Elder Care Record

Nebraska › Cuming County › West Point

St Joseph'S Hillside Villa

540 E Washington Street, West Point, NE 68788

CCN 285303 · Non-profit, corporation · 54 certified beds · chain Franciscan Sisters Of Christian Charity

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Certified for 54 beds, St Joseph'S Hillside Villa serves West Point in Cuming County, Nebraska and has taken Medicare and Medicaid residents since 2019.

CMS gives it 5 of 5 stars overall, above the Nebraska median of 3; the health inspection rating is 5, staffing 5 and quality measures 3.

Inspectors recorded 12 health deficiencies across the three most recent survey cycles (1, 4, 7 by cycle, most recent first), none at the actual-harm level. That is 22.2 per 100 beds, about the same as the state median of 23.7.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 4.3 hours per resident per day (1.0 RN), close to the Nebraska median of 3.9; nursing staff turnover is 36.8%.

12health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
4.3nurse hours per resident per daystate median 3.9
99%occupancy (residents ÷ beds)53 residents a day

Compared with county, state and nation

MeasureThis facilityCuming Co. medianNebraska medianUS average
Overall star rating5533.0
Health citations, 3 cycles12121528.7
Citations per 100 beds22.222.223.726.8
Total nurse hours per resident day4.34.03.93.9
RN hours per resident day1.00.70.60.7
Nursing staff turnover36.8%51.2%47.1%45.8%
Fines listed$0$0$0—

County and state figures are medians across facilities (3 in the county, 180 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)1
Cycle 24
Cycle 37

Dark bar: this facility. Grey bar: Nebraska average per facility for the same cycle, as published by CMS. Standard health survey dates: 13 Mar 2025, 7 Mar 2024.

Severity mix: D ×9 E ×3

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
13 Mar 2025F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey27 Mar 2025
10 Sep 2024F0880Provide and implement an infection prevention and control program.DComplaint investigation25 Sep 2024
7 Mar 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey29 Mar 2024
7 Mar 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey29 Mar 2024
7 Mar 2024F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey29 Mar 2024
7 Feb 2023F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard survey1 Mar 2023
7 Feb 2023F0758Implement 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.EStandard survey1 Mar 2023
7 Feb 2023F0881Implement a program that monitors antibiotic use.EStandard survey1 Mar 2023
7 Feb 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey1 Mar 2023
7 Feb 2023F0692Provide enough food/fluids to maintain a resident's health.DStandard survey1 Mar 2023
7 Feb 2023F0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DStandard survey1 Mar 2023
7 Feb 2023F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey1 Mar 2023

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing4.34 h
Nurse aides2.95 h
LPN0.41 h
RN0.98 h
Weekend total3.79 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Nebraska average. Turnover: nursing staff 36.8%, RNs 20.0%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityNebraska medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay9.2%18.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.9%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay1.6%2.1%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay6.5%4.2%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay3.6%1.0%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay6.0%17.2%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay4.4%3.7%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay16.2%19.2%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: non-profit, corporation. Legal business name: St Josephs Elder Services Inc. Chain: Franciscan Sisters Of Christian Charity (3 facilities).

OrganisationRole in the CMS recordInterestSince
Franciscan Sisters of Christian Charity Sponsored Ministries, Inc.Operational/managerial controlNOT APPLICABLE01/04/2017

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Cuming County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Colonial HavenBeemer34553514.7—26 Jun 2026
Wisner Care CenterWisner384441436.8—4 Mar 2025

All 3 facilities in Cuming County

Questions and answers

How many deficiencies has St Joseph'S Hillside Villa been cited for?

12 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Nebraska median is 15 per facility.

Has St Joseph'S Hillside Villa been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at St Joseph'S Hillside Villa compare?

Reported total nurse staffing is 4.3 hours per resident per day against a Nebraska median of 3.9 and a national average of 3.9.

Who operates St Joseph'S Hillside Villa?

It is part of the Franciscan Sisters Of Christian Charity chain. Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Franciscan Sisters of Christian Charity Sponsored Ministries, Inc.. Individual owners and managers are not listed on this site.

When was St Joseph'S Hillside Villa last inspected?

The most recent survey or investigation in the CMS record is dated 13 Mar 2025; the most recent standard health survey was 13 Mar 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.