B82

PINE VILLAGE

Grade B 82/100 composite score

Non profit - Corporation

CMS Star Ratings

Overall
4/5
Health Insp.
4/5
Quality
2/5
Staffing
4/5
RN Staffing
Not rated

Certified Beds

74

Ownership

Non profit - Corporation

Total Fines

None

Last Survey

N/A

86 TWENTY-SECOND AVENUE, MOUNDRIDGE, KS 67107
6203452901

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.63h
LPN
1.45h
CNA
4.44h
Total
6.53h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

BARTELL, CYNTHIA

IndividualCORPORATE DIRECTORSince Apr 2012

FENSKY, BRION

IndividualCORPORATE DIRECTORSince Apr 2014

GINGERICH, JODI

IndividualCORPORATE DIRECTORSince Mar 2017

MILLER, CRAIG

IndividualCORPORATE DIRECTORSince Sep 2014

ROSFELD, ERIN

IndividualCORPORATE DIRECTORSince Mar 2017

STUCKY, BRUCE

IndividualCORPORATE DIRECTORSince Mar 2017

WEDEL, DAVE

IndividualCORPORATE DIRECTORSince Apr 2013

ZERGER, RICHARD

IndividualCORPORATE DIRECTORSince Mar 2018

SHAW, SHELBY

IndividualCORPORATE OFFICERSince May 2016

SHAW, SHELBY

IndividualW-2 MANAGING EMPLOYEESince May 2016

STUCKY, JASON

IndividualW-2 MANAGING EMPLOYEESince Nov 2004

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (13)

May 6, 2025Health4 deficiencies
0757DMinimal harm, Isolated

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

Pharmacy Service Deficiencies

Corrected May 23, 2025
0812FMinimal harm, Widespread

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

Nutrition and Dietary Deficiencies

Corrected May 23, 2025
0851FMinimal harm, Widespread

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

Administration Deficiencies

Corrected May 23, 2025
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected May 23, 2025
August 31, 2023Health4 deficiencies
0661DMinimal harm, Isolated

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

Corrected Sep 15, 2023
0689DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Sep 15, 2023
0730FMinimal harm, Widespread

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

Nursing and Physician Services Deficiencies

Corrected Sep 15, 2023
0758DMinimal harm, Isolated

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

Corrected Sep 15, 2023
December 21, 2021Health5 deficiencies
0582DMinimal harm, Isolated

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

Resident Rights Deficiencies

Corrected Jan 26, 2022
0645DMinimal harm, Isolated

PASARR screening for Mental disorders or Intellectual Disabilities

Resident Assessment and Care Planning Deficiencies

Corrected Jan 26, 2022
0689DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Jan 26, 2022
0700DMinimal harm, Isolated

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

Corrected Jan 26, 2022
0758DMinimal harm, Isolated

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

Corrected Jan 26, 2022

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Frequently Asked Questions

What is the CareGrader rating for PINE VILLAGE?

PINE VILLAGE in MOUNDRIDGE, Kansas has a CareGrader grade of B (Good), with a composite score of 82.3 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for PINE VILLAGE?

PINE VILLAGE has an overall CMS star rating of 4 out of 5, a health inspection rating of 4/5, and a staffing rating of 4/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does PINE VILLAGE have?

PINE VILLAGE has 13 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

How many beds does PINE VILLAGE have?

PINE VILLAGE has 74 certified beds with approximately 65 current residents (88% occupancy). The facility is located at 86 TWENTY-SECOND AVENUE, MOUNDRIDGE, Kansas 67107. It is a non profit - corporation facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.