Staffing
CMS publishes a 4-star staffing rating for this facility.
RN staffing was 0.96 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceAsk Trust Hub Network
Also known publicly as Hilltop Healthcare Rehabilitation and Skilled Nursing
DULUTH, MN
CMS overview
No proprietary TrustHub score. These ratings are published separately by CMS.
Facility information
CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.
Decision guide
Factual evidence to examine before you decide. These summaries are not a score or recommendation.
CMS publishes a 4-star staffing rating for this facility.
RN staffing was 0.96 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceThe latest standard inspection on Mar 12, 2026 cited 9 deficiencies.
View inspection evidenceCMS-published records list 78 ownership or control parties.
CMS records show an ownership change effective June 2022.
View ownership evidenceCMS records show a $14,505 fine in the loaded enforcement dataset.
View enforcement evidence →Ownership & operation
Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.
SeniorTrustHub found evidence connecting this facility to:
113 currently connected nursing homes share this CMS organization identity with CLIFTONLARSONALLEN LLP.
These figures summarize currently connected CMS-certified nursing homes. Some facilities have incomplete measures; missing values are omitted, not treated as zero. Ownership structures can change. State operator or licensee evidence may differ from CMS ownership disclosures.
Ownership
These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Jun 8, 2022
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 8, 2022
Other facilities connected through this exact CMS organization identity: 0 across MN.
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 9, 2023
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 27, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 8, 2022
Other facilities connected through this exact CMS organization identity: 0 across MN.
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 26, 2024
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 8, 2022
Other facilities connected through this exact CMS organization identity: 0 across MN.
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 7, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 17, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 8, 2022
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 8, 2022
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 8, 2022
Other facilities connected through this exact CMS organization identity: 0 across MN.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 8, 2022
Other facilities connected through this exact CMS organization identity: 0 across MN.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 8, 2022
Other facilities connected through this exact CMS organization identity: 0 across MN.
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 25, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 3, 2024
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 8, 2022
Other facilities connected through this exact CMS organization identity: 0 across MN.
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 3, 2023
Individual · ADP OF THE SNF
Association date reported to CMS: Apr 3, 2013
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 8, 2022
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 8, 2022
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 8, 2022
Other facilities connected through this exact CMS organization identity: 0 across MN.
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Dec 23, 2025
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Dec 23, 2025
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Dec 23, 2025
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Jul 16, 2025
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Dec 23, 2025
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Feb 12, 2026
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Dec 23, 2025
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Sep 2, 2025
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Dec 23, 2025
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Dec 23, 2025
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Dec 23, 2025
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Dec 23, 2025
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Feb 12, 2026
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 9, 2023
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 27, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 26, 2024
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Oct 7, 2024
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 17, 2024
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 8, 2022
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 25, 2024
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Sep 3, 2024
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Oct 3, 2023
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Apr 3, 2013
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Jun 8, 2022
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 8, 2022
Other facilities connected through this exact CMS organization identity: 1 across MN, NE.
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 9, 2023
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 27, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 8, 2022
Other facilities connected through this exact CMS organization identity: 112 across FL, IA, IL, KY, MA, MI, MN, NM, OH, PA, RI, TX, WI.
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 26, 2024
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 8, 2022
CMS classifications: Private equity company
Other facilities connected through this exact CMS organization identity: 0 across MN.
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 7, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 17, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 8, 2022
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 8, 2022
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 8, 2022
Other facilities connected through this exact CMS organization identity: 0 across MN.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 8, 2022
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 0 across MN.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 8, 2022
Other facilities connected through this exact CMS organization identity: 0 across MN.
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 25, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 3, 2024
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 8, 2022
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 32 across IN, KS, MA, MD, MI, MN, MS, NE, NJ, OK, PA, TN, TX.
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 3, 2023
Individual · ADP OF THE SNF
Association date reported to CMS: Apr 3, 2013
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 8, 2022
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 8, 2022
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 8, 2022
Other facilities connected through this exact CMS organization identity: 5 across MI, MN.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 9, 2023
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 27, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 26, 2024
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Oct 7, 2024
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 17, 2024
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 8, 2022
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 25, 2024
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Sep 3, 2024
Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.
Inspections & deficiencies
Scope and severity terms below are CMS classifications. They are not a TrustHub score.
No health-deficiency rows were deterministically linked to this inspection.
