NURSING HOME PUBLIC RECORD
CMS lists this provider in Hills, MN, with 48 certified beds, an overall rating of 4/5, and 13 citation rows in the current August 2026 release.
505 East 4Th Street · Hills, MN 56138 · Rock County
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
CMS supplies 3 survey-cycle rows for Tuff Memorial Home in this release; health and fire inspection dates remain separate.
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-05-26 | 0 | 2026-05-26 | 2 |
| Cycle 2 | 2025-08-27 | 3 | 2025-08-27 | 2 |
| Cycle 3 | 2024-07-30 | 3 | 2024-07-30 | 3 |
CMS reports 13 citation rows, including 0 with G–L codes and 0 with J–L codes.
0 rows carry G–L scope/severity codes; 0 carry J–L. 0 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Correction field: Deficient, Provider has date of correction · 2026-06-05Ensure proper usage of power strips and extension cords.
Correction field: Deficient, Provider has date of correction · 2026-06-05Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Correction field: Deficient, Provider has date of correction · 2025-09-19Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-09-19Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Correction field: Deficient, Provider has date of correction · 2025-09-19Provide a written emergency evacuation plan.
Correction field: Deficient, Provider has date of correction · 2025-09-19Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2025-09-19Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2024-08-19Implement a program that monitors antibiotic use.
Correction field: Deficient, Provider has date of correction · 2024-08-19Install emergency lighting that can last at least 1 1/2 hours.
Correction field: Deficient, Provider has date of correction · 2024-08-19Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2024-08-19Have proper medical gas storage and administration areas.
Correction field: Deficient, Provider has date of correction · 2024-08-19Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Correction field: Deficient, Provider has date of correction · 2024-01-02 · complaintThe August 2026 file contains 12 penalty rows and $40,240 in listed fines for this provider record.
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2023-11-13 | Fine | $4,545 | 0 |
| 2023-11-06 | Fine | $4,545 | 0 |
| 2023-10-30 | Fine | $4,545 | 0 |
| 2023-10-23 | Fine | $4,545 | 0 |
| 2023-10-17 | Fine | $4,196 | 0 |
| 2023-10-10 | Fine | $3,846 | 0 |
| 2023-10-02 | Fine | $3,529 | 0 |
| 2023-09-27 | Payment Denial | $0 | 6 |
| 2023-09-25 | Fine | $3,147 | 0 |
| 2023-09-18 | Fine | $2,797 | 0 |
| 2023-09-11 | Fine | $2,447 | 0 |
| 2023-09-05 | Fine | $2,098 | 0 |
CMS matched 15 ownership disclosure rows to Tuff Memorial Home; names and roles are reported fields, not independently verified identities.
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
Total nurse hours and RN hours per resident day are not reported for this provider in the August 2026 CMS release.
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
No second published facility record in Hills, MN met the local peer rule in this release.
No second facility in the same city met the directory rule.
Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.
