C
PINE VILLAGE
53/100 score
0.42 hrs RN staffing
4 deficiencies
MOUNDRIDGE MANOR
710 N CHRISTIAN AVENUE, MOUNDRIDGE, KS 67107
- Provider number (CCN)
- 175553
- Certification
- Medicare and Medicaid
- Ownership
- Non profit - Church related
- Certified beds
- 78
- Phone
- (620) 345-6364
- CMS data as of
- August 1, 2026
A
●
stable
Staffing 0% · Deficiencies 0% over tracking period
What the records show
CMS rates MOUNDRIDGE MANOR 5 out of 5 stars overall, with 4 of 5 for health inspections, 5 of 5 for staffing, 5 of 5 for quality measures. Federal inspectors cited 7 health deficiencies across the last three survey cycles, most recently surveyed in 2024, 2 at actual-harm level or higher. CMS enforcement records list 1 fine totalling $20,295.
Facility Assessment
Inspectors recorded 2 citations at the actual-harm level or worse in the last three survey cycles.
Reviews, Ratings and Official Records
This page reviews MOUNDRIDGE MANOR using federal government records — CMS star ratings, health-inspection findings, staffing data and enforcement actions. NursingHomeGrade does not collect, host or publish resident or family testimonials, and no star rating below is a consumer review score.
At or above the 2024 benchmark — review the inspection and enforcement records below for the safety history behind the grade.
Ratings and Grade Breakdown
|
RN Staffing
Registered nurse time each resident receives daily. 2024 federal benchmark: 0.55 hrs. Repealed February 2026.
|
0.74 — At or above the repealed 0.55 hr benchmark |
The 0.55 hour RN standard was repealed effective February 2, 2026 and is not currently enforced. We still grade against it. Why |
|
|
Health Deficiencies (last 3 survey cycles)
Violations found during federal inspections, with how many remain open and how many involved actual harm.
|
Total
7
Outstanding
0
Actual harm or worse (G–L)
2
|
|
CMS Ratings
Federal five-star ratings published by CMS. These are regulatory ratings, not consumer review scores.
|
Overall: ★★★★★ (5/5)
Health inspection: ★★★★☆ (4/5)
Quality: ★★★★★ (5/5)
Staffing: ★★★★★ (5/5)
|
|
NursingHomeGrade Score
|
86/100 |
Loaded into NursingHomeGrade on September 5, 2026. This is the load date, not the date CMS published the underlying survey data — see release dates.
CMS scores each facility from one to five stars — one is in the bottom fifth of facilities in its state on health inspections, five is in the top tenth. Our own A–F grade is a separate 0–100 score built from staffing hours, inspection citations, and the severity and correction status of those citations, weighted as described in our grading methodology.
Staffing Compared With State and National Levels
| This facility | 0.74 hrs |
|---|---|
| KS median | 0.64 hrs |
| National average | 0.69 hrs |
Registered nurse turnover: 7.7% · Total nursing staff turnover: 19.8%
Staffing figures are the values CMS published in its file processed August 1, 2026, drawn from payroll-based journal reporting.
Inspection Records Covered
- Most recent standard health survey: September 25, 2024.
- Citations shown below span 2 recorded inspection cycles.
- Survey dates on file range from March 15, 2023 to September 25, 2024.
Source records: CMS Care Compare profile for provider 175553 ↗ · the federal files we load and when.
Inspection Deficiencies
Health inspections identify violations of federal standards. Severity ranges from no actual harm (A–F) to immediate jeopardy (J–L).
2 actual harm issues found among 7 total deficiencies. 7 corrected.
Most recent inspection (September 25, 2024)
D
Potential harm — isolated
F0849
Status: Corrected
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Administration Deficiencies — Deficient, Provider has date of correction, corrected October 19, 2024
E
Potential harm — pattern
F0804
Status: Corrected
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies — Deficient, Provider has date of correction, corrected October 19, 2024
G
Actual harm — isolated
F0689
Status: Corrected
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected October 19, 2024
Inspection cycle 2 (March 15, 2023)
D
Potential harm — isolated
F0756
Status: Corrected
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies — Deficient, Provider has date of correction, corrected April 26, 2023
D
Potential harm — isolated
F0758
Status: Corrected
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 — Deficient, Provider has date of correction, corrected April 26, 2023
G
Actual harm — isolated
F0689
Status: Corrected
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected April 26, 2023
D
Potential harm — isolated
F0661
Status: Corrected
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 — Deficient, Provider has date of correction, corrected April 26, 2023
Fines and Enforcement Actions
Penalties CMS has imposed on this facility. A fine is a civil money penalty; a payment denial suspends Medicare or Medicaid payment for new admissions.
| Date | Action | Amount or length |
|---|---|---|
| September 25, 2024 | Fine | $20,295 |
1 fine totalling $20,295.
Source: CMS Penalties file (dataset g6vv-u9sr).
Ownership and Contact Information
- Facility name
- MOUNDRIDGE MANOR
- Legal business name
- MOUNDRIDGE MANOR INC
- Address
- 710 N CHRISTIAN AVENUE, MOUNDRIDGE, KS 67107
- Phone
- (620) 345-6364
- Provider number (CCN)
- 175553
- Ownership type
- Non profit - Church related
- Medicare/Medicaid certified since
- December 23, 2015
- Official record
- CMS Care Compare profile ↗
- Details verified against CMS data dated
- August 1, 2026
The federal nursing-home files publish no email address for certified facilities, so none is listed here. We do not guess or construct contact addresses. Contact details above are reproduced from CMS Provider Information; call the facility to confirm before relying on them.
How We Stay Independent
NursingHomeGrade is strictly independent. We do not accept payments from facilities. Our grades are calculated solely from federal CMS datasets.
Learn about our data methodology →Nearby facilities in MOUNDRIDGE
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Sources and Methodology
- CMS Provider Information (file processed August 1, 2026) — ratings, staffing, ownership, certification and contact details. Dataset 4pq5-n9py ↗
- CMS Health Deficiencies — inspection citations, scope and severity, correction status. Dataset r5ix-sfxw ↗
- CMS Penalties — fines and payment denials with the dates CMS recorded them. Dataset g6vv-u9sr ↗
- CMS Ownership — owning and managing organisations. Dataset y2hd-n93e ↗
The NursingHomeGrade score is our own calculation from these federal files — it is not a CMS rating and not a consumer review score. See exactly how the score is calculated · full methodology · source files and load dates.
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