Minnesota › Rock County › Hills
Tuff Memorial Home
505 East 4th Street, Hills, MN 56138
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Tuff Memorial Home is a Non-profit, corporation nursing home in Hills, Minnesota, certified for 48 beds and caring for about 39 residents a day.
CMS gives it 4 of 5 stars overall, above the Minnesota median of 3; the health inspection rating is 5, staffing 1 and quality measures 4.
Inspectors recorded 6 health deficiencies across the three most recent survey cycles (0, 3, 3 by cycle, most recent first), none at the actual-harm level. That is 12.5 per 100 beds, fewer than the state median of 30.0.
CMS lists 12 penalties in the period covered: fines totalling $40K and 1 payment denial.
Compared with county, state and nation
| Measure | This facility | Rock Co. median | Minnesota median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 6 | 10 | 20 | 28.7 |
| Citations per 100 beds | 12.5 | 12.5 | 30.0 | 26.8 |
| Total nurse hours per resident day | — | 5.2 | 4.2 | 3.9 |
| RN hours per resident day | — | 1.6 | 1.0 | 0.7 |
| Nursing staff turnover | 39.5% | 39.5% | 40.0% | 45.8% |
| Fines listed | $40,240 | $40,240 | $0 | — |
County and state figures are medians across facilities (3 in the county, 338 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Minnesota average per facility for the same cycle, as published by CMS. Standard health survey dates: 26 May 2026, 27 Aug 2025.
Severity mix: D ×4 E ×1 F ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 27 Aug 2025 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Standard survey | 19 Sep 2025 |
| 27 Aug 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 19 Sep 2025 |
| 27 Aug 2025 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Standard survey | 19 Sep 2025 |
| 30 Jul 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 19 Aug 2024 |
| 30 Jul 2024 | F0881 | Implement a program that monitors antibiotic use. | D | Standard survey | 19 Aug 2024 |
| 11 Dec 2023 | F0622 | 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. | D | Complaint investigation | 2 Jan 2024 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 13 Nov 2023 | Fine | $4,545 | |
| 6 Nov 2023 | Fine | $4,545 | |
| 30 Oct 2023 | Fine | $4,545 | |
| 23 Oct 2023 | Fine | $4,545 | |
| 17 Oct 2023 | Fine | $4,196 | |
| 10 Oct 2023 | Fine | $3,846 | |
| 2 Oct 2023 | Fine | $3,529 | |
| 27 Sep 2023 | Payment denial | — | 6 days |
| 25 Sep 2023 | Fine | $3,147 | |
| 18 Sep 2023 | Fine | $2,797 | |
| 11 Sep 2023 | Fine | $2,447 | |
| 5 Sep 2023 | Fine | $2,098 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Minnesota average. Turnover: nursing staff 39.5%, RNs 14.3%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Minnesota median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 25.2% | 18.0% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 1.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 4.1% | 2.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 7.2% | 3.7% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 16.2% | 20.2% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.7% | 4.9% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 13.8% | 15.9% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, corporation.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Bethlehem Lutheran Church | Direct ownership interest | NOT APPLICABLE | 04/01/2023 |
| First Lutheran | Direct ownership interest | NOT APPLICABLE | 04/01/2023 |
| Grace Lutheran Church | Direct ownership interest | NOT APPLICABLE | 04/01/2023 |
| Palisade Lutheran | Direct ownership interest | NOT APPLICABLE | 04/01/2023 |
| Pope & Conner Consulting Inc | Adp of the snf | NOT APPLICABLE | 01/01/2021 |
| Wipfli LLP | Adp of the snf | NOT APPLICABLE | 09/01/2023 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Rock County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Mn Veterans Home-Luverne | Luverne | 85 | 5 | 4 | 5 | 10 | 11.8 | — | 1 Jul 2026 |
| Good Samaritan Society - Mary Jane Brown | Luverne | 51 | 1 | 2 | 4 | 32 | 62.7 | $57K | 1 Apr 2026 |
All 3 facilities in Rock County
Questions and answers
How many deficiencies has Tuff Memorial Home been cited for?
6 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Minnesota median is 20 per facility.
Has Tuff Memorial Home been fined?
Yes. CMS lists fines totalling $40K in the period covered, plus 1 payment denial.
How does staffing at Tuff Memorial Home compare?
CMS does not report staffing hours for this facility.
Who operates Tuff Memorial Home?
Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Bethlehem Lutheran Church, First Lutheran and Grace Lutheran Church. Individual owners and managers are not listed on this site.
When was Tuff Memorial Home last inspected?
The most recent survey or investigation in the CMS record is dated 27 Aug 2025; the most recent standard health survey was 26 May 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.