Buhler Sunshine Home
400 S Buhler Road, Buhler, KS 67522 · Reno County · (620) 543-2251
55 certified beds, about 46 residents a day · Non profit - Church related · Medicare and Medicaid since 1997
Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 175404 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on February 13, 2025, inspectors cited 7 health deficiencies (the Kansas average is 9.5, the national average 9.2).
None of its 15 health citations since October 2021 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 5.22 hours per resident per day, against 4.07 across Kansas and 3.86 nationally. Registered nurses accounted for 0.31 of those hours.
32.9% of nursing staff left within the year CMS measured (Kansas average 48.1%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
310/21
504/23
702/25
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 15 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
12D
0E
3F
Potential for minimal harm
0A
0B
0C
February 13, 2025Standard inspection · 7 citations
- F Provide and implement an infection prevention and control program.
Inspectors wroteThe facility had a census of 50 residents. Based on observation, record review, and interview, the facility failed to implement a water management program for Legionella disease (Legionella is a bacterium spread through mist, such as air-conditioning units in large buildings. Adults over the age of 50 and people with weak immune systems, chronic lung disease, or heavy tobacco use are most at risk of developing pneumonia caused by legionella). This deficient practice placed the residents at risk of contracting infectious processes.
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteThe facility had a census of 50 residents. The sample included 13 residents. Based on observation, record review, and interview, the facility failed to notify the physician of episodes of syncope (fainting or passing out) and lightheadedness of one resident, Resident (R) 32. This placed the resident at risk for further decline and a delay in treatment.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteThe facility had a census of 50 residents. The sample included 13 residents. Based on observation, record review, and interview, the facility failed to revise a care plan with direction to staff for interventions when one resident has periods of syncope and lightheadedness, Resident (R) 32. This placed the resident at risk for decline.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteThe facility had a census of 50 residents. The sample included 13 residents, with eight reviewed for falls. Based on observation, record review, and interview, the facility failed to evaluate the effectiveness of fall interventions and change or modify the ineffective interventions at preventing falls for Resident (R) 16. This placed the resident at risk for further falls and injury.
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteThe facility had a census of 50 residents. The sample included 13 residents, with five reviewed for unnecessary medication. Based on observation, interview, and record review, the facility's pharmacist consultant failed to request an approved indication for the use of Seroquel (an antipsychotic -class of medications used to treat psychosis and other mental-emotional conditions), and the required physician-written clinical rationale for the continued use of Seroquel for Resident (R) 18. This deficient practice placed R18 at risk of receiving unnecessary antipsychotic drugs.
- D Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Inspectors wroteThe facility had a census of 50 residents. The sample included 13 residents, with five reviewed for unnecessary medication. Based on observation, interview, and record review the facility failed to obtain an approved indication for use for Seroquel (antipsychotic -class of medications used to treat psychosis and other mental emotional conditions), and the required physician-written clinical rationale for why any attempted dose reeducation would be likely to impair the resident's function or cause psychiatric instability for Resident (R) 18. This deficient practice placed R18 at risk of receiving unnecessary antipsychotic drugs.
- D Ensure that residents are free from significant medication errors.
Inspectors wroteThe facility had a census of 50 residents. The sample included 13 residents. Based on observation, interview, and record review, the facility failed to administer the correct physician-ordered dose of Ativan (antianxiety drug - a class of medications that calm and relax people) at the scheduled time for Resident (R) 20, placing R20 at risk for adverse effects resulting from the incorrect dose.
April 19, 2023Standard inspection · 5 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteThe facility reported a census of 45 residents. The facility had one main kitchen. The kitchen served food to two dining areas. Based on observation, interview, and record review, the facility failed to properly store food in the main kitchen refrigerators due to foods left uncovered, boxes placed directly on the floor in the kitchen area, and staff failed to discard expired foods in accordance with professional standards for food service safety, to prevent food borne illness to the residents.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteThe facility had a census of 45 residents with 12 included in the sample. Based on observation, interview, and record review the facility failed to develop a comprehensive care plan for one Resident (R) 10 of the 12 sampled residents, related to comfort care status.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteThe facility reported a census of 45 residents, with 12 sampled, including four residents sampled for activities of daily living (ADL). Based on observation, interview, and record review, the facility failed to review and revise the care plan for Resident (R) 29 regarding shower preferences.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteThe facility reported a census of 45 residents, with 12 sampled, including four residents sampled for activities of daily living (ADL). Based on observation, interview, and record review, the facility failed to provide care consistent with standard of practice for Resident (R) 29 to maintain good grooming and personal hygiene related to showers and facial hair removal.
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteThe facility census totaled 45 residents with 12 included in the sample, with one resident sampled for catheter care. Based on observation, interview, and record review, the facility failed to provide necessary services to decrease the risk of a urinary tract infection by the failure to ensure the catheter tubing remained below the level of the bladder for one resident. Resident (R) 6.
October 21, 2021Standard inspection · 3 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteThe facility reported a census of 45 residents. The facility had one main kitchen where food was stored and prepared serving two dining rooms. Based on observation, interview, and record review the facility failed to properly store food in a snack fridge due to lack of temperature monitoring and failed to ensure the dishes and cookware were washed under sanitary conditions, due to the lack of chemical or temperature monitoring.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteThe facility census totaled 45 residents, with 12 included in the sample. Based on observation, interview, and record review the facility failed to revise the care plan for Resident (R)24 related to the use of oxygen (O2).
