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Nursing HomeMedicaid Investigative

Hilltop Healthcare Rehabilitation and Skilled Nurs

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

2501 Rice Lake Road, Duluth Heights · Duluth, MN 55811140 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.3/5

based on 39 Google reviews

5
4
3
2
1
Hilltop Healthcare Rehabilitation and Skilled Nurs Nursing Home in Duluth, MN — Street View
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5/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Above-median deficiencies (12 vs median 6.5)
  • High staff turnover (51%)
  • High RN turnover (61%)

Bottom 25% in MN · Meets national RN staffing standard · $244,730 in fines

Source: Medicare data

What this means for your family

While the therapy department is frequently praised, the facility has a recurring pattern of serious complaints regarding hygiene, staffing, and financial management. We strongly advise families to conduct unannounced visits to check room cleanliness and to carefully audit all billing statements if you choose this facility.

Google Reviews

Google Reviews

39 reviews on Google
Hilltop Healthcare receives highly polarized feedback, with some reviewers praising the therapy department and specific staff members, while others report severe neglect and administrative failures. Multiple families have raised alarming concerns regarding hygiene, staffing shortages, and financial irregularities. Prospective families should be aware of the significant inconsistency in care quality described by long-term residents and their relatives.

Quality Themes

Tap a score for details
FoodN/AStaff4.0Clean1.0ActivitiesN/AMeds2.0MemoryN/AComms2.0Value1.0

Strengths

  • Highly effective physical therapy department
  • Some individual nursing staff members are described as caring
  • Recent efforts to improve the facility environment

Concerns

  • Poor hygiene and lack of room cleaning (mentioned by 6 reviewers)
  • Understaffing leading to slow response times (mentioned by 5 reviewers)
  • Unreliable or predatory billing practices (mentioned by 3 reviewers)
  • Neglect of basic patient needs (hygiene/supplies) (mentioned by 4 reviewers)

Rating Trends

Tap a year to see what changed

234'14(1)'18(4)'20(3)'22(8)'24(9)'26(3)

Distribution · 42 analyzed

5
20
4
3
3
2
2
1
1
16

How They Respond to Reviews

95%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed your team is very active in responding to feedback online; how do you use that family input to make daily improvements to the facility's environment?
  • 2Given the recent focus on upgrading the facility, what specific steps are being taken to ensure consistent room cleanliness and hygiene standards for all residents?
  • 3Since your physical therapy department is highly regarded, how do you integrate those therapy goals into the daily care routine for residents who need extra support?
  • 4How do you manage staffing levels during peak hours to ensure that residents receive timely assistance with basic needs and hygiene?
  • 5I see there have been some questions regarding billing; could you walk me through your process for ensuring transparency and accuracy in monthly statements?
  • 6What is your protocol for medication management and communication with families if a resident's health status changes unexpectedly?

Personalized based on this facility's data


Key Review Excerpts

The physical therapy was awesome!

Rehab patient · 2022★★★★

My father lived there for over a year and a half and it was overall marginal, at best. Their billing is highly unreliable, and impossible to decipher what they send if you request a detailed bill.

Long-term resident's family · 2024★★☆☆☆

This facility is the most inadequate healthcare facility I've ever dealt with. At different times I would go into my mother's room they would have the old hotel doorbell as the assistant bell The little metal one as her emergency call system.

Long-term resident's family · 2026☆☆☆☆
Source: 39 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.90hrs
OK
Registered nurses for medical care
Total Nursing
3.38hrs
82%
All nurses + aides combined
Staff Turnover
57%
Lower is better (< 30% = good)
RN Turnover
65%
Lower is better (< 30% = good)

Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
1/ 5
Better Than Avg

3

measures

Worse Than Avg

6

measures

Mixed Results

8

measures

Long-Stay Residents
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility98.4%
Better than Avg
Here
98.4%
US
93.4%
MN
97.3%
St. louis
83.0%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility24.7%
Worse than Avg
Here
24.7%
US
15.3%
MN
21.4%
St. louis
16.2%
😔

Residents with depression symptoms

↓ Lower is better
This Facility13.4%
Mixed vs Avgs
Here
13.4%
US
12.1%
MN
4.3%
St. louis
19.2%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
MN
96.1%
St. louis
91.6%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility14.5%
Mixed vs Avgs
Here
14.5%
US
19.5%
MN
12.5%
St. louis
16.7%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility19.5%
Worse than Avg
Here
19.5%
US
15.4%
MN
17.0%
St. louis
18.9%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility86.5%
Mixed vs Avgs
Here
86.5%
US
81.8%
MN
88.3%
St. louis
63.1%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility84.8%
Better than Avg
Here
84.8%
US
79.7%
MN
82.7%
St. louis
65.0%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility3.8%
Worse than Avg
Here
3.8%
US
1.6%
MN
1.8%
St. louis
1.8%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

10deficiencies
3penalties
Above state avg (8.0)
12 complaint-triggered
$244,730 in fines

Families have filed complaints that triggered 11 deficiencies, raising concerns about accident prevention, staff training, and resident dignity. The facility shows persistent problems with fire safety systems, medication management, and care planning across multiple surveys from 2023-2025. While all deficiencies have correction dates, the recurring nature of fire safety violations and the pattern of complaint-driven issues suggest ongoing operational challenges that warrant careful consideration during visits.

Mar 12, 2026Routine
16
0802Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0347Potential for harm · WidespreadCorrected

Smoke Deficiencies

Properly provide smoke detection systems in areas open to corridors.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0921Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0605Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0628Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

0222Potential for harm · IsolatedCorrected

Egress Deficiencies

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.

0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0732Minimal · WidespreadCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

Mar 12, 2026Complaint
1
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

May 2, 2025Routine
23
0809Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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.

0346Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0355Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0372Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0511Potential for harm · WidespreadCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0901Potential for harm · WidespreadCorrected

Electrical Deficiencies

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

0914Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0920Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0605Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0645Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0726Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

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.

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0354Potential for harm · IsolatedCorrected

Smoke Deficiencies

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

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0761Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

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

Mar 13, 2025Complaint
1
0689Actual harm · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

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

Jan 17, 2025Complaint
1
0678Immediate jeopardy · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

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

Sep 5, 2024Complaint
3
0689Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0947Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

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

0944Minimal · WidespreadCorrected

Administration Deficiencies

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

Federal Penalties

Fine

Mar 13, 2025

$22,315

Fine

Jan 17, 2025

$26,130

Fine

Sep 5, 2024

$127,586

Ownership & Operations

Who Operates This Facility

Owner / Operator

Hilltop Healthcare Rehabilitation and Skilled Nurs

Organization Type

for profit

Ownership & Management

Owners

Halpert, Ephraim

Owner

100%

Deutsch, David

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Friedman, David

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Hoffman, Ari

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Jacobs, Asher

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Jaffa, Elan

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Kohn, Brian

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Lieberman, Avigail

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Lieberman, Yisroel

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Portnov, Yefim

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Rubin, Aaron

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Schachter, Judith

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Schloss, Deborah

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Taub, Michael

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

Anderson, LindseyManagerBerlin, AlexanderManagerDunn, DanielManagerFinlay, AlisonManagerFrey-Tykward, LisaManager
Source: Medicare provider data

Contact

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Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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