Nursing homeActive
Tuff Memorial Home
505 East 4th Street, Hills, MN 56138507962327548 certified beds · 39 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
4
since 2023
Deficiencies
6
● 0● 6● 0
Penalties · 3 yrs
$40,240
11 fines · 1 action
Last survey
2026-05-26
Standard
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 5
Staffing 1
Quality 4
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Minnesota Department of Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-05-26 | Standard | 000 | CMS-2567 (Care Compare) | — |
| 2025-08-27 | Standard | 030 | CMS-2567 (Care Compare) | — |
| 2024-07-30 | Standard | 020 | CMS-2567 (Care Compare) | — |
| 2023-12-11 | Complaint | 010 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Minnesota Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-09-19Record 245548-20250827-F867
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-09-19Record 245548-20250827-F880
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-19Record 245548-20250827-F921
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-19Record 245548-20240730-F641
F881Implement a program that monitors antibiotic use.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-19Record 245548-20240730-F881
F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-02Record 245548-20231211-F622
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2023-11-13 | Civil money penalty | $4,545 | CMS · Penalties |
| 2023-11-06 | Civil money penalty | $4,545 | CMS · Penalties |
| 2023-10-30 | Civil money penalty | $4,545 | CMS · Penalties |
| 2023-10-23 | Civil money penalty | $4,545 | CMS · Penalties |
| 2023-10-17 | Civil money penalty | $4,196 | CMS · Penalties |
| 2023-10-10 | Civil money penalty | $3,846 | CMS · Penalties |
| 2023-10-02 | Civil money penalty | $3,529 | CMS · Penalties |
| 2023-09-27 | Denial of payment for new admissions Payment denial for 6 days, from 2023-12-27 | — | CMS · Penalties |
| 2023-09-25 | Civil money penalty | $3,147 | CMS · Penalties |
| 2023-09-18 | Civil money penalty | $2,797 | CMS · Penalties |
| 2023-09-11 | Civil money penalty | $2,447 | CMS · Penalties |
| 2023-09-05 | Civil money penalty | $2,098 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerTotal nursing staff turnover40%
Facility
Minnesota
National
Minnesota 42% · National 46%
Registered nurse turnover14%
Facility
Minnesota
National
Minnesota 39% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Minnesota | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 2.7% | 5.2% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 7.2% | 4.0% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 13.8% | 17.1% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 4.1% | 2.6% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 25.2% | 18.2% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 4.6% | 4.1% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 8.8% | 12.5% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Kendall, Kathryn Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Thone, Jennifer Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Bethlehem Lutheran Church Organization | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| First Lutheran Organization | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Gayer, Tracy Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Grace Lutheran Church Organization | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Green, Larry Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Kendall, Kathryn Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Leenderts, Bonnie Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Palisade Lutheran Organization | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Petterson, Jeff Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Pope & Conner Consulting Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Thone, Jennifer Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Westphal, Catherine Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Wipfli LLP Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Minnesota.
No county cost figures on file for Rock.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Good Samaritan Society - Mary Jane Brown Luverne | 11.0 mi | 2026-04-01 | 0311 |
| Bethany Home - Brandon Brandon | 10.3 mi | 2026-05-28 | 0194 |
| Mn Veterans Home-Luverne Luverne | 12.1 mi | 2026-07-01 | 091 |
| Lyon Specialty Care Rock Rapids | 11.4 mi | 2026-02-02 | 080 |
| Fellowship Village Inwood | 15.6 mi | 2025-11-20 | 060 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |