Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Callaway Good Life Center, Inc during CMS and state inspections, most recent first.
The facility did not consistently record refrigerator, freezer, or food temperatures, and failed to label or date food items as required. Staff were observed not following proper hand hygiene or food safety practices, and some foods were served below recommended temperatures. Residents reported that hot foods were often not warm enough, and the dietary manager confirmed incomplete temperature logs and lack of Serve Safe training among staff.
A resident reported that personal items, including a candle warmer and a welcome sign, were taken from their room without notification, and mail was opened by staff. The DON and ADM confirmed that these incidents were not reported to the state as required by facility policy, and staff avoided cleaning the resident's side of the room due to fear of accusations. The facility failed to follow its own procedures for reporting allegations of abuse and misappropriation of property.
The facility failed to ensure safe food handling and preparation practices, as observed during meal services. Dietary Aides did not change gloves between tasks, leading to potential cross-contamination. A Dietary Aide improperly prepared meatballs without following a recipe, resulting in incorrect ingredient measurements and cooking methods. Interviews revealed staff were unaware of proper food handling procedures, contrary to the facility's policy to minimize foodborne illness risk.
The facility failed to ensure that three nurse aides completed the required 12 hours of continuing education. Nurse Aide M completed 2.37 hours, Nurse Aide N completed 1.63 hours, and Nurse Aide O completed 4 hours from January 2024 to February 2025. The DON confirmed the deficiency.
The facility failed to maintain operational ventilation systems in bathrooms of rooms 7, 8, 9, 10, 11, 14, 15, and 19, affecting 13 residents. Observations showed that the ventilation systems were not functional, as evidenced by a lack of air draw when tested with toilet paper. The Administrator confirmed the issue, acknowledging that the ventilation should be working.
The facility failed to complete a comprehensive annual assessment for a resident within the required 366-day period and did not conduct a quarterly assessment for another resident every 92 days as mandated. These lapses were confirmed by the MDS coordinator and the Administrator.
The facility failed to ensure accurate MDS assessments for two residents. One resident was incorrectly documented as receiving insulin injections, while another was inaccurately coded as taking an anticoagulant. These errors were confirmed by the MDS coordinator and attributed to an LPN who is no longer completing MDS assessments.
A resident was found to be using two antifungal medications, Ketoconazole Cream and Nystatin Powder, on the same area of the body, contrary to recommendations. The resident self-applied Nystatin Powder, while nursing staff applied Ketoconazole Cream at night. Interviews confirmed the concurrent use, and the DON acknowledged that both medications should not be used on the same area, indicating a failure to ensure the resident's drug regimen was free from unnecessary medications.
A resident was prescribed Seroquel for depression, despite not having a diagnosis of schizophrenia or bipolar disorder, which are the indicated uses for the medication. The facility's policy requires compliance with regulatory requirements for medication use, but the prescribed use did not align with these indications. This was confirmed by the DON during an interview.
A facility failed to maintain a medication error rate below 5%, with an observed rate of 7%. An RN did not follow the facility's policy of priming insulin pens with 2 units before each use, affecting two residents. The RN believed priming was only needed when the pen was first opened, leading to incorrect insulin administration. The DON confirmed the policy deviation.
A resident was found to have Nystatin Powder stored insecurely in their room, accessible to others. The resident had a physician order to self-administer the medication but lacked a completed self-administration assessment. The DON confirmed the medication should have been stored securely.
Failure to Ensure Safe Food Storage, Preparation, and Service
Penalty
Summary
The facility failed to ensure that food was stored, prepared, and served in accordance with professional standards, as required by policy and regulation. Multiple observations and record reviews revealed that refrigerator and freezer temperatures were not consistently recorded, with numerous dates missing entries for both morning and evening checks. Food temperature logs were also incomplete, with sporadic documentation and several meals lacking any recorded temperatures. Additionally, there were instances where food items in the refrigerators were not labeled or dated, including nacho cheese, turkey, and dessert cups, contrary to facility policy requiring all food to be appropriately dated and labeled for proper rotation and safety. Staff interviews and direct observations highlighted further lapses in food safety and hygiene practices. One cook was observed handling food without following proper hand hygiene between glove changes and did not wash tomatoes before slicing them for meal preparation. Another dietary aide was seen handling cleaning equipment and then preparing coffee without washing hands. Staff also had difficulty locating a food thermometer, and when found, it was not consistently used to check food temperatures prior to serving. The dietary manager confirmed that temperature logs were incomplete and that neither the manager nor other dietary staff had completed Serve Safe training at the time of the survey. Residents reported that hot foods were often not served at appropriate temperatures, especially when delivered to rooms, with one resident specifically noting that food was not very warm when served on a tray. Observations confirmed that food items such as oven-baked French fries were served below recommended temperatures. The dietary manager, who was also responsible for environmental services and housekeeping, expressed feeling overwhelmed and was unsure of proper dietary department procedures, further contributing to the deficiencies in food safety and handling.
