Ml-Op Goddard, LLC
Nursing Home, Adult Day Care, Assisted Living, Home Care, Hospice Care, Respite Care & Skilled Nursing · Goddard, KS
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Ml-Op Goddard, LLC

Nursing Home, Adult Day Care, Assisted Living, Home Care, Hospice Care, Respite Care & Skilled Nursing · Goddard, KS
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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Ml-Op Goddard, LLC accepts Medicare and private pay.

Inspection History

In Kansas, the Department for Aging and Disability Services, Survey and Certification Commission performs the unannounced inspections required for facility licensing and federal certification.

Since 2013 · 13 years of data 158 deficiencies

Inspection Scorecard Info This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Kansas state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2013 vs. Kansas state average
Overall vs. KS average 1 Worse Metrics worse than Kansas average:
• Total deficiencies (58% above)
0 Better No metrics in this bucket.

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityKS Averagevs. KS Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 158100 This facility has 58% more total deficiencies than a typical Kansas nursing home (158 vs. KS avg 100).↑ 58% worse

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • The most recent inspection on November 27, 2018, found no deficiencies and confirmed the facility was in compliance with all regulations surveyed. Prior inspections showed a pattern of deficiencies primarily related to resident care, including falls, wound care, and care plan revisions, as well as issues with medication management, infection control, and environmental sanitation. Several complaint investigations substantiated failures in reporting and investigating abuse or neglect, inadequate supervision, and deficiencies in food safety and emergency preparedness. Enforcement actions included denial of payment for new Medicare and Medicaid admissions at times, and one substantiated complaint involved immediate jeopardy due to failure to prevent resident elopement resulting in injury. The facility’s inspection history indicates improvement over time, with multiple revisit surveys confirming correction of prior deficiencies and the most recent survey showing full compliance.

Health Inspection History

Inspections since 2020
Total health inspections 6

State average 4.5


Last Health inspection on Jan 2025

Total health citations
26 Rank #77 / 144Health citations — State benchmarkedThis home is ranked 77th out of 144 homes in Kansas for health citations. Shows this facility's total health deficiency citations benchmarked to the Kansas State average, with a ranking across all 144 KS facilities. Lower citation counts earn a better rank.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Kansas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 26.9

Citations per inspection
4.33 Rank #29 / 144Citations per inspection — State benchmarkedThis home is ranked 29th out of 144 homes in Kansas for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Kansas mean across 144 facilities with citation data. Lower is better.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Kansas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 6.07


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

9 of 26 citations resulted from standard inspections; 3 of 26 resulted from complaint investigations; and 14 of 26 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 6 years)
Critical health citations
1
11% worse than State average

State average: 0.9


Serious health citations
1
11% worse than State average

State average: 0.9

1 critical citation State average: 0.9

1 serious citation State average: 0.9

24 moderate citations State average: 24.6

0 minor citations State average: 0.5
Citations history (last 6 years)
Quality of Care moderate citation Jan 14, 2025
Corrected

Infection Control moderate citation Sep 09, 2024
Corrected

Administration moderate citation Feb 26, 2024
Corrected

Environmental moderate citation Feb 26, 2024
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 150
Employees 63
Contractors 87
Staff to resident ratio 3.66 : 1
63% more staff per resident than Kansas average
Kansas average ratio: 2.24 : 1 Kansas average ratio: 2.24 : 1See full Kansas ranking
Avg staff/day 27
Average shift 7.4 hours
0% compared with Kansas average
Kansas average: 7.7 hours Kansas average shift: 7.7 hoursSee full Kansas ranking
Total staff hours (quarter) 18,477

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info 18 total: 8 full-time employees and 10 contractors. 18
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.4 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 18 total: 9 full-time employees and 9 contractors. 18
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.5 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 83 total: 31 full-time employees and 52 contractors. 83
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.7 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

