Inspection Reports for
St Joseph’s Hillside Villa
540 E Washington Street, WEST POINT, NE, 68788
Back to Facility Profile5 Reports
Inspection Report — Jan 30, 2019
Life Safety
Date: 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)
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
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 — Nov 13, 2018
Routine
Date: 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 — Nov 13, 2018
Date: 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 — APP2025
Date: 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
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 — APP2019
Date: 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
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 |
6 CMS Surveys
CMS Survey — Mar 15, 2023
Mar 15, 2023
CMS Survey — Apr 24, 2023
Apr 24, 2023
CMS Survey — Sep 10, 2024
Sep 10, 2024
CMS Survey — Feb 7, 2023
Feb 7, 2023
CMS Survey — Mar 7, 2024
Mar 7, 2024
CMS Survey — Mar 13, 2025
Mar 13, 2025
Viewing
Loading inspection reports...
