Nursing HomeInspections

Tuff Memorial Home

Nursing home in Hills, MN

Medicare & Medicaid certified4★ overall (CMS)

Call (507) 962-3275Send a messageMap ↗

Public-record details

Address
505 East 4th Street, Hills, MN 56138
Phone
(507) 962-3275
Listed under
Nonprofit, 4–5 star overall rating
Medicare CCN
245548
Overall star rating
4 of 5 ★★★★☆
Health inspection rating
5 of 5
Staffing rating
1 of 5
Quality measures rating
4 of 5
Certified beds
48
Average residents per day
39
Ownership
Nonprofit, corporation
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Mar 1, 1991
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident and family councils
Sprinklers in all required areas
Yes

CMS certification number 245548. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: May 26, 2026. CMS lists 6 health citations for this facility across its last three standard inspection cycles and complaint inspections (Dec 11, 2023 to Aug 27, 2025): 1 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Aug 27, 2025Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental		D
Potential for more than minimal harm, isolated
Aug 27, 2025Provide and implement an infection prevention and control program.
Infection Control		E
Potential for more than minimal harm, pattern
Aug 27, 2025Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration		F
Potential for more than minimal harm, widespread
Jul 30, 2024Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jul 30, 2024Implement a program that monitors antibiotic use.
Infection Control		D
Potential for more than minimal harm, isolated
Dec 11, 2023Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 11 fines totalling $40,240 and 1 denial of Medicare payment for new admissions in the last three years.

Nov 13, 2023Fine: $4,545
Nov 6, 2023Fine: $4,545
Oct 30, 2023Fine: $4,545
Oct 23, 2023Fine: $4,545
Oct 17, 2023Fine: $4,196
Oct 10, 2023Fine: $3,846
Oct 2, 2023Fine: $3,529
Sep 27, 2023Payment denial for 6 days from Dec 27, 2023
Sep 25, 2023Fine: $3,147
Sep 18, 2023Fine: $2,797

Showing the 10 most recent of 12.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Nursing staff turnover (yearly)
40%
RN turnover (yearly)
14%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.