CCN 245548
Tuff Memorial Home
505 EAST 4TH STREET, Hills, MN 56138 · Rock County
- Ownership
- Non profit - Corporation
- Certified beds
- 48
- Residents per day
- 38.6
- Health citations
- 6
- Penalties
- 10
- Fines
- 9 · $35,695
Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections
Staffing hours
Reported hours per resident per day come from the Payroll-Based Journal figures in the Provider Information file. Case-mix and adjusted hours account for how much care CMS expects given the residents’ needs. State and U.S. figures are averages from the same release.
The accuracy of the staffing data for this measure could not be validated by CMS.
- Measure
- This home
- State
- U.S.
- Nurse aide
- —
- 2.52
- 2.32
- LPN/LVN
- —
- 0.61
- 0.86
- Registered nurse
- —
- 1.06
- 0.69
- Total nurse staff
- —
- 4.19
- 3.86
- Weekend total
- —
- 3.71
- 3.42
- Weekend RN
- —
- 0.69
- 0.48
Adjusted total nurse hours: —. Adjusted RN hours: —. Case-mix total: —. Case-mix index: —.
Total nursing staff turnover: 39.5%. RN turnover: 14.3%. Administrators who left: 1.
How to read staffing hours
Payroll-Based Journal figures in Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections
Fines and penalties
CMS reports 9 fines totaling $35,695, and 1 payment denial.
| Date | Type | Amount or days |
|---|
| November 13, 2023 | Fine | $4,545 |
| November 6, 2023 | Fine | $4,545 |
| October 30, 2023 | Fine | $4,545 |
| October 23, 2023 | Fine | $4,545 |
| October 17, 2023 | Fine | $4,196 |
| October 10, 2023 | Fine | $3,846 |
| October 2, 2023 | Fine | $3,529 |
| September 27, 2023 | Payment Denial | 6 days |
| September 25, 2023 | Fine | $3,147 |
| September 18, 2023 | Fine | $2,797 |
Cycle 1 standard survey: May 26, 2026. Health deficiencies counted in cycle 1: 0. Cycle 1 total health score: 0. This was a Risk-Based Survey. Unlike a standard inspection, a risk-based inspection is a shorter visit with a smaller team and is used for higher-performing facilities.
Cycle 2 standard survey: August 27, 2025. Cycle 2/3 health deficiencies: 4. Total weighted health survey score: 8.
Penalties file and Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections
Health inspection citations
The Health Deficiencies file lists 6 citations for this home, including 0 at immediate jeopardy and 0 at actual harm. CMS may display some citations here that are not used in the health inspection rating, including citations under dispute.
August 27, 2025
3 citations
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Standard survey · Cycle 2 | F: widespread, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · September 19, 2025 |
| F880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Standard survey · Cycle 2 | E: pattern, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · September 19, 2025 |
| F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Standard survey · Cycle 2 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · September 19, 2025 |
July 30, 2024
2 citations
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Standard survey · Cycle 3 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · August 19, 2024 |
| F881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Standard survey · Cycle 3 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · August 19, 2024 |
December 11, 2023
1 citation
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F622 | 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. Resident Rights Deficiencies · Complaint survey · Cycle 3 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · January 2, 2024 |
Health Deficiencies. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections