Moundridge Manor
710 N Christian Avenue, Moundridge, KS 67107 · Mcpherson County · 78 certified beds · avg 76 residents/day · certified since Dec 23, 2015
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Sep 25, 2024 · F-0689
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Oct 19, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Mar 15, 2023 · F-0689
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Apr 26, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (7)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Sep 25, 2024 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Sep 25, 2024 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Sep 25, 2024 | D · Potential for harm, one-off | The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life. |
| Mar 15, 2023 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Mar 15, 2023 | D · Potential for harm, one-off | When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care. |
| Mar 15, 2023 | D · Potential for harm, one-off | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Mar 15, 2023 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (4 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 4 | 1 | G ▲ |
| 2024 | 3 | 1 | G ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $20,295.
| Date | Type | Amount / length |
|---|---|---|
| Sep 25, 2024 | Fine | $20,295 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Kansas avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 6.94 | 4.58 | 3.95 | top 4% in Kansas; top 2% in the U.S. |
| Registered Nurse hours | 1.06 | 0.81 | 0.69 | top 20% in Kansas; top 13% in the U.S. |
| Weekend total nurse staffing | 5.78 | 4.05 | 3.50 | top 6% in Kansas; top 2% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.29 | 0.49 | 0.48 | bottom 14% in Kansas; bottom 30% in the U.S. |
| Total nursing staff turnover (%) | 19.8 | 48.1 | 45.8 | top 1% in Kansas; top 3% in the U.S. |
| RN turnover (%) | 7.7 | 42.0 | 42.9 | top 8% in Kansas; top 3% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.86, RN 0.74, weekend 4.05. Staffing rating: 5/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5
Who owns this facility
Non profit - Church related
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Church of God in Christ Mennonite | Organization | Direct Ownership Interest | NOT APPLICABLE | 01/30/2015 |
| Beacon Consulting | Organization | ADP of the SNF | NOT APPLICABLE | 04/03/2024 |
| Becker, Travis | Individual | Corporate Officer | NOT APPLICABLE | 06/06/2016 |
| Becker, Travis | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/06/2016 |
| Becker, Travis | Individual | ADP of the SNF | NOT APPLICABLE | 06/06/2016 |
| Decker, Pam | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/20/2000 |
| Dyck, Andrew | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2023 |
| Ensz Accounting | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/1999 |
| Ensz, Glen | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2015 |
| Finanical Management INC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2008 |
| Gehring, Olivia | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/11/2025 |
| Gehring, Olivia | Individual | ADP of the SNF | NOT APPLICABLE | 02/11/2025 |
| Koehn, Angela | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/30/2015 |
| Koehn, Angela | Individual | ADP of the SNF | NOT APPLICABLE | 01/30/2015 |
| Koehn, Brenton | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2017 |
| Koehn, Chad | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2025 |
| Koehn, Keith | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2021 |
| Koehn, Kelly | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2021 |
| Koehn, Michael | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/17/2022 |
| Koehn, Michael | Individual | ADP of the SNF | NOT APPLICABLE | 10/17/2022 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Could I join residents for a meal to see the food quality and temperature for myself?"
- "How do you coordinate hospice care, and can residents stay here while receiving it?"
- "What exactly do you hand off to the next provider when a resident is discharged, and how do you confirm they received it?"
- "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
- "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Pine Village | 1.4 mi | Moundridge, KS | ★★★☆☆ | 4/5 | |
| Schowalter Villa | 7.1 mi | Hesston, KS | ★★★★★ | 5/5 | |
| Bethesda Home | 9.9 mi | Goessel, KS | ★★★★★ | 5/5 | |
| Bethel Health Care Center | 12.9 mi | North Newton, KS | ★★★★★ | 5/5 | |
| Pleasant View Home | 13.8 mi | Inman, KS | ★★★☆☆ | 3/5 | |
| The Cedars | 13.9 mi | McPherson, KS | ★★★☆☆ | 4/5 | |
| Halstead Health and Rehabilitation Center | 14.7 mi | Halstead, KS | ★★★★★ | 3/5 | |
| Buhler Sunshine Home | 14.9 mi | Buhler, KS | ★★★★☆ | 4/5 | |
| Newton Presbyterian Manor | 15.1 mi | Newton, KS | ★★★☆☆ | 3/5 | |
| McPherson Operator, LLC | 15.1 mi | McPherson, KS | ★★★☆☆ | 3/5 | |
| Kansas Christian Home | 15.4 mi | Newton, KS | ★★★☆☆ | 3/5 | |
| Paramount Community Living and Rehab INC | 15.5 mi | Newton, KS | ★★★☆☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 175553.