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Public Record

St Joseph's Hillside Villa

Nursing HomeWest Point, NECMS 285303
43 citations on record

From CMS

Facility profile

CMS overall rating
5 / 5

*CMS Five-Star

Certified beds
54

*CMS

Avg. residents per day
53.1

*CMS

Inspection record

On record from CMS

Citations on record
43

*CMS

Inspections on file
9

*CMS

Last inspection
2025-03-13

*CMS

Citations

43 citations on record

Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0035Generalpotential for harm

    Provide family notifications of emergency plan.

  • 0020Generalpotential for harm

    Establish policies and procedures including evacuation.

  • 0645Generalpotential for harm

    PASARR screening for Mental disorders or Intellectual Disabilities

  • 0925Generalpotential for harm

    Ensure that sources of ignition are removed from patients receiving respiratory therapy.

  • 0920Generalpotential for harm

    Ensure proper usage of power strips and extension cords.

  • 0880Generalpotential for harm

    Provide and implement an infection prevention and control program.

  • 0684Generalpotential for harm

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

  • 0757Generalpotential for harm

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

  • 0922Generalpotential for harm

    Meet requirements for the use and maintenance of medical gas equipment.

  • 0712Generalpotential for harm

    Have simulated fire drills held at unexpected times.

  • 0609Generalpotential for harm

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

  • 0610Generalpotential for harm

    Respond appropriately to all alleged violations.

  • 0689Generalpotential for harm

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

  • 0760Generalpotential for harm

    Ensure that residents are free from significant medication errors.

  • 0580Generalpotential for harm

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

  • 0757Generalpotential for harm

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

  • 0756Generalpotential for harm

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

  • 0740Generalpotential for harm

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

  • 0692Generalpotential for harm

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

  • 0684Generalpotential for harm

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

  • 0004Generalpotential for harm

    Develop and maintain an Emergency Preparedness Program (EP).

  • 0041Generalpotential for harm

    Implement emergency and standby power systems.

  • 0211Generalpotential for harm

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

  • 0291Generalpotential for harm

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

  • 0321Generalpotential for harm

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

  • 0324Generalpotential for harm

    Provide properly protected cooking facilities.

  • 0341Generalpotential for harm

    Install a fire alarm system that can be heard throughout the facility.

  • 0342Generalpotential for harm

    Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

  • 0345Generalpotential for harm

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

  • 0347Generalpotential for harm

    Properly provide smoke detection systems in areas open to corridors.

  • 0351Generalpotential for harm

    Install an approved automatic sprinkler system.

  • 0353Generalpotential for harm

    Inspect, test, and maintain automatic sprinkler systems.

  • 0354Generalpotential for harm

    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

  • 0363Generalpotential for harm

    Install corridor and hallway doors that block smoke.

  • 0711Generalpotential for harm

    Provide a written emergency evacuation plan.

  • 0712Generalpotential for harm

    Have simulated fire drills held at unexpected times.

  • 0761Generalpotential for harm

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

  • 0918Generalpotential for harm

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

  • 0919Generalpotential for harm

    Meet requirements for the use of electrical equipment.

  • 0920Generalpotential for harm

    Ensure proper usage of power strips and extension cords.

  • 0881Generalpotential for harm

    Implement a program that monitors antibiotic use.

  • 0922Generalpotential for harm

    Meet requirements for the use and maintenance of medical gas equipment.

  • 0758Generalpotential for harm

    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.

FAQ

Questions and answers

What is St Joseph's Hillside Villa?
St Joseph's Hillside Villa is a Medicare- and Medicaid-certified nursing home in West Point, NE, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 285303.
What is the CMS rating for St Joseph's Hillside Villa?
St Joseph's Hillside Villa has a CMS overall rating of 5 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
How many beds does St Joseph's Hillside Villa have?
St Joseph's Hillside Villa is certified for 54 beds. It serves an average of 53.1 residents per day.
How many citations does St Joseph's Hillside Villa have?
St Joseph's Hillside Villa has 43 citations on record from CMS health inspections, each tied to a federal deficiency tag.
When was St Joseph's Hillside Villa last inspected?
St Joseph's Hillside Villa was last inspected on March 13, 2025. CMS surveys nursing homes about once a year and after complaints.
What can I do if I have concerns about care at this facility?
Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.

*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.

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