Tuff Memorial Home – HILLS, MN

CMS Verified | 2026-03-01

Tuff Memorial Home

505 EAST 4TH STREET, Hills, MN 56138
(507) 962-3275
48 beds
All Hills facilities
5.0*
Overall
4.0*
Health Inspection
5.0*
Quality Care
5.0*
Staffing
85.14
Score /100
#1631
National Rank

#1631
of 14703 facilities
National
88.9% position
#37
of 338 in MN
State Rank
#1
of 3 in Rock
County Rank
#1
of 1 in Hills
City Rank
#1
of 1 in ZIP 56138
ZIP Rank






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).
Facility

Tuff Memorial Home

Address

505 East 4Th Street, Hills, MN 56138

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 48 Certified Beds
  • Ownership: Non profit – Other
  • Resident Council: Both
  • Automatic Sprinklers: Yes

Quick Verdict

Overall Quality
✅ Excellent (5★) overall rating
Health Inspection
✅ Above Average (4★) health inspection
Staffing
✅ Excellent (5★) staffing rating
Quality of Care
✅ Excellent (5★) quality of care
Compliance
❌ 45 fine(s) over 5 years
5-Year Trend
Improving over 5 years
85.14
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#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.
Number of Fines (current period) 12
Total Fines Amount $44434.0
Payment Denials 1
Total Penalties 13
Abuse Flag on Record N
Total Weighted Health Survey Score 24.0 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#1,631
of 14,703
National
Top 11%
#37
of 338
MN State
Top 11% in MN
#1
of 3
️ Rock County
Best in county
#1
of 1
️ Hills
Best in city
#1
of 1
ZIP 56138
Best in ZIP

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).

How do we calculate these rankings?

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/

Contact and Location

ADR
Address

505 EAST 4TH STREET, Hills, MN 56138
Get directions on Google Maps

TEL
LLC
Legal Name

TUFF MEMORIAL HOME

MAP
Browse by Location

All Minnesota ·
Rock County ·
Hills ·
ZIP 56138

Facility Details

Number of Certified Beds 48
Average Residents / Day 40 (84% occupancy)
Ownership Type Non profit – Other
Provider Type Medicare and Medicaid
County Rock County, MN
City Hills, MN
ZIP Code 56138
Approved Since March 1, 1991
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 245548
Data Processing Date March 1, 2026
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.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org