Inspection Reports for Callaway Good Life Center, Inc

The document is a Nursing Home Licensure Renewal Application and related certification and occupancy permit for Callaway Good Life Center, Inc., indicating the renewal of the facility's license.

The documents certify that Callaway Good Life Center, Inc. meets statutory requirements for licensure renewal as a Skilled Nursing Facility with a licensed capacity of 38 beds. The renewal application is signed and dated by authorized representatives.

The document is a Nursing Home Licensure Renewal Application for Callaway Good Life Center, Inc., submitted to renew the facility's license.

The document certifies that Callaway Good Life Center, Inc. meets statutory requirements for licensure renewal as a skilled nursing facility with a licensed capacity of 35 beds.

The document serves as a Notice of Disciplinary Action placing the facility on probation for 90 days starting February 8, 2019, due to violations related to failure to provide interventions to prevent falls with injuries.

The facility was found in violation of regulations concerning charge nurse requirements, provision of care and treatment, and staff requirements, specifically failing to provide interventions to prevent resident falls with injuries.

An unannounced visit was conducted to investigate a complaint regarding staff competency, assessments of changes in condition, notification of practitioners, and fall interventions at Callaway Good Life Center, Inc.

The facility failed to ensure staff competency evaluations were completed, failed to provide appropriate assessments and notify practitioners of changes in condition for sampled residents, and failed to implement effective fall interventions to prevent injuries. Deficiencies were cited under multiple federal tags and state licensure codes.

The complaint alleged failures in staff competency, assessments of changes in condition, notification of practitioners, and fall prevention interventions. The investigation substantiated these allegations with deficiencies cited.

The facility was surveyed for compliance with the 2012 Edition of the Life Safety Code of the National Fire Protection Association, related to Medicare/Medicaid participation requirements.

The facility was found not in compliance with emergency lighting testing, fire alarm system maintenance, and sprinkler system maintenance requirements. Specific deficiencies included failure to conduct required annual emergency lighting testing, a painted heat detector, and a missing escutcheon ring on a fire sprinkler head.

An unannounced visit was conducted to investigate a complaint at Callaway Good Life Center, Inc on November 1, 2017, regarding allegations that the facility failed to ensure food form meets residents' needs and failed to submit investigations within 5 working days.

The investigation found that the facility was in compliance with regulatory requirements regarding food form meeting residents' needs and timely submission of investigations. The facility staff were aware of diet orders and had completed an investigation and updated the resident's care plan as needed.

The complaint alleged failure to ensure food form meets residents' needs and failure to submit investigations within 5 working days. Both allegations were investigated and found to be in compliance with related regulatory requirements.

Routine state licensure and certification inspection of Callaway Good Life Center to assess compliance with health, safety, and regulatory standards.

The facility was found deficient in multiple areas including failure to complete APS/CPS registry checks for new hires, housekeeping and maintenance issues affecting resident rooms, failure to revise care plans after resident falls, inadequate dental and lab services, unsecured chemicals, food safety violations, infection control lapses, pest control issues, emergency lighting deficiencies, fire alarm system monitoring failures, corridor door malfunctions, and improper use of power strips.

An unannounced visit was conducted to investigate a complaint at Callaway Good Life Center, Inc on August 1, 2017, regarding failure to submit investigations within 5 working days and failure to evaluate causal factors for falls.

The facility was found in violation for failing to report a fall with significant injury within the required timeframe, failing to obtain medical evaluation and treatment for a resident after a fall, and failing to ensure nursing staff were licensed to work. The facility was compliant with evaluating causal factors for falls and implementing interventions.

The complaint alleged the facility failed to submit investigations within 5 working days and failed to evaluate causal factors for falls. The investigation substantiated failure to submit timely investigations and failure to obtain medical evaluation after a fall, but found compliance with evaluating causal factors for falls.

The inspection was conducted to assess compliance with regulations governing licensure of skilled nursing facilities, focusing on the accuracy and certification of resident assessments, specifically the Minimum Data Set (MDS).

The facility failed to accurately record the number of falls for one sampled resident on the MDS assessment, documenting two falls instead of three. The discrepancy was due to incomplete review of all available sources, leading to underreporting of falls.

An unannounced visit was conducted to investigate a complaint and annual survey at Callaway Good Life Center, Inc from September 19, 2016 to September 22, 2016 by representatives of the Department of Health and Human Services Division of Public Health.

