Federal inspection record · CMS data as of October 1, 2026
St Joseph's Hillside Villa
540 E Washington Street, West Point, NE · (402) 372-1118
- CMS high-performer trophy
- Certified beds
- 54
- Residents per day
- 53
- Ownership
- Non-Profit
- Chain
- Franciscan Sisters Of Christian Charity
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- February 25, 2019
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Nebraska.
-
Staffing
★★★★★no change (already 5)
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Nebraska homes
St Joseph's Hillside Villa carries 11 inspection points. That is fewer than 89% of Nebraska's 178 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Nebraska: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–9 pts
- 4★ 9–31 pts
- 3★ 31–50 pts
- 2★ 50–94.25 pts
- 1★ over 94.25 pts
Bars show every rated home in Nebraska by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
7 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Assessment and Care Planning2D
- D
Assess the resident when there is a significant change in condition
- D
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Rights1E
- E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Quality of Life and Care1D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Pharmacy Service1D
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspection history
2026-07-09
2 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (1 deficiency)
2025-03-13
1 health deficiencies · 4 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (1 deficiency)
2024-03-07
4 health deficiencies · 2 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 4 h 27 min of nursing staff time a day, 1 h of it from a registered nurse.
This home
4 h 27 min
Nebraska average
4 h 7 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 32% of nursing staff and 20% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.3 pts worse | 2.0 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.4 pts better | 1.5 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7 pts better | 100.0% | 93.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.4 pts better | 100.0% | 95.6% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.9 pts worse | 7.4% | 4.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms3.8 pts worse | 8.2% | 4.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.4 pts better | 4.7% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4.1 pts better | 14.9% | 19.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3.4 pts better | 17.3% | 20.7% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.3 pts better | 0.0% | 0.3% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened10.8 pts better | 6.0% | 16.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased9.5 pts better | 9.5% | 19.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.3 pts better | 0.0% | 1.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.2 pts better | 1.5% | 2.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence12.6 pts better | 12.4% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.3 pts better | 2.7% | 4.0% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine18.7 pts better | 100.0% | 81.3% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.4 pts better | 9.4% | 10.8% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.1 pts better | 0.0% | 2.1% | 1.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission10.7 pts better | 10.4% | 21.1% | 23.4% |
·
Who owns and runs it
21 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Falk, Theresa | Corporate Director · Individual | 0% | 1 facilities |
| Falk, Theresa | Corporate Officer · Individual | 0% | 1 facilities |
| Franciscan Sisters Of Christian Charity Sponsored Ministries, Inc. | Operational/Managerial Control · Organization | 0% | 3 facilities |
| Graybeal, Michael | Corporate Director · Individual | 0% | 1 facilities |
| Graybeal, Michael | Corporate Officer · Individual | 0% | 1 facilities |
| Hass, Brian | Contracted Managing Employee · Individual | 0% | 2 facilities |
| Hass, Brian | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Holy Family Convent Of Franciscan Sisters Of Christian Charity Inc | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Loch, Timothy | W-2 Managing Employee · Individual | 0% | 2 facilities |
| Loch, Timothy | Corporate Director · Individual | 0% | 2 facilities |
| Loch, Timothy | Corporate Officer · Individual | 0% | 2 facilities |
| Loch, Timothy | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Reimers, Brian | Corporate Director · Individual | 0% | 1 facilities |
| Reimers, Brian | Corporate Officer · Individual | 0% | 1 facilities |
| Rose, Joy | Corporate Director · Individual | 0% | 1 facilities |
| Steffensmeier, David | Corporate Director · Individual | 0% | 1 facilities |
| Troyer, Amy | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Troyer, Amy | Corporate Officer · Individual | 0% | 1 facilities |
| Troyer, Amy | Operational/Managerial Control · Individual | 0% | 1 facilities |
| White, Diane | Corporate Director · Individual | 0% | 1 facilities |
| White, Diane | Corporate Officer · Individual | 0% | 1 facilities |
·
Fire safety
6 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems3E
- E
Ensure proper usage of power strips and extension cords.
- E
Ensure that sources of ignition are removed from patients receiving respiratory therapy.
- E
Meet requirements for the use and maintenance of medical gas equipment.
Emergency Preparedness2F
- F
Establish policies and procedures including evacuation.
- F
Provide family notifications of emergency plan.
Miscellaneous1F
- F
Have simulated fire drills held at unexpected times.
·
Other homes nearby
-
Colonial Haven
Beemer, NE · Rural Health Development
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 19 min
- Fines
- $0
-
Oakland Heights
Oakland, NE
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 4 h 21 min
- Fines
- $0
-
Wisner Care Center
Wisner, NE
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 14 min
- Fines
- $0