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Nursing HomeMedicaid Investigative

St. Joseph's Villa, INC.

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

927 Seventh Street, David City, NE 6863258 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.9/5

based on 9 Google reviews

5
4
3
2
1
St. Joseph's Villa, INC. Nursing Home in David City, NE — Street View
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6/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (6 vs median 5)
  • High staff turnover (75%)
  • High RN turnover (87%)

Bottom 25% in NE · Very high staff turnover · $27,115 in fines

Source: Medicare data

What this means for your family

While the facility is praised for its activities and friendly staff, the recent report of hygiene neglect is a serious red flag. If you choose this facility, ensure you have a clear plan for monitoring daily care needs and do not hesitate to escalate concerns to management if basic hygiene requests are ignored.

Google Reviews

Google Reviews

9 reviews on Google
St. Joseph's Villa receives high praise for its welcoming, attentive staff and active engagement programs for residents. However, recent feedback highlights serious concerns regarding basic hygiene and neglect, specifically regarding shower frequency and pressure sore prevention for skilled nursing patients.

Quality Themes

Tap a score for details
FoodN/AStaff7.0Clean3.0Activities9.0MedsN/AMemoryN/AComms4.0ValueN/A

Strengths

  • Welcoming and loving nursing staff
  • Active resident engagement programs
  • Accommodating environment

Concerns

  • Inadequate hygiene and personal care for skilled nursing patients

Rating Trends

Tap a year to see what changed

2344.02016(1)4.02017(2)5.02018(1)1.02024(1)4.32025(4)

Distribution · 9 analyzed

5
4
4
3
3
0
2
1
1
1

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given the current staffing levels, how does your team ensure that each resident receives consistent, personalized attention for their daily hygiene and personal care needs?
  • 2I noticed that cleanliness is a top priority for our family; what specific protocols are in place to maintain the environment and resident rooms throughout the day?
  • 3We appreciate how welcoming the nursing staff is here; what is your process for keeping families updated on changes in a resident's health or care plan?
  • 4It is wonderful to hear about your active engagement programs; could you walk us through what a typical day of activities looks like for a resident?
  • 5With the current CMS staffing ratings, how do you manage the workload to ensure that skilled nursing patients receive timely assistance?
  • 6How are medical emergencies or urgent health changes handled during the evening and weekend shifts to ensure residents remain safe?

Personalized based on this facility's data


Key Review Excerpts

He was there 10 days with no shower.Three different times I had to call and request this in the six weeks he was there. He would ask them regularly to get in the shower but they would only do it after I called and complained.

Skilled nursing patient's daughter · 2024☆☆☆☆

A lot of activities for the residents to keep busy and stay involved!! Friendly, helpful nurses and CNA’s.

Visitor/Family member · 2025★★★★★

My grandparents have both resided here with great care and love from all the staff! Best nursing home in the area!

Grandchild of residents · 2025★★★★★
Source: 9 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.40hrs
53%
Registered nurses for medical care
Total Nursing
3.73hrs
91%
All nurses + aides combined
Staff Turnover
65%
Lower is better (< 30% = good)
RN Turnover
83%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
2/ 5
Better Than Avg

8

measures

Worse Than Avg

7

measures

Mixed Results

2

measures

Long-Stay Residents
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility32.5%
Worse than Avg
Here
32.5%
US
14.4%
NE
19.5%
Butler
13.6%
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.7%
Better than Avg
Here
1.7%
US
12.1%
NE
4.3%
Butler
17.9%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility35.1%
Worse than Avg
Here
35.1%
US
19.4%
NE
26.3%
Butler
23.3%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility23.8%
Worse than Avg
Here
23.8%
US
15.3%
NE
19.1%
Butler
14.7%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility25.1%
Worse than Avg
Here
25.1%
US
19.5%
NE
19.3%
Butler
25.1%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility96.7%
Better than Avg
Here
96.7%
US
93.4%
NE
92.9%
Butler
91.1%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility89.5%
Better than Avg
Here
89.5%
US
79.8%
NE
75.9%
Butler
77.2%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility90.1%
Better than Avg
Here
90.1%
US
81.8%
NE
80.5%
Butler
80.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility3.4%
Worse than Avg
Here
3.4%
US
1.6%
NE
2.3%
Butler
1.8%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

6deficiencies
2penalties
Near state avg (6.7)
8 complaint-triggered
$27,115 in fines

Families have filed multiple complaints triggering 8 deficiencies, indicating ongoing concerns about care quality. The facility has recurring issues with fire safety systems, infection control, and resident care planning that have persisted across multiple surveys from 2023 to 2025. While all deficiencies show correction dates, the pattern of repeated violations in critical safety areas suggests systemic challenges that families should carefully evaluate.

Aug 12, 2025Routine
12
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0291Potential for harm · WidespreadCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0293Potential for harm · WidespreadCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0363Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0374Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0211Potential for harm · PatternCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

Aug 12, 2025Complaint
1
0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Oct 24, 2024Complaint
1
0678Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Sep 26, 2024Complaint
1
0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Sep 4, 2024Complaint
4
0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0636Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

0645Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

Sep 4, 2024Routine
3
0321Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0700Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.

0900Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Meet Health Care Facilities Code mechanical requirements.

Federal Penalties

Fine

Sep 26, 2024

$27,115

Payment Denial

Sep 26, 2024

3-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

St. Joseph's Villa, INC.

Organization Type

nonprofit

Chain Affiliation

Chain Name

Rural Health Development

Chain Size

9 facilities nationwide

Ownership & Management

Owners

Ross, Matthew

Owner (parent company)

Key personnel

Pytlik, FrancesManaging Control - Governing BodyKobza, LauraOfficer / DirectorAdamy, MichaelOfficer / DirectorBirkel, SusanOfficer / DirectorHoeft, JackieOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 1 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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