Pine Village – Moundridge, KS

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At a Glance
The Pine Village located at 86 Twenty-Second Avenue, Moundridge, KS 67107, with telephone number (620) 345-2901, is a Non profit – Corporation facility with 74 certified beds. It has an average of 71 residents per day and is classified under Medicare and Medicaid. The legal business name is Memorial Home, Inc..

This facility was first approved to provide Medicare and Medicaid services on 04/01/1997. It does not belong to a continuing care retirement community. The affiliated entity name is not listed. This facility has No Family Council.

The overall rating is 5 stars, with a health inspection rating of 5 stars, a quality measures rating of 4 stars, a long-stay QM rating of 4 stars, a short-stay QM rating of 3 stars, and a staffing rating of 4 stars.

The reported total nurse staffing hours per resident per day is 5 hours and 10 minutes, nurse aide staffing hours is 3 hours and 33 minutes, LPN staffing hours is 1 hour and 7 minutes, RN staffing hours is 30 minutes, and licensed staffing hours is 1 hour and 37 minutes. On weekends, total nurse staff hours per resident per day is 4 hours and 20 minutes, and registered nurse hours per resident per day is 15 minutes. Physical therapist staffing hours per resident per day are 1 minute.

The facility has reported 0 facility-related incidents, 0 substantiated complaints, no citations from infection control inspections, and 5 fines, with the total amount of fines in dollars being $6,627. The number of payment denials is 0, and the total number of penalties is 5.

Pine Village Map

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Contact Details
Pine Village Phone (620) 345-2901
Pine Village Address 86 Twenty-Second Avenue
City Moundridge
State KS
ZIP Code 67107
County Mcpherson
Ratings
Overall Rating
Health Inspection Rating
QM Rating
Long-Stay QM Rating
Short-Stay QM Rating
Staffing Rating
Facility Information
Number of Certified Beds 74
Average Number of Residents per Day 71
Legal Business Name Memorial Home, Inc.
Affiliated Entity Name
Ownership Type Non profit – Corporation
Provider Type Medicare and Medicaid
Provider Resides in Hospital No
Legal Business Name MEMORIAL HOME, INC.
Date First Approved to Provide Medicare and Medicaid Services 4/1/1997
Affiliated Entity Name
Continuing Care Retirement Community Yes
Most Recent Health Inspection More Than 2 Years Ago No
Provider Changed Ownership in Last 12 Months No
With a Resident and Family Council Both
Automatic Sprinkler Systems in All Required Areas Yes
Hours Per Resident
Reported Total Nurse Staffing Hours per Resident per Day 5 hours 10 minutes
Reported Nurse Aide Staffing Hours per Resident per Day 3 hours 33 minutes
Reported LPN Staffing Hours per Resident per Day 1 hour 7 minutes
Reported RN Staffing Hours per Resident per Day
Reported Licensed Staffing Hours per Resident per Day 1 hour 37 minutes
Total number of nurse staff hours per resident per day on the weekend 4 hours 20 minutes
Registered Nurse hours per resident per day on the weekend 15 minutes
Reported Physical Therapist Staffing Hours per Resident Per Day 37 seconds
Incidents
Number of Facility Reported Incidents 0
Number of Substantiated Complaints 0
Number of Citations from Infection Control Inspections
Number of Fines 5
Total Amount of Fines in Dollars $6,627
Number of Payment Denials 0
Total Number of Penalties 5
10 Nursing Homes Nearby

Data is based on CMS Nursing homes including rehab services dataset. Processing Date: 11/1/2024.

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