Public Record
St Joseph's Hillside Villa
Operated by Franciscan Sisters Of Christian Charity
From CMS
Facility profile
- CMS overall rating
- 5 / 5
- Certified beds
- 54
- Avg. residents per day
- 53.1
*CMS Five-Star
*CMS
*CMS
Inspection record
On record from CMS
- Health citations
- 16
- Fire safety findings
- 27
- Inspections on file
- 9
- Last inspection
- 2025-03-13
*CMS
*CMS
*CMS
*CMS
Citations
16 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.
- 0645Generalpotential for harm
PASARR screening for Mental disorders or Intellectual Disabilities
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0609Generalpotential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- 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.
- 0689Generalpotential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0610Generalpotential for harm
Respond appropriately to all alleged violations.
- 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.
- 0684Generalpotential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0692Generalpotential for harm
Provide enough food/fluids to maintain a resident's health.
- 0740Generalpotential for harm
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
- 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.
- 0757Generalpotential for harm
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- 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.
- 0881Generalpotential for harm
Implement a program that monitors antibiotic use.
Inspection history
Every health inspection on record
Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.
- View inspection reportInspectionFire Safety4 deficiencies
- View inspection reportInspection1 deficiency
- View inspection reportInspection1 deficiency
- View inspection reportInspection3 deficiencies
- View inspection reportInspectionFire Safety2 deficiencies
- View inspection reportInspection2 deficiencies
- View inspection reportInspection2 deficiencies
- View inspection reportInspectionFire Safety21 deficiencies
- View inspection reportInspection7 deficiencies
Ownership
Franciscan Sisters Of Christian Charity
3nursing homes nationwide, in CMS records
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 16 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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