St. Joseph's Villa, INC.
927 Seventh Street, David City, NE 68632 · Butler County · 58 certified beds · avg 55 residents/day · certified since Jan 1, 2003
Part of chain: RURAL HEALTH DEVELOPMENT (9 facilities, chain avg rating 3.8★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Oct 24, 2024 · F-0678 · triggered by a complaint
The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes.
Why it matters: In a cardiac or breathing emergency, failure to start CPR promptly can be the difference between life and death.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Nov 18, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (14)
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 |
|---|---|---|
| Aug 12, 2025 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Aug 12, 2025 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Aug 12, 2025 | 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. |
| Aug 12, 2025 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Aug 12, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Aug 12, 2025 | 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 |
| Oct 24, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes. · from a complaint |
| Sep 26, 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. · from a complaint |
| Sep 4, 2024 | E · Potential for harm, repeated | 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 |
| Sep 4, 2024 | D · Potential for harm, one-off | The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. · from a complaint |
| Sep 4, 2024 | 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. · from a complaint |
| Sep 4, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · from a complaint |
| Oct 5, 2023 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint |
| Oct 5, 2023 | 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (4 → 6).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 2 | 0 | F |
| 2024 | 6 | 1 | J ▲ |
| 2025 | 6 | 0 | F |
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)
1 fine totaling $27,115, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Sep 26, 2024 | Fine | $27,115 |
| Sep 26, 2024 | Payment Denial | 3 days from Nov 15, 2024 |
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) | 4.55 | 4.33 | 3.95 | top 38% in Nebraska; top 22% in the U.S. |
| Registered Nurse hours | 0.50 | 0.72 | 0.69 | bottom 23% in Nebraska; bottom 38% in the U.S. |
| Weekend total nurse staffing | 3.92 | 3.79 | 3.50 | top 39% in Nebraska; top 25% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.21 | 0.47 | 0.48 | bottom 9% in Nebraska; bottom 14% in the U.S. |
| Total nursing staff turnover (%) | 52.9 | 48.7 | 45.8 | bottom 39% in Nebraska; bottom 30% in the U.S. |
| RN turnover (%) | 57.1 | 44.1 | 42.9 | bottom 35% in Nebraska; bottom 26% 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 3.79, RN 0.42, weekend 3.27. Staffing rating: 3/5.
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: 2/5 · long-stay residents: 4/5 · short-stay residents: 1/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Ross, Matthew | Individual | Indirect Ownership Interest | NOT APPLICABLE | 04/17/2025 |
| Adamy, Michael | Individual | Corporate Officer | NOT APPLICABLE | 02/14/2017 |
| Birkel, Susan | Individual | Corporate Officer | NOT APPLICABLE | 10/12/2021 |
| Daro, Robert | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/27/2019 |
| Daro, Robert | Individual | ADP of the SNF | NOT APPLICABLE | 05/21/2025 |
| Hoeft, Jackie | Individual | Corporate Officer | NOT APPLICABLE | 10/12/2021 |
| Jakub, Jeanne | Individual | Corporate Officer | NOT APPLICABLE | 10/12/2021 |
| Kobza, Laura | Individual | Corporate Director | NOT APPLICABLE | 12/08/2015 |
| Lepant, Vicki | Individual | ADP of the SNF | NOT APPLICABLE | 07/14/2008 |
| Meister, Gary | Individual | Corporate Officer | NOT APPLICABLE | 10/01/2023 |
| Moravec, Allen | Individual | Corporate Officer | NOT APPLICABLE | 12/13/2016 |
| Polacek, Kenneth | Individual | Corporate Officer | NOT APPLICABLE | 12/13/2016 |
| Pytlik, Frances | Individual | Managing Control - Governing Body | NOT APPLICABLE | 07/01/2003 |
| Pytlik, Frances | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2003 |
| Ross, Matthew | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/14/2008 |
| Ross, Matthew | Individual | ADP of the SNF | NOT APPLICABLE | 07/14/2008 |
| Ross, Ron | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/14/2008 |
| Ross, Ron | Individual | ADP of the SNF | NOT APPLICABLE | 07/14/2008 |
| Rural Health Development INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 07/14/2008 |
| Rural Health Development INC. | Organization | ADP of the SNF | NOT APPLICABLE | 04/25/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Are staff on every shift trained and certified in CPR, and how do they know each resident's resuscitation wishes?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "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?"
- "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 | Flags |
|---|---|---|---|---|---|
| Brookestone of David City | 0.8 mi | David City, NE | ★★★★★ | 5/5 | |
| Emerald Nursing & Rehab Columbus | 18.3 mi | Columbus, NE | ★☆☆☆☆ | 3/5 | |
| Brookestone Acres | 19.0 mi | Columbus, NE | ★★★★★ | 5/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 285249.