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Skilled NursingCMS verified

Tuff Memorial Home

505 East 4TH Street, Hills, MN 56138 · Rock County

5.0CMS overall rating(507) 962-3275Visit website ↗
96
Exceptional
Haven Scout Score
Our composite of CMS ratings, staffing, and safety. This community rates exceptional.
Tuff Memorial Home photo 1Tuff Memorial Home photo 2Tuff Memorial Home photo 3Tuff Memorial Home photo 4

Photos via google places, facility website.

Availability outlookModerate availability

Typically 80% full — openings are usually available.

Source: federal census data (average daily residents vs. certified beds, CMS Care Compare). Confirm current openings with an advisor — availability changes weekly.

Our evaluation

An honest, data-grounded look at this community — every claim is drawn from public inspection data.

One of Hills's top-rated skilled nursing communities

Tuff Memorial Home is a non-profit skilled nursing facility in Hills, MN, with 48 certified beds and an average of about 38 residents per day.

Medicare rates it 5 out of 5 stars overall — above the national average of about 3 stars. Component ratings: 4/5 on health inspections, 5/5 on staffing, 5/5 on quality measures.

Staff provide about 3.96 total nurse hours per resident each day (0.72 of them from registered nurses), above the national benchmark of roughly 3.9 hours. Annual nursing-staff turnover is about 40%, better than the ~52% national average — a sign of staffing stability. On the safety record, CMS notes 3 health deficiencies at its most recent standard survey, and 12 federal fines totaling $44,434 in the recent record.

Strengths

  • 5-star overall CMS rating
  • Strong health-inspection rating
  • Above-average nurse staffing (3.96 hrs/resident/day)
  • Low staff turnover (continuity of care)
  • Full sprinkler system
  • Active resident & family council

Things to ask about

  • $44,434 in federal fines
Best for: Families who want a highly rated, well-staffed setting in Hills for 24/7 skilled nursing or post-hospital rehabilitation.

At a glance

Certified beds
48
Avg. residents/day
38
Ownership
Non profit - Other
Part of a chain
Independent
Continuing care
No
CMS provider #
245548

Federal quality ratings

From the U.S. Centers for Medicare & Medicaid Services (CMS), on a 1–5 star scale.

Overall rating
Health inspections
Staffing
Quality measures

Pricing & cost

We publish transparent estimates and verify exact pricing on request. No surprises.

Level of careMonthly costSource
Skilled Nursing$8,570–$10,510/mo (median $9,290)Local market estimate

2024–2026 published survey medians, state median adjusted to local Sioux Falls prices (BEA regional price parities). Request a quote for exact pricing. Range spans semi-private to private rooms. How we estimate costs

Request exact pricing for Tuff Memorial Home

Staffing & care

More nursing time per resident — and lower turnover — generally means more attentive care.

Total nurse hrs / resident / day
3.96
National avg ≈ 3.9
RN hrs / resident / day
0.72
National avg ≈ 0.75
Nursing staff turnover
40%
National avg ≈ 52%

Safety & inspection record

Federal inspectors survey nursing homes roughly once a year. Here's the latest on file.

Health deficiencies (last survey)
3
Federal fines
12 ($44,434)
Total penalties
13
Last standard survey
2025-08-27
Sprinkler system
Yes
Resident & family council
Both

What inspectors found

The most recent findings from federal health inspections (13 citations on record — showing the latest 8). Every nursing home is inspected roughly once a year; most receive some citations.

2025-08-27Severity F — potential for harmAdministration Deficiencies

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

2025-08-27Severity E — potential for harmInfection Control Deficiencies

Provide and implement an infection prevention and control program.

2025-08-27Severity D — potential for harmEnvironmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

2024-07-30Severity D — potential for harmResident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

2024-07-30Severity D — potential for harmInfection Control Deficiencies

Implement a program that monitors antibiotic use.

2023-12-11Severity D — potential for harmFrom a complaintResident Rights Deficiencies

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.

