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St. Joseph Villa Nursing Center

Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 184
Continuing Care? No
Resident Council? Yes
Family Council? No
Multi-Home Chain? No
Located in a Hospital? No
Special Focus Facility? No

View:    Health Inspections  |  Quality Measures  |  Staffing  |  Fire Inspections

Health Inspections  

Most Recent Inspection: 09/12/2011

Date of last standard health inspection: 09/12/2011
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 0
Average number of Health Deficiencies in NE: 2
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in NE: 0 - 11

Inspection, 01/02/2009

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Operate and provide services according to Federal, State, and local laws and professional standards. 01/02/2009 02/07/2010 2 Few
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. 01/02/2009 02/07/2010 2 Many
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 01/02/2009 02/07/2010 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/02/2009 02/07/2010 2 Few
Have a program that investigates, controls and keeps infection from spreading. 01/02/2009 02/07/2010 2 Few
Have enough outside ventilation via a window or mechanical ventilation, or both. 01/02/2009 02/07/2010 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/02/2009 02/07/2010 2 Few
Have a program that investigates 01/02/2009 02/07/2010 Few controls and keeps infection from spreading.
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. 01/02/2009 02/07/2010 2 Some
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide special eating equipment and utensils for each resident who needs them. 01/02/2009 02/07/2010 2 Few
Store, cook, and serve food in a safe and clean way. 01/02/2009 02/07/2010 2 Many
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/02/2009 02/07/2010 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 01/02/2009 02/07/2010 2 Few
Ensure residents maintain acceptable nutritional status. 01/02/2009 02/07/2010 2 Few
Give each resident enough fluids to keep them healthy and prevent dehydration. 01/02/2009 02/07/2010 2 Few
Ensure residents maintain acceptable nutritional status. 01/02/2009 02/07/2010 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 01/02/2009 02/07/2010 2 Few
Allow residents the right to participate in the planning or revision of care and treatment. 01/02/2009 02/07/2010 2 Few
Develop a complete care plan that meets all the resident's needs 01/02/2009 02/07/2010 Few with timetables and actions that can be measured.
Allow residents the right to participate in the planning or revision of care and treatment. 01/02/2009 02/07/2010 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 01/02/2009 02/07/2010 2 Few
Reasonably accommodate the needs and preferences of each resident. 01/02/2009 02/07/2010 2 Few

Inspection, 01/02/2007

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Operate and provide services according to Federal, State, and local laws and professional standards. 01/02/2007 01/09/2008 2 Few
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/02/2007 01/09/2008 2 Few
Have a program that investigates, controls and keeps infection from spreading. 01/02/2007 01/09/2008 2 Few
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 01/02/2007 01/09/2008 2 Many
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. 01/02/2007 01/09/2008 2 Few
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. 01/02/2007 01/09/2008 2 Few
1) Hire only people with no legal history of abusing 01/02/2007 01/09/2008 neglect or mistreatment of residents. neglecting or mistreating residents; or 2) report
Develop and implement policies for 1) screening and training employees; and the 2) prevention 01/02/2007 01/09/2008 investigation identification
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. 01/02/2007 01/09/2008 2 Some
Store, cook, and serve food in a safe and clean way. 01/02/2007 01/09/2008 2 Many
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 01/02/2007 01/09/2008 2 Few
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. 01/02/2007 01/09/2008 2 Few
Ensure services provided by the nursing facility meet professional standards of quality. 01/02/2007 01/09/2008 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Allow residents the right to participate in the planning or revision of care and treatment. 01/02/2007 01/09/2008 2 Few

Inspection, 00/05/2007

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/05/2007 01/09/2008 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Allow residents the right to participate in the planning or revision of care and treatment. 00/05/2007 01/09/2008 2 Few

