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Nursing HomeMedicaid Top Rated

Ranch House Senior Living LLC

Strong Medicare quality ratings; families often praise beautiful, clean, and well-maintained facility. Still worth an in-person visit.

2900 Campus Drive, Garden City, KS 6784660 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
4.4/5

based on 48 Google reviews

5
4
3
2
1
Ranch House Senior Living LLC Nursing Home in Garden City, KS — Street View
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What this means for your family

While many families report a wonderful experience with the facility's amenities and staff, there are recurring, serious allegations regarding medication management and neglect. We strongly advise you to conduct an unannounced visit and specifically ask for their protocol on medication administration and how they handle staffing shortages during off-hours.

Google Reviews

Google Reviews

48 reviews on Google
Ranch House Senior Living presents a significant divide in resident experiences, with many families praising the beautiful facility, compassionate staff, and helpful management. However, several critical reviews allege serious issues including medication errors, neglect, and physical mistreatment of residents. Families should carefully weigh the high level of satisfaction expressed by some against the severe safety concerns raised by others.

Quality Themes

Tap a score for details
Food9.0Staff6.0Clean9.0Activities9.0Meds2.0MemoryN/AComms5.0ValueN/A

Strengths

  • Beautiful, clean, and well-maintained facility
  • Attentive and compassionate nursing staff
  • Helpful and responsive management team
  • Good variety of activities and social events

Concerns

  • Medication management errors and missed doses (mentioned by 2 reviewers)
  • Neglect and lack of adequate daily care (mentioned by 3 reviewers)
  • Staffing shortages leading to overwhelmed caregivers (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2341.02020(1)3.72021(3)3.02022(2)5.02023(11)3.72024(6)4.72025(28)5.02026(1)

Distribution · 52 analyzed

5
45
4
0
3
0
2
0
1
7

How They Respond to Reviews

97%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed your team is very active in responding to feedback online; how do you use that family input to continuously improve the care provided here?
  • 2With the facility's 5-star staffing rating, how do you ensure that caregivers have enough time to provide personalized attention to each resident throughout the day?
  • 3Could you walk me through the specific protocols in place to ensure accuracy and consistency when managing and administering resident medications?
  • 4Given the occasional reports of gaps in daily care, what systems do you have in place to monitor that every resident's personal care needs are met on every shift?
  • 5What are some of the most popular social events or activities currently happening, and how do you encourage residents to participate and stay engaged?
  • 6How does your nursing team coordinate with outside physicians to handle medical emergencies or changes in a resident's health status?

Personalized based on this facility's data


Key Review Excerpts

My mom was there, medication errors, that we have turned into the state. Her last 2 days was terrible. She was on O2 at 5 liters and the forgot to bring her tank back with her from the cafeteria.

Long-term resident's family · 2021☆☆☆☆

My father is in the assisted skilled living area, recovering from a fall. Staff and meals are amazing. My mother is in the apartments and has a very nice place, extremely clean, great activities and meals.

Long-term resident's family · 2025★★★★★

I'm writing this review as a warning to others after my loved one's unfortunate experience at The Ranch House. Despite their promises, the facility failed to provide adequate care, leading to a decline in my loved one's health and well-being.

Long-term resident's family · 2024☆☆☆☆
Source: 48 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
1.23hrs
OK
Registered nurses for medical care
Total Nursing
4.17hrs
OK
All nurses + aides combined
Staff Turnover
45%
Lower is better (< 30% = good)
RN Turnover
31%
Lower is better (< 30% = good)

This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
2/ 5
Better Than Avg

12

measures

Worse Than Avg

4

measures

Mixed Results

1

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
KS
6.0%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility12.7%
Better than Avg
Here
12.7%
US
19.5%
KS
23.2%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility27.9%
Worse than Avg
Here
27.9%
US
19.4%
KS
22.9%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility20.6%
Worse than Avg
Here
20.6%
US
14.4%
KS
18.4%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility97.6%
Better than Avg
Here
97.6%
US
93.4%
KS
91.7%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility21.0%
Worse than Avg
Here
21.0%
US
15.3%
KS
17.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility90.6%
Better than Avg
Here
90.6%
US
81.8%
KS
75.6%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility75.0%
Mixed vs Avgs
Here
75.0%
US
79.8%
KS
73.8%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
KS
2.1%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

5deficiencies
Well below state avg (10.1)
8 complaint-triggered

This facility has significant ongoing problems with families filing multiple complaints leading to federal citations, including recent serious issues with medication management, accident prevention, and pressure ulcer care. The most recurring deficiency areas are fire safety violations, medication management problems, and accident hazards, with many of the same issues persisting across multiple surveys from 2021 through 2025, suggesting systemic problems that require careful consideration before choosing this facility.

Apr 17, 2025Complaint
5
0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

0758Potential for harm · IsolatedCorrected

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.

Apr 17, 2025Routine
8
0133Potential for harm · WidespreadCorrected

Construction Deficiencies

Install a two-hour-resistant firewall separation.

0261Potential for harm · WidespreadCorrected

Egress Deficiencies

Have properly spaced exits within rooms.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0345Potential for harm · PatternCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Jun 24, 2024Complaint
1
0602Potential for harm · IsolatedResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

Oct 18, 2023Complaint
2
0100Potential for harm · WidespreadCorrected

Construction Deficiencies

Meet other general requirements.

0711Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Provide a written emergency evacuation plan.

Jul 31, 2023Routine
19
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0868Potential for harm · WidespreadCorrected

Administration Deficiencies

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0947Potential for harm · WidespreadCorrected

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.

0133Potential for harm · WidespreadCorrected

Construction Deficiencies

Install a two-hour-resistant firewall separation.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0923Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0756Potential for harm · PatternCorrected

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.

0261Potential for harm · PatternCorrected

Egress Deficiencies

Have properly spaced exits within rooms.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0511Potential for harm · PatternCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0625Potential for harm · IsolatedCorrected

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.

0656Potential for harm · IsolatedCorrected

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.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

0881Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

Oct 28, 2021Routine
11
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0133Potential for harm · WidespreadCorrected

Construction Deficiencies

Install a two-hour-resistant firewall separation.

0261Potential for harm · WidespreadCorrected

Egress Deficiencies

Have properly spaced exits within rooms.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0372Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0625Potential for harm · IsolatedCorrected

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.

0657Potential for harm · IsolatedCorrected

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.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

0758Potential for harm · IsolatedCorrected

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.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Ranch House Senior Living LLC

Organization Type

for profit

Chain Affiliation

Chain Name

Midwest Health

Chain Size

10 facilities nationwide

Chain avg rating: 3.4/5 · Rank 4 of 10 (Best)

Ownership & Management

Owners

Ranch House Nursing Facility Operations LLC

Owner · Organization

100%

Floyd C Eaton III Trust 2012

Owner (parent company) · Organization

James Brett Klausman Trust 2012

Owner (parent company) · Organization

Jamie N Eaton Trust 2012

Owner (parent company) · Organization

Klaton Enterprises, LLC

Owner (parent company) · Organization

Michael Graham Klausman Trust 2012

Owner (parent company) · Organization

Eaton, Floyd

Owner (parent company)

Klausman, James

Owner (parent company)

Key personnel

Midwest Health, INC. 06122001ManagerRanch House Nursing Facility Operations LLCManagerEaton, FloydManagerKlausman, JamesManagerFloyd C Eaton III Trust 2012Adp of the Snf
Source: Medicare provider data

Contact

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References & Resources

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