Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Pine Village during CMS and state inspections, most recent first.
Surveyors found that food items in the kitchen freezer were left exposed due to torn packaging, and bags of shredded vegetables in the refrigerator were not labeled or dated. Dietary staff confirmed that food should be covered, labeled, and dated before storage, in accordance with facility policy.
The facility did not submit complete and accurate RN staffing data through the PBJ system, resulting in reported gaps in RN coverage for several days, even though records showed that RN staff were present. Administrative staff cited difficulties with the submission process and uncertainty about manual data entry for the affected period.
Laundry staff sorted soiled laundry using only gloves and did not consistently use clothing barriers unless visible soilage was present. This practice was contrary to facility policy, which requires both gloves and clothing barriers when handling potentially contaminated laundry, as confirmed by an administrative nurse.
A resident with dementia, anxiety, edema, and hypertension received atenolol for hypertension even when blood pressure readings were outside the physician-ordered parameters. Staff interviews confirmed that the medication should have been held and that the process for notifying a nurse was not followed, resulting in administration of unnecessary medication.
Improper Food Storage and Labeling in Kitchen
Penalty
Summary
Surveyors observed that food items in the facility's kitchen were not stored according to professional standards for food service safety. Specifically, several cardboard boxes in the upright freezer had torn plastic, leaving corn dogs, beef burger patties, and chicken patties exposed to air. Additionally, the walk-in refrigerator contained unlabeled and undated plastic bags of shredded radishes and carrots. Dietary staff confirmed these findings, acknowledging that food should be covered, labeled, and dated before storage, as required by the facility's Food Storage Policy. These actions and inactions resulted in a failure to properly store food, as outlined in facility policy and professional standards.
Failure to Accurately Submit RN Staffing Data in PBJ
Penalty
Summary
The facility failed to submit complete and accurate direct care staffing information through the Payroll-Based Journal (PBJ) system as required by CMS. Specifically, the PBJ report for Fiscal Year 2024 Quarter 1 indicated no Registered Nurse (RN) hours for several days in October and November, despite a review of facility records showing that RN coverage was present on those days. Administrative staff acknowledged issues with the PBJ submission process, including possible errors in pulling over salaried staff data and uncertainty regarding manual data entry for the affected quarter. The facility's policy required timely and accurate electronic submission of staffing information, including agency and contract staff, but this was not achieved for the period in question.
Failure to Use Proper Barriers During Soiled Laundry Sorting
Penalty
Summary
The facility failed to ensure that appropriate barriers were used by laundry staff while sorting soiled laundry. During an observation in the laundry department, it was noted that staff sorted soiled laundry using only gloves, and only donned a gown if there was obvious visible soilage. A staff member acknowledged not considering the risk of transferring soiled or potentially infectious laundry to clean laundry. The facility's policy requires that all previously worn clothing and used linens be considered potentially contaminated and handled with standard precautions, including the use of clothing barriers and gloves. This deficiency was confirmed by an administrative nurse who verified that laundry staff should wear both a clothing barrier and gloves when sorting soiled laundry.
Failure to Hold Blood Pressure Medication per Physician Parameters
Penalty
Summary
Staff failed to follow physician-ordered parameters for administering blood pressure medication to a resident with multiple diagnoses, including dementia, anxiety, edema, and hypertension. The physician's order specified that atenolol should be held if the resident's systolic blood pressure was less than 110 mmHg or diastolic blood pressure was less than 60 mmHg. Despite these clear instructions, the Medication Administration Record showed that the resident received atenolol on several occasions when blood pressure readings were outside the ordered parameters. Interviews with staff confirmed that the medication should have been held when blood pressure readings were out of range, and that the Certified Medication Aide was expected to notify a nurse in such cases. The facility's policy required staff to check vital signs and follow medication guidelines as ordered. However, these procedures were not followed, resulting in the resident receiving unnecessary medication contrary to physician orders.
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What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Moundridge
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Moundridge Manor | 1.4 mi | — | 0 | 0 |
| Schowalter Villa | 6.2 mi | — | 0 | 0 |
| Bethesda Home | 10.3 mi | — | 0 | 0 |
| Bethel Health Care Center | 12 mi | — | 0 | 0 |
| Halstead Health And Rehabilitation Center | 13.3 mi | — | 17 | 1 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.