Tuff Memorial Home
505 East 4th Street · Hills, MN · 56138 · 5079623275
48 certified beds Non profit - Other
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 5 of 5 Inspections: 4 of 5 Staffing: 5 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.96 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.72 | 0.55–0.75 |
| Weekend hours / resident-day | 3.28 | ≈ weekday level |
| Nursing turnover / year | 40% | median 45% |
| Fines (3-yr window) | 12 · $44,434 |
Inspection citations (13 in the current record)
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Potential for harm · F August 27, 2025
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected September 19, 2025 · Administration
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Potential for harm · E August 27, 2025
Provide and implement an infection prevention and control program.
Corrected September 19, 2025 · Infection Control
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Potential for harm · D August 27, 2025
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected September 19, 2025 · Environmental
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Potential for harm · D July 30, 2024
Ensure each resident receives an accurate assessment.
Corrected August 19, 2024 · Resident Assessment and Care Planning
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Potential for harm · D July 30, 2024
Implement a program that monitors antibiotic use.
Corrected August 19, 2024 · Infection Control
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Potential for harm · D December 11, 2023 · found via complaint
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.
Corrected January 2, 2024 · Resident Rights
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Potential for harm · D September 27, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected December 15, 2023 · Resident Assessment and Care Planning
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Potential for harm · D September 27, 2023
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.
Corrected December 15, 2023 · Pharmacy Service
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Potential for harm · F September 27, 2023
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected December 15, 2023 · Administration
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Potential for harm · F September 27, 2023
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected December 15, 2023 · Administration
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Potential for harm · F September 27, 2023
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected December 15, 2023 · Administration
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Potential for harm · E September 27, 2023
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected December 15, 2023 · Infection Control
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Potential for harm · F September 27, 2023
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Corrected December 15, 2023 · Administration
Federal penalties
| Date | Type | Amount / 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 |
| September 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 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 245548 · certified since March 1, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.