The home failed to have an ongoing quality review group that finds problems and makes corrective plans. Cited August 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 867 — 42 CFR §483.75 — S/S: F
Nursing home report
Tuff Memorial Home
HILLS, MN · Medicare-certified · 48 beds
In good standing
Non-profit
5 of 5 overall
Tuff Memorial Home in Hills, MN has a 5 out of 5 star overall rating, with 5-star staffing and quality measures and a 4-star health inspection rating. It reported no fines in the last 24 months, and its nurse staffing was 3.96 hours per resident per day versus the federal benchmark of 4.1.
Facility ratings
Health inspections
Staffing
3.9566 hrs/resident/day
Quality measures
Last inspection: August 27, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.9566.
Staffing detail
- Registered nurses
- 0.72
- Licensed practical nurses
- 0.30
- Nurse aides
- 2.93
- Weekend nursing
- 3.28
Hours per resident per day.
Total staff turnover: 40%
Registered nurse turnover: 14%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
13.6%Improving
Residents with a fall causing major injury
8.8%Improving
Residents with pressure ulcers (bedsores)
2.1%Worsening
Residents with a urinary tract infection
2.1%Worsening
Residents who lost too much weight
4.8%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
18.9%Worsening
Residents whose ability to walk got worse
15.8%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
7.6%Worsening
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
38.3%Worsening
Residents with depressive symptoms
0%Steady
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
99.3%Worsening
Short-stay residents given the pneumonia vaccine
91.3%Steady
What the inspectors found
The home failed to submit complete and accurate staffing information based on verifiable records. Cited September 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 851 — 42 CFR §483.70 — S/S: F
The home failed to have a plan for how it would carry out quality improvement and oversight activities. Cited September 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 865 — 42 CFR §483.75 — S/S: F
The nursing home failed to make sure all staff got required training on its quality improvement program. Cited September 2023 — widespread issue, potential for harm.
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F-Tag 944 — 42 CFR §483.95 — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited August 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 12 fines · $44,434 in total fines · 1 payment denial.
- $4,545
Federal fine
Nov 13, 2023
- $4,545
Federal fine
Nov 6, 2023
- $4,545
Federal fine
Oct 30, 2023
- $4,545
Federal fine
Oct 23, 2023
- $4,196
Federal fine
Oct 17, 2023
- $3,846
Federal fine
Oct 10, 2023
- $3,529
Federal fine
Oct 2, 2023
- 6 days
Medicare/Medicaid payment denial
Sep 27, 2023
Operator & ownership
- Ownership
- Non profit - Other
- Occupancy
- 38.3 residents on an average day (80% of 48 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 35 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.