Tuff Memorial Home
505 East 4th Street, Hills, MN 56138
4 out of 5 in Medicare’s overall rating
Summary
Tuff Memorial Home is a nursing home in Hills, Minnesota, in Rock County. According to Medicare (CMS), it has 48 certified beds and it cares for an average of 39 residents a day. It has been certified by Medicare and Medicaid since 1991. It is a nonprofit home. Residents’ families have an organized family council, a good way to learn what life is like there. It has 4 out of 5 stars in Medicare’s overall rating. The closest hospital with an emergency room is Avera McKennan Hospital & University Health Center, about 18 miles away in a straight line.
What it offers
- Resident council
- Yes, residents have an organized council
- Family council
- Yes, families have an organized council
- Residents counted on a certification survey date
- 40 (24 on Medicaid), on July 30, 2024
- Nurse aide training program
- Yes, it has an approved program
- Owners (organizations)
- Bethlehem Lutheran Church; First Lutheran; Grace Lutheran Church and 1 more
Public data from CMS — Long-Term Care Facility Characteristics (Form 671), 2nd quarter of 2026, CMS — Nursing Homes: Provider Information, CMS — Ownership, September 30, 2026. Confirm the details when you call.
Medicare ratings
Medicare (CMS) rates certified nursing homes from 1 to 5 stars. Tuff Memorial Home has 4 out of 5 in the overall rating.
- Overall
- 4/5
- Health inspections
- 5/5
- Staffing
- 1/5
- Quality measures
- 4/5
- Long-stay residents
- 4/5
- Short-stay residents (rehab)
- Not rated
Star ratings are a useful reference, not a final verdict: it’s best to visit, meet the staff and ask your questions. Source: CMS, September 1, 2026.
Key facts
- Ownership
- Nonprofit (corporation)
- Certification
- Medicare and Medicaid
- Resident or family council
- Resident and family councils
- Certified since
- March 1, 1991
- CMS certification number (CCN)
- 245548
What certification means. A certified nursing home meets the federal requirements of the Centers for Medicare & Medicaid Services (CMS) to receive payments from Medicare, as a skilled nursing facility, or from Medicaid, as a nursing facility. Federal rules require it to have enough nursing staff 24 hours a day, and the state agency inspects it without advance notice. Medicare covers only short stays for skilled care (nursing or therapy), usually after an inpatient hospital stay of at least 3 days, for up to 100 days per benefit period. For long stays, ask whether your family member qualifies for Medicaid.
Services and features
Tuff Memorial Home hasn’t shared information about its services, prices, languages or availability yet. When you call, ask who they serve, what the rate includes, whether any staff speak Spanish and whether they have an opening now. Use our checklist.
Questions to ask when you call
Marisol’s tip: a ten-minute call clears up a lot. Keep these questions handy and write down the answers so you can compare with other places.
- Do you have a bed available now, and for what kind of stay: rehab after the hospital or long-term care?
- Do you accept Medicaid from admission, or only after a period of private pay? Do you take my relative’s Medicare plan?
- Is there staff who speaks Spanish on every shift, including nights?
- What therapies do you offer (physical, occupational, speech), and how many days a week?
- How do you keep the family informed, and when is the care plan meeting?
- What are the visiting hours, and can several family members visit at once?
Location and what’s nearby
The map loads as you scroll.
- Address
- 505 East 4th Street, Hills, MN 56138Rock County
- Closest hospital with an emergency room
- Avera McKennan Hospital & University Health Center1325 S Cliff Ave Post Office Box 5045, Sioux Falls · 18 miles in a straight line · source: CMS Hospital General Information
Ask which hospital they send residents to and who goes with them.
Medicare inspections
Like every certified nursing home, Tuff Memorial Home gets regular inspections that the state carries out on Medicare’s behalf. We show you the public summary so you have the full picture. Each place can tell you how it works and what improvements it has made: it’s a good conversation to have during your visit.
- Last standard inspection
- May 26, 2026 · no deficiencies cited
- Fines (last 3 years)
- 9 · $35,695
See the full reports on Medicare Care Compare. Source: CMS, September 1, 2026. Do you run this nursing home? Add your information so families can learn about your work.
Who to call in Minnesota
- Long-Term Care Ombudsman
- Minnesota Office of Ombudsman for Long-Term Care (OOLTC). A free, confidential service that advises residents and families of nursing homes and assisted living and helps resolve concerns with the facility.(800) 657-3591 · Official website
- Free Medicare counseling (SHIP)
- Minnesota Aging Pathways (formerly Senior LinkAge Line) – Minnesota Board on Aging. They explain what Medicare covers and how to compare plans, without selling insurance.(800) 333-2433 · Official website
- Medicaid (Medical Assistance (MA))
- Minnesota Department of Human Services (DHS). Long-term care programs: Elderly Waiver (EW).(800) 657-3672 · Official website
- Licensing and inspections
- Minnesota Department of Health (MDH) – Health Regulation Division.Look up a license
- Services for older adults
- Minnesota Board on Aging – Minnesota Aging Pathways, with the Area Agencies on Aging.(800) 333-2433 · Official website
- Eldercare Locator (nationwide)
- A free national line that connects you with your local Area Agency on Aging.(800) 677-1116 · Official website
Contact information checked against official sources on October 15, 2026. These are free public services; hogaresparamayores.com is not affiliated with them.
Official data and sources
- CMS — Nursing Homes: Provider Information, updated September 30, 2026
See a mistake? Let us know and we’ll fix it. Being listed in an official registry doesn’t mean hogaresparamayores.com knows or recommends the place.
Frequently asked questions
Does Tuff Memorial Home accept Medicaid?
Where is Tuff Memorial Home located?
What is Tuff Memorial Home’s Medicare rating?
What hospital is near Tuff Memorial Home?
How much does Tuff Memorial Home cost?
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Good Samaritan Society - Mary Jane Brown
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