Senior Care Records.

Pine Village

86 TWENTY-SECOND AVENUE, Moundridge, KS, 67107

Nursing home74 licensed beds0 citations on record
1 more within 6 milesOpen in Maps
Has this facility been cited?

Yes. Federal inspectors cited 4 deficiencies against Pine Village in Moundridge, Kansas at its most recent standard inspection on 2025-05-06. Medicare rates it 2 out of 5 overall.

2 / 5Medicare overall rating
74certified beds
4deficiencies at the last inspection
0immediate-jeopardy findings on record
0actual-harm findings on record
0federal fines
What the inspectors found

Every deficiency on record, by how serious CMS judged it

CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.

Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.0
Actual harmA resident was harmed, but not placed in immediate danger.0
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.13
Potential for minimal harmThe least serious band.0
Most recent

The last 13 findings, newest first

Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies · F0812 · 2025-05-06 · standard survey · No actual harm, potential for more than minimal harm

F

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Administration Deficiencies · F0851 · 2025-05-06 · standard survey · No actual harm, potential for more than minimal harm

F

Provide and implement an infection prevention and control program.

Infection Control Deficiencies · F0880 · 2025-05-06 · standard survey · No actual harm, potential for more than minimal harm

E

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Pharmacy Service Deficiencies · F0757 · 2025-05-06 · standard survey · No actual harm, potential for more than minimal harm

D

Observe each nurse aide's job performance and give regular training.

Nursing and Physician Services Deficiencies · F0730 · 2023-08-31 · from a complaint · No actual harm, potential for more than minimal harm

F

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Resident Assessment and Care Planning Deficiencies · F0661 · 2023-08-31 · from a complaint · No actual harm, potential for more than minimal harm

D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies · F0689 · 2023-08-31 · from a complaint · No actual harm, potential for more than minimal harm

D

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Pharmacy Service Deficiencies · F0758 · 2023-08-31 · from a complaint · No actual harm, potential for more than minimal harm

D

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Resident Rights Deficiencies · F0582 · 2021-12-21 · standard survey · No actual harm, potential for more than minimal harm

D

PASARR screening for Mental disorders or Intellectual Disabilities

Resident Assessment and Care Planning Deficiencies · F0645 · 2021-12-21 · standard survey · No actual harm, potential for more than minimal harm

D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies · F0689 · 2021-12-21 · standard survey · No actual harm, potential for more than minimal harm

D

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Quality of Life and Care Deficiencies · F0700 · 2021-12-21 · standard survey · No actual harm, potential for more than minimal harm

D

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Pharmacy Service Deficiencies · F0758 · 2021-12-21 · standard survey · No actual harm, potential for more than minimal harm

D
Medicare’s own rating

How CMS scores this home

These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.

OverallCombines the three below2 of 5
Health inspectionBased on the last three inspection cycles4 of 5
StaffingNurse hours per resident, adjusted for how sick residents are1 of 5
Quality measuresResident outcomes reported by the home1 of 5
Nursing staff turnoverShare of nursing staff who left in a year54.5%
Ownership

Who owns Pine Village

Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.

OwnerRoleShareSince
MEMORIAL HOME, INC.Organization100%since 01/01/1996
DURST, MICHELLEIndividualNOT APPLICABLEsince 03/01/2021
GOERING, LINDAIndividualNOT APPLICABLEsince 03/01/2021
GUHR, LEONIndividualNOT APPLICABLEsince 03/01/2021
LOGANBILL, LARRYIndividualNOT APPLICABLEsince 03/01/2019
NUZUM, SARAIndividualNOT APPLICABLEsince 03/01/2024
REMPEL, THEODOREIndividualNOT APPLICABLEsince 03/01/2021
ROSFELD, ERINIndividualNOT APPLICABLEsince 03/05/2017
STUCKY, MARKIndividualNOT APPLICABLEsince 03/01/2023
ELMORE, HEATHERIndividualNOT APPLICABLEsince 11/21/2022
STUCKY, JASONIndividualNOT APPLICABLEsince 11/04/2004
STUCKY, JASONIndividualNOT APPLICABLEsince 11/21/2022
Nearby

Other licensed providers within six miles

Listed by distance. Nobody paid to appear here and the order is not for sale.

Contact

Ask Pine Village a question

This page has not been claimed, so messages sent here would reach nobody. Call them instead — we take no commission either way, so we have no reason to steer you anywhere.

What is needed

Pine Village has not claimed this page, so there is nobody here to deliver a message to. We will not take your details and sit on them. Call them on 6203452901 — the number is from their licence record.

Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 175414.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction