Moundridge Manor
710 N Christian Avenue, Moundridge, KS 67107 · McPherson County · (620) 345-6364
78 certified beds, about 76 residents a day · Non profit - Church related · Medicare and Medicaid since 2015
Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 175553 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on September 25, 2024, inspectors cited 3 health deficiencies (the Kansas average is 9.5, the national average 9.2).
Of 7 health citations since August 2021, 2 were rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $20,295 in the last three years; the largest was $20,295, and the latest is dated September 25, 2024.
Nurses and nurse aides worked 4.86 hours per resident per day, against 4.07 across Kansas and 3.86 nationally. Registered nurses accounted for 0.74 of those hours.
19.8% of nursing staff left within the year CMS measured (Kansas average 48.1%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
008/21
403/23
309/24
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 7 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
4D
1E
0F
Potential for minimal harm
0A
0B
0C
September 25, 2024Standard inspection · 3 citations
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteThe facility had a census of 71 residents. The sample included 18 residents, with 12 reviewed for accidents. Based on observation, record review, and interview, the facility failed to provide adequate supervision to ensure a safe environment for Resident (R) 10, after a fall while outside alone. As a result, R10 had a second fall while outside alone resulting in abrasions and a laceration (cut) to his right palm (the underside of the hand), that required sutures (stitches) as well as right rib fractures. The facility also failed to evaluate R17 for his ability to safely handle hot liquids to identify risk and implement interventions and education to prevent accidents. Subsequently, R17 spilled his coffee and sustained multiple burns including a second-degree burn (potentially painful burn that affects the first and second layer of the skin). [...]
- E Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteThe facility had a census of 71 residents. The sample included 18 residents. Seven residents received ground meat. Based on observation, record review, and interview, the facility failed to serve palatable food during the noon meal for two of the residents in the facility who received ground meat from the facility kitchen. This placed the residents at risk for foodborne illness and decreased quality of life.
- 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.
Inspectors wroteThe facility had a census of 71 residents. The sample included 18 residents with one reviewed for hospice (a type of health care that focuses on the terminally ill patient's pain and symptoms and attending to their emotional and spiritual needs at the end of life) services. Based on observation, record review, and interview, the facility failed to ensure a coordinated plan of care, which coordinated care and services provided by the facility with the care and services provided by hospice, was developed and available for Resident (R)42. This placed the resident at risk for inappropriate end-of-life care.
March 15, 2023Standard inspection · 4 citations
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteThe facility had a census of 78 residents. The sample included 18 residents, with five reviewed for accidents. Based on observation, record review, and interviews, the facility failed to prevent an avoidable accident when staff failed to ensure Resident (R) 20 was secured in the whirlpool seat and failed to provide adequate assistance and/or supervision. As a result of the failures, R20 fell out of the whirlpool chair and sustained facial injuries which required emergency treatment and sutures (stitches.) The facility further failed to follow R31's plan of care, resulting in two falls. The deficient practice placed R31 at risk for further falls and avoidable injuries.
- D Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Inspectors wroteThe facility had a census of 78 residents. The sample included 18 residents. Based on record review and interview, the facility failed to develop a discharge summary for Resident (R)77, reviewed for discharge, that included a recapitulation (a concise summary of the resident's stay and course of treatment in the facility) of the resident's stay. This placed the resident at risk for unmet care needs.
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteThe facility had a census of 78 residents. The sample included 18 residents, with five reviewed for unnecessary medications. Based on observation, interview and record review, the facility's Consultant Pharmacist failed to identify and report to the Director of Nursing (DON), facility medical director, and physician, an inappropriate indication for R52's use of an antipsychotic medication (class of medications used to treat any major mental disorder characterized by a gross impairment in reality testing and other mental emotional conditions). This placed the resident at risk for inappropriate use of an antipsychotic medication with side effects.
- 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.
