Pine Village
Pine Village Information
Facility Name | Pine Village |
Location | 86 Twenty-second Avenue, Moundridge, KS 67107 |
County (SSA Code) | Mcpherson (560) |
Phone Number | 620-345-2901 |
Certification(s) | Medicare and Medicaid |
Number of Beds | 74 |
Average Number of Residents | 64.5 |
CCRC Facility? | Yes |
Medicare Overall Rating | |
Survey Rating | |
Quality Rating | |
Long Stay Quality Rating | |
Short Stay Quality Rating | |
Staff Quality Rating | |
Registered Nurse Quality Rating |
Abuse Flag | Yes |
Sprinklers Installed | Yes |
Located In Hospital | No |
Resident Family Council | Resident |
Provider Business Name | MEMORIAL HOME, INC. |
Ownership Type | Non profit - Corporation |
Date First Approved | 1997-04-01 |
Reported Nurse Aide Staffing Hours per Resident per Day | 3.55049 |
Reported LPN Staffing Hours per Resident per Day | 0.93818 |
Reported RN Staffing - Hours per Resident per Day | 0.49978 |
Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.43796 |
Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.98845 |
Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.00798 |
Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 1.90212 |
Case-Mix LPN Staffing - Hours per Resident per Day | 0.63872 |
Case-Mix RN Staffing - Hours per Resident per Day | 0.29046 |
Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 2.8313 |
Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 5.61723 |
Total Weighted Health Survey Score for three cycles | 23.333 |
Rating cycle 1 Standard Survey Health Date | 2020-03-02 |
Rating cycle 1 - Health Deficiency Score | 2 |
Date of Rating cycle 2 Standard Health Survey Date | 2019-02-25 |
Date of Rating cycle 3 Standard Health Survey Date | 2017-12-05 |
Rating cycle 3 - Health Deficiency Score | 56 |
Rating cycle 3 - Total Health Inspection Score | 56 |
Number of Facility-Reported Incidents | 1 |
Number of Substantiated Complaints | 0 |
Number of Substantiated Complaints | 0 |
Number of Fines | 1 |
Total Amount of Fines (in Dollars) | 18370 |
Total Number of Penalties | 1 |
Data Filing Date | 2020-10-01 |
Page Last Updated | 2020-11-28 |