Kansas ›Garden City

Ranch House Senior Living LLC

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2900 Campus Drive, Garden City, KS 67846 (opens Google Maps) · Finney County · (620) 371-4700· 60 certified beds · avg 37 residents/day · certified since Dec 16, 2018 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

Part of chain: MIDWEST HEALTH (11 facilities, chain avg rating 3.9★)

4/5
Health inspection rating (on-site)
inspected Apr 17, 2025
1
Serious findings on record
most recent Jul 31, 2023
$0
Fines, last 3 years
4.87
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5 · how star ratings work →

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 quality measures from resident assessments and claims.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, isolated · Jul 31, 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): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Aug 21, 2023 (Deficient, Provider has date of correction)

Inspection findings in the public record

Showing the latest 3 of 23 inspection findings. Open the full record below to read every finding.

  1. D · Potential for more than minimal harm, isolated

    The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint F-0677

  2. D · Potential for more than minimal harm, isolated

    The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint F-0686

  3. D · Potential for more than minimal harm, isolated

    The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint F-0689

View all 23 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
Apr 17, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint · F-0677
Apr 17, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint · F-0686
Apr 17, 2025D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Apr 17, 2025D · Potential for more than minimal harm, isolatedThe facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. · from a complaint · F-0757
Apr 17, 2025D · Potential for more than minimal harm, isolatedThe 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. · from a complaint · F-0758
Jun 24, 2024D · Potential for more than minimal harm, isolatedThe facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint · F-0602
Jul 31, 2023▲ G · Actual harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Jul 31, 2023F · Potential for more than minimal harm, widespreadThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Jul 31, 2023F · Potential for more than minimal harm, widespreadThe facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months. · F-0868
Jul 31, 2023F · Potential for more than minimal harm, widespreadThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880
Jul 31, 2023F · Potential for more than minimal harm, widespreadThe facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention. · F-0947
Jul 31, 2023E · Potential for more than minimal harm, patternThe 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. · F-0756
Jul 31, 2023D · Potential for more than minimal harm, isolatedThe facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. · F-0625
Jul 31, 2023D · Potential for more than minimal harm, isolatedThe facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656
Jul 31, 2023D · Potential for more than minimal harm, isolatedThe facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · F-0686
Jul 31, 2023D · Potential for more than minimal harm, isolatedThe facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. · F-0757
Jul 31, 2023D · Potential for more than minimal harm, isolatedThe facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. · F-0881
Oct 28, 2021F · Potential for more than minimal harm, widespreadThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Oct 28, 2021D · Potential for more than minimal harm, isolatedThe facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. · F-0625
Oct 28, 2021D · Potential for more than minimal harm, isolatedThe facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · F-0657
Oct 28, 2021D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Oct 28, 2021D · Potential for more than minimal harm, isolatedThe facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. · F-0757
Oct 28, 2021D · Potential for more than minimal harm, isolatedThe 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. · F-0758

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (11 → 5).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2021
All citations: 6
Serious citations (G–L): 0
2023
All citations: 11
Serious citations (G–L): 1
2024
All citations: 1
Serious citations (G–L): 0
2025
All citations: 5
Serious citations (G–L): 0

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
202160F
2023111G ▲
202410D
202550D

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)

How to file a complaint about care →

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityKansas averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 4.87
Kansas average: 4.58
U.S. average: 3.95
Registered Nurse hours
This facility: 1.45
Kansas average: 0.81
U.S. average: 0.69
Weekend total nurse staffing
This facility: 4.17
Kansas average: 4.05
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityKansas avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)4.874.583.95top 34% in Kansas; top 15% in the U.S.
Registered Nurse hours1.450.810.69top 6% in Kansas; top 5% in the U.S.
Weekend total nurse staffing4.174.053.50top 40% in Kansas; top 19% in the U.S.
Weekend RN hours (not acuity-adjusted)1.040.490.48top 3% in Kansas; top 5% in the U.S.
Total nursing staff turnover (%)36.048.145.8top 21% in Kansas; top 26% in the U.S.
RN turnover (%)25.042.042.9top 24% in Kansas; top 20% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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 4.29, RN 1.28, weekend 3.68.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.29 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 5/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 2/5 · long-stay residents: 3/5 · short-stay residents: 1/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Ranch House Senior Living LLC. CMS inspection and staffing records do not tell us what this home will charge you.

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Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Corporation

Owner / managerTypeRoleStakeSince
Eaton, FloydIndividualIndirect Ownership InterestNOT APPLICABLE09/01/2017
Floyd C Eaton III Trust 2012Organization5% or Greater Indirect Ownership Interest—09/01/2017
James Brett Klausman Trust 2012Organization5% or Greater Indirect Ownership Interest—09/01/2017
Jamie N Eaton Trust 2012Organization5% or Greater Indirect Ownership Interest—09/01/2017
Klaton Enterprises, LLCOrganization5% or Greater Indirect Ownership Interest—01/11/2011
Klausman, JamesIndividualIndirect Ownership InterestNOT APPLICABLE09/01/2017
Michael Graham Klausman Trust 2012Organization5% or Greater Indirect Ownership Interest—09/01/2017
Ranch House Nursing Facility Operations LLCOrganization5% or Greater Direct Ownership Interest100%01/11/2011
Eaton, FloydIndividualOperational/Managerial ControlNOT APPLICABLE11/19/2024
Floyd C Eaton III Trust 2012OrganizationADP of the SNFNOT APPLICABLE12/18/2024
James Brett Klausman Trust 2012OrganizationADP of the SNFNOT APPLICABLE12/18/2024
Jamie N Eaton Trust 2012OrganizationADP of the SNFNOT APPLICABLE12/18/2024
Klaton Enterprises, LLCOrganizationADP of the SNFNOT APPLICABLE12/18/2024
Klausman, JamesIndividualOperational/Managerial ControlNOT APPLICABLE11/19/2024
Michael Graham Klausman Trust 2012OrganizationADP of the SNFNOT APPLICABLE12/18/2024
Midwest Health, INC. 06122001OrganizationOperational/Managerial ControlNOT APPLICABLE05/01/2018
Midwest Health, INC. 06122001OrganizationADP of the SNFNOT APPLICABLE12/18/2024
Ranch House Nursing Facility Operations LLCOrganizationOperational/Managerial ControlNOT APPLICABLE11/19/2024
Ranch House Nursing Facility Operations LLCOrganizationADP of the SNFNOT APPLICABLE12/18/2024

All 19 owning or managing parties CMS has on file are shown — none excluded.

Other facilities in the same chain

CMS lists this facility under the chain Midwest Health — 11 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Listed by state, then facility name — not a ranking. Showing 8 of the 10 others, continuing from this facility's own place in that list.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

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?"
  • "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
  • "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
  • "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
  • "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
  • "What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
  • "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
  • "How does your quality committee work, and can you share an example of a problem it identified and fixed?"

Also worth asking anywhere

  • "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 36% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 19 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Garden Valley Retirement Village2.0 miGarden City, KS★★★★★5/5

Compare this facility with the 1 closest →

All facilities in Garden City →

Facility data as of CMS processing date 2026-08-01. CCN 175562.

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