Inspectors wroteThe facility had a census of 78 residents. The sample included 18 residents, of which five residents were reviewed for unnecessary medications. Based on observation, record review and interview the facility failed to ensure an appropriate indication for the use of antipsychotic medications (class of medications used to treat psychosis [any major mental disorder characterized by a gross impairment in reality testing] and other mental illness conditions) for Resident (R)52. This placed the resident at risk for unnecessary side effects related to antipsychotic use.
August 26, 2021Standard inspection · 0 citations
Fire safety inspections
23 fire safety citations on file: 7 on September 25, 2024, 9 on March 15, 2023, 7 on August 26, 2021.
Every fire safety citation23 citations
- 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.
- F Properly select, install, inspect, or maintain portable fire extinguishes.
- F Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F Provide a written emergency evacuation plan.
- F Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
- D Have properly installed electrical wiring and gas equipment.
- D Ensure proper usage of power strips and extension cords.
- F Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F Have generator or other power source capable of supplying service within 10 seconds.
- 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.
- 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.
- D Have properly installed electrical wiring and gas equipment.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Ensure proper usage of power strips and extension cords.
- 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.
- 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.
- E Have properly installed electrical wiring and gas equipment.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| September 25, 2024 | Fine | $20,295 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Kansas | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.86 | 4.07 | 3.86 |
| Registered nurses | 0.74 | 0.71 | 0.69 |
| All nursing staff on weekends | 4.05 | 3.60 | 3.42 |
| Nurse aides | 3.53 | ||
| Licensed practical nurses | 0.59 | ||
| Nursing staff turnover (share who left in a year) | 19.8% | 48.1% | 45.8% |
| Registered nurse turnover | 7.7% | 42.0% | 42.9% |
| Administrators who left | 0 |
CMS expects 2.69 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 5.20 on weekdays and 4.05 on weekends, 22% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.89 in April to June 2025 to 4.86 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.86 | 0.74 | 5.20 | 4.05 | 0.0% | 0 of 90 | 76 |
| Oct to Dec 2025 | 4.81 | 0.73 | 5.14 | 3.96 | 0.0% | 0 of 92 | 77 |
| Jul to Sep 2025 | 4.89 | 0.73 | 5.23 | 4.03 | 0.0% | 0 of 92 | 77 |
| Apr to Jun 2025 | 4.89 | 0.72 | 5.26 | 3.99 | 0.0% | 0 of 91 | 76 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Kansas, Jan to Mar 2026 | 4.01 | 0.67 | 4.19 | 3.56 | 4.8% | 0.6% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Kansas | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 14.3 | 17.9 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.6 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.3 | 2.9 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.6 | 4.3 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 10.3 | 16.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.5 | 4.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 9.7 | 18.1 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.2 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.5 | 2.1 | 1.8 |
Owners and operators
Legal business name: MOUNDRIDGE MANOR INC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Church of God in Christ Mennonite | Direct ownership interest | Organization | 01/30/2015 | |
| Dyck, Andrew | Managing control - governing body | Individual | 01/01/2023 | |
| Ensz, Glen | Managing control - governing body | Individual | 01/01/2015 | |
| Koehn, Brenton | Managing control - governing body | Individual | 01/01/2017 | |
| Koehn, Chad | Managing control - governing body | Individual | 01/01/2025 | |
| Koehn, Keith | Managing control - governing body | Individual | 01/01/2021 | |
| Koehn, Kelly | Managing control - governing body | Individual | 01/01/2021 | |
