Ranch House Senior Living LLC
2900 Campus Drive, Garden City, KS 67846 · Finney County · 60 certified beds · avg 37 residents/day · certified since Dec 16, 2018
Part of chain: MIDWEST HEALTH (11 facilities, chain avg rating 3.9★)
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 · 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): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Aug 21, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (23)
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 |
|---|---|---|
| Apr 17, 2025 | D · Potential for harm, one-off | 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 |
| Apr 17, 2025 | D · Potential for harm, one-off | 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 |
| Apr 17, 2025 | D · Potential for 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. · from a complaint |
| Apr 17, 2025 | D · Potential for harm, one-off | The 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 |
| Apr 17, 2025 | 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. · from a complaint |
| Jun 24, 2024 | D · Potential for harm, one-off | The 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 |
| Jul 31, 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. |
| Jul 31, 2023 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jul 31, 2023 | F · Potential for harm, facility-wide | The 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. |
| Jul 31, 2023 | F · Potential for harm, facility-wide | The 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. |
| Jul 31, 2023 | F · Potential for harm, facility-wide | The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention. |
| Jul 31, 2023 | E · Potential for harm, repeated | 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. |
| Jul 31, 2023 | D · Potential for harm, one-off | The 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. |
| Jul 31, 2023 | D · Potential for harm, one-off | The 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. |
| Jul 31, 2023 | D · Potential for harm, one-off | 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. |
| Jul 31, 2023 | D · Potential for harm, one-off | The 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. |
| Jul 31, 2023 | D · Potential for harm, one-off | The 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. |
| Oct 28, 2021 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Oct 28, 2021 | D · Potential for harm, one-off | The 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. |
| Oct 28, 2021 | D · Potential for harm, one-off | The 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. |
| Oct 28, 2021 | D · Potential for 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. |
| Oct 28, 2021 | D · Potential for harm, one-off | The 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. |
| Oct 28, 2021 | 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 decreased between the last two inspection cycles (11 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 6 | 0 | F |
| 2023 | 11 | 1 | G ▲ |
| 2024 | 1 | 0 | D |
| 2025 | 5 | 0 | D |
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)
No fines or payment denials in the published 3-year window.
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) | 4.87 | 4.58 | 3.95 | top 34% in Kansas; top 15% in the U.S. |
| Registered Nurse hours | 1.45 | 0.81 | 0.69 | top 6% in Kansas; top 5% in the U.S. |
| Weekend total nurse staffing | 4.17 | 4.05 | 3.50 | top 40% in Kansas; top 19% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 1.04 | 0.49 | 0.48 | top 3% in Kansas; top 5% in the U.S. |
| Total nursing staff turnover (%) | 36.0 | 48.1 | 45.8 | top 21% in Kansas; top 26% in the U.S. |
| RN turnover (%) | 25.0 | 42.0 | 42.9 | top 24% in Kansas; top 20% 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 4.29, RN 1.28, weekend 3.68. 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: 2/5 · long-stay residents: 3/5 · short-stay residents: 1/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Eaton, Floyd | Individual | Indirect Ownership Interest | NOT APPLICABLE | 09/01/2017 |
| Floyd C Eaton III Trust 2012 | Organization | 5% or Greater Indirect Ownership Interest | — | 09/01/2017 |
| James Brett Klausman Trust 2012 | Organization | 5% or Greater Indirect Ownership Interest | — | 09/01/2017 |
| Jamie N Eaton Trust 2012 | Organization | 5% or Greater Indirect Ownership Interest | — | 09/01/2017 |
| Klaton Enterprises, LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 01/11/2011 |
| Klausman, James | Individual | Indirect Ownership Interest | NOT APPLICABLE | 09/01/2017 |
| Michael Graham Klausman Trust 2012 | Organization | 5% or Greater Indirect Ownership Interest | — | 09/01/2017 |
| Ranch House Nursing Facility Operations LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 01/11/2011 |
| Eaton, Floyd | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/19/2024 |
| Floyd C Eaton III Trust 2012 | Organization | ADP of the SNF | NOT APPLICABLE | 12/18/2024 |
| James Brett Klausman Trust 2012 | Organization | ADP of the SNF | NOT APPLICABLE | 12/18/2024 |
| Jamie N Eaton Trust 2012 | Organization | ADP of the SNF | NOT APPLICABLE | 12/18/2024 |
| Klaton Enterprises, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/18/2024 |
| Klausman, James | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/19/2024 |
| Michael Graham Klausman Trust 2012 | Organization | ADP of the SNF | NOT APPLICABLE | 12/18/2024 |
| Midwest Health, INC. 06122001 | Organization | Operational/Managerial Control | NOT APPLICABLE | 05/01/2018 |
| Midwest Health, INC. 06122001 | Organization | ADP of the SNF | NOT APPLICABLE | 12/18/2024 |
| Ranch House Nursing Facility Operations LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 11/19/2024 |
| Ranch House Nursing Facility Operations LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/18/2024 |
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?"
- "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?"
- "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 |
|---|---|---|---|---|---|
| Garden Valley Retirement Village | 2.0 mi | Garden City, KS | ★★★★★ | 5/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 175562.