Failure to Report Allegations of Misappropriation and Abuse
Penalty
Summary
The facility failed to report allegations of abuse and misappropriation of resident property within the required time frame, as outlined in its own Abuse and Neglect Reporting policy. One resident reported multiple concerns, including staff opening mail, missing clothing, personal items being taken without consent, and feeling targeted by facility administration. The resident specifically noted that a candle warmer was taken from the room on two separate occasions without notification, and a welcome sign was also removed and later returned. The resident expressed feeling picked on and unable to communicate honestly with the Administrator. Interviews with facility staff confirmed that the candle warmer was removed from the resident's room by Environmental Services staff due to it being considered a fire hazard, but the resident was not informed at the time of removal. Staff also acknowledged that the resident's side of the room had not been cleaned for several days due to fear of being accused of theft. The Business Office Manager admitted to accidentally opening the resident's mail. Despite these incidents and the resident's grievances, the Director of Nursing and Administrator did not report the allegations to the state as required by policy. The facility's policy mandates immediate reporting of suspected abuse, neglect, exploitation, or misappropriation of property, including notification to appropriate authorities within specified time frames. However, the Administrator and Director of Nursing chose not to report the incidents, even after internal discussions and confirmation that items were taken from the resident's room without consent or notification. The lack of timely reporting and communication with the resident regarding the removal of personal property constituted a failure to protect the resident from the wrongful use of belongings and money.
Improper Food Handling and Preparation Practices
Penalty
Summary
The facility failed to prepare and serve food in a safe manner, as observed during multiple meal services. Dietary Aides were seen wearing gloves while handling food, but they did not change gloves between different tasks, such as handling food, opening refrigerators, and managing dietary cards. This practice was observed over several days, indicating a consistent failure to maintain proper hygiene standards. Additionally, the Dietary Aides did not wash their hands between glove changes, further increasing the risk of cross-contamination. During meal preparation, a Dietary Aide was observed cooking meatballs without following a recipe, leading to improper ingredient measurements and cooking methods. The aide used a knife to cut into raw ground beef, some of which was frozen, and attempted to thaw it in a microwave, which is not an appropriate method. The meat was not cooked to the correct internal temperature initially, and the aide did not measure seasonings or follow the recipe's egg requirements. Furthermore, the aide did not check the temperatures of other foods, such as peas and potatoes, before serving them. Interviews with the Dietary Manager revealed that the staff was not fully aware of the proper food handling procedures, including the necessity of temping all foods and the inappropriateness of thawing meat in a microwave. The facility's policy on food handling emphasized minimizing the risk of foodborne illness through proper hygiene, cooking, and food storage practices, but these were not adhered to during the observed meal services. This deficiency had the potential to affect all residents consuming meals prepared in the facility's kitchen.
Deficiency in Nurse Aide Continuing Education Hours
Penalty
Summary
The facility failed to ensure that three out of five sampled nurse aides completed the required continuing education hours. The facility census was 28. A review of the facility's Course Completion History documents revealed that Nurse Aide M completed only 2.37 hours, Nurse Aide N completed 1.63 hours, and Nurse Aide O completed 4 hours of continuing education from January 1, 2024, to February 10, 2025. During an interview, the Director of Nursing confirmed that these nurse aides had not met the minimum requirement of 12 hours of continuing education annually, as required by the facility's standards.
Non-Functional Ventilation in Resident Bathrooms
Penalty
Summary
The facility failed to ensure that the ventilation system was operational in several rooms, specifically rooms 7, 8, 9, 10, 11, 14, 15, and 19. This deficiency affected the bathrooms used by 13 residents out of a total facility census of 28. Observations conducted on multiple occasions revealed that the ventilation systems in these bathrooms were not functional, as demonstrated by the inability of a 1-ply square of toilet paper to adhere to the ventilation cover, indicating no air draw. The Administrator confirmed the non-functionality of the ventilation system during an interview, acknowledging that the system should be operational.
Failure to Complete Timely Resident Assessments
Penalty
Summary
The facility failed to ensure a comprehensive resident assessment was completed annually for one resident and a quarterly assessment was completed every 92 days for another resident. Specifically, Resident #8 did not have a comprehensive assessment completed within the required 366-day period, as the last assessment was completed on 01/27/2023, and no subsequent assessment was scheduled as of 02/06/2025. This was confirmed by the facility's Minimum Data Set (MDS) coordinator and the Administrator, who acknowledged the lapse in meeting the regulatory guidelines for annual assessments. Additionally, Resident #4 did not receive a quarterly assessment within the required 92-day interval. The last quarterly assessment was completed on 10/10/2023, and the next comprehensive assessment was not conducted until 07/01/2024, resulting in a gap of 265 days without a quarterly assessment. This oversight was also confirmed by the MDS coordinator and the Administrator, who recognized the failure to adhere to the regulatory requirements for quarterly assessments.
