Minnesota ›Hills

Tuff Memorial Home

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505 East 4th Street, Hills, MN 56138 (opens Google Maps) · Rock County · (507) 962-3275· 48 certified beds · avg 39 residents/day · certified since Mar 1, 1991 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

5/5
Health inspection rating (on-site)
inspected May 26, 2026
0
Serious findings on record
$40,240
Fines, last 3 years
—
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★★★★★5/5 · CMS overall rating: 4/5 · how star ratings work →

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.

Inspection findings in the public record

Showing the latest 3 of 6 inspection findings. Open the full record below to read every finding.

  1. F · Potential for more than minimal harm, widespread

    The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. F-0867

  2. E · Potential for more than minimal harm, pattern

    The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. F-0880

  3. D · Potential for more than minimal harm, isolated

    The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. F-0921

View all 6 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
Aug 27, 2025F · Potential for more than minimal harm, widespreadThe facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. · F-0867
Aug 27, 2025E · Potential for more than minimal harm, patternThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880
Aug 27, 2025D · Potential for more than minimal harm, isolatedThe facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · F-0921
Jul 30, 2024D · Potential for more than minimal harm, isolatedThe facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641
Jul 30, 2024D · Potential for more than minimal harm, isolatedThe facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. · F-0881
Dec 11, 2023D · Potential for more than minimal harm, isolatedThe facility transferred or discharged a resident without a valid reason, or failed to provide the required documentation and information when moving a resident out. · from a complaint · F-0622

Inspection trend by year

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations: 1
Serious citations (G–L): 0
2024
All citations: 2
Serious citations (G–L): 0
2025
All citations: 3
Serious citations (G–L): 0

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
202310D
202420D
202530F

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

How to file a complaint about care →

11 fines totaling $40,240, plus 1 Medicare payment denial period.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

DateTypeAmount / length
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 Denial6 days from Dec 27, 2023
Sep 25, 2023Fine$3,147
Sep 18, 2023Fine$2,797
Sep 11, 2023Fine$2,447
Sep 5, 2023Fine$2,098

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityMinnesota averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: Not reported
Minnesota average: 4.83
U.S. average: 3.95
Registered Nurse hours
This facility: Not reported
Minnesota average: 1.22
U.S. average: 0.69
Weekend total nurse staffing
This facility: Not reported
Minnesota average: 4.27
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityMinnesota avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)—4.833.95—
Registered Nurse hours—1.220.69—
Weekend total nurse staffing—4.273.50—
Weekend RN hours (not acuity-adjusted)—0.690.48—
Total nursing staff turnover (%)39.542.245.8top 50% in Minnesota; top 35% in the U.S.
RN turnover (%)14.338.642.9top 10% in Minnesota; top 7% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total —, RN —, weekend —.Comparing with Medicare Care Compare? Care Compare shows the raw figure (— here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 1/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Tuff Memorial Home. CMS inspection and staffing records do not tell us what this home will charge you.

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Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

Non profit - Corporation

Owner / managerTypeRoleStakeSince
Bethlehem Lutheran ChurchOrganizationDirect Ownership InterestNOT APPLICABLE04/01/2023
First LutheranOrganizationDirect Ownership InterestNOT APPLICABLE04/01/2023
Grace Lutheran ChurchOrganizationDirect Ownership InterestNOT APPLICABLE04/01/2023
Palisade LutheranOrganizationDirect Ownership InterestNOT APPLICABLE04/01/2023
Gayer, TracyIndividualCorporate OfficerNOT APPLICABLE02/01/2019
Green, LarryIndividualCorporate OfficerNOT APPLICABLE02/01/2019
Kendall, KathrynIndividualOperational/Managerial ControlNOT APPLICABLE05/27/2024
Kendall, KathrynIndividualADP of the SNFNOT APPLICABLE05/27/2024
Leenderts, BonnieIndividualCorporate OfficerNOT APPLICABLE01/01/2018
Petterson, JeffIndividualCorporate OfficerNOT APPLICABLE01/01/2018
Pope & Conner Consulting INCOrganizationADP of the SNFNOT APPLICABLE01/01/2021
Thone, JenniferIndividualOperational/Managerial ControlNOT APPLICABLE05/27/2021
Thone, JenniferIndividualADP of the SNFNOT APPLICABLE02/01/2019
Westphal, CatherineIndividualCorporate OfficerNOT APPLICABLE02/01/2019
Wipfli LLPOrganizationADP of the SNFNOT APPLICABLE09/01/2023

All 15 owning or managing parties CMS has on file are shown — none excluded.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

  • "How does your quality committee work, and can you give an example of a problem it recently identified and fixed?"
  • "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
  • "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
  • "Who completes resident assessments here, and how do you check them for accuracy?"
  • "Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
  • "Under what circumstances would you discharge or transfer a resident, and what notice and appeal rights would we have?"

Also worth asking anywhere

  • "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 40% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 15 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (12 closest of 13 within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Bethany Home - Brandon10.3 miBrandon, SD★☆☆☆☆1/5abuse
Good Samaritan Society - Mary Jane Brown11.0 miLuverne, MN★☆☆☆☆2/5
Lyon Specialty Care11.4 miRock Rapids, IA★★★★☆4/5
MN Veterans Home-Luverne12.1 miLuverne, MN★★★★★4/5
Palisade Healthcare Center15.0 miGarretson, SD★☆☆☆☆1/5abuse
Fellowship Village15.6 miInwood, IA★★★★☆4/5
Avera Prince of Peace16.7 miSioux Falls, SD★★★★☆3/5
Parkview Manor Nursing Home16.8 miEllsworth, MN★☆☆☆☆2/5
Good Samaritan Society Sioux Falls Center19.1 miSioux Falls, SD★★☆☆☆2/5abuse
Good Samaritan Society Canton19.1 miCanton, SD★★☆☆☆3/5
Avantara Norton19.2 miSioux Falls, SD—/5abuseSFF
Good Samaritan Society Luther Manor19.6 miSioux Falls, SD★★☆☆☆2/5

Compare this facility with the 3 closest →

All facilities in Hills →

Facility data as of CMS processing date 2026-08-01. CCN 245548.

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