Federal inspection record · CMS data as of October 1, 2026

Hilltop Healthcare Rehabilitation And Skilled Nurs

2501 Rice Lake Road, Duluth, MN · (218) 625-6400

CMS overall rating

2 of 5

Compare with a nearby home →
Certified beds
140
Residents per day
106
Ownership
For-Profit
Chain
No chain reported
Medicare / Medicaid
Medicare + Medicaid
Certified since
August 1, 1986

1

How this home got 2 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Minnesota.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    2 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Minnesota homes

Hilltop Healthcare Rehabilitation And Skilled Nurs carries 84.75 inspection points. That is fewer than 23% of Minnesota's 335 rated homes.

5★4★3★2★1★+11 homes above 194.7505102550100inspection points → fewer is better on the leftThis home · 84.75 pts · 2★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Minnesota: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–9 pts
  • 4★ 9–30 pts
  • 3★ 30–54 pts
  • 2★ 54–92 pts
  • 1★ over 92 pts

Bars show every rated home in Minnesota by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

35 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 2 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 1 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 22 4 pts
E 5 8 pts
F 2 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 3 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (3)

  1. G

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    March 13, 2025 · Complaint inspection · Quality of Life and Care · F689 · Corrected March 6, 2025

  2. J

    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

    January 17, 2025 · Complaint inspection · Quality of Life and Care · F678 · Corrected January 15, 2025

  3. J

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    September 5, 2024 · Complaint inspection · Quality of Life and Care · F689 · Corrected September 27, 2024

Everything else, by area of care

Resident Assessment and Care Planning7E
  1. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    March 12, 2026 · Standard · F657 · Corrected April 8, 2026

  2. D

    Ensure each resident receives an accurate assessment.

    May 2, 2025 · Standard · F641 · Corrected May 20, 2025

  3. D

    PASARR screening for Mental disorders or Intellectual Disabilities

    May 2, 2025 · Standard · F645 · Corrected May 20, 2025

  4. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    May 2, 2025 · Standard · F656 · Corrected May 20, 2025

  5. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    May 2, 2025 · Standard · F657 · Corrected May 20, 2025

  6. E

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    February 16, 2024 · Standard · F657 · Corrected March 15, 2024

  7. D

    Ensure each resident receives an accurate assessment.

    February 16, 2024 · Standard · F641 · Corrected March 18, 2024

Quality of Life and Care5D
  1. D

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

    March 12, 2026 · Complaint · F684 · Corrected April 8, 2026

  2. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    March 12, 2026 · Standard · F689 · Corrected April 8, 2026

  3. D

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

    May 2, 2025 · Standard · F684 · Corrected May 20, 2025

  4. D

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    May 2, 2025 · Standard · F698 · Corrected May 20, 2025

  5. D

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

    February 16, 2024 · Standard · F684 · Corrected March 15, 2024

Pharmacy Service4E
  1. D

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    March 12, 2026 · Standard · F757 · Corrected April 8, 2026

  2. D

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    May 2, 2025 · Standard · F757 · Corrected May 20, 2025

  3. D

    Ensure 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.

    May 2, 2025 · Standard · F761 · Corrected May 20, 2025

  4. E

    Ensure 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.

    February 16, 2024 · Standard · F761 · Corrected March 15, 2024

Nutrition and Dietary3F
  1. F

    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

    March 12, 2026 · Standard · F802 · Corrected April 8, 2026

  2. F

    Ensure 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.

    May 2, 2025 · Standard · F809 · Corrected May 20, 2025

  3. E

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

    February 16, 2024 · Standard · F812 · Corrected March 15, 2024

Infection Control3E
  1. E

    Provide and implement an infection prevention and control program.

    March 12, 2026 · Standard · F880 · Corrected April 8, 2026

  2. E

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    February 16, 2024 · Standard · F883 · Corrected March 15, 2024

  3. D

    Provide and implement an infection prevention and control program.

    February 16, 2024 · Complaint · F880 · Corrected March 15, 2024

Freedom from Abuse, Neglect, and Exploitation3D
  1. D

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    March 12, 2026 · Standard · F605 · Corrected April 8, 2026

  2. D

    Respond appropriately to all alleged violations.

    March 12, 2026 · Standard · F610 · Corrected April 8, 2026

  3. D

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    May 2, 2025 · Standard · F605 · Corrected May 20, 2025

Resident Rights3D
  1. D

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    March 12, 2026 · Standard · F628 · Corrected April 8, 2026

  2. C

    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

    February 16, 2024 · Standard · F577 · Corrected March 15, 2024

  3. D

    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

    November 22, 2023 · Complaint · F622 · Corrected December 27, 2023

Nursing and Physician Services3D
  1. C

    Post nurse staffing information every day.

    March 12, 2026 · Standard · F732 · Corrected April 8, 2026

  2. D

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    May 2, 2025 · Standard · F726 · Corrected May 20, 2025

  3. D

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    September 5, 2024 · Complaint · F947 · Corrected September 27, 2024

Administration1C
  1. C

    Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

    September 5, 2024 · Complaint · F944 · Corrected September 27, 2024

Inspection history

  1. 2026-03-12

    10 health deficiencies · 7 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

  2. 2025-05-02

    13 health deficiencies · 12 fire-safety deficiencies

    Top issue: Quality of Life and Care (4 deficiencies)

  3. 2024-02-16

    12 health deficiencies · 11 fire-safety deficiencies

    Top issue: Infection Control (2 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 33 min of nursing staff time a day, 1 h of it from a registered nurse.

This home

3 h 33 min

Minnesota average

4 h 16 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 52% of nursing staff and 30% of registered nurses left in the past year, along with 1 administrator.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$170,619 in federal fines on record over the past three years.

DatePenaltyAmount
2025-03-13Fine$14,717
2025-01-17Fine$26,130
2024-09-05Fine$129,772

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.7 pts worse2.21.51.8
Number of outpatient emergency department visits per 1000 long-stay resident days1.3 pts worse3.01.71.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.2 pts better99.5%97.3%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.6 pts better100.0%96.4%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.4 pts better2.7%4.1%3.2%
Percentage of long-stay residents who have depressive symptoms9.9 pts worse14.0%4.1%13.5%
Percentage of long-stay residents who lose too much weight0.3 pts better3.6%3.9%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication1.4 pts worse14.1%12.7%19.5%
Percentage of long-stay residents who received an antipsychotic medication4.4 pts worse21.6%17.2%15.4%
Percentage of long-stay residents who were physically restrained1 pts worse1.1%0.1%0.1%
Percentage of long-stay residents whose ability to walk independently worsened3.1 pts better15.7%18.8%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased5.5 pts better12.7%18.2%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder1.4 pts better0.3%1.7%0.7%
Percentage of long-stay residents with a urinary tract infection1.2 pts better1.4%2.6%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.2 pts better18.5%23.7%18.3%
Percentage of long-stay residents with pressure ulcers0.3 pts worse5.4%5.1%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine4.3 pts better92.4%88.1%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit1.7 pts worse16.3%14.6%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication2.2 pts worse4.1%1.9%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine10.8 pts better94.1%83.3%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission6.4 pts better16.6%23.0%23.4%

·

Who owns and runs it

45 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Halpert, Ephraim5% Or Greater Direct Ownership Interest · Individual100%2 facilities
Abbas Jam TrustAdp Of The SNF · Organization0%2 facilities
Anderson, LindseyOperational/Managerial Control · Individual0%1 facilities
Anderson, LindseyAdp Of The SNF · Individual0%1 facilities
Berlin, AlexanderOperational/Managerial Control · Individual0%1 facilities
Berlin, AlexanderAdp Of The SNF · Individual0%1 facilities
CliftonlarsonallenAdp Of The SNF · Organization0%124 facilities
Deutsch, DavidIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%1 facilities
Dunn, DanielOperational/Managerial Control · Individual0%1 facilities
Dunn, DanielAdp Of The SNF · Individual0%1 facilities
Elliot Dk LLCAdp Of The SNF · Organization0%1 facilities
Finlay, AlisonOperational/Managerial Control · Individual0%1 facilities
Finlay, AlisonAdp Of The SNF · Individual0%1 facilities
Frey-Tykward, LisaOperational/Managerial Control · Individual0%1 facilities
Frey-Tykward, LisaAdp Of The SNF · Individual0%1 facilities
Friedman, DavidIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%3 facilities
Friedman, StevenOperational/Managerial Control · Individual0%6 facilities
Friedman, StevenAdp Of The SNF · Individual0%6 facilities
Halpert, EphraimAdp Of The SNF · Individual0%2 facilities
Hillel Tauber Pension FundAdp Of The SNF · Organization0%1 facilities
Hoffman, AriIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%1 facilities
Jacobs, AsherIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%1 facilities
Jaffa, ElanIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%1 facilities
Jensen Holdco LLCAdp Of The SNF · Organization0%1 facilities
Jensen Realty LLCAdp Of The SNF · Organization0%1 facilities
Kohn, BrianIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%47 facilities
Lepage, DanielleOperational/Managerial Control · Individual0%1 facilities
Lepage, DanielleAdp Of The SNF · Individual0%1 facilities
Levine, NicoleOperational/Managerial Control · Individual0%1 facilities
Levine, NicoleAdp Of The SNF · Individual0%1 facilities
Lieberman, AvigailIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%1 facilities
Lieberman, YisroelIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%1 facilities
Lme Family Holdings LLCAdp Of The SNF · Organization0%23 facilities
Martineau, RhiannonOperational/Managerial Control · Individual0%1 facilities
Martineau, RhiannonAdp Of The SNF · Individual0%1 facilities
Peterson, GaryOperational/Managerial Control · Individual0%1 facilities
Peterson, GaryAdp Of The SNF · Individual0%1 facilities
Portnov, YefimIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%1 facilities
Rubin, AaronIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%1 facilities
Schachter, JudithIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%1 facilities
Schachter, ShaevyAdp Of The SNF · Individual0%2 facilities
Schloss, DeborahIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%7 facilities
Taub, MichaelIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%1 facilities
Tauber, HillelAdp Of The SNF · Individual0%1 facilities
Zigdon & Associates PcAdp Of The SNF · Organization0%6 facilities

