Tuff Memorial Home
505 East 4Th Street, Hills, MN, 56138
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- Non profit - Other
- Certified beds
- 48 · avg 38 residents/day
- Total nursing staff turnover
- 40% — near the Minnesota averageMinnesota avg: 42.5% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 14.3% — lower than most Minnesota nursing homesMinnesota avg: 38.5% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Minnesota averageMinnesota avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 12 fines · $44,434 total
- Payment denials
- 1 denial
Medicare certification
- CMS Certification Number
- 245548
- Certified beds
- 48 beds · avg 38 residents/day
- Ownership type
- Non profit - Other
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Tuff Memorial Home
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Disclosed owners (10 on record)
- Eli j Ripley
Corporate Director · 100% · since 2018
- Catherine Westphal
Corporate Officer · since 2017
- Cathy Bryan
Corporate Officer · since 2017
- jo Ellen Benson
Corporate Officer · since 2017
- Val Saarloos
Corporate Officer · since 2017
- Alex Dysthe
Corporate Director · since 2016
+ 4 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners, as of May 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 13)
- D0921·Aug 27, 2025
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- E0880·Aug 27, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- F0867·Aug 27, 2025
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- D0881·Jul 30, 2024
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
- D0641·Jul 30, 2024
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
- D0622·Dec 11, 2023Complaint
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.
- F0944·Sep 27, 2023
Administration Deficiencies
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
- E0883·Sep 27, 2023
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Federal penalties
By year
- 202312 fines · $44K · 1 payment denial
Most recent events
- 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
Largest single fine on record: $4,545.
Fire-safety citations
9 Life-Safety-Code citations on file. Most recent: Aug 27, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Tuff Memorial Homeinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.