| Koehn, Steve | Managing control - governing body | Individual | 01/01/2021 | |
| Martens, Kendall | Managing control - governing body | Individual | 01/01/2020 | |
| Smith, David | Managing control - governing body | Individual | 01/01/2021 | |
| Unruh, Greg | Managing control - governing body | Individual | 01/01/2022 | |
| Unruh, Shelby | Managing control - governing body | Individual | 01/01/2019 | |
| Wiebe, Anthony | Managing control - governing body | Individual | 01/01/2024 | |
| Wiebe, Kent | Managing control - governing body | Individual | 01/01/2024 | |
| Unruh, Kevin | Corporate director | Individual | 08/01/2014 | |
| Becker, Travis | Corporate officer | Individual | 06/06/2016 | |
| Becker, Travis | Operational/managerial control | Individual | 06/06/2016 | |
| Decker, Pam | Operational/managerial control | Individual | 11/20/2000 | |
| Gehring, Olivia | Operational/managerial control | Individual | 02/11/2025 | |
| Koehn, Angela | Operational/managerial control | Individual | 01/30/2015 | |
| Koehn, Michael | Operational/managerial control | Individual | 10/17/2022 | |
| Nightingale, Deb | Operational/managerial control | Individual | 06/28/1995 | |
| Ratzlaff, Craig | Operational/managerial control | Individual | 11/03/2020 | |
| Rhea, Carlolyn | Operational/managerial control | Individual | 10/06/1995 | |
| Schmidt, Sharon | Operational/managerial control | Individual | 10/25/1993 | |
| Unruh, Jared | Operational/managerial control | Individual | 07/25/2016 | |
| Unruh, Katie | Operational/managerial control | Individual | 08/09/2018 | |
| Unruh, Kevin | Operational/managerial control | Individual | 08/01/2014 | |
| Wadel, Autume | Operational/managerial control | Individual | 06/21/2010 | |
| Wedel, Karla | Operational/managerial control | Individual | 10/01/1992 | |
| Beacon Consulting | Adp of the SNF | Organization | 04/03/2024 | |
| Ensz Accounting | Adp of the SNF | Organization | 01/01/1999 | |
| Finanical Management Inc | Adp of the SNF | Organization | 01/01/2008 | |
| Mercy Hospital Inc | Adp of the SNF | Organization | 10/01/2024 | |
| Becker, Travis | Adp of the SNF | Individual | 06/06/2016 | |
| Gehring, Olivia | Adp of the SNF | Individual | 02/11/2025 | |
| Koehn, Angela | Adp of the SNF | Individual | 01/30/2015 | |
| Koehn, Michael | Adp of the SNF | Individual | 10/17/2022 | |
| Nightingale, Deb | Adp of the SNF | Individual | 06/28/1995 | |
| Ratzlaff, Craig | Adp of the SNF | Individual | 11/03/2020 | |
| Schmidt, Sharon | Adp of the SNF | Individual | 10/25/1993 | |
| Unruh, Kevin | Adp of the SNF | Individual | 08/01/2014 | |
| Wedel, Karla | Adp of the SNF | Individual | 10/01/1992 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on September 25, 2024: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on March 15, 2023: "Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on September 25, 2024: "Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature."
- Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 1 problem in this area, most recently on September 25, 2024: "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."
Other nursing homes nearby
- Pine Village Moundridge, 1.4 mi · 3 of 5 stars · 13 citations
- Schowalter Villa Hesston, 7.1 mi · 5 of 5 stars · 6 citations
- Bethesda Home Goessel, 9.9 mi · 5 of 5 stars · 5 citations
- Bethel Health Care Center North Newton, 12.9 mi · 5 of 5 stars · 5 citations
- Pleasant View Home Inman, 13.8 mi · 3 of 5 stars · 22 citations
- The Cedars McPherson, 13.9 mi · 3 of 5 stars · 29 citations
- Halstead Health and Rehabilitation Center Halstead, 14.7 mi · 5 of 5 stars · 31 citations
- Buhler Sunshine Home Buhler, 14.9 mi · 4 of 5 stars · 15 citations
Common questions
- What is Moundridge Manor's Medicare star rating?
- CMS rates Moundridge Manor 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Moundridge Manor get at its last inspection?
- 3 health deficiencies at the standard inspection on September 25, 2024. The Kansas average is 9.5.
- Has Moundridge Manor been fined?
- Yes. CMS lists 1 fine totaling $20,295 in the last three years.
- Does Moundridge Manor accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Moundridge Manor?
- CMS lists 43 owners and managers. Legal business name: MOUNDRIDGE MANOR INC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.