mix index

1.19

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

0%

Annual nurse turnover

SNF VBP

Value-based purchasing

Program rank

905

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

62.23

Composite VBP score used to determine payment impact.

Payment multiplier

1.0172

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

7.30

Baseline 40.98% · Performance 33.85% · Measure score 7.30 · Achievement 7.30 · Improvement 3.92

Adjusted total nurse staffing

5.15

Baseline 4.99 hours · Performance 4.54 hours · Measure score 5.15 · Achievement 5.15 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays 23 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 19 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	Not Available	1.02	Too few residents or stays to report publicly.
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 21 · Denominator 21
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 21
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 21 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 18 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	9.71%	8.2% 1.5 pts better	Numerator 17 · Denominator 175
Staff flu vaccination coverage	28.37%	42% 13.6 pts worse	Numerator 59 · Denominator 208
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	0.9	1.7 0.8 pts better	1.9 1 pts better	Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.9 · Expected 1.8 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.1	2.0 0.9 pts better	1.8 0.7 pts better	Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.1 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	95.6%	97.3% 1.7 pts worse	93.4% 2.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 87.2% · Q3 95.1% · Q4 100.0% · 4Q avg 95.6%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	95.3%	96.1% 0.8 pts worse	95.5% 0.2 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 95.3%
Percentage of long-stay residents experiencing one or more falls with major injury	3.1%	3.9% 0.8 pts better	3.3% 0.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 5.1% · Q3 0.0% · Q4 2.5% · 4Q avg 3.1% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	2.9%	4.3% 1.4 pts better	11.4% 8.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 5.9% · Q3 2.9% · Q4 0.0% · 4Q avg 2.9%
Percentage of long-stay residents who lose too much weight	5.5%	4.1% 1.4 pts worse	5.4% 0.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 6.7% · Q3 6.1% · Q4 2.7% · 4Q avg 5.5%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	10.9%	12.4% 1.5 pts better	19.6% 8.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 13.3% · Q3 14.7% · Q4 8.1% · 4Q avg 10.9%
Percentage of long-stay residents who received an antipsychotic medication	13.4%	17.5% 4.1 pts better	16.7% 3.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.5% · Q2 13.0% · Q3 13.3% · Q4 15.2% · 4Q avg 13.4% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.1% 0.1 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	26.9%	22.5% 4.4 pts worse	16.3% 10.6 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 26.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	25.9%	18.6% 7.3 pts worse	14.9% 11 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 36.4% · Q2 30.8% · Q3 13.3% · Q4 26.5% · 4Q avg 25.9% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	4.3%	2.3% 2 pts worse	1.0% 3.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 5.4% · Q3 2.8% · Q4 4.1% · 4Q avg 4.3% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.6%	2.6% 2 pts better	1.7% 1.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.5% · 4Q avg 0.6% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	22.5%	24.8% 2.3 pts better	19.8% 2.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 26.2% · Q2 18.9% · Q3 23.7% · Q4 21.6% · 4Q avg 22.5%
Percentage of long-stay residents with pressure ulcers	1.2%	5.4% 4.2 pts better	5.1% 3.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 0.0% · Q3 2.9% · Q4 0.0% · 4Q avg 1.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	92.2%	88.6% 3.6 pts better	81.7% 10.5 pts better	Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 93.6% · Q3 83.8% · Q4 91.2% · 4Q avg 92.2%
Percentage of short-stay residents who had an outpatient emergency department visit	0.0%	14.0% 14 pts better	12.0% 12 pts better	Short Stay · 20240701-20250630 · Adjusted 0.0% · Observed 0.0% · Expected 10.0% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.9% 1.9 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3 · Q2 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	91.7%	82.7% 9 pts better	79.7% 12 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 91.7%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	12.4%	23.1% 10.7 pts better	23.9% 11.5 pts better	Short Stay · 20240701-20250630 · Adjusted 12.4% · Observed 10.7% · Expected 20.6% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-05-14 · Fire 2025-05-14

0 health deficiencies

No concentrated health issue counts in this cycle.

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 2 Health 2024-03-21 · Fire 2024-03-21

4 health deficiencies

Top issue: Nursing and Physician Services (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2023-02-02 · Fire 2023-02-02

1 health deficiencies

Top issue: Quality of Life and Care (1 deficiency)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-05-14

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2025-05-30

F · Potential for more than minimal harm 2023-02-02

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-02-27

F · Potential for more than minimal harm 2023-02-02

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-02-13

Inspection history

Recent health citations

E · Potential for more than minimal harm 2024-03-21

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-04-11

D · Potential for more than minimal harm 2024-03-21

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2024-04-11

D · Potential for more than minimal harm 2024-03-21

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-04-18

C · Minimal harm 2024-03-21

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2024-04-11

D · Potential for more than minimal harm 2023-02-02

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2023-02-03

Penalties and ownership

What sits behind the stars

Ownership

Opatz, Tom

5% Or Greater Direct Ownership Interest · Individual

50% 9 facilities 2012-05-01

Struzyk, Fred

5% Or Greater Direct Ownership Interest · Individual

50% 9 facilities 2012-02-10

Eekhoff, Tyler