David City, NE

St. Joseph's Villa, Inc.

1-star overall rating with 2-star inspections with $27,115 in total fines with 6 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle

927 Seventh Street, David City, NE

(402) 367-3045

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

1 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

58

Certified beds

Average residents

53

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2003-01-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.00

Registered nurse staffing

LPN hours / resident day

0.00

Licensed practical nurse staffing

Aide hours / resident day

0.00

Nurse aide staffing

Total nurse hours

0.00

All reported nurse hours

Licensed hours

0.00

RN + LPN hours

Weekend hours

0.00

Weekend nurse staffing

Weekend RN hours

0.00

Weekend registered nurse coverage

Physical therapist

0.00

Reported PT staffing

Adjusted RN hours

0.00

CMS adjusted RN staffing hours

Adjusted total hours

0.00

CMS adjusted total nurse staffing hours

Case-mix index

0.00

Higher values indicate more complex resident acuity

RN turnover

87%

Annual RN turnover · state 46% · national 45%

Total nurse turnover

75%

Annual nurse turnover · state 49% · national 46%

SNF VBP

Value-based purchasing

Program rank

9,736

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

22.70

Composite VBP score used to determine payment impact.

Payment multiplier

0.9829

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

0

Baseline 73.53% · Performance 85.45% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

4.54

Baseline 4.11 hours · Performance 4.37 hours · Measure score 4.54 · Achievement 4.54 · Improvement 1.07

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.88%	10.72% 0.8 pts better	No Different than the National Rate · Eligible stays 33 · Observed rate 3.03% · Lower 95% interval 6.35%
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 21 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	0.62	1.02 0.4 pts better
Drug regimen review with follow-up	95.45%	95.27% 0.2 pts better	Numerator 21 · Denominator 22
Falls with major injury	4.55%	0.77% 3.8 pts worse	Numerator 1 · Denominator 22
Discharge self-care score	23.81%	53.69% 29.9 pts worse	Numerator 5 · Denominator 21
Discharge mobility score	23.81%	50.94% 27.1 pts worse	Numerator 5 · Denominator 21
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 22 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 15 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	1.89%	8.2% 6.3 pts worse	Numerator 2 · Denominator 106
Staff flu vaccination coverage	36.67%	42% 5.3 pts worse	Numerator 66 · Denominator 180
Discharge function score	33.33%	56.45% 23.1 pts worse	Numerator 7 · Denominator 21
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.5	1.8 0.3 pts better	1.9 0.4 pts better	Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.8 · Expected 2.3 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.1	2.0 0.1 pts worse	1.8 0.3 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 2.3 · Expected 1.8 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.5%	92.8% 6.7 pts better	93.4% 6.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 97.8% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.5%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	93.9%	96.1% 2.2 pts worse	95.5% 1.6 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 93.9%
Percentage of long-stay residents experiencing one or more falls with major injury	4.4%	4.5% 0.1 pts better	3.3% 1.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 4.9% · Q3 4.1% · Q4 4.3% · 4Q avg 4.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	3.0%	4.4% 1.4 pts better	11.4% 8.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 2.5% · Q3 2.2% · Q4 2.3% · 4Q avg 3.0%
Percentage of long-stay residents who lose too much weight	5.7%	5.3% 0.4 pts worse	5.4% 0.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 5.4% · Q3 6.8% · Q4 4.8% · 4Q avg 5.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	27.1%	19.5% 7.6 pts worse	19.6% 7.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 24.4% · Q2 31.6% · Q3 33.3% · Q4 19.0% · 4Q avg 27.1%
Percentage of long-stay residents who received an antipsychotic medication	23.7%	21.6% 2.1 pts worse	16.7% 7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.3% · Q2 28.1% · Q3 25.6% · Q4 18.4% · 4Q avg 23.7% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.3% 0.3 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	25.5%	20.4% 5.1 pts worse	16.3% 9.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q2 47.2% · Q3 19.9% · Q4 17.7% · 4Q avg 25.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	31.8%	19.9% 11.9 pts worse	14.9% 16.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 34.2% · Q2 34.3% · Q3 31.0% · Q4 28.2% · 4Q avg 31.8% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.5%	1.6% 0.1 pts better	1.0% 0.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.5% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	3.4%	2.9% 0.5 pts worse	1.7% 1.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 2.5% · Q3 4.2% · Q4 2.1% · 4Q avg 3.4% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	37.3%	26.6% 10.7 pts worse	19.8% 17.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 40.5% · Q2 44.5% · Q3 22.8% · Q4 43.7% · 4Q avg 37.3%
Percentage of long-stay residents with pressure ulcers	2.6%	4.3% 1.7 pts better	5.1% 2.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 2.3% · Q3 4.1% · Q4 2.0% · 4Q avg 2.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	92.5%	80.5% 12 pts better	81.7% 10.8 pts better	Short Stay · 2024Q4-2025Q3 · Q1 77.3% · Q2 94.7% · Q3 100.0% · Q4 95.8% · 4Q avg 92.5%
Percentage of short-stay residents who newly received an antipsychotic medication	3.5%	2.4% 1.1 pts worse	1.6% 1.9 pts worse	Short Stay · 2024Q4-2025Q3 · Q2 4.5% · 4Q avg 3.5% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	89.5%	75.9% 13.6 pts better	79.7% 9.8 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 89.5%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-08-12 · Fire 2025-08-12

