Federal inspection record · CMS data as of October 1, 2026
St. Joseph's Villa, Inc.
927 Seventh Street, David City, NE · (402) 367-3045
- Certified beds
- 58
- Residents per day
- 48
- Ownership
- Non-Profit
- Chain
- Rural Health Development
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 1, 2003
1
How this home got 2 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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Nebraska.
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Staffing
★★★★★no change
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.
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Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Nebraska homes
St. Joseph's Villa, Inc. carries 55.75 inspection points. That is fewer than 38% 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
14 health citations on record since 2023. 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.
Harm and immediate-jeopardy citations (1)
-
J
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Everything else, by area of care
Quality of Life and Care4D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Resident Assessment and Care Planning3D
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
Infection Control3E
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Nutrition and Dietary2F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspection history
2025-08-12
6 health deficiencies · 7 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2024-09-04
5 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2023-10-05
3 health deficiencies · 5 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 3 h 55 min of nursing staff time a day, 25 min of it from a registered nurse.
This home
3 h 55 min
Nebraska average
4 h 7 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 47% of nursing staff and 50% 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
Fines and payment denials
$27,115 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-09-26 | Fine | $27,115 |
| 2024-09-26 | Payment Denial · 3 day denial | $0 |
6
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 days0.8 pts better | 0.9 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.1 pts worse | 2.0 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine9.9 pts worse | 83.1% | 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 injury1.7 pts worse | 6.2% | 4.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms3.3 pts better | 1.1% | 4.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.3 pts better | 1.8% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2.9 pts better | 16.1% | 19.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication8.1 pts better | 12.6% | 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 worsened3.4 pts worse | 20.2% | 16.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased9.2 pts worse | 28.2% | 19.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.9 pts better | 0.4% | 1.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.2 pts better | 0.5% | 2.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence12.9 pts worse | 37.9% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2 pts better | 2.0% | 4.0% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine4.8 pts worse | 76.5% | 81.3% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.3 pts worse | 2.4% | 2.1% | 1.5% |
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Who owns and runs it
22 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 |
|---|---|---|---|
| Adamy, Michael | Corporate Officer · Individual | 0% | 1 facilities |
| Birkel, Susan | Corporate Officer · Individual | 0% | 1 facilities |
| Daro, Robert | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Daro, Robert | Adp Of The SNF · Individual | 0% | 1 facilities |
| Hoeft, Jackie | Corporate Officer · Individual | 0% | 1 facilities |
| Jakub, Jeanne | Corporate Officer · Individual | 0% | 1 facilities |
| Kobza, Laura | Corporate Director · Individual | 0% | 1 facilities |
| Lepant, Vicki | Adp Of The SNF · Individual | 0% | 1 facilities |
| Meister, Gary | Corporate Officer · Individual | 0% | 1 facilities |
| Moravec, Allen | Corporate Officer · Individual | 0% | 1 facilities |
| Polacek, Kenneth | Corporate Officer · Individual | 0% | 1 facilities |
| Pytlik, Frances | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Pytlik, Frances | Corporate Officer · Individual | 0% | 1 facilities |
| Ross, Matthew | Indirect Ownership Interest · Individual | 0% | 2 facilities |
| Ross, Matthew | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Ross, Matthew | Adp Of The SNF · Individual | 0% | 2 facilities |
| Ross, Ron | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Ross, Ron | Adp Of The SNF · Individual | 0% | 2 facilities |
| Rural Health Development Inc. | Operational/Managerial Control · Organization | 0% | 10 facilities |
| Rural Health Development Inc. | Adp Of The SNF · Organization | 0% | 10 facilities |
| Shannon, Christina | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Shannon, Christina | Adp Of The SNF · Individual | 0% | 1 facilities |
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Fire safety
15 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke6F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Install corridor and hallway doors that block smoke.
- F
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Install corridor and hallway doors that block smoke.
Egress4F
- F
Install emergency lighting that can last at least 1 1/2 hours.
- F
Have properly located and lighted "Exit" signs.
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Miscellaneous3F
- F
Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.
- F
Meet Health Care Facilities Code mechanical requirements.
- F
Provide a written emergency evacuation plan.
Emergency Preparedness1F
- F
Implement emergency and standby power systems.
Gas, Vacuum, and Electrical Systems1F
- F
Have generator or other power source capable of supplying service within 10 seconds.
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Other homes nearby
-
Brookestone of David City
David City, NE · Vetter Senior Living
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 10 min
- Fines
- $0
-
Emerald Nursing & Rehab Columbus
Columbus, NE · Emerald Healthcare
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 50 min
- Fines
- $0
-
Brookestone Acres
Columbus, NE · Vetter Senior Living
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 4 h 28 min
- Fines
- $0