St Joseph's Hillside Villa
West Point, Cuming County, Nebraska · CCN 285303 · Non-profit (Corporation) · part of Franciscan Sisters Of Christian Charity (3 facilities, chain average 3.7 stars)
CMS rates St Joseph's Hillside Villa 5 of 5 overall as of August 2026. 54 certified beds, 53 residents a day on average. 12 citations on record from the current inspection cycles; no fines on record.
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 | ★★★★★ 5 of 5 |
|---|---|
| Health inspections | ★★★★★ 5 of 5 |
| Staffing | ★★★★★ 5 of 5 |
| Quality measures | ★★★☆☆ 3 of 5 |
| Quality: long-stay / short-stay | 4 / 2 of 5 |
Staffing
| Total nurse staffing | 4.34113 hours per resident per day |
|---|---|
| Registered nurses | 0.98224 hours per resident per day |
| Weekend total | 3.79229 hours per resident per day |
| Nursing staff turnover | 36.8% (registered nurses 20%) |
| Administrators who left | 0 |
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.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2025-03-13 | 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 2025-03-27 |
| 2024-09-10 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 2024-09-25 |
| 2024-03-07 | 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 2024-03-29 |
| 2024-03-07 | 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 2024-03-29 |
| 2024-03-07 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · tag F0757 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-29 |
| 2023-02-07 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · tag F0756 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-03-01 |
| 2023-02-07 | 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. Pharmacy Service Deficiencies · tag F0758 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-03-01 |
| 2023-02-07 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · tag F0881 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-03-01 |
| 2023-02-07 | 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 2023-03-01 |
| 2023-02-07 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · tag F0692 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-03-01 |
| 2023-02-07 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · tag F0740 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-03-01 |
| 2023-02-07 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · tag F0757 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-03-01 |
Fines and payment denials
No fines or payment denials on record since 2023.
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.
| Name | Role | Share | Since |
|---|---|---|---|
| Franciscan Sisters Of Christian Charity Sponsored Ministries, Inc. Organization | operational/managerial control | — | 2017-01-04 |
| Holy Family Convent Of Franciscan Sisters Of Christian Charity Inc. Organization | operational/managerial control | — | 2017-01-04 |
| Hass, Brian Individual | contracted managing employee | — | 2018-11-15 |
| Falk, Theresa Individual | corporate director | — | 2017-01-04 |
| Graybeal, Michael Individual | corporate director | — | 2017-01-04 |
| Loch, Timothy Individual | corporate director | — | 2020-08-19 |
| Reimers, Brian Individual | corporate director | — | 2017-01-04 |
| Rose, Joy Individual | corporate director | — | 2017-01-04 |
| Steffensmeier, David Individual | corporate director | — | 2018-05-01 |
| White, Diane Individual | corporate director | — | 2017-01-04 |
| Falk, Theresa Individual | corporate officer | — | 2017-01-18 |
| Graybeal, Michael Individual | corporate officer | — | 2017-01-18 |
| Loch, Timothy Individual | corporate officer | — | 2020-08-19 |
| Reimers, Brian Individual | corporate officer | — | 2017-01-18 |
| Troyer, Amy Individual | corporate officer | — | 2020-08-19 |
| White, Diane Individual | corporate officer | — | 2017-01-18 |
| Hass, Brian Individual | operational/managerial control | — | 2018-11-15 |
| Loch, Timothy Individual | operational/managerial control | — | 2020-08-19 |
| Troyer, Amy Individual | operational/managerial control | — | 2020-08-19 |
| Loch, Timothy Individual | w-2 managing employee | — | 2020-08-19 |
| Troyer, Amy Individual | w-2 managing employee | — | 2020-08-19 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for St Joseph's Hillside Villa.
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 Cuming County.