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CMS Nursing Home Compare · March 2026

Moundridge Manor

710 N Christian Avenue, Moundridge, KS 67107

Moundridge Manor, a 78-bed non profit - church related nursing facility in Moundridge, KS, holds a 5-star CMS overall rating - well above the 3.0-star national average, with nurse staffing above the national norm. 3 inspection findings reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 6203456364

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5 / 5
Much above average · CMS overall · nat'l 3.0
4.89
Well above average · nurse hrs/day · nat'l 3.89
8
Inspection findings · 3 serious
$20K
Federal penalties (1)

Health Inspection

4/5

Staffing

5/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
175553
Ownership
Non profit - Church related
Provider Type
Medicare and Medicaid
Beds
78
Residents
77
In Hospital
No
County
Mcpherson
Last Inspection
Sep 25, 2024

Staffing Data

How the 4.89 total nursing hours per resident-day are staffed:

RN Hours
0.73 (nat'l avg: 0.68)
LPN Hours
0.61
CNA Hours
3.55
Total Nursing Hours
4.89 (nat'l avg: 3.89)
PT Hours
0.02
Nursing Turnover
20.2%
RN Turnover
8.3%

What the CMS Record Reveals About Moundridge Manor

Moundridge Manor operates 78 certified beds in Moundridge, KS with approximately 77 residents currently in care, and carries a CMS overall rating of 5 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (4★), staffing levels (5★), and quality measures (5★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 8 deficiency records from recent surveys, of which 3 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $20K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 4.89 total nursing hours per resident day (national average 3.89), with RN coverage at 0.73 per resident day, the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "Non profit - Church related" ownership and operating as a "Medicare and Medicaid" provider, Moundridge Manor falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 20.2%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (8 most recent)

D - Isolated - Minimal harm Sep 25, 2024 Tag: 0849

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.

Category: Administration Deficiencies

Corrected: Oct 19, 2024

E - Pattern - Minimal harm Sep 25, 2024 Tag: 0804

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

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 19, 2024

G - Isolated - Actual harm Sep 25, 2024 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Oct 19, 2024

J - Isolated - Jeopardy Apr 18, 2023 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Apr 10, 2023

D - Isolated - Minimal harm Mar 15, 2023 Tag: 0758

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.

Category: Pharmacy Service Deficiencies

Corrected: Apr 26, 2023

D - Isolated - Minimal harm Mar 15, 2023 Tag: 0756

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category: Pharmacy Service Deficiencies

Corrected: Apr 26, 2023

G - Isolated - Actual harm Mar 15, 2023 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Apr 26, 2023

D - Isolated - Minimal harm Mar 15, 2023 Tag: 0661

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 26, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 14.6% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.4% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.3% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 3.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 9.8% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 4.2% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 9.2% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay N/A Yes
Percentage of long-stay residents who lose too much weight Long Stay 1.8% No
Percentage of long-stay residents who have depressive symptoms Long Stay 7.9% No
Percentage of long-stay residents who were physically restrained Long Stay 1.3% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 98.0% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 30.9% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 97.4% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 16.5% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 77.1% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay N/A No

Penalty History 1 penalties totaling $20K

Date Type Amount
Sep 25, 2024 Fine $20K
Mar 15, 2023 Fine $7K
Mar 15, 2023 Fine $18K
Mar 15, 2023 Payment Denial -

Frequently Asked Questions

What is the overall CMS rating for Moundridge Manor?
Moundridge Manor has an overall CMS rating of 5 out of 5 stars. This rating combines health inspection results (4★), staffing levels (5★), and quality measures (5★).
What are the staffing levels at Moundridge Manor?
Moundridge Manor reports 4.89 total nursing hours per resident day (national average: 3.89). RN hours are 0.73 per resident day (national average: 0.68). Nursing staff turnover is 20.2%.
How many beds does Moundridge Manor have?
Moundridge Manor has 78 certified beds with approximately 77 residents. The facility is located at 710 N Christian Avenue, Moundridge, KS 67107.
Does Moundridge Manor have any deficiencies on record?
Yes, Moundridge Manor has 8 deficiencies on record from recent inspections. Of these, 3 are classified as causing actual harm or jeopardy.
Has Moundridge Manor received any fines or penalties?
Yes, Moundridge Manor has received 1 penalties totaling $20K.
Who owns Moundridge Manor?
Moundridge Manor is classified as "Non profit - Church related" ownership. The facility type is "Medicare and Medicaid".
When was Moundridge Manor last inspected?
The most recent health inspection for Moundridge Manor was on Sep 25, 2024. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for Moundridge Manor?
Moundridge Manor is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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