6 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

7 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 2 Health 2024-09-04 · Fire 2024-09-04

6 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

3 fire-safety deficiencies

Top issue: Miscellaneous (2 deficiencies)

Cycle 3 Health 2023-10-05 · Fire 2023-10-05

2 health deficiencies

Top issue: Infection Control (1 deficiency)

5 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-08-12

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2025-08-29

F · Potential for more than minimal harm 2025-08-12

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2025-08-29

F · Potential for more than minimal harm 2025-08-12

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-08-29

F · Potential for more than minimal harm 2025-08-12

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-08-29

F · Potential for more than minimal harm 2025-08-12

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-08-29

F · Potential for more than minimal harm 2025-08-12

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2025-08-29

E · Potential for more than minimal harm 2025-08-12

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2025-08-29

F · Potential for more than minimal harm 2024-09-04

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-09-20

F · Potential for more than minimal harm 2024-09-04

K700 · Miscellaneous Deficiencies

Fire Safety

Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.

Corrected 2024-09-20

F · Potential for more than minimal harm 2024-09-04

K900 · Miscellaneous Deficiencies

Fire Safety

Meet Health Care Facilities Code mechanical requirements.

Corrected 2024-09-20

F · Potential for more than minimal harm 2023-10-05

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2023-10-27

F · Potential for more than minimal harm 2023-10-05

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2023-10-27

F · Potential for more than minimal harm 2023-10-05

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-10-27

E · Potential for more than minimal harm 2023-10-05

K222 · Egress Deficiencies

Fire Safety

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.

Corrected 2023-10-27

E · Potential for more than minimal harm 2023-10-05

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-10-27

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-08-12

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-08-29

D · Potential for more than minimal harm 2025-08-12

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2025-08-29

D · Potential for more than minimal harm 2025-08-12

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-08-29

D · Potential for more than minimal harm 2025-08-12

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-08-29

D · Potential for more than minimal harm 2025-08-12

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-08-29

D · Potential for more than minimal harm 2025-08-12

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-08-29

J · Immediate jeopardy 2024-10-24

F678 · Quality of Life and Care Deficiencies

Health

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Corrected 2024-11-18

D · Potential for more than minimal harm 2024-09-26

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2024-10-17

E · Potential for more than minimal harm 2024-09-04

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-09-20

D · Potential for more than minimal harm 2024-09-04

F636 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2024-09-20

D · Potential for more than minimal harm 2024-09-04

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2024-09-20

D · Potential for more than minimal harm 2024-09-04

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-09-20

F · Potential for more than minimal harm 2023-10-05

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-10-27

D · Potential for more than minimal harm 2023-10-05

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-10-27

Penalties and ownership

What sits behind the stars

$27,115 2024-09-26

Fine

Fine · fine $27,115

Fine

$0 2024-09-26

Payment Denial

Payment Denial · denial start 2024-11-15 · 3 days

3 day denial