No health-deficiency rows were deterministically linked to this inspection.
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 8, 2026)
Respond appropriately to all alleged violations.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 8, 2026)
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 8, 2026)
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 8, 2026)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 8, 2026)
Post nurse staffing information every day.
CMS scope/severity C: Widespread; No actual harm with potential for minimal harm.
Correction status: Deficient, Provider has date of correction (Apr 8, 2026)
Ensure each resident’s drug regimen must be free from unnecessary drugs.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 8, 2026)
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 8, 2026)
Provide and implement an infection prevention and control program.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 8, 2026)
No health-deficiency rows were deterministically linked to this inspection.
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 20, 2025)
Ensure each resident receives an accurate assessment.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 20, 2025)
PASARR screening for Mental disorders or Intellectual Disabilities
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 20, 2025)
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 20, 2025)
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 20, 2025)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 20, 2025)
Provide safe, appropriate dialysis care/services for a resident who requires such services.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 20, 2025)
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 20, 2025)
Ensure each resident’s drug regimen must be free from unnecessary drugs.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 20, 2025)
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 20, 2025)
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.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 20, 2025)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Past Non-Compliance (Mar 6, 2025)
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Past Non-Compliance (Jan 15, 2025)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Sep 27, 2024)
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
CMS scope/severity C: Widespread; No actual harm with potential for minimal harm.
Correction status: Deficient, Provider has date of correction (Sep 27, 2024)
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 27, 2024)
No health-deficiency rows were deterministically linked to this inspection.
No health-deficiency rows were deterministically linked to this inspection.
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
CMS scope/severity C: Widespread; No actual harm with potential for minimal harm.
Correction status: Deficient, Provider has date of correction (Mar 15, 2024)
Ensure each resident receives an accurate assessment.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 18, 2024)
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 15, 2024)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 15, 2024)
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.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 15, 2024)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 15, 2024)
Develop and implement policies and procedures for flu and pneumonia vaccinations.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 15, 2024)
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 27, 2023)
Penalties & enforcement
Published fine amount: $14,505.00
Published fine amount: $26,130.00
Published fine amount: $127,586.00
Questions to ask
Facility history
15 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
9 deficiencies were recorded.
CMS · Recorded event date · View related evidence
Total nurse staffing decreased from 3.70 to 3.38 hours per resident day between 2025Q3 and 2025Q4. Staffing declined across those reported periods.
3.70 → 3.38
CMS · Reported in a source release · View related evidence
Total nurse staffing increased from 3.45 to 3.70 hours per resident day between 2025Q2 and 2025Q3. Staffing improved across those reported periods.
3.45 → 3.70
CMS · Reported in a source release · View related evidence
11 deficiencies were recorded.
CMS · Recorded event date · View related evidence
1 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence
CMS recorded a $14,505 civil monetary penalty.
CMS · Recorded event date · View related evidence
1 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence
CMS recorded a $26,130 civil monetary penalty.
CMS · Recorded event date · View related evidence
3 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence
CMS recorded a $127,586 civil monetary penalty.
CMS · Recorded event date · View related evidence
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
Staffing
CMS staffing rating: 4 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 3.4 | 3.089 |
| RN categories | 1.064 | 0.697 |
Contract staff accounted for 4.8% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.060 higher than the prior loaded quarter.
Solid bar: Total nursing · Outlined bar: RN categories
| Quarter | Total nursing | RN categories | LPN/LVN | CNA | Contract share | Days |
|---|---|---|---|---|---|---|
| 2025Q2 | 3.446 | 0.854 | 0.519 | 1.906 | 4.1% | 91 |
| 2025Q3 | 3.696 | 0.942 | 0.518 | 2.042 | 2.6% | 92 |
| 2025Q4 | 3.381 | 0.898 | 0.463 | 1.936 | 3.2% | 92 |
| 2026Q1 | 3.31 | 0.958 | 0.345 | 1.997 | 4.8% | 90 |
Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.
View official CMS PBJ sourceWhat we can verify today
These measures come from the current successfully ingested CMS Nursing Home Provider Information release.
Planned evidence layers
These areas require separate authoritative CMS datasets. No findings are shown until those sources are ingested and reviewed.
Trust participation
Claims, corrections, and factual context are free. Submissions never replace CMS evidence or affect ranking.
Source register
No paid placements. Facilities cannot pay to rank higher. We cite. You decide.