Senior Care Records.

Tuff Memorial Home

505 EAST 4TH STREET, Hills, MN, 56138

Nursing home48 licensed beds0 citations on record
LocationOpen in Maps
Has this facility been cited?

No. Federal inspectors recorded no deficiencies against Tuff Memorial Home in Hills, Minnesota at its most recent standard inspection on 2026-05-26. Medicare has fined it 12 times, totalling $44,434. Medicare rates it 5 out of 5 overall.

5 / 5Medicare overall rating
48certified beds
0deficiencies at the last inspection
0immediate-jeopardy findings on record
0actual-harm findings on record
12federal fines, $44,434
What the inspectors found

Every deficiency on record, by how serious CMS judged it

CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.

Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.0
Actual harmA resident was harmed, but not placed in immediate danger.0
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.6
Potential for minimal harmThe least serious band.0
Most recent

The last 6 findings, newest first

Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Administration Deficiencies · F0867 · 2025-08-27 · standard survey · No actual harm, potential for more than minimal harm

F

Provide and implement an infection prevention and control program.

Infection Control Deficiencies · F0880 · 2025-08-27 · standard survey · No actual harm, potential for more than minimal harm

E

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Environmental Deficiencies · F0921 · 2025-08-27 · standard survey · No actual harm, potential for more than minimal harm

D

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies · F0641 · 2024-07-30 · standard survey · No actual harm, potential for more than minimal harm

D

Implement a program that monitors antibiotic use.

Infection Control Deficiencies · F0881 · 2024-07-30 · standard survey · No actual harm, potential for more than minimal harm

D

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 · F0622 · 2023-12-11 · from a complaint · No actual harm, potential for more than minimal harm

D
Medicare’s own rating

How CMS scores this home

These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.

OverallCombines the three below5 of 5
Health inspectionBased on the last three inspection cycles5 of 5
StaffingNurse hours per resident, adjusted for how sick residents are5 of 5
Quality measuresResident outcomes reported by the home4 of 5
Nurse hours per resident per dayReported by the home to CMS3.9537
Nursing staff turnoverShare of nursing staff who left in a year39.5%
Penalties

What Medicare has fined this home

FinesCivil money penalties imposed by CMS12
Total fined$44,434
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one13
Ownership

Who owns Tuff Memorial Home

Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.

OwnerRoleShareSince
BETHLEHEM LUTHERAN CHURCHOrganizationNOT APPLICABLEsince 04/01/2023
FIRST LUTHERANOrganizationNOT APPLICABLEsince 04/01/2023
GRACE LUTHERAN CHURCHOrganizationNOT APPLICABLEsince 04/01/2023
PALISADE LUTHERANOrganizationNOT APPLICABLEsince 04/01/2023
GAYER, TRACYIndividualNOT APPLICABLEsince 02/01/2019
GREEN, LARRYIndividualNOT APPLICABLEsince 02/01/2019
LEENDERTS, BONNIEIndividualNOT APPLICABLEsince 01/01/2018
PETTERSON, JEFFIndividualNOT APPLICABLEsince 01/01/2018
WESTPHAL, CATHERINEIndividualNOT APPLICABLEsince 02/01/2019
KENDALL, KATHRYNIndividualNOT APPLICABLEsince 05/27/2024
THONE, JENNIFERIndividualNOT APPLICABLEsince 05/27/2021
POPE & CONNER CONSULTING INCOrganizationNOT APPLICABLEsince 01/01/2021
Contact

Ask Tuff Memorial Home a question

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What is needed

Tuff Memorial Home has not claimed this page, so there is nobody here to deliver a message to. We will not take your details and sit on them. Call them on 5079623275 — the number is from their licence record.

Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 245548.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction