About Tuff Memorial HomeTuff Memorial Home is located at 505 East 4Th Street, Hills, MN, reachable at (507) 962-3275. This Non profit – Other facility operates 48.0 certified beds and serves an average of 40 residents per day. Medicare and Medicaid services have been provided since 1991-03-01. The facility currently holds a excellent (5-star) overall rating from the Centers for Medicare & Medicaid Services (CMS).
#1631 of 14703 nationally – #37 of 338 in Minnesota
Who Is This Facility Best For?
Tuff Memorial Home is a strong choice for families in the Hills, MN area seeking a well-inspected, high-quality care environment. Above-average staffing levels make it a good option for residents needing intensive nursing care.
Overall Rating 2022-2026
Total Nurse Hours/Day 2022-2026
Current Ratings (2026)
Overall Rating
★★★★★5 / 5
Health Inspection
★★★★★4 / 5
Staffing Rating
★★★★★5 / 5
Quality Measures (QM)
★★★★★5 / 5
Long-Stay QM Rating
★★★★★5 / 5
Short-Stay QM Rating
N/A
5-Year Rating Trends
Overall Rating
Health Inspection Rating
Quality of Care (QM)
Staffing Rating
Average Residents per Day
Occupancy % (Residents / Beds)
Staffing InsightTuff Memorial Home currently provides 3 hours 55 minutes of total nurse staffing per resident per day, including 42 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 5 out of 5 reflects strong nurse coverage. Total nursing staff turnover stands at 42.9% — above the national average of ~35%.
Current Staffing Hours Per Resident Per Day (2026)
Total Nurse Staffing3 hours 55 minutes
Nurse Aide Hours2 hours 58 minutes
Licensed Practical Nurse (LPN) Hours16 minutes
Registered Nurse (RN) Hours42 minutes
Physical Therapist Hours1 minute
National average total nurse staffing is approximately 3.5 hours per day
Weekend Staffing Hours Per Resident Per Day (2026)
Weekend Total Nurse Hours3 hours 16 minutes
Weekend Registered Nurse (RN) Hours22 minutes
Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.
5-Year Staffing Trends
Total Nurse Hours/Day
Registered Nurse (RN) Hours/Day
Licensed Practical Nurse (LPN) Hours/Day
Nurse Aide Hours/Day
Total Staff Turnover %
Registered Nurse (RN) Turnover %
Compliance SummaryIn the current reporting period, the facility received 12 fine(s) totaling $44,434. No substantiated complaints have been recorded in the available data. There were 1 Medicare payment denial(s) in the current period.
Nationally, Tuff Memorial Home ranks 1631st out of 14,703 facilities (composite score: 85.1/100), placing it in the top 25% nationwide. Within MN, it ranks 37th out of 338 nursing homes. For 2026 staffing: total nurse hours rank #5,358 nationally and RN hours rank #5,011 nationally (#265 in MN).
Total Nurse Staffing – Year-by-Year National and State Ranks
Year
Hours/Day
National Rank
MN State Rank
Note
2022
3.77
#5,868 / 14,703
#220 / 338
Above average
2023
3.19
#10,513 / 14,703
#292 / 338
Below average
2024
3.21
#10,928 / 14,703
#289 / 338
Below average
2025
3.84
#5,699 / 14,703
#214 / 338
Above average
2026
3.92
#5,358 / 14,703
#200 / 338
Above average
Registered Nurse (RN) Hours – Year-by-Year National and State Ranks
Year
Hours/Day
National Rank
MN State Rank
Note
2022
0.71
#5,039 / 14,703
#277 / 338
Above average
2023
0.58
#6,541 / 14,703
#303 / 338
Above average
2024
0.50
#8,131 / 14,703
#304 / 338
Below average
2025
0.66
#5,318 / 14,703
#271 / 338
Above average
2026
0.70
#5,011 / 14,703
#265 / 338
Above average
Total Nurse Rank – National (lower number = better)
Registered Nurse Rank – National (lower number = better)
Frequently Asked Questions
Tuff Memorial Home is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1991-03-01. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (507) 962-3275 or your local Medicaid office to verify current eligibility.
Tuff Memorial Home holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 5 out of 5 stars. This is made up of three components: Health Inspection (4★), Staffing (5★), and Quality of Resident Care (5★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 85.1/100, placing it #1631 of 14703 facilities nationally and #37 of 338 in Minnesota. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.
Each resident at Tuff Memorial Home receives a reported average of 3 hours 55 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 42 minutes; Licensed Practical Nurse (LPN) — 16 minutes; Nurse Aide — 2 hours 58 minutes. On weekends, total nurse staffing is 3 hours 16 minutes per resident per day. The CMS Staffing Rating for this facility is 5 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 42.9%. Families are encouraged to ask about current staffing schedules during their facility visit.
In the current reporting period, the facility received 12 fine(s) totaling $44,434. No substantiated complaints have been recorded in the available data. There were 1 Medicare payment denial(s) in the current period. In the most recent CMS reporting period, the facility received 12 fine(s) totaling $44,434, and 1 Medicare payment denial(s). Total penalties: 13. The Total Weighted Health Survey Score is 24.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.
Nationally, Tuff Memorial Home ranks 1631st out of 14,703 facilities (composite score: 85.1/100), placing it in the top 25% nationwide. Within MN, it ranks 37th out of 338 nursing homes. For 2026 staffing: total nurse hours rank #5,358 nationally and RN hours rank #5,011 nationally (#265 in MN). Our composite quality score of 85.1/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Hills, visit: https://nursinghomesnearme.org/minnesota/hills/
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.