Nursing Home

Tuff Memorial Home

505 East 4th Street, Hills, MN 56138
48 certified beds 39 residents per day on average

CMS Five-Star Quality Rating

4 out of 5 Stars

Overall rating

Health inspections

From the three most recent annual inspection cycles and recent complaint investigations.

Staffing

Based on nurse staffing hours relative to the care needs of this facility’s residents.

Quality measures

Based on clinical quality measures reported for residents, from assessments and Medicare claims.

Source: CMS Five-Star Quality Rating System. These are CMS's own ratings, shown exactly as published — CareRanks does not adjust or re-weight them. How CMS calculates these ratings ↗

Clinical Quality Measures

Source: CMS MDS quality measures (four-quarter average).

Nurse Staffing

Nursing staff turnover in the past year
39.5%

MN average: 42.2% · National: 45.8%

Share of this facility’s nursing staff who stopped working there over 12 months.

Reported by facilities through CMS's Payroll-Based Journal system. Facility values and the state/national averages are shown exactly as CMS publishes them. More staffing hours are generally better; lower turnover is generally better.

Penalties & Enforcement

11 fines totaling $40,240 and 1 Medicare payment denial in the recent inspection window (most recent: November 13, 2023).

Federal enforcement actions from CMS's penalty file: civil money penalties (fines) and denials of Medicare payment tied to health-inspection deficiencies.

Ownership

Ownership type
Non profit - Corporation
Who owns this facility — 15 entries in CMS's ownership records expand ↓
  • Bethlehem Lutheran Church Organization
    Direct owner since 04/01/2023
  • First Lutheran Organization
    Direct owner since 04/01/2023
  • Grace Lutheran Church Organization
    Direct owner since 04/01/2023
  • Palisade Lutheran Organization
    Direct owner since 04/01/2023
  • Gayer, Tracy Individual
    Corporate officer since 02/01/2019
  • Green, Larry Individual
    Corporate officer since 02/01/2019
  • Leenderts, Bonnie Individual
    Corporate officer since 01/01/2018
  • Petterson, Jeff Individual
    Corporate officer since 01/01/2018
  • Westphal, Catherine Individual
    Corporate officer since 02/01/2019
  • Kendall, Kathryn Individual
    Operational/managerial control since 05/27/2024

…and 5 more entries in CMS's ownership records for this facility.

From CMS's nursing-home ownership file. Roles and percentages are as reported to CMS by the facility; one person or entity can hold several roles.

Inspections & Fire Safety — 0 health (MN avg 7) · 2 fire (MN avg 3.9) Details

6 deficiencies cited across recent inspection cycles. Most recent survey: August 27, 2025.

Most recent inspection cycle: 0 health deficiencies · MN average: 7 · National: 9.3

7 fire-safety deficiencies cited — most often miscellaneous (3) and gas, vacuum, and electrical systems (2).

Most recent fire-safety inspection (2026-05-26): 2 deficiencies · MN average: 3.9 · National: 4.5

Sources: CMS health inspection reports (standard surveys and complaint investigations) and CMS Life Safety Code inspections (smoke barriers, sprinklers, exits, emergency preparedness). Averages are CMS-published state and national figures for the most recent inspection cycle.

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How Tuff Memorial Home compares nearby

Compared with the 8 other nursing homes within 25 miles — 9 facilities in all, CMS data only.

Among the 9 nursing homes within 25 miles, Tuff Memorial Home's overall star rating is 4★; the median among the 8 peers reporting it is 3★.

Tuff Memorial Home has the highest health inspection star rating of the 9 nursing homes within 25 miles.

Measure This facility Nearby median Best nearby
Overall star rating reported by 8 of 8 nearby peers 4★ 3★ 5★
Health inspections reported by 8 of 8 nearby peers 5★ 2.5★ 4★
Staffing reported by 8 of 8 nearby peers 1★ 4★ 5★
Quality measures reported by 8 of 8 nearby peers 4★ 3.5★ 4★

The comparison group

Cohort: within 25 miles · CMS data period 2026-08 · method cohort-v1 · comparisons are never affected by claiming or payment. How nearby comparisons work

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