Nebraska Nursing Homes >> Callaway Nursing Homes >> Callaway Good Life Center, Inc

Callaway Good Life Center, Inc - Callaway Nursing Home

General Information

UPDATE
Federal Provider Number
285200
Provider Name
CALLAWAY GOOD LIFE CENTER, INC
Provider Address
PO BOX 250, 600 WEST KIMBALL STREET
CALLAWAY, NE 68825
Provider Phone Number
3088362267
Provider SSA County
200
Provider County Name
Custer
Ownership Type
Non profit - Corporation
Number of Certified Beds
35
Number of Residents in Certified Beds
25
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CALLAWAY GOOD LIFE CENTER INC
Date First Approved to Provide Medicare and Medicaid services
1996-10-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.00200
Reported LPN Staffing Hours per Resident per Day
0.73200
Reported RN Staffing Hours per Resident per Day
0.99400
Reported Licensed Staffing Hours per Resident per Day
1.72600
Reported Total Nurse Staffing Hours per Resident per Day
4.72800
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02200
Expected CNA Staffing Hours per Resident per Day
2.58629
Expected LPN Staffing Hours per Resident per Day
0.64204
Expected RN Staffing Hours per Resident per Day
0.93985
Expected Total Nurse Staffing Hours per Resident per Day
4.16818
Adjusted CNA Staffing Hours per Resident per Day
2.84810
Adjusted LPN Staffing Hours per Resident per Day
0.94630
Adjusted RN Staffing Hours per Resident per Day
0.79025
Adjusted Total Nurse Staffing Hours per Resident per Day
4.57229
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-10-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
15
Cycle 2 Number of Standard Health Deficiencies
15
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
140
Cycle 2 Standard Health Survey Date
2013-09-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
16
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
164
Cycle 3 Standard Health Survey Date
2012-06-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
164
Total Weighted Health Survey Score
90.00000
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
2
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01

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