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteThe facility census totaled 45 residents, with 12 included in the sample, and one resident reviewed for oxygen (O2) use. Based on observation, interview, and record review the facility failed to provide necessary respiratory care and/or services consistent with professional standards of practice when they failed to change, and date disposable O2 equipment for Resident (R)24.
Fire safety inspections
26 fire safety citations on file: 10 on February 13, 2025, 5 on April 19, 2023, 11 on October 21, 2021.
Every fire safety citation26 citations
- F Conduct risk assessment and an All-Hazards approach.
- F Have simulated fire drills held at unexpected times.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E Have approved installation, maintenance and testing program for fire alarm systems.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Properly select, install, inspect, or maintain portable fire extinguishes.
- E Have properly installed electrical wiring and gas equipment.
- E Ensure proper usage of power strips and extension cords.
- E Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Properly select, install, inspect, or maintain portable fire extinguishes.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Ensure proper usage of power strips and extension cords.
- E Have properly installed electrical wiring and gas equipment.
- F Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- F Provide properly protected cooking facilities.
- F Have an alternate power supply for its alarm system.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Install corridor and hallway doors that block smoke.
- F Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F Have properly installed electrical wiring and gas equipment.
- F Have simulated fire drills held at unexpected times.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Ensure proper usage of power strips and extension cords.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Kansas | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 5.22 | 4.07 | 3.86 |
| Registered nurses | 0.31 | 0.71 | 0.69 |
| All nursing staff on weekends | 4.89 | 3.60 | 3.42 |
| Nurse aides | 4.27 | ||
| Licensed practical nurses | 0.64 | ||
| Nursing staff turnover (share who left in a year) | 32.9% | 48.1% | 45.8% |
| Registered nurse turnover | not reported | 42.0% | 42.9% |
| Administrators who left | 1 |
CMS expects 2.99 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 5.36 on weekdays and 4.89 on weekends, 9% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.47 in April to June 2025 to 5.22 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 5.22 | 0.31 | 5.36 | 4.89 | 0.0% | 2 of 90 | 46 |
| Oct to Dec 2025 | 5.36 | 0.34 | 5.55 | 4.90 | 0.0% | 3 of 92 | 46 |
| Jul to Sep 2025 | 5.44 | 0.33 | 5.63 | 4.96 | 0.8% | 0 of 92 | 46 |
| Apr to Jun 2025 | 5.47 | 0.36 | 5.66 | 5.01 | 0.2% | 0 of 91 | 47 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Kansas, Jan to Mar 2026 | 4.01 | 0.67 | 4.19 | 3.56 | 4.8% | 0.6% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Kansas | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 20.6 | 17.9 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 2.4 | 1.6 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.1 | 2.9 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 8.7 | 4.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.9 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 8.2 | 16.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.5 | 4.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 14.3 | 18.1 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 26.9 | 22.4 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 21.8 | 11.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.8 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.9 | 2.1 | 1.8 |
Owners and operators
Legal business name: BUHLER SUNSHINE HOME, INC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Pankratz, Keith | W-2 managing employee | Individual | 11/27/1989 | |
| Spencer, Nathan | W-2 managing employee | Individual | 01/01/2023 | |
| Frazier, Mary | Corporate director | Individual | 04/01/2008 | |
| Hart, Geri | Corporate director | Individual | 01/01/2016 | |
| Hunt, Sara | Corporate director | Individual | 04/01/2021 | |
| Jantz, Mary | Corporate director | Individual | 05/02/2006 | |
| Kaufman, Cameron | Corporate director | Individual | 05/02/2006 | |
| Martens, Louis | Corporate director | Individual | 04/01/2013 | |
| Pankratz, Keith | Corporate director | Individual | 11/27/1989 | |
| Schwabauer, Beth | Corporate director | Individual | 04/01/2021 | |
| Smith, Charlotte | Corporate director | Individual | 04/01/2013 | |
| Spencer, Nathan | Corporate director | Individual | 01/01/2023 | |
| Spencer, Nathan | Corporate officer | Individual | 01/01/2023 | |
| Berger, Edward | Trustee of the SNF | Individual | 09/15/2021 | |
| Spencer, Nathan | Adp of the SNF | Individual | 01/21/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on February 13, 2025: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on February 13, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on February 13, 2025: "Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on April 19, 2023: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Pleasant View Home Inman, 7 mi · 3 of 5 stars · 22 citations
- Diversicare of Hutchinson Hutchinson, 7.9 mi · 4 of 5 stars · 28 citations
- Good Samaritan - Hutchinson Village Hutchinson, 8.1 mi · 4 of 5 stars · 15 citations
- Hutchinson Operator, LLC Hutchinson, 8.2 mi · 1 of 5 stars · 39 citations
- Wesley Towers Inc Hutchinson, 9.4 mi · 5 of 5 stars · 12 citations
- Mennonite Friendship Communities Inc South Hutchinson, 11.9 mi · 5 of 5 stars · 24 citations
- Pine Village Moundridge, 14.5 mi · 3 of 5 stars · 13 citations
- Moundridge Manor Moundridge, 14.9 mi · 5 of 5 stars · 7 citations
Common questions
- What is Buhler Sunshine Home's Medicare star rating?
- CMS rates Buhler Sunshine Home 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Buhler Sunshine Home get at its last inspection?
- 7 health deficiencies at the standard inspection on February 13, 2025. The Kansas average is 9.5.
- Has Buhler Sunshine Home been fined?
- CMS lists no fines in the last three years.
- Does Buhler Sunshine Home accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Buhler Sunshine Home?
- CMS lists 15 owners and managers. Legal business name: BUHLER SUNSHINE HOME, INC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.