Nursing homeActive

Pine Village

86 Twenty-Second Avenue, Moundridge, KS 67107620345290174 certified beds · 66 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
3
since 2021
Deficiencies
13
0130
Penalties · 3 yrs
none on file
Last survey
2025-05-06
Standard
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 4
Staffing 4
Quality 1
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Kansas Department for Aging and Disability Services · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2025-05-06Standard040CMS-2567 (Care Compare)
2023-08-31Standard040CMS-2567 (Care Compare)
2021-12-21Standard050CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Kansas Department for Aging and Disability Services publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2025-05-06Standard survey · 4 deficienciesOfficial report
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-23Record 175414-20250506-F757
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-05-23Record 175414-20250506-F812
F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-05-23Record 175414-20250506-F851
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-05-23Record 175414-20250506-F880
2023-08-31Standard survey · 4 deficienciesOfficial report
F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-15Record 175414-20230831-F661
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-15Record 175414-20230831-F689
F730Observe each nurse aide's job performance and give regular training.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-09-15Record 175414-20230831-F730
F758Implement 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-15Record 175414-20230831-F758
2021-12-21Standard survey · 5 deficienciesOfficial report
F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-01-26Record 175414-20211221-F582
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-01-26Record 175414-20211221-F645
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-01-26Record 175414-20211221-F689
F700Try 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-01-26Record 175414-20211221-F700
F758Implement 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-01-26Record 175414-20211221-F758

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.42
Facility
Kansas
National
Kansas 0.71 · National 0.69
Total nurse hours per resident day5.07
Facility
Kansas
National
Kansas 4.07 · National 3.86
Weekend total nurse hours4.55
Facility
Kansas
National
Kansas 3.60 · National 3.42
Total nursing staff turnover55%
Facility
Kansas
National
Kansas 48% · National 46%
Registered nurse turnover38%
Facility
Kansas
National
Kansas 42% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityKansasNational
Percentage of long-stay residents with pressure ulcers
lower is better
2.3%4.4%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
9.5%4.3%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
12.1%18.1%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
4.1%2.9%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.0%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
36.7%17.9%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
1.4%4.9%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
11.3%23.2%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Memorial Home, Inc.
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST100%
Stucky, Jason
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Durst, Michelle
Individual
CORPORATE DIRECTORNOT APPLICABLE
Elmore, Heather
Individual
CORPORATE OFFICERNOT APPLICABLE
Elmore, Heather
Individual
ADP OF THE SNFNOT APPLICABLE
Goering, Linda
Individual
CORPORATE DIRECTORNOT APPLICABLE
Guhr, Leon
Individual
CORPORATE DIRECTORNOT APPLICABLE
Loganbill, Larry
Individual
CORPORATE DIRECTORNOT APPLICABLE
Nuzum, Sara
Individual
CORPORATE DIRECTORNOT APPLICABLE
Rempel, Theodore
Individual
CORPORATE DIRECTORNOT APPLICABLE
Rosfeld, Erin
Individual
CORPORATE DIRECTORNOT APPLICABLE
Stucky, Jason
Individual
CORPORATE OFFICERNOT APPLICABLE
Stucky, Mark
Individual
CORPORATE DIRECTORNOT APPLICABLE

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Kansas.

No county cost figures on file for Mcpherson.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Moundridge Manor
Moundridge
1.4 mi2024-09-25021
Schowalter Villa
Hesston
6.2 mi2024-11-07060
Bethesda Home
Goessel
10.3 mi2025-06-23020
Halstead Health And Rehabilitation Center
Halstead
13.3 mi2026-04-152192
Bethel Health Care Center
North Newton
12.0 mi2024-12-18020
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01