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Nursing Home

Tuff Memorial Home

Overview of Tuff Memorial Home

Tuff Memorial Home, located in Hills, Minnesota, just outside of Sioux Falls, is an exceptional senior living community that goes above and beyond to provide unparalleled care to its residents. This haven of support and compassion not only offers comprehensive senior living services but also stands as a memory care center. Their specialized care is designed to cater to the specific needs of residents dealing with memory loss, providing them with a safe and nurturing environment where they can thrive.
With a focus on creating a familiar and comforting atmosphere, Tuff Memorial Home is thoughtfully designed to support residents’ cognitive functioning. Every aspect, from the layout of the center to the engaging activities offered, is carefully curated to stimulate memory, foster meaningful connections, and preserve a sense of identity and purpose. By incorporating tailored therapies, engaging social interactions, and memory-enhancing programs, Tuff Memorial Home ensures that residents receive the highest quality of care. Families can find peace of mind knowing that their loved ones are in a secure and nurturing environment where their memory care needs are met with compassion and expertise.

(701) 780-6000

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
5/5
South Dakota average: 2.7/5
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
4/5
South Dakota average: 2.7/5
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
5/5
South Dakota average: 3.3/5
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
5/5
South Dakota average: 2.7/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
4h 47m per day

This home provides 10% more nursing time per resident than the South Dakota average.

South Dakota average: 4h 20m per day

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 48

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the South Dakota average
Occupancy rate 78%
Residents per day (avg) 37
Occupancy rate
78%
Residents per day (avg)
37

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Breakdown by payment type

Medicare

31% of new residents, usually for short-term rehab.

Typical stay 22 days

Private pay

36% of new residents, often for short stays.

Typical stay 7 - 8 months

Medicaid

33% of new residents, often for long-term daily care.

Typical stay 8 - 9 months

Finances and operations

Voluntary non-profit community
Operated by a church.
Home revenue
$4.3M
Surplus of revenue
$284.1K
Voluntary non-profit community Operated by a church.
Home revenue
$4,255,891.00
Surplus of revenue
$284,073.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.1M
49.7% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$1.9M
Total costs $4.0M
Walk Score
Walk Score: 8 / 100
Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Safety & Compliance

Wheelchair Accessible

Care Services

Accepts Medicaid
Accepts Medicare
Nursing Services
Rehabilitation Services
Respite Care
Independent Living
Skilled Nursing
24-Hour Staffing

Additional Policies & Features

Minimum Age: 50
Housekeeping: Yes
Linen Service: Yes
Utilities Included: Yes

Programs & Activities

Religious Services
Yes, Sunday morning services in the chapel.

Pricing & Financial Information

Dining & Nutrition

Food Description
Nutritious meals tailored to individual needs, including regular, liberalized, and modified diets.
Meals Included
Yes
Contact Tuff Memorial Home

Compare Nursing Homes around Sioux Falls The information below is reported by the South Dakota Department of Health, Office of Health Care Facilities Licensure.

5 facilities compared · CMS & SD Dept. of Health data · Updated Mar 2026

Tuff Memorial Home
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Sioux Falls
-
78.0%
-
4.78
-
-
12
0
0
37
8
Dysthe, Alex
$4,0M
$2,1M
53%
245548
Bethesda of Beresford
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Sioux Falls
-
85.1%
-
3.67
-
-
1
0
0
34
39
Bethesda Of Beresford
$3,4M
$1,3M
38.7%
435080
Avantara Norton
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Sioux Falls
100
91.5%
+14%
3.53
+34%
-19%
7
75
18
95
-
Klinkhammer, Jeremy
$16,6M
$3,7M
22.6%
435039
Bethany Home Sioux Falls
-
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Sioux Falls
-
-
-
-
-
-
-
-
-
0
0
0
-
41
-
-
-
-
-
Bethany Home Sioux Falls/Bethany Home-Brandon
-
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Sioux Falls
112
-
-
-
-
-
-
-
-
0
0
0
-
-
-
-
-
-
-

Guides for Better Senior Living

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Financial Aid for South Dakota Seniors

Get financial aid guidance

Home and Community Based Services Waiver

SD Medicaid HCBS Waiver

Age 65+ or disabled, South Dakota resident, Medicaid-eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Sparse population aids rural access; limited providers.

South Dakota Elderly Services Program

SD ESP

Age 60+, South Dakota resident, at risk of decline.

~$1,732/month (individual, varies).

$5,000 (individual).

Limited funding; rural focus.

Medicare Savings Program (MSP)

South Dakota Medicare Savings Program

Age 65+ or disabled, SD resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; includes Extra Help for Part D; no waitlist.

Low-Income Home Energy Assistance Program (LIEAP)

South Dakota LIEAP

Age 60+ prioritized, SD resident, low-income household.

~$3,970/month (individual, 185% FPL).

Not assessed; income-focused.

Covers gas, electric, propane; weatherization add-on available.

Family Caregiver Support Program (FCSP)

South Dakota Family Caregiver Support Program

Caregivers of 60+ needing care or 55+ caregivers of others; SD resident; functional needs (2+ ADLs).

No strict cap; prioritizes low-income (~$24,980/year).

Not assessed; need-based.

Rural emphasis; includes grandparent caregivers.

Senior Community Service Employment Program (SCSEP)

South Dakota SCSEP

Age 55+, unemployed, low-income, SD resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents; AARP partnership.

VA Aid and Attendance (A&A) and Housebound Benefits

South Dakota VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, SD resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

Supports rural veterans; high demand near Sioux Falls VA.

Property Tax Reduction Program

South Dakota Property Tax Reduction from Municipal Taxes

Age 65+ (or disabled) by Jan 1, SD resident entire prior year, homeowner/renter.

~$20,192/year (single), ~$24,679/year (multiple-member household).

Not assessed; income-focused.

Refunds up to $575; ~10,000 seniors benefit annually.

Senior Farmers’ Market Nutrition Program (SFMNP)

South Dakota SFMNP

Age 60+, SD resident, low-income.

~$2,322/month (individual, 185% FPL).

Not assessed.

Vouchers (~$50/season); serves ~5,000 annually via 6 AAAs.

Freeze on Assessments for Dwellings of Disabled and Senior Citizens

South Dakota Property Tax Freeze

Age 65+ (or disabled), SD resident 200+ days prior year, homeowner.

~$35,000/year (single), ~$45,000/year (multiple-member household).

Property value < $250,000 (single), $300,000 (multiple).

Saves ~$300-$600/year avg.; applies to primary residence.

Older Americans Act (OAA) Services

South Dakota OAA Services

Age 60+, SD resident (or spouse of any age); no income/asset limits.

None; donations encouraged for some services.

Not assessed.

6 AAAs; rural focus due to sparse population.

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