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Nursing Homes · Medicare certified

Tuff Memorial Home

505 East 4th Street · Hills, MN 56138 · 48 certified beds

(507) 962-3275

NPI 1790785194 (opens in a new tab)

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About Tuff Memorial Home

Tuff Memorial Home is a nursing home in Hills, Minnesota. Its capacity is 48 beds, below the Minnesota median of 60 for nursing homes. It is run by a nonprofit operator and is part of Bethlehem Lutheran Church. It is Medicare certified. Its public inspection record shows 13 citations, the most recent on August 27, 2025. CMS also lists 13 fines or payment denials against it. Nurse staffing averages 3.85 hours per resident per day. Its public records were last updated in October 2026.

Public record

CMS Care Compare, updated October 2026

Certification

Medicare-certified.

Ratings

Overall

4.0

Staffing

1.0

Quality measures

3.0

CMS Care Compare, October 2026.

Inspection history (13)

Records from September 2023 to August 2025.

  • August 27, 2025

    Tag F0921

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

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 19, 2025.

  • August 27, 2025

    Tag F0867

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

    Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected September 19, 2025.

  • August 27, 2025

    Tag F0880

    Provide and implement an infection prevention and control program.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 19, 2025.

  • July 30, 2024

    Tag F0881

    Implement a program that monitors antibiotic use.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 19, 2024.

  • July 30, 2024

    Tag F0641

    Ensure each resident receives an accurate assessment.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 19, 2024.

  • December 11, 2023

    Tag 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.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 2, 2024.

  • September 27, 2023

    Tag F0865

    Have a plan that describes the process for conducting QAPI and QAA activities.

    Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected December 15, 2023.

  • September 27, 2023

    Tag F0851

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected December 15, 2023.

  • September 27, 2023

    Tag F0761

    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.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 15, 2023.

  • September 27, 2023

    Tag F0944

    Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

    Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected December 15, 2023.

  • September 27, 2023

    Tag F0657

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 15, 2023.

  • September 27, 2023

    Tag F0883

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 15, 2023.

  • September 27, 2023

    Tag F0867

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

    Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected December 15, 2023.

See the source data on data.cms.gov (opens in a new tab)

Penalties (13)

Total fines: $44,434

  • November 13, 2023 · Fine

    CMS recorded a civil money penalty of $4,545 against this nursing home on November 13, 2023.

  • November 6, 2023 · Fine

    CMS recorded a civil money penalty of $4,545 against this nursing home on November 6, 2023.

  • October 30, 2023 · Fine

    CMS recorded a civil money penalty of $4,545 against this nursing home on October 30, 2023.

  • October 23, 2023 · Fine

    CMS recorded a civil money penalty of $4,545 against this nursing home on October 23, 2023.

  • October 17, 2023 · Fine

    CMS recorded a civil money penalty of $4,196 against this nursing home on October 17, 2023.

  • October 10, 2023 · Fine

    CMS recorded a civil money penalty of $3,846 against this nursing home on October 10, 2023.

  • October 2, 2023 · Fine

    CMS recorded a civil money penalty of $3,529 against this nursing home on October 2, 2023.

  • September 27, 2023 · Payment Denial

    CMS recorded a Medicare/Medicaid payment denial for new admissions starting December 27, 2023, lasting 6 days (triggered by inspection on September 27, 2023).

  • September 25, 2023 · Fine

    CMS recorded a civil money penalty of $3,147 against this nursing home on September 25, 2023.

  • September 18, 2023 · Fine

    CMS recorded a civil money penalty of $2,797 against this nursing home on September 18, 2023.

  • September 11, 2023 · Fine

    CMS recorded a civil money penalty of $2,447 against this nursing home on September 11, 2023.

  • September 5, 2023 · Fine

    CMS recorded a civil money penalty of $2,098 against this nursing home on September 5, 2023.

  • August 14, 2023 · Fine

    CMS recorded a civil money penalty of $4,194 against this nursing home on August 14, 2023.

See the source data on data.cms.gov (opens in a new tab)

Staffing

3.85 nurse hours per resident per day in Q2 2026, down from 3.96 in Q4 2025.

From the payroll records nursing homes file with CMS.

Ownership

Non profit

  • Parent company: Bethlehem Lutheran Church

Typical cost

CareScout Cost of Care Survey, 2025

This provider's prices aren't public. Here is what the same care typically costs in Minnesota.

Nursing Homes

Minnesota median$10,646/mo

Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care

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