Skilled nursing facility · CMS certification number 175562
RANCH HOUSE SENIOR LIVING LLC
GARDEN CITY, Kansas · Medicare and Medicaid
Certified beds, as filed in Care Compare: 60
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 28, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,709,607 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $697,881 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,011,726 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,011,901 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$175 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $11,589 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $11,414 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $11,414 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 21,960 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 1,478 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Other-payer patient days | 15,351 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 16,829 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 32 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Other-payer discharges | 18 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 50 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.19 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 336.58 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1433949, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 15, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,688,668 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $693,168 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,995,500 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,457,616 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$462,116 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $18,412 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$443,704 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$443,704 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,669 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 66 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.49 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 267.71 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1392254, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 4, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,282,398 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $701,398 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,581,000 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,490,682 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$909,682 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $151,107 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$758,575 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$758,575 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,616 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 60 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.55 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 276.93 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1360989, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 16, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,767,800 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $576,365 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,191,435 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,151,870 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$960,435 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $173,914 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$786,521 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$786,521 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,350 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 66 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.61 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 247.73 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1331505, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on July 27, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,673,922 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $616,559 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,057,363 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,038,511 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$981,148 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $654,207 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$326,941 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$326,941 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,187 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 51 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.36 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 317.39 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1290559, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for December 16, 2018 to December 31, 2019 — a reporting period of 380 days, on form CMS-2540-10, settled, processed by CMS on July 22, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,060,292 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $615,712 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,444,580 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,532,826 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,088,246 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $13,611 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,074,635 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,074,635 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,266 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 73 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.28 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 195.42 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1260963, read from the public cost report file SNF10FY2019.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| RANCH HOUSE NURSING FACILITY OPERATIONS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 01/11/2011 |
| FLOYD C EATON III TRUST 2012 | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 09/01/2017 |
| JAMES BRETT KLAUSMAN TRUST 2012 | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 09/01/2017 |
| JAMIE N EATON TRUST 2012 | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 09/01/2017 |
| KLATON ENTERPRISES, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 01/11/2011 |
| MICHAEL GRAHAM KLAUSMAN TRUST 2012 | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 09/01/2017 |
| FLOYD C EATON III TRUST 2012 | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/18/2024 |
| JAMES BRETT KLAUSMAN TRUST 2012 | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/18/2024 |
| JAMIE N EATON TRUST 2012 | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/18/2024 |
| KLATON ENTERPRISES, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/18/2024 |
| MICHAEL GRAHAM KLAUSMAN TRUST 2012 | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/18/2024 |
| MIDWEST HEALTH, INC. 06122001 | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/18/2024 |
| RANCH HOUSE NURSING FACILITY OPERATIONS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/18/2024 |
| EATON, FLOYD | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 09/01/2017 |
| KLAUSMAN, JAMES | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 09/01/2017 |
| EATON, FLOYD | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/19/2024 |
| KLAUSMAN, JAMES | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/19/2024 |
| MIDWEST HEALTH, INC. 06122001 | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 05/01/2018 |
| RANCH HOUSE NURSING FACILITY OPERATIONS LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 11/19/2024 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of RANCH HOUSE NURSING FACILITY OPERATIONS LLC (enrollment ID O20180612000164).
