B83

MOUNDRIDGE MANOR

Grade B 83/100 composite score

Non profit - Church related

CMS Star Ratings

Overall
5/5
Health Insp.
4/5
Quality
5/5
Staffing
5/5
RN Staffing
Not rated

Certified Beds

78

Ownership

Non profit - Church related

Total Fines

$45,993

Last Survey

N/A

710 N CHRISTIAN AVENUE, MOUNDRIDGE, KS 67107
6203456364

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
1.03h
LPN
0.85h
CNA
4.96h
Total
6.84h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

CHURCH OF GOD IN CHRIST MENNONITE

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Jan 2015

100%

BECKER, TRAVIS

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jun 2016

DECKER, PAM

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Nov 2000

GEHRING, OLIVIA

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Feb 2025

KOEHN, ANGELA

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jan 2015

KOEHN, MICHAEL

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Oct 2022

NIGHTINGALE, DEB

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jun 1995

RATZLAFF, CRAIG

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Nov 2020

RHEA, CARLOLYN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Oct 1995

SCHMIDT, SHARON

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Oct 1993

UNRUH, JARED

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jul 2016

UNRUH, KATIE

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Aug 2018

UNRUH, KEVIN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Aug 2014

WADEL, AUTUME

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jun 2010

WEDEL, KARLA

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Oct 1992

UNRUH, KEVIN

IndividualCORPORATE DIRECTORSince Aug 2014

BECKER, TRAVIS

IndividualCORPORATE OFFICERSince Jun 2016

Penalties & Fines (4)

$45,993total fines
DateTypeDescriptionAmount
Sep 25, 2024Fine$20,295
Mar 15, 2023Fine$7,446
Mar 15, 2023Fine$18,252
Mar 15, 2023Payment Denial

Health Inspection Deficiencies (8)

September 25, 2024Health3 deficiencies1 severe
0689GActual harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Oct 19, 2024
0804EMinimal harm, Pattern

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Nutrition and Dietary Deficiencies

Corrected Oct 19, 2024
0849DMinimal harm, Isolated

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

Corrected Oct 19, 2024
April 18, 2023Health1 deficiency1 severe
0689JImmediate jeopardy, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Apr 10, 2023
March 15, 2023Health4 deficiencies1 severe
0661DMinimal harm, Isolated

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

Corrected Apr 26, 2023
0689GActual harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Apr 26, 2023
0756DMinimal harm, Isolated

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

Corrected Apr 26, 2023
0758DMinimal harm, Isolated

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

Corrected Apr 26, 2023

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Frequently Asked Questions

What is the CareGrader rating for MOUNDRIDGE MANOR?

MOUNDRIDGE MANOR in MOUNDRIDGE, Kansas has a CareGrader grade of B (Good), with a composite score of 82.5 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for MOUNDRIDGE MANOR?

MOUNDRIDGE MANOR has an overall CMS star rating of 5 out of 5, a health inspection rating of 4/5, and a staffing rating of 5/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does MOUNDRIDGE MANOR have?

MOUNDRIDGE MANOR has 8 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has MOUNDRIDGE MANOR been fined?

Yes. MOUNDRIDGE MANOR has $45,993 in total fines from CMS enforcement actions across 4 penalties.

How many beds does MOUNDRIDGE MANOR have?

MOUNDRIDGE MANOR has 78 certified beds with approximately 76 current residents (97% occupancy). The facility is located at 710 N CHRISTIAN AVENUE, MOUNDRIDGE, Kansas 67107. It is a non profit - church related facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.