72/100
Above average
Tuff Memorial Home
505 East 4Th Street, Hills, MN 56138
- Certified beds
- 48
- Occupancy
- 80%
- Ownership
- Non-profit
- Accepts
- Medicare + Medicaid
What to ask about before you visit
These are findings in the public CMS record for this home. They are not our opinion, each one comes straight from a federal inspection or enforcement file.
$35,695 in federal fines
CMS has fined this facility across 9 penalty action(s).
Our read on Tuff Memorial Home
Tuff Memorial Home runs 48 certified beds as a nonprofit corporation, and its nurse staffing sits at 3.95 hours per resident day, a bit above the national average of 3.86. Weekends dip about 18% below its own weekday coverage, which is worth asking about if your family member needs care on Saturdays and Sundays. Staff turnover is 39.5%, better than the 45.8% national figure, so aides and nurses tend to stick around longer here than at the typical home. The inspection record shows 6 deficiencies, none at harm or jeopardy level and none abuse-related, with 12 fines totaling $44,434 across its history.
Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.
How this grade was calculated
Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.
A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.
Inspection safety
30/30Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
- →No citations recorded in the last 3 years
Staffing
15/30Nursing hours per resident per day, adjusted for how sick the residents are.
- →No staffing hours reported, scored neutral
Staff stability
12/15How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
- →40% of nursing staff left in the last year
Resident outcomes
12/15The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
- →4 of 5 stars on the CMS quality-measure rating
Enforcement history
3/10Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
- →$35,695 in federal fines across 9 action(s)
- →-2 for 1 denial(s) of Medicare payment for new admissions
Staffing, against the national average
Full detailHours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Recent inspection findings
Last standard health inspection: May 26, 2026 (5 months ago). No citations were recorded.
No health-inspection citations on record for this facility in the current CMS release.
What families say
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Common questions about Tuff Memorial Home
What is the ElderGrade for Tuff Memorial Home? +
Tuff Memorial Home holds an ElderGrade of B (72 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
How many nursing hours does each resident get at Tuff Memorial Home? +
This facility has not reported staffing hours to CMS in the current data release.
Has Tuff Memorial Home been cited for harming residents? +
No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.
Does Tuff Memorial Home accept Medicaid? +
Yes, Tuff Memorial Home is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.
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