St. Joseph's Hillside Villa
540 E Washington Street, West Point, NE 68788 · Cuming County · (402) 372-1118
54 certified beds, about 53 residents a day · Non profit - Church related · Medicare and Medicaid since 2019
CMS Care Compare ratings, data as of September 1, 2026 · CCN 285303 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on July 9, 2026, inspectors cited 2 health deficiencies (the Nebraska average is 7.4, the national average 9.2).
None of its 7 health citations since March 2024 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.34 hours per resident per day, against 3.98 across Nebraska and 3.86 nationally. Registered nurses accounted for 0.98 of those hours.
36.8% of nursing staff left within the year CMS measured (Nebraska average 48.7%).
CMS links it to Franciscan Sisters of Christian Charity, an affiliated group of 3 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 7 health citations on file.
July 9, 2026Standard inspection · 2 citations · risk-based survey (a shorter visit CMS gives only to higher performing homes)
- 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.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that the restroom exhaust ventilation system (vents) was working in 7 (resident room numbers 201, 209, 316, 318, 404, 414, and 409) of 9 sampled resident's restrooms. The facility census was 52.
- D Assess the resident when there is a significant change in condition
Inspectors wroteBased on observation, interview, and review, the facility failed to ensure a Significant Change Minimum Data Set (MDS)(a comprehensive assessment used to develop a resident's plan of care) was completed within 14 days for 2 (Residents 9 and 22) of 2 sampled residents. The facility census was 52.
March 13, 2025Standard inspection · 1 citation
- D PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteLicensure Reference Number NAC 175 12-006.09 Based on record review, and interview; the facility failed to ensure Resident 107's Preadmission Screening and Resident Review (PASARR- federally mandated screening tool to be completed prior to admission to ensure appropriate placement and services for those residents identified as having MI, ID, or RD (mental illness/ intellectual disability or related disorders)), was completed accurately. The sample size was 13 and the facility census was 51.
September 10, 2024Complaint inspection · 1 citation
- D Provide and implement an infection prevention and control program.
Inspectors wroteLicensure Reference Number NAC 175 12-006.18 Based on observation, interview and record review; the facility failed to implement Enhanced Barrier Precautions (EBP-an infection control intervention designed to reduce transmission of multi-drug resistant organisms [MDRO's]) during wound care for Resident 1. The total sample size was 3 and the facility census was 50.
March 7, 2024Standard inspection · 3 citations
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.02(8) Based on record review and interview, the facility failed to report an allegation of potential staff to resident abuse involving Resident 23. The sample size was 1 and the facility census was 51.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteLicensure Reference Number: 175 NAC 12-006.09D Based on record review and interview; the facility failed to follow practitioner's orders regarding the administration of medication to address Resident 23's elevated blood pressures. The sample size was 1 and the facility census was 51.
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.09D Based on interview and record review; the facility failed to ensure residents were free from unnecessary medications related to long term use of an antibiotic medication for Resident 11. The antibiotic did not specify a duration and had no supporting documentation for clinical use based on laboratory results. The sample size was 1 and the facility census was 51.
Fire safety inspections
6 fire safety citations on file: 4 on March 13, 2025, 2 on March 7, 2024.
Every fire safety citation6 citations
- F Establish policies and procedures including evacuation.
- F Provide family notifications of emergency plan.
- E Ensure proper usage of power strips and extension cords.
- E Ensure that sources of ignition are removed from patients receiving respiratory therapy.
- F Have simulated fire drills held at unexpected times.