Inaccurate MDS Assessments for Two Residents
Penalty
Summary
The facility failed to ensure accurate completion of Minimum Data Set (MDS) assessments for two residents, leading to discrepancies in their medical records. For Resident #8, the Quarterly MDS inaccurately documented that the resident received insulin injections daily during the look-back period. However, a review of the Medication Administration Record for the same period revealed that the resident was actually receiving Victoza, a non-insulin injectable medication, rather than insulin. This error was confirmed by the facility's MDS coordinator during an interview. Similarly, Resident #25's Quarterly MDS was incorrectly coded to indicate that the resident was taking an anticoagulant medication. Upon reviewing the Medication Administration Record, it was found that the resident was receiving Aspirin, a nonsteroidal anti-inflammatory medication, instead of an anticoagulant. This discrepancy was also confirmed by the MDS coordinator. Both errors were attributed to the same LPN, who was no longer responsible for completing MDS assessments at the facility.
Failure to Ensure Resident's Drug Regimen Free from Unnecessary Medications
Penalty
Summary
The facility failed to ensure that a resident's medication regimen was free from unnecessary medications, as evidenced by the concurrent use of two antifungal medications on the same area of the resident's body. Resident #25 had physician orders for Ketoconazole External Cream 2% to be applied topically at bedtime and Nystatin External Powder to be applied every morning and at bedtime under the right breast. The resident self-applied the Nystatin Powder when experiencing redness and itchiness, while the nursing staff applied the Ketoconazole Cream to the same area at night. Interviews with the resident, a registered nurse, and the Director of Nursing confirmed the simultaneous use of both medications on the same area, which was not recommended. The Director of Nursing acknowledged that both medications should not be used on the same area, indicating a failure to ensure the resident's drug regimen was free from unnecessary medications.
Incorrect Diagnosis for Antipsychotic Medication Use
Penalty
Summary
The facility failed to ensure that an antipsychotic medication was prescribed with the correct diagnosis for a resident. Specifically, Resident #3 was receiving Seroquel, an antipsychotic medication, for a diagnosis of depression, despite not having a diagnosis of schizophrenia or bipolar disorder, which are the indicated uses for Seroquel. This discrepancy was identified during a review of the resident's physician orders and confirmed by the Director of Nursing during an interview. Resident #3 was admitted to the facility with diagnoses including Alzheimer's Disease, Dementia, and Altered Mental Status, but not depression. The resident's Quarterly Minimum Data Set indicated daily use of an antipsychotic medication. The facility's policy on Behavioral Assessment Intervention and Monitoring states compliance with regulatory requirements related to medication use, yet the prescribed use of Seroquel for depression did not align with the approved indications for the medication.
Medication Error Due to Improper Insulin Pen Priming
Penalty
Summary
The facility failed to maintain a medication error rate of less than 5%, with an observed error rate of 7% during a survey. This deficiency affected two residents out of six observed medication administrations. The issue was identified during the administration of insulin using insulin pens. The facility's policy required that insulin pens be primed with 2 units before each use, but this procedure was not followed by the registered nurse (RN) administering the medication. During the observation, the RN did not prime the insulin pens before administering doses to two residents. The RN mistakenly believed that priming was only necessary when the pen was first opened. This misunderstanding led to the incorrect administration of insulin doses to the residents. The Director of Nursing confirmed that the facility's policy was to prime the insulin pens with 2 units before each use, indicating a deviation from the established protocol by the RN.
Medication Storage Deficiency
Penalty
Summary
The facility failed to ensure that medications were securely stored, affecting one resident out of three sampled. During an observation, a bottle of Nystatin Powder with a pharmacy label was found on the over-bed table and later on the back of the toilet in the resident's shared bathroom. The resident stated that the doctor had approved them to keep the medication in their room and apply it independently. However, the resident denied receiving any staff education on keeping the medication secure and out of reach of others. The Director of Nursing confirmed that the resident had a physician order to self-administer the Nystatin powder and to keep it in their room. However, a self-administration of medication assessment was not completed to ensure the resident was safe to self-administer and store the medication. The DON acknowledged that all medications should be stored securely and confirmed that the observed storage locations were not secure, as they were accessible to other residents.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Callaway
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Brookestone View | 16.8 mi | — | 0 | 0 |
| Hilltop Estates | 26.6 mi | — | 0 | 0 |
| Emerald Nursing & Rehab Cozad | 29.3 mi | — | 1 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.