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

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 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 28 August 2025.

Revenue and expenses, fiscal year 2024
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%).

Beds, days and discharges, fiscal year 2024
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 31 December 2023

Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 15 August 2024.

Revenue and expenses, fiscal year 2023
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%).

Beds, days and discharges, fiscal year 2023
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 31 December 2022

Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 4 August 2023.

Revenue and expenses, fiscal year 2022
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%).

Beds, days and discharges, fiscal year 2022
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 31 December 2021

Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 September 2022.

Revenue and expenses, fiscal year 2021
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%).

Beds, days and discharges, fiscal year 2021
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 31 December 2020

Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 27 July 2021.

Revenue and expenses, fiscal year 2020
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%).

Beds, days and discharges, fiscal year 2020
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 31 December 2019

Cost report for 16 December 2018 to 31 December 2019 — a reporting period of 380 days, on form CMS-2540-10, settled, processed by CMS on 22 July 2020.

Revenue and expenses, fiscal year 2019
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%).

Beds, days and discharges, fiscal year 2019
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.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated 1 August 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 1 August 2026 (Medicare enrollment ownership), under the enrollment of RANCH HOUSE NURSING FACILITY OPERATIONS LLC (enrollment ID O20180612000164).

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	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	9/1/2017	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JAMES A KLAUSMAN	Individual	5% OR GREATER INDIRECT OWNERSHIP INTEREST	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	9/1/2017	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
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	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	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	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	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	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/18/2024	Private equity company: No Real estate investment trust: No Holding company: No
KLATON ENTERPRISES, LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	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	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/18/2024	Private equity company: No Real estate investment trust: No Holding company: No
MIDWEST HEALTH, INC. 06122001	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	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	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	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: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JAMES A KLAUSMAN	Individual	INDIRECT OWNERSHIP INTEREST	0.5	9/1/2017	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
FLOYD EATON	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	11/19/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JAMES A KLAUSMAN	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	11/19/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MIDWEST HEALTH, INC. 06122001	Organization	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	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	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	11/19/2024	Private equity company: No Real estate investment trust: No Holding company: No

Changes in ownership

1 February 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
1 February 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
1 February 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
1 February 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
1 February 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
1 February 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
1 February 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
1 February 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
1 February 2025: RANCH HOUSE NURSING FACILITY OPERATIONS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: RANCH HOUSE NURSING FACILITY OPERATIONS LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: RANCH HOUSE NURSING FACILITY OPERATIONS LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: KLATON ENTERPRISES, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: KLATON ENTERPRISES, LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: MICHAEL GRAHAM KLAUSMAN TRUST 2012 appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: MICHAEL GRAHAM KLAUSMAN TRUST 2012 appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: JAMIE N EATON TRUST 2012 appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: JAMIE N EATON TRUST 2012 appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: FLOYD EATON appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: FLOYD EATON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: FLOYD EATON appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: MIDWEST HEALTH, INC. 06122001 appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: FLOYD C EATON III TRUST 2012 appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: FLOYD C EATON III TRUST 2012 appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: JAMES A KLAUSMAN appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: JAMES A KLAUSMAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: JAMES A KLAUSMAN appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: JAMES BRETT KLAUSMAN TRUST 2012 appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: JAMES BRETT KLAUSMAN TRUST 2012 appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv

Recent changes on this record

28 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
1 February 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
1 February 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
1 February 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
1 February 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
1 February 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
1 February 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
1 February 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
1 February 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
1 February 2025: RANCH HOUSE NURSING FACILITY OPERATIONS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: RANCH HOUSE NURSING FACILITY OPERATIONS LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: RANCH HOUSE NURSING FACILITY OPERATIONS LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: KLATON ENTERPRISES, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: KLATON ENTERPRISES, LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: MICHAEL GRAHAM KLAUSMAN TRUST 2012 appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: MICHAEL GRAHAM KLAUSMAN TRUST 2012 appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: JAMIE N EATON TRUST 2012 appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: JAMIE N EATON TRUST 2012 appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: FLOYD EATON appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: FLOYD EATON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: FLOYD EATON appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: MIDWEST HEALTH, INC. 06122001 appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: FLOYD C EATON III TRUST 2012 appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: FLOYD C EATON III TRUST 2012 appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: JAMES A KLAUSMAN appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: JAMES A KLAUSMAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: JAMES A KLAUSMAN appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: JAMES BRETT KLAUSMAN TRUST 2012 appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: JAMES BRETT KLAUSMAN TRUST 2012 appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
15 August 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
4 August 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
16 September 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
27 July 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
22 July 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	17 April 2025	17 April 2025	5	8
2	31 July 2023	31 July 2023	11	8
3	28 October 2021	28 October 2021	7	7

From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 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
17 April 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	12 May 2025
17 April 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	12 May 2025
17 April 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	12 May 2025
17 April 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	12 May 2025
17 April 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	12 May 2025
24 June 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	24 June 2024
31 July 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	21 August 2023
31 July 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	21 August 2023
31 July 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	21 August 2023
31 July 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	21 August 2023
31 July 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	21 August 2023
31 July 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	21 August 2023
31 July 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	21 August 2023
31 July 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	21 August 2023
31 July 2023	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	F	No	Deficient, Provider has date of correction	21 August 2023
31 July 2023	Health	F 0881	Infection Control Deficiencies	Implement a program that monitors antibiotic use.	D	No	Deficient, Provider has date of correction	21 August 2023
31 July 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	21 August 2023
28 October 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	24 November 2021
28 October 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	24 November 2021
28 October 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	24 November 2021
28 October 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	24 November 2021
28 October 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	24 November 2021
28 October 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	24 November 2021

From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.

Penalties

Not yet extracted for this facility.

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 1 August 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 28 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.

What the alerts are, and what a day of them looks like, is on the alerts page.

See a sample

Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.

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.

Read the citable document for this facility →

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.