B87

St Joseph's Hillside Villa

Grade B 87/100 composite score

Non profit - Corporation

CMS Star Ratings

Overall
5/5
Health Insp.
4/5
Quality
3/5
Staffing
5/5
RN Staffing
Not rated

Certified Beds

54

Ownership

Non profit - Corporation

Total Fines

None

Last Survey

N/A

540 E Washington Street, West Point, NE 68788
4023721118

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
1.18h
LPN
0.51h
CNA
3.83h
Total
5.52h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

FRANCISCAN SISTERS OF CHRISTIAN CHARITY SPONSORED MINISTRIES, INC.

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Jan 2017

HOLY FAMILY CONVENT OF FRANCISCAN SISTERS OF CHRISTIAN CHARITY INC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Jan 2017

HASS, BRIAN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Nov 2018

LOCH, TIMOTHY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Aug 2020

TROYER, AMY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Aug 2020

FALK, THERESA

IndividualCORPORATE DIRECTORSince Jan 2017

GRAYBEAL, MICHAEL

IndividualCORPORATE DIRECTORSince Jan 2017

LOCH, TIMOTHY

IndividualCORPORATE DIRECTORSince Aug 2020

REIMERS, BRIAN

IndividualCORPORATE DIRECTORSince Jan 2017

ROSE, JOY

IndividualCORPORATE DIRECTORSince Jan 2017

STEFFENSMEIER, DAVID

IndividualCORPORATE DIRECTORSince May 2018

WHITE, DIANE

IndividualCORPORATE DIRECTORSince Jan 2017

FALK, THERESA

IndividualCORPORATE OFFICERSince Jan 2017

GRAYBEAL, MICHAEL

IndividualCORPORATE OFFICERSince Jan 2017

LOCH, TIMOTHY

IndividualCORPORATE OFFICERSince Aug 2020

REIMERS, BRIAN

IndividualCORPORATE OFFICERSince Jan 2017

TROYER, AMY

IndividualCORPORATE OFFICERSince Aug 2020

WHITE, DIANE

IndividualCORPORATE OFFICERSince Jan 2017

HASS, BRIAN

IndividualCONTRACTED MANAGING EMPLOYEESince Nov 2018

LOCH, TIMOTHY

IndividualW-2 MANAGING EMPLOYEESince Aug 2020

TROYER, AMY

IndividualW-2 MANAGING EMPLOYEESince Aug 2020

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (16)

March 13, 2025Health1 deficiency
0645DMinimal harm, Isolated

PASARR screening for Mental disorders or Intellectual Disabilities

Resident Assessment and Care Planning Deficiencies

Corrected Mar 27, 2025
September 10, 2024Health1 deficiency
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Sep 25, 2024
March 7, 2024Health3 deficiencies
0609DMinimal harm, Isolated

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Mar 29, 2024
0684DMinimal harm, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Mar 29, 2024
0757DMinimal harm, Isolated

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Pharmacy Service Deficiencies

Corrected Mar 29, 2024
April 24, 2023Health2 deficiencies
0610DMinimal harm, Isolated

Respond appropriately to all alleged violations.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected May 12, 2023
0689DMinimal harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected May 12, 2023
March 15, 2023Health2 deficiencies
0580DMinimal harm, Isolated

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Resident Rights Deficiencies

Corrected Apr 7, 2023
0760DMinimal harm, Isolated

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies

Corrected Apr 7, 2023
February 7, 2023Health7 deficiencies
0684DMinimal harm, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Mar 1, 2023
0692DMinimal harm, Isolated

Provide enough food/fluids to maintain a resident's health.

Quality of Life and Care Deficiencies

Corrected Mar 1, 2023
0740DMinimal harm, Isolated

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Quality of Life and Care Deficiencies

Corrected Mar 1, 2023
0756EMinimal harm, Pattern

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Pharmacy Service Deficiencies

Corrected Mar 1, 2023
0757DMinimal harm, Isolated

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Pharmacy Service Deficiencies

Corrected Mar 1, 2023
0758EMinimal harm, Pattern

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Pharmacy Service Deficiencies

Corrected Mar 1, 2023
0881EMinimal harm, Pattern

Implement a program that monitors antibiotic use.

Infection Control Deficiencies

Corrected Mar 1, 2023

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Frequently Asked Questions

What is the CareGrader rating for St Joseph's Hillside Villa?

St Joseph's Hillside Villa in West Point, Nebraska has a CareGrader grade of B (Good), with a composite score of 87.3 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for St Joseph's Hillside Villa?

St Joseph's Hillside Villa has an overall CMS star rating of 5 out of 5, a health inspection rating of 4/5, and a staffing rating of 5/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does St Joseph's Hillside Villa have?

St Joseph's Hillside Villa has 16 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

How many beds does St Joseph's Hillside Villa have?

St Joseph's Hillside Villa has 54 certified beds with approximately 51 current residents (94% occupancy). The facility is located at 540 E Washington Street, West Point, Nebraska 68788. It is a non profit - corporation facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.