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| RANCH HOUSE NURSING FACILITY OPERATIONS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 1/11/2011 | Private equity company: No Real estate investment trust: No Holding company: No |
| FLOYD C EATON III TRUST 2012 | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 24.75 | 9/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| FLOYD EATON | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Not stated in the filing | 9/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JAMES A KLAUSMAN | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Not stated in the filing | 9/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JAMES BRETT KLAUSMAN TRUST 2012 | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 24.75 | 9/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| JAMIE N EATON TRUST 2012 | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 24.75 | 9/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| KLATON ENTERPRISES, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 1/11/2011 | Private equity company: No Real estate investment trust: No Holding company: No |
| MICHAEL GRAHAM KLAUSMAN TRUST 2012 | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 24.75 | 9/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| FLOYD C EATON III TRUST 2012 | Organization | ADP OF THE SNF | Not stated in the filing | 12/18/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| JAMES BRETT KLAUSMAN TRUST 2012 | Organization | ADP OF THE SNF | Not stated in the filing | 12/18/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| JAMIE N EATON TRUST 2012 | Organization | ADP OF THE SNF | Not stated in the filing | 12/18/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| KLATON ENTERPRISES, LLC | Organization | ADP OF THE SNF | Not stated in the filing | 12/18/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| MICHAEL GRAHAM KLAUSMAN TRUST 2012 | Organization | ADP OF THE SNF | Not stated in the filing | 12/18/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| MIDWEST HEALTH, INC. 06122001 | Organization | ADP OF THE SNF | Not stated in the filing | 12/18/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| RANCH HOUSE NURSING FACILITY OPERATIONS LLC | Organization | ADP OF THE SNF | Not stated in the filing | 12/18/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| FLOYD EATON | Individual | INDIRECT OWNERSHIP INTEREST | 0.5 | 9/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JAMES A KLAUSMAN | Individual | INDIRECT OWNERSHIP INTEREST | 0.5 | 9/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| FLOYD EATON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/19/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JAMES A KLAUSMAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/19/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MIDWEST HEALTH, INC. 06122001 | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/1/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| RANCH HOUSE NURSING FACILITY OPERATIONS LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/19/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- February 1, 2025: KLATON ENTERPRISES, LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: MICHAEL GRAHAM KLAUSMAN TRUST 2012 no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: JAMIE N EATON TRUST 2012 no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: FLOYD C EATON III TRUST 2012 no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: TOSHA FIELDS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: JAMES A KLAUSMAN no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: JAMES BRETT KLAUSMAN TRUST 2012 no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: FLOYD CHARLES EATON no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: RANCH HOUSE NURSING FACILITY OPERATIONS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since December 18, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: RANCH HOUSE NURSING FACILITY OPERATIONS LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since November 19, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: RANCH HOUSE NURSING FACILITY OPERATIONS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since January 11, 2011. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: KLATON ENTERPRISES, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since December 18, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: KLATON ENTERPRISES, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since January 11, 2011. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: MICHAEL GRAHAM KLAUSMAN TRUST 2012 (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since December 18, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: MICHAEL GRAHAM KLAUSMAN TRUST 2012 (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since September 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: JAMIE N EATON TRUST 2012 (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since December 18, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: JAMIE N EATON TRUST 2012 (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since September 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: FLOYD EATON (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since September 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: FLOYD EATON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since November 19, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: FLOYD EATON (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since September 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: MIDWEST HEALTH, INC. 06122001 (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since December 18, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: FLOYD C EATON III TRUST 2012 (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since December 18, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: FLOYD C EATON III TRUST 2012 (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since September 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: JAMES A KLAUSMAN (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since September 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: JAMES A KLAUSMAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since November 19, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: JAMES A KLAUSMAN (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since September 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: JAMES BRETT KLAUSMAN TRUST 2012 (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since December 18, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: JAMES BRETT KLAUSMAN TRUST 2012 (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since September 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
Recent changes on this record
