PINE VILLAGE
PINE VILLAGE is a nursing home in MOUNDRIDGE, Kansas. It holds 74 certified beds and has been certified for Medicare and Medicaid since 1997-04-01. It averages 65.9 residents a day.
Has PINE VILLAGE been cited for violations?
CMS lists 13 health-inspection deficiencies for PINE VILLAGE since 2021-12-21, 8 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is F; the most recent health inspection was 2025-05-06.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2025-05-06 | F0812, F0851 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F |
| 2025-05-06 | F0880 | Provide and implement an infection prevention and control program. | E |
| 2025-05-06 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D |
| 2023-08-31 | F0730 | Observe each nurse aide's job performance and give regular training. | F |
| 2023-08-31 | F0661, F0689, F0758 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / 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. | D |
| 2021-12-21 | F0582, F0645, F0689, F0700, F0758 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / PASARR screening for Mental disorders or Intellectual Disabilities / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / 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. / 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. | D |
How is PINE VILLAGE staffed?
| Measure | This facility | KS average |
|---|---|---|
| Total nurse staffing hours per resident per day | 5.06675 | 4.06686 |
| Total nursing staff turnover (%) | 54.5 | 48.1 |
| Average number of residents per day | 65.9 | 50.5 |
Who owns PINE VILLAGE?
PINE VILLAGE is registered with CMS as Non profit - Corporation, operates under the legal business name MEMORIAL HOME, INC.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | MEMORIAL HOME, INC. | since 01/01/1996 |
| CORPORATE DIRECTOR | DURST, MICHELLE, GOERING, LINDA, GUHR, LEON, LOGANBILL, LARRY, NUZUM, SARA, REMPEL, THEODORE, ROSFELD, ERIN, STUCKY, MARK | since 03/01/2019 |
| CORPORATE OFFICER | ELMORE, HEATHER, STUCKY, JASON | since 11/04/2004 |
| OPERATIONAL/MANAGERIAL CONTROL | STUCKY, JASON | since 11/21/2022 |
| ADP OF THE SNF | ELMORE, HEATHER | since 04/11/2025 |