·

Fire safety

30 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke13F
  1. F

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

    March 12, 2026 · K345 · Corrected April 9, 2026

  2. F

    Properly provide smoke detection systems in areas open to corridors.

    March 12, 2026 · K347 · Corrected April 3, 2026

  3. F

    Inspect, test, and maintain automatic sprinkler systems.

    March 12, 2026 · K353 · Corrected April 3, 2026

  4. F

    Follow proper procedures when the fire alarm was out of service for more than 4 hours.

    May 2, 2025 · K346 · Corrected May 19, 2025

  5. F

    Properly select, install, inspect, or maintain portable fire extinguishes.

    May 2, 2025 · K355 · Corrected May 19, 2025

  6. F

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

    May 2, 2025 · K372 · Corrected May 19, 2025

  7. D

    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

    May 2, 2025 · K354 · Corrected May 19, 2025

  8. D

    Install corridor and hallway doors that block smoke.

    May 2, 2025 · K363 · Corrected May 19, 2025

  9. F

    Follow proper procedures when the fire alarm was out of service for more than 4 hours.

    February 16, 2024 · K346 · Corrected April 3, 2024

  10. F

    Inspect, test, and maintain automatic sprinkler systems.

    February 16, 2024 · K353 · Corrected April 3, 2024

  11. F

    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

    February 16, 2024 · K354 · Corrected April 3, 2024

  12. D

    Provide properly protected cooking facilities.

    February 16, 2024 · K324 · Corrected March 4, 2024

  13. D

    Install corridor and hallway doors that block smoke.

    February 16, 2024 · K363 · Corrected March 4, 2024

Gas, Vacuum, and Electrical Systems6F
  1. F

    Ensure that testing and maintenance of electrical equipment is performed.

    March 12, 2026 · K921 · Corrected April 9, 2026

  2. D

    Have generator or other power source capable of supplying service within 10 seconds.

    March 12, 2026 · K918 · Corrected April 3, 2026

  3. F

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    May 2, 2025 · K914 · Corrected May 19, 2025

  4. F

    Have generator or other power source capable of supplying service within 10 seconds.

    May 2, 2025 · K918 · Corrected May 19, 2025

  5. F

    Ensure proper usage of power strips and extension cords.

    May 2, 2025 · K920 · Corrected May 19, 2025

  6. F

    Ensure proper usage of power strips and extension cords.

    February 16, 2024 · K920 · Corrected March 4, 2024

Miscellaneous4F
  1. F

    Have simulated fire drills held at unexpected times.

    March 12, 2026 · K712 · Corrected April 3, 2026

  2. F

    Have simulated fire drills held at unexpected times.

    May 2, 2025 · K712 · Corrected May 19, 2025

  3. D

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    May 2, 2025 · K761 · Corrected May 19, 2025

  4. F

    Have simulated fire drills held at unexpected times.

    February 16, 2024 · K712 · Corrected April 3, 2024

Egress4E
  1. D

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    March 12, 2026 · K222 · Corrected April 3, 2026

  2. E

    Install emergency lighting that can last at least 1 1/2 hours.

    February 16, 2024 · K291 · Corrected April 3, 2024

  3. D

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    February 16, 2024 · K211 · Corrected March 4, 2024

  4. D

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    February 16, 2024 · K222 · Corrected March 4, 2024

Services2F
  1. F

    Have properly installed electrical wiring and gas equipment.

    May 2, 2025 · K511 · Corrected May 19, 2025

  2. F

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    February 16, 2024 · K521 · Corrected April 3, 2024

Electrical1F
  1. F

    Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.

    May 2, 2025 · K901 · Corrected May 19, 2025

·

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