| St Joseph's Hillside Villa | |
| 540 E Washington Street, West Point, Nebraska 68788 | |
| (402) 372-1118 | |
| Name | St Joseph's Hillside Villa |
|---|---|
| Location | 540 E Washington Street, West Point, Nebraska |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 54 |
| Occupancy Rate | 98.7% |
| Medicare ID (CCN) | 285303 |
| Legal Business Name | St Josephs Elder Services Inc |
| Ownership Type | Non Profit - Corporation |
| Chain | Franciscan Sisters of Christian Charity (3 nursing homes) |
| Chain Average Overall Rating | 3.7 out of 5 |
| NPI Number | 1316436470 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | St Josephs Elder Services Inc |
| Doing Business As | St. Joseph's Hillside Villa |
| Address | 540 E Washington St, West Point, NE 68788 |
| Phone Number | 402-372-1118 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 4.34 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.98 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.41 | 0.86 |
| Nurse aide hours per resident per day | 2.95 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.79 | 3.42 |
| RN hours per resident per day on the weekend | 0.64 | 0.48 |
| Physical therapist hours per resident per day | 0.03 | 0.07 |
| Total nursing staff turnover | 36.8% | 45.8% |
| Registered nurse turnover | 20% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Mar 13, 2025 | PASARR screening for Mental disorders or Intellectual Disabilities F0645, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Mar 27, 2025 |
| Sep 10, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Complaint inspection | Potential for harm, isolated | Corrected by Sep 25, 2024 |
| Mar 7, 2024 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Mar 29, 2024 |
| Mar 7, 2024 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Mar 29, 2024 |
| Mar 7, 2024 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Mar 29, 2024 |
| Feb 7, 2023 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Mar 1, 2023 |
| Feb 7, 2023 | 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. F0758, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Mar 1, 2023 |
| Feb 7, 2023 | Implement a program that monitors antibiotic use. F0881, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Mar 1, 2023 |
| Feb 7, 2023 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Mar 1, 2023 |
| Feb 7, 2023 | Provide enough food/fluids to maintain a resident's health. F0692, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Mar 1, 2023 |
| Feb 7, 2023 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. F0740, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Mar 1, 2023 |
| Feb 7, 2023 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Mar 1, 2023 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 9.19 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 4.86 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 1.55 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 7.45 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 6.53 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.57 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 6.05 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 16.23 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Not Available | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 4.35 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 14.33 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 16.18 | 15.38 |