All states › Minnesota › Hills › Tuff Memorial Home
505 East 4th Street Hills, MN 56138 · Rock County
CMS certification number 245548 · See this home on Medicare Care Compare
Is Tuff Memorial Home a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Tuff Memorial Home as of October 2026.
CMS rates it 4 out of 5 stars overall, above the Minnesota average of 3.2.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
35.3% of nursing staff left within a year (Minnesota median 39.7%).
About this nursing home
Paying for care at Tuff Memorial Home: Medicare and Medicaid
Tuff Memorial Home is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Minnesota's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on May 26, 2026 and found 0 deficiencies. In total, inspectors issued 6 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 6 citations at Tuff Memorial Home across 3 inspection dates, 1 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 6 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were infection control (2) and administration (1). The most serious was cited under the CMS rule to "set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action" (tag F0867, level F, August 27, 2025).
August 27, 2025 · 3 citations
FSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
EProvide and implement an infection prevention and control program.
DMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
July 30, 2024 · 2 citations
DEnsure each resident receives an accurate assessment.
DImplement a program that monitors antibiotic use.
December 11, 2023 · 1 citation · includes complaint inspection
DNot transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Questions to ask on a tour of Tuff Memorial Home
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
5 penalties in the last three years, including $22,376 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Nov 13, 2023 | Fine | $4,545 |
| Nov 6, 2023 | Fine | $4,545 |
| Oct 30, 2023 | Fine | $4,545 |
| Oct 23, 2023 | Fine | $4,545 |
| Oct 17, 2023 | Fine | $4,196 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 4/5 | 5/5 | 1/5 | 3/5 |
| August 2026 | 4/5 | 5/5 | 1/5 | 4/5 |
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Location
Hospitals near Tuff Memorial Home
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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10.7 mi
Avera Merrill Pioneer Hospital Rock RapidsEmergency roomMedian ER visit 1h 45m for patients treated and sent home
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12.4 mi
Sanford Luverne Medical Center LuverneEmergency roomMedian ER visit 1h 56m for patients treated and sent home
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18.1 mi
Avera McKennan Hospital & University Health Center Sioux FallsEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 1h 52m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Tuff Memorial Home › All nursing homes in Hills ›
Compare Tuff Memorial Home with the 3 closest homes side by side ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.