The complaint investigation found the facility in compliance with regulatory requirements regarding fall interventions, abuse protection, staff background screening, and investigation submission. The annual survey identified multiple deficiencies including expired CPR certifications among staff, noise disturbances, incomplete resident assessments, care plan revisions not made following physician orders, unappealing food presentation, improper hand hygiene in food preparation, and smoke/fire door closure issues.

The complaint allegations investigated included failure to change fall interventions after residents were identified at risk for falls, failure to submit investigations within 5 working days, failure to protect residents from abuse, failure to evaluate causal factors for falls, and failure to ensure staff do not have adverse backgrounds. All allegations were found to be in compliance with regulatory requirements.

The notice was issued to impose disciplinary action placing the facility on probation for 90 days beginning June 1, 2016, due to violations related to resident safety and failure to prevent a resident from falling out of a wheelchair.

The facility failed to ensure a resident did not fall to the floor by sliding out of a wheelchair, violating licensure regulations and health and safety standards.

An unannounced visit was conducted to investigate a complaint regarding the facility's failure to protect residents from injury.

The investigation found that the facility failed to prevent a resident fall when staff left a resident sitting on the edge of a wheelchair unattended, resulting in a fall with a forehead laceration requiring medical attention. The facility was cited for violation of federal and state regulations related to resident safety and supervision.

The complaint alleged the facility failed to ensure protection of residents from injury. The allegation was substantiated based on record review and interviews.

An unannounced visit was conducted to investigate a complaint and annual survey at Callaway Good Life Center, Inc from October 5, 2015 to October 8, 2015. The complaint alleged the facility failed to submit investigations within 5 working days.

The facility was found to have multiple deficiencies including failure to submit investigation reports timely, improper use of indwelling catheters without medical justification, inadequate supervision and environmental hazards, failure to post nurse staffing information correctly, failure to follow dietary recipes and sanitation protocols, improper infection control practices, life safety code violations including inadequate exit lighting, incomplete fire drills, and unsafe electrical wiring practices.

The complaint alleged the facility failed to submit investigations within 5 working days. The facility was found to be in violation of Federal tag F226 and State Licensure tag 175 NAC 12-006.02 (8).

Annual standard survey conducted to assess compliance with federal and state regulations for skilled nursing facilities, including resident dignity, food service, quality assurance, and life safety code.

The facility was found deficient in promoting resident dignity during meals, following recipes for pureed diets, maintaining sanitary food storage and service, maintaining an effective quality assurance program, and ensuring smoke barrier doors were rated and self-closing. Several deficiencies were repeat citations from a prior survey.

Annual survey to assess compliance with regulations governing licensure of skilled nursing facilities, nursing facilities, and intermediate care facilities.

The facility was found deficient in multiple areas including failure to notify physician of medication changes, housekeeping and maintenance issues, incomplete comprehensive assessments, inadequate care plans, failure to maintain nutritional status, medication errors, infection control lapses, and life safety code violations related to emergency generator testing.

The inspection was conducted to assess compliance with regulations governing licensure of skilled nursing facilities, nursing facilities, and intermediate care facilities, focusing on accident hazards, supervision, and devices to prevent accidents.

The facility failed to assess residents with a history of falls for causal factors and implement care interventions to prevent falls and bruising for several sampled residents. Care plans lacked interventions addressing safety and prevention of future falls or bruising. The facility had a census of 27 at the time of inspection.

The inspection was conducted to assess compliance with regulations governing licensure of skilled nursing facilities, nursing facilities, and intermediate care facilities, focusing on deficient practices identified during the survey.

The facility failed to provide personal hygiene assistance for 9 residents who were unable to bathe or shower independently, and failed to ensure medications were administered in accordance with practitioner orders for 4 residents. Documentation and staff interviews revealed issues with missed baths due to staffing shortages and medication administration errors including wrong doses and omissions.

The Department of Health and Human Services issued a Notice of Disciplinary Action against Skilled Nursing Facility License #104002 due to violations involving pain management, accident prevention, and prevention of significant weight loss. The facility was placed on probation for 90 days starting July 12, 2012.

The facility failed to implement pain management programs, identify causal factors and protect two residents from injury, and prevent significant weight loss. The probation requires submission of multiple reports detailing assessments, interventions, and outcomes related to pain, accidents, and weight loss.

A survey was conducted by the Nebraska Department of Health and Human Services to determine if the facility complied with federal requirements for nursing homes participating in Medicare and Medicaid programs.

