Nursing home · Top rated by CMS
Tuff Memorial Home
505 East 4Th Street, Hills, MN 56138 · Map
Non profit - Other · 48 certified beds
Tuff Memorial Home is a Medicare-certified nursing home in Hills, Minnesota. CMS rates it 5 out of 5 stars overall (5/5 for staffing, 4/5 for health inspections). Nurse staffing is 3.92 hours per resident per day, below the Minnesota average of 4.23. Its most recent inspection on Aug 27, 2025 cited 3 deficiencies.
- 12 fines totaling $44,434In CMS records: 13 total penalties, 1 Medicare payment denial.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Tuff Memorial Home compares
This facility vs. the Minnesota and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Minnesota avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.92 | 4.23 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.70 | 1.06 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.96 | 2.55 | 2.34 | above avg |
| Nursing staff turnover | 42.9% | 42.4% | 46.4% | above avg |
| Deficiencies cited, last inspection | 3.0 | 8.0 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the August 27, 2025 inspection was corrected by September 19, 2025
Penalties in CMS records: 12 fines totaling $44,434, 13 total penalties, 1 Medicare payment denial.
What inspectors found at Tuff Memorial Home
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · Aug 27, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Aug 27, 2025 · Full report (PDF) - Potential for harm
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · Aug 27, 2025 · Full report (PDF) - Potential for harm
Implement a program that monitors antibiotic use.
Infection Control Deficiencies · Jul 30, 2024 · Full report (PDF) - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Jul 30, 2024 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
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 · Dec 11, 2023 · Full report (PDF) - Potential for harm
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Administration Deficiencies · Sep 27, 2023 - Potential for harm
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · Sep 27, 2023 - Potential for harm
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration Deficiencies · Sep 27, 2023 - Potential for harm
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration Deficiencies · Sep 27, 2023 - Potential for harm
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Sep 27, 2023 - Potential for harm
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.
Pharmacy Service Deficiencies · Sep 27, 2023
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 505 East 4Th Street
Hills, MN 56138 - CMS certification #
- 245548
- Ownership
- Non profit - Other
- Certified beds
- 48
- Avg residents/day
- 40.1
- Provider type
- Medicare and Medicaid
- First certified
- 1991-03-01
- Setting
- Urban
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Tuff Memorial Home using Google Maps.
Other public records
- Website says Transportation
Full public records, with dates and sources
Care and services
From the community’s website
What Tuff Memorial Home says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Provides transportation.
Transportation
(page, checked Oct 15, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Sanford Luverne Medical Center, Luverne. 11.3 miles away, straight line. Location approximate.
- Nearest Medicare nursing home
- Bethany Home - Brandon, Brandon. 10.3 miles away, straight line.
- Nearest home health agency office
- Aveanna Home Health, Sioux Falls. 18.6 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Family Drug. 11.2 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 56138 as metropolitan (metropolitan high commuting).
- Hospice
- 3 Medicare hospices tell CMS they serve ZIP code 56138.
Sanford Hospice, office in Sioux Falls, 20.5 miles away, straight line (CMS family survey rating 3 of 5 stars) - Nearest geriatric medicine practice
- Hutchinson Health, Hutchinson. 135.3 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- FEMA has a flood map for this community (effective July 1, 1988), but it is not in FEMA's digital flood map data, so the zone at this address could not be read. FEMA's Map Service Center has the map. (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: inland flooding relatively moderate, wildfire relatively low, tornado relatively high, heat wave relatively low, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Tuff Memorial Home a good nursing home?
CMS gives Tuff Memorial Home an overall rating of 5 out of 5 stars, including 5/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Tuff Memorial Home staffed?
Tuff Memorial Home reports 3.92 total nurse hours per resident per day, compared with the Minnesota average of 4.23.
Has Tuff Memorial Home had inspection problems?
Its most recent CMS inspection cited 3 deficiencies.
How many beds does Tuff Memorial Home have?
Tuff Memorial Home is certified for 48 beds.