Deficiency Index

Callaway Good Life Center, Inc

Callaway, Nebraska · CCN 285200

22 surveys since 2011, 10 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
125
Surveys
22
Harm or worse
10
Immediate jeopardy
0
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worse10

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file17/22

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
38
Ownership
Non profit - Corporation
Chain
Independent
County
Custer · rural
Medicare-certified since
1996

CMS ratings

Overall
1
Health inspection
1
Staffing
3
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded more weighted findings than most of its peer group.

Weighted by harm level, against 36 not-for-profit facilities with fewer than 66 beds in Nebraska.

Last survey on record

Apr 22, 2026

201 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.953.99
Registered-nurse hours per resident day0.76—

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$34,608 across 2 penalties
Payment denials
1

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG27.1%H—I—
No harm, potential for more than minimalD1864.3%E27.1%F621.4%
No harm, potential for minimalA—B—C—
CMS’s current file: 28 of the 125 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8123×

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

  • F6412×

    Ensure each resident receives an accurate assessment.

  • F7602×

    Ensure that residents are free from significant medication errors.

  • F7612×

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

  • F6021×

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

In the surveyor’s words

From the most serious findings on record at Callaway Good Life Center, Inc, in the surveyor’s own words.

  • Actual harm, isolatedF760Mar 5, 2024

    Licensure Reference Number 175NAC 12-006.10D Based on record review and interview, the facility failed to protect residents from significant medication errors for 1 resident (Resident 1) of 5 residents reviewed. This caused the resident to require hospitalization for treatment. The facility census was 33. Findings are: Record review of the facility policy titled Pain Management dated 2022 revealed that opioids (pain relief medications- a narcotic) will be prescribed and dosed in accordance with current professional standards of practice and manufacturers guidelines to optimize their effectiveness and minimize adverse consequences. […]

  • Actual harm, isolatedF760Feb 29, 2024

    Licensure Reference Number 175 NAC 12.006.10D Based on observation, interview, and record review, the facility failed to ensure 1 resident (Resident 6) out of 5 sampled residents in the facility receiving insulin, received the correct amount of insulin. This caused the resident to be transported to the hospital for treatment. The total facility census was 32. Findings are: A record review of the facility's policy titled Insulin Administration dated September 2014 revealed, dosage requirements must be verified before administration. Review of the facility's document titled Insulin Pen updated 1/11/2024 revealed, to always review physician orders prior to administering medication and all med aides will co-sign with a nurse before administration. […]

  • Actual harm, isolatedF697Jan 10, 2023

    Licensure Reference Number NAC ,d+[DATE].09D Based on observations, record review and interviews; the facility failed to assess and manage pain for 1 (Resident 18) of 1 sampled resident. The facility census was 24. Findings are: Record review of Resident 18's Minimum Data Set (MDS: a federally mandated assessment tool used for care planning) dated [DATE] revealed the facility staff assessed the following about the resident: -Brief Interview of Mental Status (BIMS) was an 8. […]

  • No harm, potential for more than minimal, widespreadF730Apr 22, 2026

    Licensure Reference Number 175 NAC 12-006.04(B)(ii)(1)Licensure Reference Number 175 NAC 12-006.04(B)(ii)(2)The facility failed to ensure that 12 hours of required ongoing education was documented for nurse aides and medication aides who had been working in the facility for longer than one year and who required 12 hours of yearly training for 3 of 3 sampled staff. This had the potential to affect all residents. The census was 29.Findings were:Record review of the facility policy Abuse, Neglect, and Exploitation dated 12/01/2025 and signed by the Former Facility Director (FFA) revealed that existing staff will receive annual education through planned in-services and as needed.Record review of the facility policy Resident Rights with a copy right date of 2016 revealed that the nursing… […]

  • No harm, potential for more than minimal, widespreadF761Apr 22, 2026

    Licensure Reference Number 12-006.12(D)(i)Based on observation and record review the facility failed to ensure items the medication room refrigerator was stored separately by route of administration and food stuff items were not stored with medication items. This had the potential to affect all the residents in the facility. The facility census was 28.Findings are:Record review of a facility policy titled Medication Storage and dated 01/21/2026 revealed Medications are stored separately ensuring proper sanitation and segregation.In an observation completed on 04/21/2026 at 11:30 PM of the facilities medication room a square dorm sized refrigerator was in the medication room. […]

Read 30 findings in full →The most serious and the most recent: 30 of 125 on record.

Every survey on record

FindingsAt actual harm or above

  • Apr 22, 2026Standard11 findings
  • May 19, 2025Complaint2 findings
  • Feb 10, 2025Standard9 findings
  • Mar 5, 2024Complaint1 finding · 1 harm
  • Feb 29, 2024Standard5 findings · 1 harm
  • Jan 10, 2023Standard8 findings · 1 harm
  • Oct 6, 2022Complaint1 finding
  • Jul 15, 2021Standard1 finding
Show the 14 earlier surveys
  • Feb 18, 2020Standard4 findings
  • Jan 3, 2019Complaint4 findings · 1 harm
  • Sep 14, 2017Standard11 findings
  • Aug 1, 2017Complaint3 findings
  • Sep 22, 2016Standard6 findings
  • May 4, 2016Complaint1 finding · 1 harm
  • Oct 8, 2015Standard and complaint7 findings
  • Oct 2, 2014Standard4 findings
  • Sep 5, 2013—15 findings
  • May 13, 2013—1 finding
  • Nov 15, 2012—2 findings
  • Jun 20, 2012—13 findings · 4 harm
  • Apr 16, 2012—1 finding
  • May 9, 2011—15 findings · 1 harm

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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