Nursing Homes · Medicare certified
Tuff Memorial Home
505 East 4th Street · Hills, MN 56138 · 48 certified beds
License number not yet on file. We only publish license numbers we can source from an official registry.
NPI 1790785194. Look this up in the CMS NPPES registry (opens in a new tab)
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About Tuff Memorial Home
Tuff Memorial Home is a nursing home in Hills, Minnesota. Public records list 48 beds. It is Medicare certified. Ownership records list a nonprofit operator and tie the listing to Bethlehem Lutheran Church. We hold 13 inspection citations for this listing, the most recent dated 27 August 2025. CMS also lists 13 fine or payment denial actions against it. Reported staffing works out to 3.95 nurse hours per resident per day. Every fact above comes from the public records listed in the sources section on this page. The newest source file we hold for this listing is dated August 2026.
Public record
CMS Care Compare · Source data August 2026
Certification
- Medicare-certified (CMS Certification Number on file)
Ratings
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
5.0Quality-measure rating
4.0Inspections on record
2
Cited deficiencies
4
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
5.0Quality-measure rating
5.0Inspections on record
2
Cited deficiencies
6
Staffing rating
1.0Quality-measure rating
4.0Inspections on record
2
Cited deficiencies
4
Inspection history (13)
Records from September 2023 to August 2025.
August 27, 2025 · D
Citation F0921Federal surveyors cited this nursing home on 2025-08-27 under CMS tag F0921 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. The deficiency was recorded as corrected on 2025-09-19. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-27.GOVAugust 27, 2025 · F
Citation F0867Federal surveyors cited this nursing home on 2025-08-27 under CMS tag F0867 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. The deficiency was recorded as corrected on 2025-09-19. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-27.GOVAugust 27, 2025 · E
Citation F0880Federal surveyors cited this nursing home on 2025-08-27 under CMS tag F0880 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2025-09-19. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-27.GOVJuly 30, 2024 · D
Citation F0881Federal surveyors cited this nursing home on 2024-07-30 under CMS tag F0881 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Implement a program that monitors antibiotic use. The deficiency was recorded as corrected on 2024-08-19. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-30.GOVJuly 30, 2024 · D
Citation F0641Federal surveyors cited this nursing home on 2024-07-30 under CMS tag F0641 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure each resident receives an accurate assessment. The deficiency was recorded as corrected on 2024-08-19. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-30.GOVDecember 11, 2023 · D
Citation F0622Federal surveyors cited this nursing home on 2023-12-11 under CMS tag F0622 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2024-01-02. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-11.GOVSeptember 27, 2023 · F
Citation F0865Federal surveyors cited this nursing home on 2023-09-27 under CMS tag F0865 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Have a plan that describes the process for conducting QAPI and QAA activities. The deficiency was recorded as corrected on 2023-12-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-27.GOVSeptember 27, 2023 · F
Citation F0851Federal surveyors cited this nursing home on 2023-09-27 under CMS tag F0851 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. The deficiency was recorded as corrected on 2023-12-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-27.GOVSeptember 27, 2023 · D
Citation F0761Federal surveyors cited this nursing home on 2023-09-27 under CMS tag F0761 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2023-12-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-27.GOVSeptember 27, 2023 · F
Citation F0944Federal surveyors cited this nursing home on 2023-09-27 under CMS tag F0944 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. The deficiency was recorded as corrected on 2023-12-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-27.GOVSeptember 27, 2023 · D
Citation F0657Federal surveyors cited this nursing home on 2023-09-27 under CMS tag F0657 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. The deficiency was recorded as corrected on 2023-12-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-27.GOVSeptember 27, 2023 · E
Citation F0883Federal surveyors cited this nursing home on 2023-09-27 under CMS tag F0883 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop and implement policies and procedures for flu and pneumonia vaccinations. The deficiency was recorded as corrected on 2023-12-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-27.GOVSeptember 27, 2023 · F
Citation F0867Federal surveyors cited this nursing home on 2023-09-27 under CMS tag F0867 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. The deficiency was recorded as corrected on 2023-12-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-27.GOV
Penalties (13)
Total fines on file: $44,434
November 13, 2023 · Fine
