Skilled nursing facility · CMS certification number 285303
St Joseph's Hillside Villa
West Point, Nebraska · Medicare and Medicaid
Certified beds, as filed in Care Compare: 54
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on September 11, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,938,879 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $287,544 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,651,335 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,945,447 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,294,112 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $225,170 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,068,942 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,068,942 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 54 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 19,764 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 1,253 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 5,842 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 11,732 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 18,827 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 14 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 11 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 32 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 57 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 89.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 531.09 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 330.3 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1439352, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 29, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,166,507 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $204,502 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,962,005 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,201,713 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,239,708 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $635,886 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$603,822 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$603,822 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 54 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,042 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 46 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 64.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 821.33 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 413.96 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1393466, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 26, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,766,919 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$81,791 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,848,710 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,871,152 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,022,442 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $682,004 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,340,438 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,340,438 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 54 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,278 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 26 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 87.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 3,419 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 703 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1365482, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 16, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,505,264 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$27,497 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,532,761 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,175,595 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,642,834 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $444,101 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,198,733 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,198,733 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 54 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,566 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 29 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 56.44 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,355.75 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 536.76 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1332513, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on November 19, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,534,440 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $115,277 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,419,163 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,384,872 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,965,709 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,070,419 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$895,290 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$895,290 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 54 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,224 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 43 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 57.39 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,037 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 354.05 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1305022, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for February 1, 2019 to December 31, 2019 — a reporting period of 333 days, on form CMS-2540-10, settled, processed by CMS on December 17, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,033,915 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $120,285 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,913,630 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,428,826 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,515,196 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $25,676 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,489,520 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,489,520 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 54 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 10,888 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 65 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 66.12 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 515.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 167.51 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1276614, read from the public cost report file SNF10FY2019.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| HASS, BRIAN | CONTRACTED MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 11/15/2018 |
| FALK, THERESA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/04/2017 |
| GRAYBEAL, MICHAEL | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/04/2017 |
| LOCH, TIMOTHY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 08/19/2020 |
| REIMERS, BRIAN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/04/2017 |
| ROSE, JOY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/04/2017 |
| STEFFENSMEIER, DAVID | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/01/2018 |
| WHITE, DIANE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/04/2017 |
| FALK, THERESA | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/18/2017 |
| GRAYBEAL, MICHAEL | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/18/2017 |
| LOCH, TIMOTHY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 08/19/2020 |
| REIMERS, BRIAN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/18/2017 |
| TROYER, AMY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 08/19/2020 |
| WHITE, DIANE | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/18/2017 |
| FRANCISCAN SISTERS OF CHRISTIAN CHARITY SPONSORED MINISTRIES, INC. | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 01/04/2017 |
| HASS, BRIAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/15/2018 |
| HOLY FAMILY CONVENT OF FRANCISCAN SISTERS OF CHRISTIAN CHARITY INC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 01/04/2017 |
| LOCH, TIMOTHY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/19/2020 |
| TROYER, AMY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/19/2020 |
| LOCH, TIMOTHY | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 08/19/2020 |
| TROYER, AMY | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 08/19/2020 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of ST JOSEPHS ELDER SERVICES INC (enrollment ID O20180907000162).
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| BRIAN E HASS | Individual | CONTRACTED MANAGING EMPLOYEE | Not stated in the filing | 11/15/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BRIAN REIMERS | Individual | CORPORATE DIRECTOR | Not stated in the filing | 1/4/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DAVID D STEFFENSMEIER | Individual | CORPORATE DIRECTOR | Not stated in the filing | 5/1/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DIANE WHITE | Individual | CORPORATE DIRECTOR | Not stated in the filing | 1/4/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOY ROSE | Individual | CORPORATE DIRECTOR | Not stated in the filing | 1/4/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MICHAEL GRAYBEAL | Individual | CORPORATE DIRECTOR | Not stated in the filing | 1/4/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| THERESA DIANE FALK | Individual | CORPORATE DIRECTOR | Not stated in the filing | 1/4/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TIMOTHY E LOCH | Individual | CORPORATE DIRECTOR | 0 | 8/19/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| AMY TROYER | Individual | CORPORATE OFFICER | 0 | 8/19/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BRIAN REIMERS | Individual | CORPORATE OFFICER | Not stated in the filing | 1/18/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DIANE WHITE | Individual | CORPORATE OFFICER | Not stated in the filing | 1/18/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MICHAEL GRAYBEAL | Individual | CORPORATE OFFICER | Not stated in the filing | 1/18/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| THERESA DIANE FALK | Individual | CORPORATE OFFICER | Not stated in the filing | 1/18/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TIMOTHY E LOCH | Individual | CORPORATE OFFICER | 0 | 8/19/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| AMY TROYER | Individual | OPERATIONAL/MANAGERIAL CONTROL | 0 | 8/19/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BRIAN E HASS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/15/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| FRANCISCAN SISTERS OF CHRISTIAN CHARITY SPONSORED MINISTRIES INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/4/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| HOLY FAMILY CONVENT OF FRANCISCAN SISTERS OF CHRISTIAN CHARITY INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/4/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| TIMOTHY E LOCH | Individual | OPERATIONAL/MANAGERIAL CONTROL | 0 | 8/19/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SCOTT MCCONNAHA | Individual | OTHER | Not stated in the filing | 6/1/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| AMY TROYER | Individual | W-2 MANAGING EMPLOYEE | 0 | 8/19/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TIMOTHY E LOCH | Individual | W-2 MANAGING EMPLOYEE | 0 | 8/19/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
No change in ownership appears in the CMS files on record since September 20, 2022.
