Tuff Memorial Home

Penalties

• Nov 13, 2023 — Fine ($4,545)
• Nov 6, 2023 — Fine ($4,545)
• Oct 30, 2023 — Fine ($4,545)
• Oct 23, 2023 — Fine ($4,545)
• Oct 17, 2023 — Fine ($4,196)
• Oct 10, 2023 — Fine ($3,846)
• Oct 2, 2023 — Fine ($3,529)
• Sep 27, 2023 — Payment Denial · payment denial 6 days
• Sep 25, 2023 — Fine ($3,147)
• Sep 18, 2023 — Fine ($2,797)
• Sep 11, 2023 — Fine ($2,447)
• Sep 5, 2023 — Fine ($2,098)

Inspection findings

1. May 26, 2026 Fire Safety · 2 findings
   • Not serious Scope/severity D

     K0741 Miscellaneous Deficiencies

     Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

     Corrected Jun 5, 2026 · CMS fire safety

   • Not serious Scope/severity E

     K0920 Gas, Vacuum, and Electrical Systems Deficiencies

     Ensure proper usage of power strips and extension cords.

     Corrected Jun 5, 2026 · CMS fire safety

2. Aug 27, 2025 Health · 5 findings
   • Not serious Scope/severity F

     F0867 Administration Deficiencies

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

     Corrected Sep 19, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Sep 19, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0921 Environmental Deficiencies

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

     Corrected Sep 19, 2025 · CMS health inspection

   • Not serious Scope/severity F

     K0711 Miscellaneous Deficiencies

     Provide a written emergency evacuation plan.

     Corrected Sep 19, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0712 Miscellaneous Deficiencies

     Have simulated fire drills held at unexpected times.

     Corrected Sep 19, 2025 · CMS fire safety

3. Jul 30, 2024 Health · 5 findings
   • Not serious Scope/severity D

     F0641 Resident Assessment and Care Planning Deficiencies

     Ensure each resident receives an accurate assessment.

     Corrected Aug 19, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0881 Infection Control Deficiencies

     Implement a program that monitors antibiotic use.

     Corrected Aug 19, 2024 · CMS health inspection

   • Not serious Scope/severity D

     K0291 Egress Deficiencies

     Install emergency lighting that can last at least 1 1/2 hours.

     Corrected Aug 19, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0345 Smoke Deficiencies

     Have approved installation, maintenance and testing program for fire alarm systems.

     Corrected Aug 19, 2024 · CMS fire safety

   • Not serious Scope/severity D

     K0923 Gas, Vacuum, and Electrical Systems Deficiencies

     Have proper medical gas storage and administration areas.

     Corrected Aug 19, 2024 · CMS fire safety

4. Dec 26, 2023 MDH complaint investigation · 1 finding
   • Severity not stated

     H55487762C Substantiated complaint (MDH Office of Health Facility Complaints)

     MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).

     Statement of deficiencies (PDF)

5. Dec 11, 2023 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0622 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.

     Corrected Jan 2, 2024 · CMS health inspection

6. Dec 10, 2021 MDH complaint investigation · 1 finding
   • Severity not stated

     H5548020C Substantiated complaint (MDH Office of Health Facility Complaints)

     MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).

     Statement of deficiencies (PDF)

Owners and managers (as published by CMS)

• GAYER, TRACY — corporate officer, NOT APPLICABLE, since 02/01/2019
• GREEN, LARRY — corporate officer, NOT APPLICABLE, since 02/01/2019
• KENDALL, KATHRYN — operational/managerial control, NOT APPLICABLE, since 05/27/2024
• KENDALL, KATHRYN — adp of the snf, NOT APPLICABLE, since 05/27/2024
• LEENDERTS, BONNIE — corporate officer, NOT APPLICABLE, since 01/01/2018
• PETTERSON, JEFF — corporate officer, NOT APPLICABLE, since 01/01/2018
• THONE, JENNIFER — adp of the snf, NOT APPLICABLE, since 02/01/2019
• THONE, JENNIFER — operational/managerial control, NOT APPLICABLE, since 05/27/2021
• WESTPHAL, CATHERINE — corporate officer, NOT APPLICABLE, since 02/01/2019
• BETHLEHEM LUTHERAN CHURCH — direct ownership interest, NOT APPLICABLE, since 04/01/2023
• FIRST LUTHERAN — direct ownership interest, NOT APPLICABLE, since 04/01/2023
• GRACE LUTHERAN CHURCH — direct ownership interest, NOT APPLICABLE, since 04/01/2023
• PALISADE LUTHERAN — direct ownership interest, NOT APPLICABLE, since 04/01/2023
• POPE & CONNER CONSULTING INC — adp of the snf, NOT APPLICABLE, since 01/01/2021
• WIPFLI LLP — adp of the snf, NOT APPLICABLE, since 09/01/2023