Tuff Memorial Home

505 EAST 4TH STREET, HILLS, MN 56138

Provider number (CCN): 245548
Certification: Medicare and Medicaid
Ownership: Non profit - Corporation
Certified beds: 48
Phone: (507) 962-3275
CMS data as of: July 1, 2026

What the records show

CMS rates Tuff Memorial Home 5 out of 5 stars overall, with 5 of 5 for health inspections, 5 of 5 for staffing, 4 of 5 for quality measures. Federal inspectors cited 6 health deficiencies across the last three survey cycles, most recently surveyed in 2026. CMS enforcement records list 12 fines totalling $44,434 and 1 payment denial.

Reviews, Ratings and Official Records

This page reviews Tuff Memorial Home using federal government records — CMS star ratings, health-inspection findings, staffing data and enforcement actions. NursingHomeGrade does not collect, host or publish resident or family testimonials, and no star rating below is a consumer review score.

At or above the 2024 benchmark — top tier inspection record.

Ratings and Grade Breakdown

RN Staffing Registered nurse time each resident receives daily. 2024 federal benchmark: 0.55 hrs. Repealed February 2026.	0.74 — At or above the repealed 0.55 hr benchmark
The 0.55 hour RN standard was repealed effective February 2, 2026 and is not currently enforced. We still grade against it. Why
Health Deficiencies (last 3 survey cycles) Violations found during federal inspections, with how many remain open and how many involved actual harm.	Total 6 Outstanding 0 Actual harm or worse (G–L) 0
CMS Ratings Federal five-star ratings published by CMS. These are regulatory ratings, not consumer review scores.	Overall: ★★★★★ (5/5) Health inspection: ★★★★★ (5/5) Quality: ★★★★☆ (4/5) Staffing: ★★★★★ (5/5)
NursingHomeGrade Score	91/100

Loaded into NursingHomeGrade on August 7, 2026. This is the load date, not the date CMS published the underlying survey data — see release dates.

CMS scores each facility from one to five stars — one is in the bottom fifth of facilities in its state on health inspections, five is in the top tenth. Our own A–F grade is a separate 0–100 score built from staffing hours, inspection citations, and the severity and correction status of those citations, weighted as described in our grading methodology.

Staffing Compared With State and National Levels

Registered nurse hours per resident per day compared with state and national levels
This facility	0.74 hrs
MN median	0.96 hrs
National average	0.69 hrs

Registered nurse turnover: 14.3% · Total nursing staff turnover: 39.5%

Staffing figures are the values CMS published in its file processed July 1, 2026, drawn from payroll-based journal reporting.

Inspection Records Covered

Most recent standard health survey: May 26, 2026.
Citations shown below span 2 recorded inspection cycles.
Survey dates on file range from December 11, 2023 to August 27, 2025.

Source records: CMS Care Compare profile for provider 245548 ↗ · the federal files we load and when.

Inspection Deficiencies

Health inspections identify violations of federal standards. Severity ranges from no actual harm (A–F) to immediate jeopardy (J–L).

6 deficiencies found. 6 corrected. None involved actual harm.

Inspection cycle 2 (August 27, 2025)

F Potential harm — widespread F0867 Status: Corrected

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Administration Deficiencies — Deficient, Provider has date of correction, corrected September 19, 2025

D Potential harm — isolated F0921 Status: Corrected

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Environmental Deficiencies — Deficient, Provider has date of correction, corrected September 19, 2025

E Potential harm — pattern F0880 Status: Corrected

Provide and implement an infection prevention and control program.

Infection Control Deficiencies — Deficient, Provider has date of correction, corrected September 19, 2025

Inspection cycle 3 (July 30, 2024)

D Potential harm — isolated F0881 Status: Corrected

Implement a program that monitors antibiotic use.

Infection Control Deficiencies — Deficient, Provider has date of correction, corrected August 19, 2024

D Potential harm — isolated F0641 Status: Corrected

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies — Deficient, Provider has date of correction, corrected August 19, 2024

D Potential harm — isolated F0622 Status: Corrected

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.

Resident Rights Deficiencies — Deficient, Provider has date of correction, corrected January 2, 2024

Fines and Enforcement Actions

Penalties CMS has imposed on this facility. A fine is a civil money penalty; a payment denial suspends Medicare or Medicaid payment for new admissions.

Date	Action	Amount or length
November 13, 2023	Fine	$4,545
November 6, 2023	Fine	$4,545
October 30, 2023	Fine	$4,545
October 23, 2023	Fine	$4,545
October 17, 2023	Fine	$4,196
October 10, 2023	Fine	$3,846
October 2, 2023	Fine	$3,529
December 27, 2023	Payment Denial	6 days
September 25, 2023	Fine	$3,147
September 18, 2023	Fine	$2,797
September 11, 2023	Fine	$2,447
September 5, 2023	Fine	$2,098
August 14, 2023	Fine	$4,194

12 fines totalling $44,434.

Source: CMS Penalties file (dataset g6vv-u9sr).

Ownership and Contact Information

Facility name: Tuff Memorial Home
Address: 505 EAST 4TH STREET, HILLS, MN 56138
Phone: (507) 962-3275
Provider number (CCN): 245548
Ownership type: Non profit - Corporation
Medicare/Medicaid certified since: March 1, 1991
Official record: CMS Care Compare profile ↗
Details verified against CMS data dated: July 1, 2026

The federal nursing-home files publish no email address for certified facilities, so none is listed here. We do not guess or construct contact addresses. Contact details above are reproduced from CMS Provider Information; call the facility to confirm before relying on them.

How We Stay Independent

NursingHomeGrade is strictly independent. We do not accept payments from facilities. Our grades are calculated solely from federal CMS datasets.

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Sources and Methodology

CMS Provider Information (file processed July 1, 2026) — ratings, staffing, ownership, certification and contact details. Dataset 4pq5-n9py ↗
CMS Health Deficiencies — inspection citations, scope and severity, correction status. Dataset r5ix-sfxw ↗
CMS Penalties — fines and payment denials with the dates CMS recorded them. Dataset g6vv-u9sr ↗
CMS Ownership — owning and managing organisations. Dataset y2hd-n93e ↗

The NursingHomeGrade score is our own calculation from these federal files — it is not a CMS rating and not a consumer review score. See exactly how the score is calculated · full methodology · source files and load dates.

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