2023-09-27Severity F — potential for harmAdministration Deficiencies

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

2023-09-27Severity F — potential for harmAdministration Deficiencies

Have a plan that describes the process for conducting QAPI and QAA activities.

Severity uses the CMS scope/severity scale: D–F = potential for harm, G–I = actual harm, J–L = immediate jeopardy. Source: CMS Care Compare health citations; data as of the latest federal release. Discuss any finding directly with the community on a tour.

Penalty history

Federal fines and Medicare/Medicaid payment denials on record.

DateTypeAmount
2023-11-13Fine$4,545
2023-11-06Fine$4,545
2023-10-30Fine$4,545
2023-10-23Fine$4,545
2023-10-17Fine$4,196
2023-10-10Fine$3,846
2023-10-02Fine$3,529
2023-09-27Payment denial

Services & amenities

  • Full automatic sprinkler system
  • Medicare & Medicaid certified
  • 24-hour licensed nursing
  • On-site rehabilitation therapy
  • Housekeeping & laundry
  • Daily activities & events

Location

505 East 4TH Street, Hills, MN

Reviews & reputation

We aggregate ratings across Google, Yelp, and verified families — and link back to every source so you can read more.

Verified family reviews

No verified family reviews yet for Tuff Memorial Home.

Have a loved one here, or recently toured? Help other families by sharing your experience — we verify every review before it's published.

Talk to an advisor about this community

Common questions about Tuff Memorial Home

How much does Tuff Memorial Home cost?

Tuff Memorial Home does not publish exact rates. Comparable skilled nursing in the Hills, MN area typically runs $8,570–$10,510 per month (median $9,290, based on published survey medians adjusted for local prices). A Haven advisor can confirm current pricing for free.

What is Tuff Memorial Home's Medicare rating?

Medicare (CMS) rates Tuff Memorial Home 5 out of 5 stars overall, including 4/5 for health inspections, 5/5 for staffing, 5/5 for quality measures. The national average is about 3 stars.

How is the staffing at Tuff Memorial Home?

Staff provide about 3.96 total nurse hours per resident per day (national benchmark ≈ 3.9), and annual nursing-staff turnover is about 40% (national average ≈ 52%). These figures are reported to the federal government and updated regularly.

What did inspectors find at Tuff Memorial Home?

Tuff Memorial Home has 13 health citations on its recent federal inspection record (last standard survey: 2025-08-27). The full citation-by-citation detail, with severity levels, is published on this page.

Does Tuff Memorial Home have availability?

Typically 80% full — openings are usually available. Availability changes weekly — a Haven advisor can confirm current openings at no cost.

What types of care does Tuff Memorial Home offer?

Tuff Memorial Home in Hills, MN offers skilled nursing and is licensed for 48 beds.

The best time to decide is before a crisis decides for you

Most families start this search after a fall, a hospital stay, or a caregiver reaching a breaking point — and end up choosing from whatever has a bed open that week. Families who plan even a few weeks ahead get to choose on quality, fit, and price instead of availability alone.

  • Move-ins take time: assessments, paperwork, and preparation typically run 2–6 weeks in Sioux Falls.
  • The best communities fill first: top-rated communities often run a waitlist — touring early holds your place in line.
  • Touring costs nothing and commits you to nothing — but it turns a future emergency into a calm, informed choice.

Your next steps — this week

  1. 1
    Confirm the fit
    Check the inspection record and staffing data on this page against your loved one's needs.
  2. 2
    Get exact pricing & availability
    Request current rates for Tuff Memorial Home — takes one minute, answered same day.
  3. 3
    Tour 2–3 communities
    Compare this community against two alternatives. Ask about staff turnover, all-in monthly cost, and care-plan changes.
  4. 4
    Hold a spot
    Most communities hold a residence with a small refundable deposit while you decide.
Data sources:CMS verifiedGoogle

Last verified 2026-07-06. We refresh inspection data monthly and reviews continuously.

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