Nursing Care Index

St. Joseph's Villa, Inc.

David City, Butler County, Nebraska · CCN 285249 · Non-profit (Corporation) · part of Rural Health Development (9 facilities, chain average 3.8 stars)

CMS rates St. Joseph's Villa, Inc. 2 of 5 overall as of August 2026. 58 certified beds, 55 residents a day on average. 14 citations on record from the current inspection cycles, 1 at immediate jeopardy; 1 fine totalling $27,115 and 1 payment denial.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★☆☆☆ 2 of 5
Health inspections★★☆☆☆ 2 of 5
Staffing★★★☆☆ 3 of 5
Quality measures★★☆☆☆ 2 of 5
Quality: long-stay / short-stay4 / 1 of 5

Staffing

Total nurse staffing3.79254 hours per resident per day
Registered nurses0.41871 hours per resident per day
Weekend total3.26715 hours per resident per day
Nursing staff turnover52.9% (registered nurses 57.1%)
Administrators who left0

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2025-08-12 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2025-08-29
2025-08-12 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · tag F0657
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-08-29
2025-08-12 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-08-29
2025-08-12 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-08-29
2025-08-12 Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · tag F0695
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-08-29
2025-08-12
complaint survey
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-08-29
2024-10-24
complaint survey
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Quality of Life and Care Deficiencies · tag F0678
J Immediate jeopardy to resident health or safety; isolated Deficient, Provider has date of correction
2024-11-18
2024-09-26
complaint survey
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-10-17
2024-09-04
complaint survey
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-09-20
2024-09-04
complaint survey
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning Deficiencies · tag F0636
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-09-20
2024-09-04
complaint survey
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · tag F0645
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-09-20
2024-09-04
complaint survey
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · tag F0695
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-09-20
2023-10-05
complaint survey
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2023-10-27
2023-10-05 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-10-27

Fines and payment denials

DatePenaltyAmount
2024-09-26Payment denial for 3 days from 2024-11-15
2024-09-26Fine$27,115

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Rural Health Development Inc.
Organization
adp of the snf2025-04-25
Rural Health Development Inc.
Organization
operational/managerial control2008-07-14
Daro, Robert
Individual
adp of the snf2025-05-21
Lepant, Vicki
Individual
adp of the snf2008-07-14
Ross, Matthew
Individual
adp of the snf2008-07-14
Ross, Ron
Individual
adp of the snf2008-07-14
Shannon, Christina
Individual
adp of the snf2025-01-17
Kobza, Laura
Individual
corporate director2015-12-08
Adamy, Michael
Individual
corporate officer2017-02-14
Birkel, Susan
Individual
corporate officer2021-10-12
Hoeft, Jackie
Individual
corporate officer2021-10-12
Jakub, Jeanne
Individual
corporate officer2021-10-12
Meister, Gary
Individual
corporate officer2023-10-01
Moravec, Allen
Individual
corporate officer2016-12-13
Polacek, Kenneth
Individual
corporate officer2016-12-13
Pytlik, Frances
Individual
corporate officer2003-07-01
Ross, Matthew
Individual
indirect ownership interest2025-04-17
Pytlik, Frances
Individual
managing control - governing body2003-07-01
Daro, Robert
Individual
operational/managerial control2019-12-27
Ross, Matthew
Individual
operational/managerial control2008-07-14
Ross, Ron
Individual
operational/managerial control2008-07-14
Shannon, Christina
Individual
operational/managerial control2025-01-17

What changed

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Butler County.