Tuff Memorial Home
505 East 4th Street, Hills, MN, 56138 · CCN 245548
Tuff Memorial Home is a CMS-certified skilled nursing facility located in Hills, Minnesota. This facility-specific record brings together official CMS provider, inspection, rating, and enforcement data while identifying what is missing or uncertain.
What stands out in the available record
The available records contain 13 cited deficiencies across 4 surveys. None of the available citations were coded at G or above, although later surveys could change that context.
1 of the most frequently cited tags appear more than once in the available history: F0867 (2). Repetition can indicate a recurring compliance area, but it is not proof that the same underlying problem remained uncorrected.
Survey history
- August 2025 — Health: 3 cited deficiencies
- July 2024 — Health: 2 cited deficiencies
- December 2023 — Health: 1 cited deficiency
- September 2023 — Health: 7 cited deficiencies
Scope and severity distribution
- Scope/severity D: 6 citations
- Scope/severity E: 2 citations
- Scope/severity F: 5 citations
No available citations were coded at G or above. This statement is limited to the records currently available to POCDesk.
Top Deficiency Citations
- F0867 — Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (2 citations)
- F0883 — Develop and implement policies and procedures for flu and pneumonia vaccinations. (1 citation)
- F0944 — Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. (1 citation)
- F0921 — Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (1 citation)
- F0641 — Ensure each resident receives an accurate assessment. (1 citation)
Deficiency categories
- Administration Deficiencies: 5 citations
- Infection Control Deficiencies: 3 citations
- Resident Assessment and Care Planning Deficiencies: 2 citations
- Resident Rights Deficiencies: 1 citation
- Environmental Deficiencies: 1 citation
- Pharmacy Service Deficiencies: 1 citation
Official CMS Five-Star context
- Overall: 4 of 5 stars
- Health inspection: 5 of 5 stars
- Staffing: 1 of 5 stars
- Quality measure: 4 of 5 stars
Total nurse staffing hours are not reported in the available CMS rating record.
Five-Star values above are official CMS fields. POCDesk does not calculate or predict the official CMS rating.
Enforcement and penalties
The available CMS enforcement dataset contains 12 penalty actions, most recently dated November 2023. Monetary fines in these records total $40,240.
Sources, freshness, and limitations
Source: official CMS datasets, including Provider Information, Health Deficiencies, and Penalties. View the CMS data source. Loaded survey records window — Earliest loaded survey: September 2023; Latest loaded survey: August 2025. These dates describe records loaded by POCDesk, not a CMS release or publication timestamp. Facility statistics refreshed: October 9, 2026 at 9:29 AM UTC. The available rating record has a CMS processing date of September 2026. POCDesk last refreshed that rating record on October 2026.
POCDesk groups citations by survey date, counts recurring F-Tags across the available history, and summarizes CMS scope/severity codes. Those summaries are POCDesk organization and interpretation of public records, not official ratings or survey findings of our own. Read the governing 42 CFR Part 483 and our editorial standards and methodology.
Counts alone do not explain the residents affected, corrective work completed, current conditions, appeals, or whether a finding was later changed. Data can be delayed, suppressed, incomplete, or revised by CMS. Verify important decisions with Medicare Care Compare, state survey records, the facility, and an in-person visit.
If a record appears inaccurate, use the feedback control on the interactive profile to report it. POCDesk reviews correction reports against the underlying public source rather than silently replacing official data.