- August 28, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- February 1, 2025: KLATON ENTERPRISES, LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: MICHAEL GRAHAM KLAUSMAN TRUST 2012 no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: JAMIE N EATON TRUST 2012 no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: FLOYD C EATON III TRUST 2012 no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: TOSHA FIELDS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: JAMES A KLAUSMAN no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: JAMES BRETT KLAUSMAN TRUST 2012 no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: FLOYD CHARLES EATON no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: RANCH HOUSE NURSING FACILITY OPERATIONS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since December 18, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: RANCH HOUSE NURSING FACILITY OPERATIONS LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since November 19, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: RANCH HOUSE NURSING FACILITY OPERATIONS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since January 11, 2011. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: KLATON ENTERPRISES, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since December 18, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: KLATON ENTERPRISES, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since January 11, 2011. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: MICHAEL GRAHAM KLAUSMAN TRUST 2012 (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since December 18, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: MICHAEL GRAHAM KLAUSMAN TRUST 2012 (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since September 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: JAMIE N EATON TRUST 2012 (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since December 18, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: JAMIE N EATON TRUST 2012 (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since September 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: FLOYD EATON (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since September 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: FLOYD EATON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since November 19, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: FLOYD EATON (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since September 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: MIDWEST HEALTH, INC. 06122001 (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since December 18, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: FLOYD C EATON III TRUST 2012 (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since December 18, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: FLOYD C EATON III TRUST 2012 (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since September 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: JAMES A KLAUSMAN (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since September 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: JAMES A KLAUSMAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since November 19, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: JAMES A KLAUSMAN (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since September 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: JAMES BRETT KLAUSMAN TRUST 2012 (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since December 18, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: JAMES BRETT KLAUSMAN TRUST 2012 (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since September 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- August 15, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- August 4, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- September 16, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- July 27, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- July 22, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | April 17, 2025 | April 17, 2025 | 5 | 8 |
| 2 | July 31, 2023 | July 31, 2023 | 11 | 8 |
| 3 | October 28, 2021 | October 28, 2021 | 7 | 7 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
23 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| April 17, 2025 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Yes | Deficient, Provider has date of correction | May 12, 2025 |
| April 17, 2025 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Yes | Deficient, Provider has date of correction | May 12, 2025 |
| April 17, 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | May 12, 2025 |
| April 17, 2025 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Yes | Deficient, Provider has date of correction | May 12, 2025 |
| April 17, 2025 | Health | F 0758 | Pharmacy Service Deficiencies | 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. | D | Yes | Deficient, Provider has date of correction | May 12, 2025 |
| June 24, 2024 | Health | F 0602 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from the wrongful use of the resident's belongings or money. | D | Yes | Past Non-Compliance | June 24, 2024 |
| July 31, 2023 | Health | F 0625 | Resident Rights Deficiencies | 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 | No | Deficient, Provider has date of correction | August 21, 2023 |
| July 31, 2023 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | August 21, 2023 |
| July 31, 2023 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | August 21, 2023 |
| July 31, 2023 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | No | Deficient, Provider has date of correction | August 21, 2023 |
| July 31, 2023 | Health | F 0756 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | No | Deficient, Provider has date of correction | August 21, 2023 |
| July 31, 2023 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | No | Deficient, Provider has date of correction | August 21, 2023 |
| July 31, 2023 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | August 21, 2023 |
| July 31, 2023 | Health | F 0868 | Administration Deficiencies | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | No | Deficient, Provider has date of correction | August 21, 2023 |
| July 31, 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | August 21, 2023 |
| July 31, 2023 | Health | F 0881 | Infection Control Deficiencies | Implement a program that monitors antibiotic use. | D | No | Deficient, Provider has date of correction | August 21, 2023 |
| July 31, 2023 | Health | F 0947 | Nursing and Physician Services Deficiencies | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | F | No | Deficient, Provider has date of correction | August 21, 2023 |
| October 28, 2021 | Health | F 0625 | Resident Rights Deficiencies | 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 | No | Deficient, Provider has date of correction | November 24, 2021 |
| October 28, 2021 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | November 24, 2021 |
| October 28, 2021 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | November 24, 2021 |
| October 28, 2021 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | No | Deficient, Provider has date of correction | November 24, 2021 |
| October 28, 2021 | Health | F 0758 | Pharmacy Service Deficiencies | 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. | D | No | Deficient, Provider has date of correction | November 24, 2021 |
| October 28, 2021 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | November 24, 2021 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Corporation |
| Legal Business Name | RANCH HOUSE NURSING FACILITY OPERATIONS LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 2018-12-16 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Finney |
| Telephone Number | 6203714700 |
| Chain Name | MIDWEST HEALTH |
| Chain ID | 350 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 60 |
| Average Number of Residents per Day | 37.2 |
| Overall Rating | 5 |
| Health Inspection Rating | 4 |
| QM Rating | 2 |
| Long-Stay QM Rating | 3 |
| Short-Stay QM Rating | 1 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on August 1, 2026.
Get an email when this record changes
One email a day naming what moved on RANCH HOUSE SENIOR LIVING LLC: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On August 28, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
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The citable document for RANCH HOUSE SENIOR LIVING LLC
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Kansas at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 175562.