Federal inspection record · CMS data as of October 1, 2026
Moundridge Manor
710 N Christian Avenue, Moundridge, KS · (620) 345-6364
- Certified beds
- 78
- Residents per day
- 76
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- December 23, 2015
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Kansas.
-
Staffing
★★★★★+1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change (already 5)
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Kansas homes
Moundridge Manor carries 32 inspection points. That is fewer than 86% of Kansas's 293 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Kansas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–27 pts
- 4★ 27–49 pts
- 3★ 49–71 pts
- 2★ 71–114.38 pts
- 1★ over 114.38 pts
Bars show every rated home in Kansas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
7 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (2)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Pharmacy Service2D
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
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.
Nutrition and Dietary1E
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Administration1D
- D
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.
Resident Assessment and Care Planning1D
- D
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Inspection history
2024-09-25
3 health deficiencies · 7 fire-safety deficiencies
Top issue: Administration (1 deficiency)
2023-03-15
4 health deficiencies · 9 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2021-08-26
0 health deficiencies · 7 fire-safety deficiencies
No concentrated health issue counts in this cycle.
4
Nursing time per resident, per day
Each resident here gets about 4 h 53 min of nursing staff time a day, 45 min of it from a registered nurse.
This home
4 h 53 min
Kansas average
4 h 8 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 25% of nursing staff and 14% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$20,295 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-09-25 | Fine | $20,295 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.5 pts better | 1.2 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.7 pts better | 1.3 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.5 pts better | 94.4% | 92.9% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.8 pts better | 98.7% | 94.9% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.6 pts better | 2.6% | 4.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.8 pts better | 3.8% | 6.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.4 pts better | 1.4% | 4.8% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4.3 pts worse | 27.7% | 23.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication8.1 pts better | 9.6% | 17.7% | 15.4% |
| Percentage of long-stay residents who were physically restrained1.3 pts worse | 1.3% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened6.4 pts better | 8.1% | 14.5% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.8 pts better | 14.6% | 17.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.4 pts better | 0.0% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.5 pts better | 0.3% | 2.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.9 pts better | 15.7% | 21.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.4 pts better | 1.0% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine6.8 pts better | 83.9% | 77.1% | 82.3% |
·
Who owns and runs it
43 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Beacon Consulting | Adp Of The SNF · Organization | 0% | 1 facilities |
| Becker, Travis | Corporate Officer · Individual | 0% | 1 facilities |
| Becker, Travis | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Becker, Travis | Adp Of The SNF · Individual | 0% | 1 facilities |
| Church Of God In Christ Mennonite | Direct Ownership Interest · Organization | 0% | 1 facilities |
| Decker, Pam | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Dyck, Andrew | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Ensz Accounting | Adp Of The SNF · Organization | 0% | 1 facilities |
| Ensz, Glen | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Finanical Management Inc | Adp Of The SNF · Organization | 0% | 5 facilities |
| Gehring, Olivia | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Gehring, Olivia | Adp Of The SNF · Individual | 0% | 1 facilities |
| Koehn, Angela | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Koehn, Angela | Adp Of The SNF · Individual | 0% | 1 facilities |
| Koehn, Brenton | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Koehn, Chad | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Koehn, Keith | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Koehn, Kelly | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Koehn, Michael | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Koehn, Michael | Adp Of The SNF · Individual | 0% | 1 facilities |
| Koehn, Steve | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Martens, Kendall | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Mercy Hospital Inc | Adp Of The SNF · Organization | 0% | 1 facilities |
| Nightingale, Deb | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Nightingale, Deb | Adp Of The SNF · Individual | 0% | 1 facilities |
| Ratzlaff, Craig | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Ratzlaff, Craig | Adp Of The SNF · Individual | 0% | 1 facilities |
| Rhea, Carlolyn | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Schmidt, Sharon | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Schmidt, Sharon | Adp Of The SNF · Individual | 0% | 1 facilities |
| Smith, David | Managing Control - Governing Body · Individual | 0% | 11 facilities |
| Unruh, Greg | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Unruh, Jared | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Unruh, Katie | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Unruh, Kevin | Corporate Director · Individual | 0% | 1 facilities |
| Unruh, Kevin | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Unruh, Kevin | Adp Of The SNF · Individual | 0% | 1 facilities |
| Unruh, Shelby | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Wadel, Autume | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Wedel, Karla | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Wedel, Karla | Adp Of The SNF · Individual | 0% | 1 facilities |
| Wiebe, Anthony | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Wiebe, Kent | Managing Control - Governing Body · Individual | 0% | 1 facilities |
·
Fire safety
23 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke10F
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Provide properly protected cooking facilities.
- E
Have properly installed hallway dispensers for alcohol-based hand rub.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Install corridor and hallway doors that block smoke.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
Gas, Vacuum, and Electrical Systems6F
- F
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
- D
Ensure proper usage of power strips and extension cords.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- E
Ensure proper usage of power strips and extension cords.
- F
Ensure proper usage of power strips and extension cords.
Services4F
- D
Have properly installed electrical wiring and gas equipment.
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D
Have properly installed electrical wiring and gas equipment.
- E
Have properly installed electrical wiring and gas equipment.
Egress2F
- F
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.
- E
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.
Miscellaneous1F
- F
Provide a written emergency evacuation plan.
·
Other homes nearby
-
Pine Village
Moundridge, KS
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 5 h 9 min
- Fines
- $0
-
Schowalter Villa
Hesston, KS
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 5 h 8 min
- Fines
- $0
-
Bethesda Home
Goessel, KS
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 26 min
- Fines
- $0