B87

Tuff Memorial Home

Grade B 87/100 composite score

Non profit - Other

CMS Star Ratings

Overall
5/5
Health Insp.
4/5
Quality
5/5
Staffing
5/5
RN Staffing
Not rated

Certified Beds

48

Ownership

Non profit - Other

Total Fines

$44,434

Last Survey

N/A

505 EAST 4TH STREET, HILLS, MN 56138
5079623275

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.82h
LPN
0.31h
CNA
3.49h
Total
4.63h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

DYSTHE, ALEX

IndividualCORPORATE DIRECTORSince May 2016

RIPLEY, ELI

IndividualCORPORATE DIRECTORSince May 2018

BENSON, JO ELLEN

IndividualCORPORATE OFFICERSince Feb 2017

BEYER, BRENDA

IndividualCORPORATE OFFICERSince Feb 2016

BRYAN, CATHY

IndividualCORPORATE OFFICERSince Feb 2017

GAYER, TRACY

IndividualCORPORATE OFFICERSince Feb 2009

HENGEVELD, LINDA

IndividualCORPORATE OFFICERSince Feb 2016

SAARLOOS, VAL

IndividualCORPORATE OFFICERSince Feb 2017

SPATH, GREGORY

IndividualCORPORATE OFFICERSince Feb 2011

WESTPHAL, CATHERINE

IndividualCORPORATE OFFICERSince Feb 2017

DYSTHE, ALEX

IndividualW-2 MANAGING EMPLOYEESince May 2016

Penalties & Fines (13)

$44,434total fines
DateTypeDescriptionAmount
Nov 13, 2023Fine$4,545
Nov 6, 2023Fine$4,545
Oct 30, 2023Fine$4,545
Oct 23, 2023Fine$4,545
Oct 17, 2023Fine$4,196
Oct 10, 2023Fine$3,846
Oct 2, 2023Fine$3,529
Sep 27, 2023Payment Denial
Sep 25, 2023Fine$3,147
Sep 18, 2023Fine$2,797
Sep 11, 2023Fine$2,447
Sep 5, 2023Fine$2,098
Aug 14, 2023Fine$4,194

Health Inspection Deficiencies (13)

August 27, 2025Health3 deficiencies
0867FMinimal harm, Widespread

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Administration Deficiencies

Corrected Sep 19, 2025
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Sep 19, 2025
0921DMinimal harm, Isolated

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Environmental Deficiencies

Corrected Sep 19, 2025
July 30, 2024Health2 deficiencies
0641DMinimal harm, Isolated

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Aug 19, 2024
0881DMinimal harm, Isolated

Implement a program that monitors antibiotic use.

Infection Control Deficiencies

Corrected Aug 19, 2024
December 11, 2023Health1 deficiency
0622DMinimal harm, Isolated

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

Corrected Jan 2, 2024
September 27, 2023Health7 deficiencies
0657DMinimal harm, Isolated

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Resident Assessment and Care Planning Deficiencies

Corrected Dec 15, 2023
0761DMinimal harm, Isolated

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Pharmacy Service Deficiencies

Corrected Dec 15, 2023
0851FMinimal harm, Widespread

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Administration Deficiencies

Corrected Dec 15, 2023
0865FMinimal harm, Widespread

Have a plan that describes the process for conducting QAPI and QAA activities.

Administration Deficiencies

Corrected Dec 15, 2023
0867FMinimal harm, Widespread

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Administration Deficiencies

Corrected Dec 15, 2023
0883EMinimal harm, Pattern

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Infection Control Deficiencies

Corrected Dec 15, 2023
0944FMinimal harm, Widespread

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

Administration Deficiencies

Corrected Dec 15, 2023

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Frequently Asked Questions

What is the CareGrader rating for Tuff Memorial Home?

Tuff Memorial Home in HILLS, Minnesota has a CareGrader grade of B (Good), with a composite score of 87 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for Tuff Memorial Home?

Tuff Memorial Home has an overall CMS star rating of 5 out of 5, a health inspection rating of 4/5, and a staffing rating of 5/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does Tuff Memorial Home have?

Tuff Memorial Home has 13 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has Tuff Memorial Home been fined?

Yes. Tuff Memorial Home has $44,434 in total fines from CMS enforcement actions across 13 penalties.

How many beds does Tuff Memorial Home have?

Tuff Memorial Home has 48 certified beds with approximately 40 current residents (83% occupancy). The facility is located at 505 EAST 4TH STREET, HILLS, Minnesota 56138. It is a non profit - other facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.