Recent changes on this record
- September 1, 2026: ownership_type: Non profit - Corporation → Non profit - Church related. NH_ProviderInfo_Sep2026_3.csv
- July 9, 2026: A deficiency was cited under tag F 0637, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 9, 2026: A deficiency was cited under tag F 0584, scope and severity E. NH_HealthCitations_Sep2026_2.csv
- July 9, 2026: An inspection was recorded in inspection cycle 1. NH_SurveySummary_Sep2026_2.csv
- September 11, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- August 29, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- September 26, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- September 16, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- November 19, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- December 17, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | July 9, 2026 | July 9, 2026 | 2 | 0 |
| 2 | March 13, 2025 | March 13, 2025 | 2 | 4 |
| 3 | March 7, 2024 | March 7, 2024 | 3 | 2 |
| 3 | February 7, 2023 | February 7, 2023 | 7 | 21 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
14 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| July 9, 2026 | Health | F 0584 | Resident Rights Deficiencies | 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. | E | No | Deficient, Provider has no plan of correction | |
| July 9, 2026 | Health | F 0637 | Resident Assessment and Care Planning Deficiencies | Assess the resident when there is a significant change in condition | D | No | Deficient, Provider has no plan of correction | |
| March 13, 2025 | Health | F 0645 | Resident Assessment and Care Planning Deficiencies | PASARR screening for Mental disorders or Intellectual Disabilities | D | No | Deficient, Provider has date of correction | March 27, 2025 |
| September 10, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | September 25, 2024 |
| March 7, 2024 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | No | Deficient, Provider has date of correction | March 29, 2024 |
| March 7, 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | March 29, 2024 |
| March 7, 2024 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | No | Deficient, Provider has date of correction | March 29, 2024 |
| February 7, 2023 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | March 1, 2023 |
| February 7, 2023 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | D | No | Deficient, Provider has date of correction | March 1, 2023 |
| February 7, 2023 | Health | F 0740 | Quality of Life and Care Deficiencies | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | No | Deficient, Provider has date of correction | March 1, 2023 |
| February 7, 2023 | Health | F 0756 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | No | Deficient, Provider has date of correction | March 1, 2023 |
| February 7, 2023 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | No | Deficient, Provider has date of correction | March 1, 2023 |
| February 7, 2023 | Health | F 0758 | Pharmacy Service Deficiencies | 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. | E | No | Deficient, Provider has date of correction | March 1, 2023 |
| February 7, 2023 | Health | F 0881 | Infection Control Deficiencies | Implement a program that monitors antibiotic use. | E | No | Deficient, Provider has date of correction | March 1, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Non profit - Corporation |
| Legal Business Name | ST JOSEPHS ELDER SERVICES INC |
| Date First Approved to Provide Medicare and Medicaid Services | 2019-02-25 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Cuming |
| Telephone Number | 4023721118 |
| Chain Name | FRANCISCAN SISTERS OF CHRISTIAN CHARITY |
| Chain ID | 868 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 54 |
| Average Number of Residents per Day | 53.3 |
| Overall Rating | 5 |
| Health Inspection Rating | 5 |
| QM Rating | 3 |
| Long-Stay QM Rating | 4 |
| Short-Stay QM Rating | 2 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on August 1, 2026.
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On September 1, 2026: ownership_type: Non profit - Corporation → Non profit - Church related. That is one line of the alert.
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The citable document for St Joseph's Hillside Villa
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