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
Data as of July 1, 2026
5 of 5 overall
Tuff Memorial Home (HILLS, MN) has an overall 5-star rating, with 5 stars for health inspections and staffing and 4 stars for quality measures. It reported no fines in the last 24 months; reported nurse staffing was 3.95 hours per resident per day, slightly below the federal benchmark of 4.1.
Facility ratings
Health inspections
Staffing
3.9537 hrs/resident/day
Quality measures
Last inspection: May 26, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.9537.
Staffing detail
- Registered nurses
- 0.74
- Licensed practical nurses
- 0.25
- Nurse aides
- 2.96
- Weekend nursing
- 3.25
Hours per resident per day.
Total staff turnover: 40%
Registered nurse turnover: 14%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
14.8%15.6%Worsening
Residents with a fall causing major injury
11.8%5.3%Improving
Residents with pressure ulcers (bedsores)
0%2.4%Worsening
Residents with a urinary tract infection
0%10.5%Worsening
Residents who lost too much weight
3.3%2.9%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
27.6%32.4%Worsening
Residents whose ability to walk got worse
15.5%10.2%Improving
Long-stay residents on antianxiety or sleep medication
6.5%11.4%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
34.5%27.5%Improving
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
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
The nursing home failed to keep its areas safe, easy to use, clean, and comfortable for residents, staff, and visitors. Cited August 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 921 — 42 CFR §483.90 — S/S: D
The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited July 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 641 — 42 CFR §483.20(g) — S/S: D
The home failed to monitor antibiotic use properly. Cited July 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 881 — 42 CFR §483.80 — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- 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 - Corporation
- Occupancy
- 38.6 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.