• CMS rates this facility 1/5 stars (below average)
• Has 140 certified beds with an average of 103.3 residents per day (74% occupancy)
• Last health inspection found 12 deficiencies (inspected May 2, 2025)
• Has been fined a total of $244,730 across 3 fine(s)
• Total nursing staff: 3.70 hours per resident per day
• Staff turnover rate: 50.9% (high)
Hilltop Healthcare Rehabilitation and Skilled Nurs is a 1-star Medicare and Medicaid certified nursing home in Duluth, Minnesota with 140 certified beds. It has been operating since 1986. The facility scored below average compared to Minnesota facilities.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Ensure each resident receives an accurate assessment.
PASARR screening for Mental disorders or Intellectual Disabilities
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Provide safe, appropriate dialysis care/services for a resident who requires such services.
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.
Ensure each resident’s drug regimen must be free from unnecessary drugs.
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.
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.
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Ensure each resident receives an accurate assessment.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Provide and implement an infection prevention and control program.
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.
Allow residents to self-administer drugs if determined clinically appropriate.
Reasonably accommodate the needs and preferences of each resident.
Honor the resident's right to manage his or her financial affairs.
Honor 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.
Keep residents' personal and medical records private and confidential.
+ 18 more deficiencies
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| HALPERT, EPHRAIM | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 100% | Jun 8, 2022 |
| FREY-TYKWARD, LISA | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jun 17, 2024 |
| FRIEDMAN, STEVEN | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jun 8, 2022 |
| PETERSON, GARY | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Apr 3, 2013 |
| HALPERT, EPHRAIM | CORPORATE OFFICER | Individual | N/A | Jun 8, 2022 |