St Joseph's Hillside Villa

Name: St Joseph's Hillside Villa
Address: 540 E Washington Street, West Point, NE, 68788, US
Telephone: 4023721118

540 E Washington Street, West Point, NE 68788 · Cuming County · 54 certified beds · avg 53 residents/day · certified since Feb 25, 2019

Part of chain: FRANCISCAN SISTERS OF CHRISTIAN CHARITY (3 facilities, chain avg rating 3.7★)

5/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

5.47

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (12)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Mar 13, 2025	D · Potential for harm, one-off	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services.
Sep 10, 2024	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
Mar 7, 2024	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
Mar 7, 2024	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Mar 7, 2024	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Feb 7, 2023	E · Potential for harm, repeated	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Feb 7, 2023	E · Potential for harm, repeated	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Feb 7, 2023	E · Potential for harm, repeated	The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective.
Feb 7, 2023	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Feb 7, 2023	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Feb 7, 2023	D · Potential for harm, one-off	The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety.
Feb 7, 2023	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (3 → 1).

Year	Citations	Worst severity that year
2023	7	E
2024	4	D
2025	1	D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Nebraska avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	5.47	4.33	3.95	top 11% in Nebraska; top 8% in the U.S.
Registered Nurse hours	1.24	0.72	0.69	top 8% in Nebraska; top 9% in the U.S.
Weekend total nurse staffing	4.78	3.79	3.50	top 10% in Nebraska; top 8% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.64	0.47	0.48	top 19% in Nebraska; top 20% in the U.S.
Total nursing staff turnover (%)	36.8	48.7	45.8	top 26% in Nebraska; top 28% in the U.S.
RN turnover (%)	20.0	44.1	42.9	top 18% in Nebraska; top 13% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.34, RN 0.98, weekend 3.79. Staffing rating: 5/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 3/5 · long-stay residents: 4/5 · short-stay residents: 2/5

Who owns this facility

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
Falk, Theresa	Individual	Corporate Director	NOT APPLICABLE	01/04/2017
Falk, Theresa	Individual	Corporate Officer	NOT APPLICABLE	01/18/2017
Franciscan Sisters of Christian Charity Sponsored Ministries, INC.	Organization	Operational/Managerial Control	NOT APPLICABLE	01/04/2017
Graybeal, Michael	Individual	Corporate Director	NOT APPLICABLE	01/04/2017
Graybeal, Michael	Individual	Corporate Officer	NOT APPLICABLE	01/18/2017
Hass, Brian	Individual	Contracted Managing Employee	NOT APPLICABLE	11/15/2018
Hass, Brian	Individual	Operational/Managerial Control	NOT APPLICABLE	11/15/2018
Holy Family Convent of Franciscan Sisters of Christian Charity INC	Organization	Operational/Managerial Control	NOT APPLICABLE	01/04/2017
Loch, Timothy	Individual	W-2 Managing Employee	NOT APPLICABLE	08/19/2020
Loch, Timothy	Individual	Corporate Director	NOT APPLICABLE	08/19/2020
Loch, Timothy	Individual	Corporate Officer	NOT APPLICABLE	08/19/2020
Loch, Timothy	Individual	Operational/Managerial Control	NOT APPLICABLE	08/19/2020
Reimers, Brian	Individual	Corporate Director	NOT APPLICABLE	01/04/2017
Reimers, Brian	Individual	Corporate Officer	NOT APPLICABLE	01/18/2017
Rose, Joy	Individual	Corporate Director	NOT APPLICABLE	01/04/2017
Steffensmeier, David	Individual	Corporate Director	NOT APPLICABLE	05/01/2018
Troyer, Amy	Individual	W-2 Managing Employee	NOT APPLICABLE	08/19/2020
Troyer, Amy	Individual	Corporate Officer	NOT APPLICABLE	08/19/2020
Troyer, Amy	Individual	Operational/Managerial Control	NOT APPLICABLE	08/19/2020
White, Diane	Individual	Corporate Director	NOT APPLICABLE	01/04/2017

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
"Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
"What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
"Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Colonial Haven	7.9 mi	Beemer, NE	★★★★★	5/5
Oakland Heights	12.7 mi	Oakland, NE	★★★★★	5/5
Wisner Care Center	14.5 mi	Wisner, NE	★★★★☆	4/5

Compare this facility with the 3 closest →

All facilities in West Point →

Facility data as of CMS processing date 2026-08-01. CCN 285303.

The Care File

Visit checklist — St Joseph's Hillside Villa

540 E Washington Street, West Point, NE 68788 · 4023721118

Health inspection rating 5/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
☐ "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
☐ "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
☐ "Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 285303 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)