Nursing homes › Kansas › Pine Village
86 Twenty-Second Avenue, Moundridge, KS 67107 · 6203452901 · 74 certified beds
CMS lists no chain affiliation for this facility. Ownership type on record: Non profit - Corporation.
All-time on record: 13 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-05-06 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2025-05-23 |
| 2025-05-06 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Health | corrected 2025-05-23 |
| 2025-05-06 | Provide and implement an infection prevention and control program. | E | Health | corrected 2025-05-23 |
| 2025-05-06 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Health | corrected 2025-05-23 |
| 2023-08-31 | Observe each nurse aide's job performance and give regular training. | F | complaint | corrected 2023-09-15 |
| 2023-08-31 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | complaint | corrected 2023-09-15 |
| 2023-08-31 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2023-09-15 |
| 2023-08-31 | 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 | complaint | corrected 2023-09-15 |
No federal fines or payment denials on record.
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| MEMORIAL HOME, INC. | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 01/01/1996 |
| DURST, MICHELLE | Corporate Director | Individual | NOT APPLICABLE | since 03/01/2021 |
| GOERING, LINDA | Corporate Director | Individual | NOT APPLICABLE | since 03/01/2021 |
| GUHR, LEON | Corporate Director | Individual | NOT APPLICABLE | since 03/01/2021 |
| LOGANBILL, LARRY | Corporate Director | Individual | NOT APPLICABLE | since 03/01/2019 |
| NUZUM, SARA | Corporate Director | Individual | NOT APPLICABLE | since 03/01/2024 |
| REMPEL, THEODORE | Corporate Director | Individual | NOT APPLICABLE | since 03/01/2021 |
| ROSFELD, ERIN | Corporate Director | Individual | NOT APPLICABLE | since 03/05/2017 |
| STUCKY, MARK | Corporate Director | Individual | NOT APPLICABLE | since 03/01/2023 |
| ELMORE, HEATHER | Corporate Officer | Individual | NOT APPLICABLE | since 11/21/2022 |
| STUCKY, JASON | Corporate Officer | Individual | NOT APPLICABLE | since 11/04/2004 |
| STUCKY, JASON | Operational/Managerial Control | Individual | NOT APPLICABLE | since 11/21/2022 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 175414. Corrections: data@carerecords.org.