The survey found that the facility was not in substantial compliance with participation requirements, resulting in a denial of payment for new admissions due to deficiencies constituting actual harm or above. A follow-up revisit established that corrections were made and substantial compliance was achieved, leading to removal of the denial of payment.

Annual inspection survey conducted to assess compliance with state and federal regulations including resident care, safety, infection control, and facility maintenance.

The facility was found deficient in multiple areas including discharge planning, housekeeping and maintenance, comprehensive assessments, care planning, pain management, catheter care, accident prevention, nutrition, dietary sanitation, medication administration, infection control, and life safety code compliance. Several repeat deficiencies from prior surveys were noted.

The inspection was conducted as a complaint investigation related to Resident 2's right to refuse treatment and formulate advance directives.

The facility failed to allow Resident 2 or the legal representative the informed right to refuse care and treatment interventions by not explaining consequences or providing options. The legal representative refused the intervention of changing the resident's bed to a single bed with a pressure relieving mattress, but the facility did not provide written evidence of alternatives offered. The resident was eventually moved to an oversized bariatric bed after mediation attempts.

The complaint investigation focused on Resident 2's right to refuse treatment and formulate advance directives. The facility did not adequately inform the legal representative of the risks and benefits of treatment options, nor provide alternatives to the pressure relieving mattress on a single bed. The legal representative was against moving the resident to a single bed and felt the facility was not listening to their wishes.

Annual survey conducted to assess compliance with state and federal regulations governing skilled nursing facilities, including resident care, safety, and facility operations.

The facility was found deficient in multiple areas including resident rights to be informed of treatments, investigation and reporting of abuse and neglect, individualized activities programming, qualifications of the activity director, housekeeping and maintenance, care planning and revision, medication administration, care and services to maintain resident well-being, pressure sore prevention and treatment, menu compliance, food safety and sanitation, infection control practices, and life safety code compliance.

The document serves as a renewal application for the nursing home license of Callaway Good Life Center, Inc., including certification of licensure status and occupancy permit.

The documents verify that the facility meets statutory requirements for licensure renewal, with no inspection findings or deficiencies reported.

This document serves as verification of the renewal of the SNF/NF dual certification license for Callaway Good Life Center, Inc and includes the occupancy permit issued by the Nebraska State Fire Marshal.

The facility is licensed as a skilled nursing facility with a total capacity of 35 beds. The occupancy permit was issued on 2017-09-12 by the Deputy State Fire Marshal, confirming compliance with fire safety codes at that time.

The documents serve to verify the renewal of the SNF/NF dual certification license and provide the occupancy permit for the facility.

The facility is licensed for 35 beds and has an approved occupancy permit issued by the Nebraska State Fire Marshal. No inspection findings or deficiencies are reported in these documents.

This document serves to verify the renewal of the SNF/NF dual certification license for Callaway Good Life Center, Inc, confirming licensure through the indicated expiration date.

The documents confirm that Callaway Good Life Center, Inc meets statutory requirements for licensure as a skilled nursing facility with a licensed capacity of 35 beds. No inspection findings or deficiencies are reported.

The documents pertain to the renewal of the nursing home license for Callaway Good Life Center, Inc., including submission of the renewal application and verification of licensure status.

No inspection findings or deficiencies are reported in these documents. They primarily serve to confirm licensure renewal and facility information.

The documents serve to verify and renew the nursing home license for Callaway Good Life Center, Inc, including submission of the renewal application and confirmation of licensure status.

No inspection findings or deficiencies are reported. The documents confirm licensure renewal status and occupancy permit details.

This document serves as a renewal application for the nursing home license of Callaway Good Life Center, Inc., including verification of licensure and occupancy permit information.

The documents confirm that Callaway Good Life Center, Inc. is licensed as a Skilled Nursing Facility with a total capacity of 38 beds and holds a valid occupancy permit. No inspection findings or deficiencies are reported.

The notice serves to inform the facility of disciplinary action placing the license on probation for 90 days beginning June 8, 2011, due to failure to implement interventions to heal pressure ulcers.

The Department determined the facility violated licensure regulations related to promoting healing of pressure sores, requiring a plan of correction and weekly reports on residents with pressure sores during the probation period.

The document set serves to verify and renew the nursing home license for Callaway Good Life Center, Inc., including submission of the renewal application and confirmation of licensure status.

No inspection findings or deficiencies are reported. The documents confirm licensure renewal, facility capacity, and fire safety occupancy approval.