Tuff Memorial Home

505 EAST 4TH STREET, HILLS, MN 56138 · CCN 245548 · 48 certified beds · Data as of 2026-07-01

CMS overall5 of 5CMS inspections5 of 5CMS staffing5 of 5CMS quality4 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

6 citation(s) appear in this facility's record, none at CMS's actual-harm or immediate-jeopardy levels in the last three years.

Serious inspection findings

No citations at CMS's actual-harm or immediate-jeopardy levels appear in this facility's current record.

Staffing, from payroll records

Nursing hours / resident / day

3.09

state median 3.48

Weekend staffing gap

−13%

fewer nursing hours on weekends · state median −4%

RN hours / resident / day

0.43

registered nurses only

Contract (agency) staff

3%

share of all nursing hours

Days with zero RN hours reported

1

with residents present

Nursing staff turnover

40%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

Keep an eye on this facility

Monitoring alerts are launching soon: new citations, penalties, ownership changes, and staffing drops for facilities you follow. Leave your email and we'll notify you when it goes live for Tuff Memorial Home.

Penalties and enforcement

13 enforcement action(s), totaling $44,434 in fines.

DateTypeAmount
2023-11-13Fine$4,545
2023-11-06Fine$4,545
2023-10-30Fine$4,545
2023-10-23Fine$4,545
2023-10-17Fine$4,196
2023-10-10Fine$3,846
2023-10-02Fine$3,529
2023-09-27Payment Denialpayment denial
2023-09-25Fine$3,147
2023-09-18Fine$2,797

Ownership

Ownership type: Non profit - Corporation.

Full citation history

By severity: Potential for more than minimal harm: 6

Survey dateTagCategorySeverityCorrected
2025-08-27F0867Administration DeficienciesFnot recorded
2025-08-27F0880Infection Control DeficienciesEnot recorded
2025-08-27F0921Environmental DeficienciesDnot recorded
2024-07-30F0641Resident Assessment and Care Planning DeficienciesDnot recorded
2024-07-30F0881Infection Control DeficienciesDnot recorded
2023-12-11F0622Resident Rights DeficienciesDnot recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Tuff Memorial Home, HILLS” at medicare.gov/care-compare.