Federal inspection record · CMS data as of October 1, 2026
Ranch House Senior Living LLC
2900 Campus Drive, Garden City, KS · (620) 371-4700
- CMS high-performer trophy
- Certified beds
- 60
- Residents per day
- 39
- Ownership
- For-Profit
- Chain
- Midwest Health
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- December 16, 2018
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Kansas.
-
Staffing
★★★★★+1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Kansas homes
Ranch House Senior Living LLC carries 44 inspection points. That is fewer than 70% of Kansas's 293 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Kansas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–27 pts
- 4★ 27–49 pts
- 3★ 49–71 pts
- 2★ 71–114.38 pts
- 1★ over 114.38 pts
Bars show every rated home in Kansas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
23 health citations on record since 2021. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Pharmacy Service6E
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
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.
- E
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
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.
Quality of Life and Care5D
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nutrition and Dietary2F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control2F
- F
Provide and implement an infection prevention and control program.
- D
Implement a program that monitors antibiotic use.
Resident Rights2D
- D
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
- D
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Resident Assessment and Care Planning2D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Protect each resident from the wrongful use of the resident's belongings or money.
Administration1F
- F
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Nursing and Physician Services1F
- F
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Inspection history
2025-04-17
5 health deficiencies · 8 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2023-07-31
11 health deficiencies · 8 fire-safety deficiencies
Top issue: Infection Control (2 deficiencies)
2021-10-28
7 health deficiencies · 7 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 41 min of nursing staff time a day, 1 h 15 min of it from a registered nurse.
This home
4 h 41 min
Kansas average
4 h 8 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 35% of nursing staff and 20% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.4 pts worse | 2.1 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.1 pts worse | 3.1 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.5 pts better | 93.4% | 92.9% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4 pts worse | 90.9% | 94.9% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.6 pts better | 1.6% | 4.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms6.6 pts better | 0.0% | 6.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.2 pts better | 2.6% | 4.8% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication8.3 pts better | 15.1% | 23.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication4.1 pts better | 13.6% | 17.7% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened2 pts worse | 16.5% | 14.5% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.2 pts worse | 19.6% | 17.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts worse | 2.1% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.1 pts better | 1.7% | 2.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.6 pts better | 19.0% | 21.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.1 pts better | 4.3% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine13.4 pts better | 90.5% | 77.1% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit12.8 pts worse | 24.2% | 11.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.4 pts worse | 4.0% | 1.6% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine12.5 pts better | 87.9% | 75.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission5 pts worse | 27.3% | 22.3% | 23.4% |
·
Who owns and runs it
19 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Ranch House Nursing Facility Operations LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Eaton, Floyd | Indirect Ownership Interest · Individual | 0% | 11 facilities |
| Eaton, Floyd | Operational/Managerial Control · Individual | 0% | 11 facilities |
| Floyd C Eaton Iii Trust 2012 | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 11 facilities |
| Floyd C Eaton Iii Trust 2012 | Adp Of The SNF · Organization | 0% | 11 facilities |
| James Brett Klausman Trust 2012 | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 11 facilities |
| James Brett Klausman Trust 2012 | Adp Of The SNF · Organization | 0% | 11 facilities |
| Jamie N Eaton Trust 2012 | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 11 facilities |
| Jamie N Eaton Trust 2012 | Adp Of The SNF · Organization | 0% | 11 facilities |
| Klaton Enterprises, LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 6 facilities |
| Klaton Enterprises, LLC | Adp Of The SNF · Organization | 0% | 6 facilities |
| Klausman, James | Indirect Ownership Interest · Individual | 0% | 11 facilities |
| Klausman, James | Operational/Managerial Control · Individual | 0% | 11 facilities |
| Michael Graham Klausman Trust 2012 | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 11 facilities |
| Michael Graham Klausman Trust 2012 | Adp Of The SNF · Organization | 0% | 11 facilities |
| Midwest Health, Inc. 06122001 | Operational/Managerial Control · Organization | 0% | 11 facilities |
| Midwest Health, Inc. 06122001 | Adp Of The SNF · Organization | 0% | 11 facilities |
| Ranch House Nursing Facility Operations LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Ranch House Nursing Facility Operations LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
·
Fire safety
23 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Miscellaneous5F
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
Provide a written emergency evacuation plan.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems5F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure proper usage of power strips and extension cords.
- F
Have proper medical gas storage and administration areas.
- E
Ensure proper usage of power strips and extension cords.
- E
Ensure proper usage of power strips and extension cords.
Smoke5F
- E
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Inspect, test, and maintain automatic sprinkler systems.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Construction4F
- F
Install a two-hour-resistant firewall separation.
- F
Meet other general requirements.
- F
Install a two-hour-resistant firewall separation.
- F
Install a two-hour-resistant firewall separation.
Egress3F
- F
Have properly spaced exits within rooms.
- E
Have properly spaced exits within rooms.
- F
Have properly spaced exits within rooms.
Services1E
- E
Have properly installed electrical wiring and gas equipment.
·
Other homes nearby
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★★★★★- Worst citation, 3 yrs
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-
Kearny County Hospital Ltcu
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-
The Shepherd's Center
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