Citation FINE-53554CMS recorded a civil money penalty of $4,545 against this nursing home on 2023-11-13 (Fine ID: 53554). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-13.GOVNovember 6, 2023 · Fine
Citation FINE-53537CMS recorded a civil money penalty of $4,545 against this nursing home on 2023-11-06 (Fine ID: 53537). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-06.GOVOctober 30, 2023 · Fine
Citation FINE-53523CMS recorded a civil money penalty of $4,545 against this nursing home on 2023-10-30 (Fine ID: 53523). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-10-30.GOVOctober 23, 2023 · Fine
Citation FINE-53501CMS recorded a civil money penalty of $4,545 against this nursing home on 2023-10-23 (Fine ID: 53501). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-10-23.GOVOctober 17, 2023 · Fine
Citation FINE-53480CMS recorded a civil money penalty of $4,196 against this nursing home on 2023-10-17 (Fine ID: 53480). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-10-17.GOVOctober 10, 2023 · Fine
Citation FINE-53465CMS recorded a civil money penalty of $3,846 against this nursing home on 2023-10-10 (Fine ID: 53465). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-10-10.GOVOctober 2, 2023 · Fine
Citation FINE-53453CMS recorded a civil money penalty of $3,529 against this nursing home on 2023-10-02 (Fine ID: 53453). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-10-02.GOVSeptember 27, 2023 · Payment Denial
Citation PAYDEN-2023-12-27CMS recorded a Medicare/Medicaid payment denial for new admissions starting 2023-12-27, lasting 6 days (triggered by inspection on 2023-09-27). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-27.GOVSeptember 25, 2023 · Fine
Citation FINE-53443CMS recorded a civil money penalty of $3,147 against this nursing home on 2023-09-25 (Fine ID: 53443). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-25.GOVSeptember 18, 2023 · Fine
Citation FINE-53430CMS recorded a civil money penalty of $2,797 against this nursing home on 2023-09-18 (Fine ID: 53430). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-18.GOVSeptember 11, 2023 · Fine
Citation FINE-53412CMS recorded a civil money penalty of $2,447 against this nursing home on 2023-09-11 (Fine ID: 53412). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-11.GOVSeptember 5, 2023 · Fine
Citation FINE-53398CMS recorded a civil money penalty of $2,098 against this nursing home on 2023-09-05 (Fine ID: 53398). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-05.GOVAugust 14, 2023 · Fine
Citation FINE-53351CMS recorded a civil money penalty of $4,194 against this nursing home on 2023-08-14 (Fine ID: 53351). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-08-14.GOV
Staffing
Latest: 3.95 nurse staffing hours per resident per day (2026Q1)
Staffing trend (4 periods)
- 2025Q43.96 hrs/resident/day
- 2026-06-013.96 hrs/resident/day
- 2026-07-013.95 hrs/resident/day
- 2026Q13.95 hrs/resident/day
Most recent period is about the same as 2025Q4. Figures are CMS-reported nurse staffing hours, not our estimate.
Ownership
Non profit
Parent organization: Bethlehem Lutheran Church
parent · PAC 7416425707
Recent changes to this listing
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Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.
Sep 1, 2026Ownership changed
The source now records ownership as "Non profit".
Reported by CMS nursing homes (ownership)
Sep 1, 2026Ownership changed
The source now records ownership as "Non profit - Corporation".
Reported by CMS nursing homes (provider info)
Aug 6, 2026Ownership changed
The source now records ownership as "Non profit".
Reported by CMS nursing homes (ownership)
Aug 4, 2026Ownership changed
The source now records ownership as "Non profit - Corporation".
Reported by CMS nursing homes (provider info)
Jul 23, 2026First appeared in our data
This listing first appeared in the government file we read. That is usually when it entered the file, not the day it opened.
Reported by CMS nursing homes (provider info)
Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.
Typical cost
Genworth CareScout Cost of Care Survey · 2025
This provider doesn't publish a specific price to us. Below is the typical MN range for the care type(s) it offers. Use it as context, not a quote.
Nursing Homes
Median · MN$10,646/moNearby alternatives
No other listed providers in Hills yet.
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
Check availability and pricing at Tuff Memorial Home
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Trust & methodology
Where this information came from
Each block below is one file we read, the date on that file, and the fields on this page that came from it. The date is when the source published or we retrieved it, not the day we last looked at this listing.
- CMS nursing homes (provider info)as of August 2026
- Chain identifier, Chain name, City, CMS Special Focus status, County, Licensed capacity, Map location, Medicare certification number, Name, Phone number, State, Street address, ZIP code
- CMS nursing homes (ownership)as of July 2026
- Ownership type, Parent organization
- CMS enrollmentas of July 2026
- NPI
- CMS nursing homes (payroll-based journal staffing)as of June 2026
- Staffing hours per resident day
Read how we handle every file on the data sources page.