Contact Information

PINE VILLAGE
MEMORIAL HOME, INC.
86 TWENTY-SECOND AVENUE
MOUNDRIDGE, KS 67107
(620) 345-2901
Non profit - Corporation
Medicare certification date2: April 01, 1997
The is the date the nursing home was certified to participate in the Medicare program.

1 Nursing homes can be run by private for-profit corporations, non-profit corporations, religious affiliated organizations or government entities.

2 Agencies that are Medicare Certified are able to participate in Medicare related programs.


Nursing Home Information

  69 residents

  74 certified beds

  Participates in Medicare and Medicaid

  Continuing Care Retirement Community

  In hospital

  Resident and Family Council

  Automatic sprinklers in all required areas

Quality rating
Health inspection rating
Staffing rating
Substantiated complaints None
Facility reported incidents 1
Number of fines None
Number of penalties None
Number of payment denials None

Staffing

Staffing for 69 residents Kansas Average National Average
Hours by Registered Nurse (RN) per resident per day 29 minutes 43 minutes 41 minutes
Hours by Licensed Practial Nurse (LPN & LVN) per resident per day 1 hour, 5 minutes 41 minutes 53 minutes
Hours by Certified Nursing Assistant (CNA) per resident per day 3 hours, 26 minutes 2 hours, 38 minutes 2 hours, 20 minutes
Physical therapy (PT) staff hours per resident per day 1 minute 5 minutes 7 minutes

Staffing hours per resident is the total number of hours worked by the staff divided by the total number of residents. It doesn't necessarily show the number of nursing staff present at any given time or the amount of care given to any one resident.

Ownership

DIRECTOR

  • AUERNHEIMER, RON
  • BARTELL, CYNTHIA
  • FENSKY, BRION
  • HUXMAN, JAMES
  • MILLER, CRAIG
  • NEUFELD, KEN
  • PREHEIM, KEN
  • STUCKY, BEN
  • STUCKY, RANDY
  • SUGARS, KOLENE
  • WEDEL, DAVE

MANAGING EMPLOYEE

  • HUXMAN, JAMES
  • STUCKY, JASON

Nursing Home Report

In 2016, PINE VILLAGE charged a total of $796,465 for 56 Medicare Beneficiaries. The average age of residents at this skilled nursing facility is about 85.

The report covers only calendar year 2016.

Chronic Condition of Residents
Atrial Fibrillation 34% Alzheimer's 55%
Asthma 23% Cancer 25%
Congestive Heart Failure 43% Kidney Disease 36%
COPD 23% Depression 52%
Diabetes 32% Hyperlipidemia 55%
Hypertension n/a Ischemic Heart Disease 55%
Osteoporosis 25% RA / OA 66%
Schizophrenia 9% Stroke 20%
Demographics
Medicare Beneficiaries 56 Average Age 85
Male 25 Female 31
White 54
Black 0
Asian 0
Hispanic n/a
American Indian n/a
Other 0

Health & Fire Inspection

Most recent health inspection: Dec 05, 2017; fire safety inspection: May 10, 2017

Health Deficiencies as of 12/05/2017
Freedom from Abuse, Neglect, and Exploitation 1
Quality of Life and Care 1
Resident Assessment and Care Planning 2
Nursing and Physician Services None
Resident Rights None
Nutrition and Dietary Deficiencies 1
Pharmacy Service 1
Environmental Deficiencies None
Administration Deficiencies None
Fire Deficiencies as of 05/10/2017
Emergency Preparedness None
Automatic Sprinkler Systems None
Construction Deficiencies None
Services Deficiencies None
Corridor Walls and Doors None
Egress Deficiencies None
Electrical Deficiencies None
Emergency Plans and Fire Drills None
Fire Alarm Systems None
Smoke Deficiencies None
Interior Deficiencies None
Gas, Vacuum, and Electrical Systems None
Hazardous Area None
Illumination and Emergency Power None
Laboratories Deficiencies None
Medical Gases and Anesthetizing Areas None
Smoking Regulations None
Miscellaneous Regulations None

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See also