- E Meet requirements for the use and maintenance of medical gas equipment.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Nebraska | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.34 | 3.98 | 3.86 |
| Registered nurses | 0.98 | 0.67 | 0.69 |
| All nursing staff on weekends | 3.79 | 3.48 | 3.42 |
| Nurse aides | 2.95 | ||
| Licensed practical nurses | 0.41 | ||
| Nursing staff turnover (share who left in a year) | 36.8% | 48.7% | 45.8% |
| Registered nurse turnover | 20.0% | 44.1% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.04 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.56 on weekdays and 3.79 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 6.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.65 in April to June 2025 to 4.34 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.34 | 0.98 | 4.56 | 3.79 | 6.5% | 0 of 90 | 53 |
| Oct to Dec 2025 | 4.38 | 0.89 | 4.58 | 3.87 | 7.8% | 0 of 92 | 53 |
| Jul to Sep 2025 | 4.57 | 0.98 | 4.79 | 4.02 | 2.6% | 0 of 92 | 52 |
| Apr to Jun 2025 | 4.65 | 1.01 | 4.89 | 4.06 | 5.4% | 0 of 91 | 51 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Nebraska, Jan to Mar 2026 | 4.01 | 0.66 | 4.21 | 3.53 | 7.1% | 1.6% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Nebraska | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 9.2 | 19.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.6 | 2.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 6.5 | 4.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 3.6 | 2.0 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 6.0 | 18.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.3 | 4.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 16.2 | 20.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 8.8 | 20.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 10.8 | 11.4 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.9 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 1.9 | 1.8 |
Owners and operators
Legal business name: ST JOSEPHS ELDER SERVICES INC. CMS links this home to Franciscan Sisters of Christian Charity, a group of 3 nursing homes averaging 3.7 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Hass, Brian | Contracted managing employee | Individual | 11/15/2018 | |
| Loch, Timothy | W-2 managing employee | Individual | 08/19/2020 | |
| Troyer, Amy | W-2 managing employee | Individual | 08/19/2020 | |
| Falk, Theresa | Corporate director | Individual | 01/04/2017 | |
| Graybeal, Michael | Corporate director | Individual | 01/04/2017 | |
| Loch, Timothy | Corporate director | Individual | 08/19/2020 | |
| Reimers, Brian | Corporate director | Individual | 01/04/2017 | |
| Rose, Joy | Corporate director | Individual | 01/04/2017 | |
| Steffensmeier, David | Corporate director | Individual | 05/01/2018 | |
| White, Diane | Corporate director | Individual | 01/04/2017 | |
| Falk, Theresa | Corporate officer | Individual | 01/18/2017 | |
| Graybeal, Michael | Corporate officer | Individual | 01/18/2017 | |
| Loch, Timothy | Corporate officer | Individual | 08/19/2020 | |
| Reimers, Brian | Corporate officer | Individual | 01/18/2017 | |
| Troyer, Amy | Corporate officer | Individual | 08/19/2020 | |
| White, Diane | Corporate officer | Individual | 01/18/2017 | |
| Franciscan Sisters of Christian Charity Sponsored Ministries, Inc. | Operational/managerial control | Organization | 01/04/2017 | |
| Holy Family Convent of Franciscan Sisters of Christian Charity Inc | Operational/managerial control | Organization | 01/04/2017 | |
| Hass, Brian | Operational/managerial control | Individual | 11/15/2018 | |
| Loch, Timothy | Operational/managerial control | Individual | 08/19/2020 | |
| Troyer, Amy | Operational/managerial control | Individual | 08/19/2020 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on July 9, 2026: "Assess the resident when there is a significant change in condition"
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on July 9, 2026: "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."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on September 10, 2024: "Provide and implement an infection prevention and control program."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on March 7, 2024: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
Other nursing homes nearby
- Colonial Haven Beemer, 7.9 mi · 5 of 5 stars · 5 citations
- Oakland Heights Oakland, 12.7 mi · 5 of 5 stars · 3 citations
- Wisner Care Center Wisner, 14.5 mi · 3 of 5 stars · 17 citations
- Clarkson Community Care Center Inc Clarkson, 23.3 mi · 1 of 5 stars · 26 citations
Nebraska contacts for a concern about a nursing home
These are the official offices in Nebraska. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Nebraska Department of Health and Human Services, Licensure Unit, Long Term Care Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Nebraska Long-Term Care Ombudsman Program, (800) 942-7830. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
Common questions
- What is St. Joseph's Hillside Villa's Medicare star rating?
- CMS rates St. Joseph's Hillside Villa 5 out of 5 stars overall, with 5 for health inspections, 5 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did St. Joseph's Hillside Villa get at its last inspection?
- 2 health deficiencies at the standard inspection on July 9, 2026. The Nebraska average is 7.4.
- Has St. Joseph's Hillside Villa been fined?
- CMS lists no fines in the last three years.
- Does St. Joseph's Hillside Villa accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns St. Joseph's Hillside Villa?
- CMS lists 21 owners and managers, and links the home to Franciscan Sisters of Christian Charity. Legal business name: ST JOSEPHS ELDER SERVICES INC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.