01 / INSPECTION LEDGER
Survey cycles in this release
| 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 CCN 2455482026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Tuff Memorial Home
505 East 4Th Street · Hills, MN 56138 · Rock County
Certified beds48CMS provider file
Recent citation rows13current CMS citation release
Penalty rows12current CMS penalties file
Read this record carefully.
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.
02 / CITATION DETAIL
13 rows in the current release
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.
2026-05-26 · FIREK0741Severity D · isolated; potential for more than minimal harm
Miscellaneous Deficiencies
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 · 2026-06-052026-05-26 · FIREK0920Severity E · pattern; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Correction field: Deficient, Provider has date of correction · 2026-06-052025-08-27 · HEALTHF0867Severity F · widespread; potential for more than minimal harm
Administration Deficiencies
Set 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 · 2025-09-192025-08-27 · HEALTHF0880Severity E · pattern; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-09-192025-08-27 · HEALTHF0921Severity D · isolated; potential for more than minimal harm
Environmental Deficiencies
Make 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 · 2025-09-192025-08-27 · FIREK0711Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Provide a written emergency evacuation plan.
Correction field: Deficient, Provider has date of correction · 2025-09-192025-08-27 · FIREK0712Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2025-09-192024-07-30 · HEALTHF0641Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2024-08-192024-07-30 · HEALTHF0881Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Correction field: Deficient, Provider has date of correction · 2024-08-192024-07-30 · FIREK0291Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Correction field: Deficient, Provider has date of correction · 2024-08-192024-07-30 · FIREK0345Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2024-08-192024-07-30 · FIREK0923Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Correction field: Deficient, Provider has date of correction · 2024-08-192023-12-11 · HEALTHF0622Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2024-01-02 · complaint03 / ENFORCEMENT FILE
Penalties reported by CMS
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 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- BETHLEHEM LUTHERAN CHURCHOrganization · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 04/01/2023
- FIRST LUTHERANOrganization · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 04/01/2023
- GRACE LUTHERAN CHURCHOrganization · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 04/01/2023
- PALISADE LUTHERANOrganization · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 04/01/2023
- GAYER, TRACYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 02/01/2019
- GREEN, LARRYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 02/01/2019
- LEENDERTS, BONNIEIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2018
- PETTERSON, JEFFIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2018
- WESTPHAL, CATHERINEIndividual · CORPORATE OFFICERNOT APPLICABLE · since 02/01/2019
- KENDALL, KATHRYNIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 05/27/2024
- THONE, JENNIFERIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 05/27/2021
- POPE & CONNER CONSULTING INCOrganization · ADP OF THE SNFNOT APPLICABLE · since 01/01/2021
- WIPFLI LLPOrganization · ADP OF THE SNFNOT APPLICABLE · since 09/01/2023
- KENDALL, KATHRYNIndividual · ADP OF THE SNFNOT APPLICABLE · since 05/27/2024
- THONE, JENNIFERIndividual · ADP OF THE SNFNOT APPLICABLE · since 02/01/2019
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.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours—per resident day
RN hours—per resident day
Weekend nurse hours—per resident day
Staff turnover39.5%CMS reported field
06 / LOCAL RECORDS
Open the Minnesota ledger →Other published facilities nearby
No second facility in the same city met the directory rule.