12.3%

2,274 contractor hours this quarter

Certified Nursing Assistant: 52 Registered Nurse: 10 Licensed Practical Nurse: 9 Medication Aide/Technician: 3 Respiratory Therapy Technician: 3 Qualified Social Worker: 3 Physical Therapy Assistant: 2 Physical Therapy Aide: 1 Speech Language Pathologist: 1 Occupational Therapy Aide: 1 Occupational Therapy Assistant: 1 Medical Director: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant3152838,91092100%7.7
Licensed Practical Nurse99183,01892100%9.5
Registered Nurse810181,6548491%9.4
Medication Aide/Technician73101,2649199%7.4
RN Director of Nursing2027696672%7.1
Administrator1015435964%9.2
Clinical Nurse Specialist1015165459%9.5
Dental Services Staff1014375459%8.1
Nurse Practitioner1014235661%7.6
Physical Therapy Aide0113056773%4.5
Dietitian1012705661%4.8
Speech Language Pathologist0111786672%2.7
Qualified Social Worker033633538%1.8
Respiratory Therapy Technician033363033%1.2
Physical Therapy Assistant022352022%1.8
Occupational Therapy Assistant0113067%5.1
Occupational Therapy Aide01119910%2.1
Other Dietary Services Staff101411%4.3
Medical Director011333%1
83 Certified Nursing Assistant
% of Days 100%
18 Licensed Practical Nurse
% of Days 100%
18 Registered Nurse
% of Days 91%
10 Medication Aide/Technician
% of Days 99%
2 RN Director of Nursing
% of Days 72%
1 Administrator
% of Days 64%
1 Clinical Nurse Specialist
% of Days 59%
1 Dental Services Staff
% of Days 59%
1 Nurse Practitioner
% of Days 61%
1 Physical Therapy Aide
% of Days 73%
1 Dietitian
% of Days 61%
1 Speech Language Pathologist
% of Days 72%
3 Qualified Social Worker
% of Days 38%
3 Respiratory Therapy Technician
% of Days 33%
2 Physical Therapy Assistant
% of Days 22%
1 Occupational Therapy Assistant
% of Days 7%
1 Occupational Therapy Aide
% of Days 10%
1 Other Dietary Services Staff
% of Days 1%
1 Medical Director
% of Days 3%

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database (Data as of Jan 2026)

Total fines amount $10K Rank #73 / 144Federal fines — State benchmarkedThis home is ranked 73rd out of 144 homes in Kansas for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Kansas average among facilities with fines, and where it ranks among 144 facilities in the pool. Lower total dollars mean a better rank.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Kansas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
77% lower than Kansas average

Kansas average: $44K

Number of fines 1
59% fewer fines than Kansas average

Kansas average: 2.4

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than Kansas average

Kansas average: 0.3

Fines amount comparison
Fines amount comparison
This facility $10K
Kansas average $44K

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 9.4
10% better than Kansas average

Kansas average: 10.5

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 18.3
11% better than Kansas average

Kansas average: 20.7

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 11.0%
42% better than Kansas average

Kansas average: 19.0%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 17.9%
8% better than Kansas average

Kansas average: 19.4%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 26.1%
10% worse than Kansas average

Kansas average: 23.8%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 4.7%
7% worse than Kansas average

Kansas average: 4.4%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 5.7%
24% worse than Kansas average

Kansas average: 4.6%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 2.9%
6% better than Kansas average

Kansas average: 3.1%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 7.8%
52% worse than Kansas average

Kansas average: 5.1%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 4.6%
10% better than Kansas average

Kansas average: 5.2%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 8.4%
50% better than Kansas average

Kansas average: 16.9%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
9% better than Kansas average

Kansas average: 91.9%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
5% better than Kansas average

Kansas average: 95.5%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 87.1%
15% better than Kansas average

Kansas average: 75.6%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than Kansas average

Kansas average: 2.2%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 72.0%
In line with Kansas average

Kansas average: 73.5%

Breakdown by payment type

Medicare

16% of new residents, usually for short-term rehab.

Typical stay 26 days

Private pay

84% of new residents, often for short stays.

Typical stay 3 - 4 months

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 41
Medicare
2
4.9% of residents
Medicaid
19
46.3% of residents
Private pay or other
20
48.8% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 10/2023.

For-profit
Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$4.8M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$474.6K
For-profit Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$4.8M Rank #112 / 143Revenue — State benchmarkedThis home is ranked 112th out of 143 homes in Kansas for revenue. Shows this facility's annual revenue compared to the Kansas average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Kansas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$474.6K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$417.8K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #121 / 143Payroll — State benchmarkedThis home is ranked 121st out of 143 homes in Kansas for payroll. Shows total annual staff payroll benchmarked to the Kansas average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Kansas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$2.1M 44.1% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #82 / 143Payroll % — State benchmarkedThis home is ranked 82nd out of 143 homes in Kansas for payroll %. Shows payroll as a percentage of revenue versus the Kansas average. Well-run Kansas facilities typically land around 57–67% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Kansas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$3.2M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$5.3M

Who this home usually serves

TYPE OF STAY

Primarily short stays

Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.

Most new residents arrive under private pay (84% of admissions), and a typical private pay stay runs around 3 - 4 months.

Admissions
170 total

Coverage residents most often arrive under.

Medicare 16%
Private pay 84%
Discharges
196 total

Coverage residents most often leave under.

Medicare 11%
Private pay 89%

Places of interest near Ml-Op Goddard, LLC

Address 0.0 miles from city center Info Estimated distance in miles from Goddard's city center to Ml-Op Goddard, LLC's address, calculated via Google Maps.

