Home›Browse›Kansas›Moundridge›Pine Village

Nursing homeFAID #4664

Pine Village

86 TWENTY-SECOND AVENUE, MOUNDRIDGE, KS, 67107

(620) 345-2901

74 licensed beds

★★★★★3/5CMS Five-Star overall4/5 health inspections4/5 staffing1/5 quality measuresSource: CMS Care Compare

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Address

86 Twenty-second Avenue

Moundridge, KS 67107

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Public record summary

What we can show you for free.

Bed capacity

State license

N059002

CMS facility ID

175414

Care type

Nursing home

Facility name

Pine Village

Street address

86 TWENTY-SECOND AVENUE

City / state / ZIP

Moundridge, KS 67107

Phone

(620) 345-2901

State license #

N059002

About this facility — Pine Village

Pine Village is a Medicare/Medicaid-certified skilled nursing facility in Moundridge, Kansas. It is licensed for 74 beds — above the median for skilled nursing facilities in Kansas (52 beds).

It is one of 2 senior care facilities in Moundridge and 296 skilled nursing facilities across Kansas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Pine Village 38 times across 7 inspections in the last three years, including 1 food-safety citation; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Ownership type

Non profit - Corporation

Administrator

Heather Elmore

Registered owners & officers

Memorial Home, Inc.

Direct owner — 100% stake — since 1996

Durst, Michelle

Director — since 2021

Elmore, Heather

Officer · Additional disclosable party — since 2022

Goering, Linda

Director — since 2021

Guhr, Leon

Director — since 2021

Loganbill, Larry

Director — since 2019

Nuzum, Sara

Director — since 2024

Rempel, Theodore

Director — since 2021

Rosfeld, Erin

Director — since 2017

Stucky, Jason

Officer · Operational control — since 2004

Stucky, Mark

Director — since 2023

Regulatory standing

Licensed / certified since

1997-04-01

CMS overall rating

3 of 5 stars

Health deficiencies

4 at the last standard inspection

Federal fines

None on record

Last standard inspection

2025-05-06

Nurse staffing

5.1 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$340 per day (≈ $10,340/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

49% Medicaid · 4% Medicare · 47% private/other

Occupancy

96% (fiscal year 2023)

Vs. state median

10% above the KS median of $309/day — full state cost breakdown

Services & coverage

Licensed beds

Licensed as

Nursing Facility<BR> Residential Health Care Facility

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 1 food-safety citation on its three-year record — flagged below among the inspections.

2025-05-06Health inspection4 citations

F-0757

D · No harm found

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

Corrected 2025-05-23

F-0812

F · No harm foundFood safety

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

Corrected 2025-05-23

F-0851

F · No harm found

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

Corrected 2025-05-23

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-05-23

2023-08-31Health inspectionComplaint-triggered4 citations

F-0661

D · No harm foundFrom a complaint

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

Corrected 2023-09-15

F-0689

D · No harm foundFrom a complaint

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

Corrected 2023-09-15

F-0730

F · No harm foundFrom a complaint

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

Corrected 2023-09-15

F-0758

D · No harm foundFrom a complaint

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.

Corrected 2023-09-15

4 earlier / fire-safety inspections (30 citations)

2021-12-21Health inspection5 citations

F-0582

D · No harm found

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

Corrected 2022-01-26

F-0645

D · No harm found

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2022-01-26

F-0689

D · No harm found

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

Corrected 2022-01-26

F-0700

D · No harm found

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.

Corrected 2022-01-26

F-0758

D · No harm found

Corrected 2022-01-26

2025-05-06Fire-safety inspection12 citations

E-0007

F · No harm found

Address patient/client population and determine types of services needed.

Corrected 2025-06-12

K-0222

F · No harm found

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2025-06-12

K-0324

F · No harm found

Provide properly protected cooking facilities.

Corrected 2025-06-12

K-0325

E · No harm found

Have properly installed hallway dispensers for alcohol-based hand rub.

Corrected 2025-06-12

K-0345

F · No harm found

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

Corrected 2025-06-12

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-06-18

K-0363

F · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2025-06-12

K-0511

F · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2025-06-12

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2025-06-18

K-0914

F · No harm found

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2025-06-12

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-06-19

K-0923

F · No harm found

Have proper medical gas storage and administration areas.

Corrected 2025-06-13

2023-08-31Fire-safety inspection6 citations

K-0161

F · No harm found

Use approved construction type or materials.

Corrected 2023-10-10

K-0321

F · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2023-10-10

K-0324

F · No harm found

Provide properly protected cooking facilities.

Corrected 2023-10-10

K-0345

F · No harm found

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

Corrected 2023-10-10

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-10-10

K-0511

F · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2023-10-10

2021-12-21Fire-safety inspection7 citations

K-0222

F · No harm found

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2022-03-11

K-0324

F · No harm found

Provide properly protected cooking facilities.

Corrected 2022-03-11

K-0325

F · No harm found

Have properly installed hallway dispensers for alcohol-based hand rub.

Corrected 2022-03-11

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-03-11

K-0355

F · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2022-03-11

K-0363

D · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2022-03-11

K-0511

F · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2022-03-11

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 175414.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 38 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-08-31

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered