CCN 285303
St Joseph's Hillside Villa
540 E Washington Street, West Point, NE 68788 · Cuming County
- Ownership
- Non profit - Church related
- Certified beds
- 54
- Residents per day
- 53.3
- Health citations
- 7
- Penalties
- 0
- Fines
- 0 · $0
Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections
CMS has marked this home with the high-performing icon. The September 2026 Technical Users' Guide describes that icon for homes with fewer citations, higher staffing, and other quality indicators, shown in addition to the five-star rating. Selection criteria are in CMS memorandum QSO-26-14-NH.
Staffing hours
Reported hours per resident per day come from the Payroll-Based Journal figures in the Provider Information file. Case-mix and adjusted hours account for how much care CMS expects given the residents’ needs. State and U.S. figures are averages from the same release.
- Measure
- This home
- State
- U.S.
- Nurse aide
- 2.95
- 2.64
- 2.32
- LPN/LVN
- 0.41
- 0.67
- 0.86
- Registered nurse
- 0.98
- 0.67
- 0.69
- Total nurse staff
- 4.34
- 3.98
- 3.86
- Weekend total
- 3.79
- 3.48
- 3.42
- Weekend RN
- 0.64
- 0.47
- 0.48
Adjusted total nurse hours: 5.47. Adjusted RN hours: 1.24. Case-mix total: 3.04. Case-mix index: 1.113.
Total nursing staff turnover: 36.8%. RN turnover: 20.0%. Administrators who left: 0.
How to read staffing hours
Payroll-Based Journal figures in Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections
Fines and penalties
CMS reports 0 fines totaling $0, and 0 payment denials.
The Penalties file has no individual penalty rows for this CCN.
Cycle 1 standard survey: July 9, 2026. Health deficiencies counted in cycle 1: 2. Cycle 1 total health score: 12. This was a Risk-Based Survey. Unlike a standard inspection, a risk-based inspection is a shorter visit with a smaller team and is used for higher-performing facilities.
Cycle 2 standard survey: March 13, 2025. Cycle 2/3 health deficiencies: 2. Total weighted health survey score: 11.
Penalties file and Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections
Health inspection citations
The Health Deficiencies file lists 7 citations for this home, including 0 at immediate jeopardy and 0 at actual harm. CMS may display some citations here that are not used in the health inspection rating, including citations under dispute.
July 9, 2026
2 citations. This was a Risk-Based Survey. Unlike a standard inspection, a risk-based inspection is a shorter visit with a smaller team and is used for higher-performing facilities.
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Standard survey · Cycle 1 | E: pattern, no actual harm, with potential for more than minimal harm | Deficient, Provider has no plan of correction |
| F637 | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Standard survey · Cycle 1 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has no plan of correction |
March 13, 2025
1 citation
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Standard survey · Cycle 2 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · March 27, 2025 |
September 10, 2024
1 citation
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Complaint survey · Cycle 2 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · September 25, 2024 |
March 7, 2024
3 citations
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Standard survey · Cycle 3 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · March 29, 2024 |
| F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Standard survey · Cycle 3 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · March 29, 2024 |
| F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Standard survey · Cycle 3 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · March 29, 2024 |
Health Deficiencies. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections