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Tuff Memorial Home

⌖ Hills, MN · Rock County
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Medicare overall rating 4 of 5 stars
Certified beds48
Medicare / MedicaidMedicare & Medicaid
OwnershipNon-profit (corporation)

About Tuff Memorial Home

Tuff Memorial Home is a 48-bed nonprofit nursing home in Hills, MN. Medicare rates it 4 out of 5 stars overall (above average); the average in Minnesota is 3.2. At its last full inspection (May 2026), inspectors found 0 problems, fewer than the Minnesota average of 7.1. About 40% of its nursing staff left in the past year. Medicare fined it $35,695 in the last three years.

Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology

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Key details

Facility nameTuff Memorial Home
LocationRock County, Minnesota
Address505 East 4th Street, Hills, MN 56138 · Rock County
CMS provider number245548
Ownership typeNon-profit (corporation)
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceMarch 1, 1991 (35 years)
✓ Medicare✓ Medicaid

Certified for Medicaid; ask whether a Medicaid bed is available.

Quality & inspections

Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.

Overall rating4 of 5Above average
Health inspections5 of 5Much above average
Quality measures4 of 5Above average
Staffing1 of 5Much below average

Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.

What Medicare found

1 strength and 1 thing to ask about in Medicare's inspection, fine and staffing records for this home. 1 care-quality measure is worse than the state average in the rehab and long-term care section below.

Strengths

  • Health citations at last inspection0 (May 2026)Minnesota average: 7.1. Most citations are minor and corrected within weeks.
    Strength

About average

  • Nursing staff turnover40% a yearMinnesota average: 42%
    About average

Things to ask about

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  • Fines and penalties9 fines totaling $35,695; 1 Medicare payment denialFederal penalties from the last three years, most recently in Nov 2023 (about 2 years ago). The national average is $30,972 per home.
    Ask about this

Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Minnesota average. Problems may have been corrected since; ask the home about anything listed here. How we choose these

Short-term rehab or long-term care?

Medicare rates these separately, and many homes are better at one than the other.

Long-term care

For residents who live at the home for months or years.

Medicare quality rating: 4 of 5 (above average)

  • Falls with a major injury7.2%State average: 4.0%
    Worse than average
  • Pressure sores (bedsores)2.7%State average: 5.2%
    Better than average
  • Given antipsychotic drugs13.8%State average: 17.1%
    About average
  • Hospital stays per 1,000 resident days1.1State average: 1.6
    Better than average

Source: Medicare (CMS) quality measures, compared with the Minnesota average. Lower is better for every rate shown.

Who pays, and how full it is

Most residents here have their care paid by Medicaid. In Minnesota, Medicaid pays for 51% of resident days at a typical home.

  • 49% Medicaid
  • 4% Medicare
  • 47% Private pay, insurance and other
Beds in use, on average78%Minnesota typical: 84%
Cost of care per resident day$291Minnesota typical: $449

Shares of resident days, from the home’s Medicare cost report for the year ending September 2023. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.

Ratings over time

Its overall Medicare rating is 4 stars now, up from 2 stars in January 2019. It has ranged from 1 to 5 stars and changed 15 times.

Overall rating4★
Health inspections5★
Staffing1★
Quality of care4★
Nurse hours per resident per day4.0
20192020202120222023202420252026
Show the values by year
MonthOverallInspectionsStaffingQualityNurse hours
Jan 201921251.9
Jan 202043352.5
Jan 202121352.3
Jan 202232533.8
Jan 202322423.2
Jan 202432353.2
Feb 202543353.8
Feb 202654553.9
Sep 20264514–

Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology

See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home

From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.

Inspection summary

How this facility compares to state and national averages on CMS-reported problems.

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Three-survey history

Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.

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Explore the area

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Family reviews

No family reviews of this home yet. Reviews are separate from Medicare’s ratings and are checked before they’re published.