Calculate Travel Distance to Ml-Op Goddard, LLC

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Address

Compare Nursing Homes around the area

Info below is compiled from CMS reports & the KS Dept. for Aging & Disability Services (KDADS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

Brookdale Rosehill
NH
AL
SNF
Shawnee
92
Facility 92
KS AVG 69
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81.5%
Facility 81.5%
KS AVG 76.8
Rank #103 / 206
+6%
4.27
Facility 4.27
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Rank #87 / 141
+42%-8%
$0
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35
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Rank #106 / 144
8.8
Facility 8.8
KS AVG 6.1
Rank #124 / 144
-75A+
54
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Mary Patchett
$15.7MFiscal year ending 12/2023
Facility $15.7MFiscal year ending 12/2023
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$7.5MFiscal year ending 12/2023
Facility $7.5MFiscal year ending 12/2023
KS AVG $3.3M
Rank #24 / 143
48%Fiscal year ending 12/2023
Facility 48%Fiscal year ending 12/2023
KS AVG 47.9%
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175478
Ascension Living Via Christi Village McLean
NH
AL
IL
MC
SNF
Wichita (Indian Hills)
95
Facility 95
KS AVG 69
Rank #43 / 223
33.7%
Facility 33.7%
KS AVG 76.8
Rank #199 / 206
-56%
4.47
Facility 4.47
KS AVG 4.63
Rank #72 / 141
+4%-4%
$0
Facility $0
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Rank #1 / 144
14
Facility 14
KS AVG 26.9
Rank #17 / 144
7.0
Facility 7.0
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132-
47
Facility 47
KS AVG 46
Rank #186 / 363
Abigail Poff
$7.8MFiscal year ending 06/2024
Facility $7.8MFiscal year ending 06/2024
KS AVG $7.3M
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$3.5MFiscal year ending 06/2024
Facility $3.5MFiscal year ending 06/2024
KS AVG $3.3M
Rank #78 / 143
44.1%Fiscal year ending 06/2024
Facility 44.1%Fiscal year ending 06/2024
KS AVG 47.9%
Rank #130 / 143
175543
Meadowlark Hills Retirement Community
NH
HC
IL
SNF
Manhattan (Meadowlark Road)
134
Facility 134
KS AVG 69
Rank #12 / 223
87.3%
Facility 87.3%
KS AVG 76.8
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+14%
5.72
Facility 5.72
KS AVG 4.63
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$8.3k
Facility $8.3k
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30
Facility 30
KS AVG 26.9
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6.0
Facility 6.0
KS AVG 6.1
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1117-
28
Facility 28
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Lonnie Baker
$19.1MFiscal year ending 06/2024
Facility $19.1MFiscal year ending 06/2024
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$17.0MFiscal year ending 06/2024
Facility $17.0MFiscal year ending 06/2024
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88.8%Fiscal year ending 06/2024
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175174
Bethel Health Care Center
NH
HOS
PC
RC
SNF
North Newton
65
Facility 65
KS AVG 69
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90.8%
Facility 90.8%
KS AVG 76.8
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+18%
5.69
Facility 5.69
KS AVG 4.63
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-17%+23%
$0
Facility $0
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5
Facility 5
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-59-
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Bethel Investors, LLC
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$6.8MFiscal year ending 12/2023
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KS AVG $3.3M
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57.4%Fiscal year ending 12/2023
Facility 57.4%Fiscal year ending 12/2023
KS AVG 47.9%
Rank #69 / 143
175402
Ml-Op Goddard, LLC
NH
ADC
AL
HC
HOS
RC
SNF
Goddard
60
Facility 60
KS AVG 69
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25.0%
Facility 25.0%
KS AVG 76.8
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-67%
4.76
Facility 4.76
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+18%+3%
$10.1k
Facility $10.1k
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26
Facility 26
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4.3
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215-
53
Facility 53
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Jean Altenor
$4.8MFiscal year ending 10/2023
Facility $4.8MFiscal year ending 10/2023
KS AVG $7.3M
Rank #112 / 143
$2.1MFiscal year ending 10/2023
Facility $2.1MFiscal year ending 10/2023
KS AVG $3.3M
Rank #121 / 143
44.1%Fiscal year ending 10/2023
Facility 44.1%Fiscal year ending 10/2023
KS AVG 47.9%
Rank #82 / 143
175294

Frequently Asked Questions about Ml-Op Goddard, LLC

Who is the owner of Ml-Op Goddard, LLC?

Ml-Op Goddard, LLC is legally operated by Ml-Re Goddard, LLC, and administered by Jean M. Altenor.

Is Ml-Op Goddard, LLC in a walkable area?

Ml-Op Goddard, LLC has a walk score of 53. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of Ml-Op Goddard, LLC?

According to KS state health department records, Ml-Op Goddard, LLC's license number is 175294.

What is the occupancy rate at Ml-Op Goddard, LLC?

Ml-Op Goddard, LLC's occupancy is 25%.

Are pets allowed at Ml-Op Goddard, LLC?

No, Ml-Op Goddard, LLC has a no-pet policy.

Does Ml-Op Goddard, LLC operate as a for-profit or non-profit?

Ml-Op Goddard, LLC is registered as a for-profit in KS.

Who is the administrator of Ml-Op Goddard, LLC?

Jean M. Altenor is the administrator of Ml-Op Goddard, LLC.

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