Inspection Reports for St Joseph’s Hillside Villa
540 E Washington Street, WEST POINT, NE, 68788
Back to Facility ProfileDeficiencies (last 2 years)
Deficiencies (over 2 years)
1 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
76% better than Nebraska average
Nebraska average: 4.2 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Life Safety
Census: 8
Capacity: 54
Deficiencies: 2
Jan 30, 2019
Visit Reason
The inspection was conducted to assess compliance with the 2012 Edition of the Life Safety Code of the National Fire Protection Association, focusing on fire protection and smoke barrier requirements.
Findings
The facility was found not in compliance with certain fire safety requirements, specifically related to smoke resistant partitions and smoke barrier doors. Deficiencies included unsealed penetrations in the mechanical room walls and smoke barrier doors that failed to latch properly, potentially allowing smoke migration between compartments.
Deficiencies (2)
| Description |
|---|
| A 2-inch round hole in the sheetrock on the west wall of the main mechanical room and a 1-inch gap around the 6-inch furnace duct were not sealed, compromising smoke resistant partitions. |
| Smoke barrier doors failed to latch properly, causing doors to remain partially open and not be smoke-tight. |
Report Facts
Facility capacity: 54
Census: 8
Fire door checks frequency: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Doug Hohbein | Assistant State Fire Marshal | Approved the inspection report |
| Jeff J. Clemens | Administrator | Signed the inspection report and involved in education of Maintenance Supervisor |
Inspection Report
Routine
Deficiencies: 0
Nov 13, 2018
Visit Reason
The inspection was conducted as a Compliance Inspection to assess the facility's adherence to regulations governing licensure of skilled nursing facilities, nursing facilities, and intermediate care facilities.
Findings
The facility was found in compliance with the applicable regulations, and the results of the Compliance Inspection were commendable.
Notice
Capacity: 54
Deficiencies: 0
Nov 13, 2018
Visit Reason
Issuance and renewal of Skilled Nursing Facility license for St. Joseph's Hillside Villa, including zoning approval and occupancy permit.
Findings
The facility was granted a provisional Nebraska license for 54 beds effective November 13, 2018. The property is zoned for nursing home use and has an approved occupancy permit for 54 beds issued on December 12, 2018.
Report Facts
Licensed beds: 54
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| David Deemer | Administrator | Named as facility administrator in license issuance letter and board listing. |
| Bo Botelho | Interim CEO, Interim Director of Public Health | Signed license issuance and renewal documents. |
| Connie Vogt | Program Manager | Contact person for license questions as stated in license issuance letter. |
Notice
Capacity: 54
Deficiencies: 0
APP2025
Visit Reason
This document package serves to verify the renewal of the SNF/NF dual certification license for St Joseph's Hillside Villa and includes the renewal application, occupancy permit, and bed certification details.
Findings
The documents confirm that St Joseph's Hillside Villa meets statutory requirements for licensure renewal, with a licensed capacity of 54 beds and certification for Medicare and Medicaid. The occupancy permit was issued on 3/5/2024 by the State Fire Marshal.
Report Facts
Licensed capacity: 54
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sam Prokopec | Administrator | Named on the Nursing Home Licensure Renewal Application. |
| Kelly Johnson | Director of Nursing | Named on the Nursing Home Licensure Renewal Application. |
Document
Capacity: 54
Deficiencies: 0
APP2019
Visit Reason
The document set serves as a licensure renewal application and related administrative paperwork for St Joseph's Hillside Villa nursing home facility.
Findings
No inspection findings or deficiencies are reported. The documents confirm licensure renewal, occupancy permit with maximum capacity of 54 beds, and payment of renewal fees.
Report Facts
Total licensed capacity: 54
Renewal fee amount: 1750
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| David Deemer | Administrator | Named as facility administrator on licensure renewal application |
| Tammy Deemer | Director of Nursing | Named as director of nursing on licensure renewal application |
| Brian L. Reimers | Authorized Representative | Signed licensure renewal application |
Document
Capacity: 54
Deficiencies: 0
APP2020
Visit Reason
The documents serve to verify licensure renewal, provide occupancy permit details, and list board members for St Joseph's Hillside Villa nursing home.
Findings
No inspection findings or deficiencies are reported; the documents confirm licensure status, occupancy capacity, and administrative details.
Report Facts
Total licensed beds: 54
Notice
Capacity: 54
Deficiencies: 0
APP2021
Visit Reason
This document serves as a Nursing Home Licensure Renewal Application for St Joseph's Hillside Villa, including verification of licensure status and occupancy permit information.
Findings
The documents confirm that St Joseph's Hillside Villa is licensed as a Skilled Nursing Facility with 54 beds, and includes certification of licensure renewal and occupancy permit approval by the State Fire Marshal.
Report Facts
Number of beds to be relicensed: 54
Maximum occupancy: 54
Document
Capacity: 54
Deficiencies: 0
APP2022
Visit Reason
The documents pertain to the renewal of the nursing home license for St Joseph's Hillside Villa and related administrative and regulatory information.
Findings
No inspection findings or deficiencies are reported in these documents; they primarily serve to verify licensure status, ownership, and occupancy capacity.
Report Facts
Total licensed beds: 54
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sam Prokopec | Administrator | Named on the Nursing Home Licensure Renewal Application |
| Kelly Johnson | Director of Nursing | Named on the Nursing Home Licensure Renewal Application |
Notice
Capacity: 54
Deficiencies: 0
APP2023
Visit Reason
The document serves as a licensure renewal application for St Joseph's Hillside Villa nursing home facility.
Findings
The documents certify that St Joseph's Hillside Villa meets statutory requirements for licensure renewal and includes an occupancy permit indicating a maximum capacity of 54 beds.
Report Facts
Total licensed beds: 54
Renewal licensure fees: 1550
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sam Prokopec | Administrator | Named on the licensure renewal application. |
| Kelly Johnson | Director of Nursing | Named on the licensure renewal application. |
Document
Capacity: 54
Deficiencies: 0
APP2024
Visit Reason
The document set is primarily for the renewal of the nursing home license for St Joseph's Hillside Villa, including verification of licensed beds and occupancy permit.
Findings
No inspection findings or deficiencies are reported. The documents confirm licensure renewal, bed certifications, and occupancy permit compliance.
Report Facts
Total licensed beds: 54
Bed count per unit: 18
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sam Prokopec | Administrator | Named on the Nursing Home Licensure Renewal Application. |
| Kelly Johnson | Director of Nursing | Named on the Nursing Home Licensure Renewal Application. |
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