Inspection, 01/00/2004

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/00/2004 00/03/2005 2 Few

Inspection, 01/02/2002

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 01/02/2002 01/03/2003 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/02/2002 01/03/2003 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/02/2002 01/03/2003 2 Some
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store, cook, and serve food in a safe and clean way. 01/02/2002 01/03/2003 2 Many
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. 01/02/2002 01/03/2003 2 Few
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 01/02/2002 01/03/2003 2 Few
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. 01/02/2002 01/03/2003 2 Few
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. 01/02/2002 01/03/2003 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 01/02/2002 01/03/2003 2 Few
Ensure residents maintain acceptable nutritional status. 01/02/2002 01/03/2003 2 Few
Assist those residents who need help with eating/drinking 01/02/2002 01/03/2003 Few grooming and personal and oral hygiene.
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Allow residents the right to participate in the planning or revision of care and treatment. 01/02/2002 01/03/2003 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. 01/02/2002 01/03/2003 2 Few
Upon the death of a resident, convey the resident 01/02/2002 01/03/2003 2 Few

Inspection, 00/09/2002

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates 00/09/2002 02/05/2003 Few controls and keeps infection from spreading.
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with no legal history of abusing 00/09/2002 02/05/2003 neglect or mistreatment of residents. neglecting or mistreating residents; or 2) report

Nursing Home Staffing  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

National Average Average in NE Golden Living Center, Asheville
RN Staff Only1 N/A N/A 1 out of 5 stars
Total Number of Residents 86 58 168
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 14 hours 17 minutes 55 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 13 hours 31 minutes 19 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 13 hours 30 minutes 36 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 15 hours 17 minutes 2 hours 31 minutes

1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.

Quality Measures  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

Long-Term Residents

Short-Term Residents

Fire Safety Inspections

Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.

Most Recent Inspection: 09/22/2011

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 09/22/2011
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Fire Safety Deficiencies for this nursing home: 0
Average number of Fire Safety Deficiencies in NE: 0
Average number of Fire Safety Deficiencies in US: 2
Range of Fire Safety Deficiencies in NE: 0 - 0

Inspection, 02/02/2009

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved automatic sprinkler system connected to the fire alarm system. 02/02/2009 03/01/2010 2 Many
Automatic sprinkler systems that have been maintained in working order. 02/02/2009 01/06/2011 2 Many
Building Construction Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
A two-hour-resistant firewall separation. 02/02/2009 00/06/2011 2 Many
Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Restrictions on the use of portable space heaters. 02/02/2009 03/01/2010 2 Some
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 02/02/2009 03/01/2010 2 Few
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 02/02/2009 03/01/2010 2 Many
Properly installed electrical wiring and equipment. 02/02/2009 03/01/2010 2 Some
Emergency Plans and Fire Drills Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Record of quarterly fire drills for each shift under varying conditions. 02/02/2009 03/01/2010 2 Many
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 02/02/2009 03/01/2010 2 Some
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved installation, maintenance and testing program for fire alarm systems. 02/02/2009 01/06/2011 2 Many
Furnishings and Decorations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are free from obstructions and can be used at all times. 02/02/2009 01/06/2011 2 Some
Restrictions on the use of highly flammable decorations. 02/02/2009 01/06/2011 2 Some
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 02/02/2009 01/06/2011 2 Many
Illumination and Emergency Power Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper backup exit lighting. 02/02/2009 00/05/2011 2 Many
Emergency lighting that can last at least 1 1/2 hours. 02/02/2009 02/04/2009 2 Many
Interior Finish Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Fire resistant interior walls. 02/02/2009 02/02/2009 2 Some
Medical Gases and Anesthetizing Areas Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper medical gas storage and administration areas. 02/02/2009 03/01/2010 2 Many
No-smoking signs where oxygen is used. 02/02/2009 01/03/2010 2 Some
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Smoke barrier doors that can resist smoke for at least 20 minutes. 02/02/2009 03/01/2010 2 Some
Smoking Regulations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Posted No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed." 02/02/2009 03/01/2010 2 Some

Inspection, 02/01/2007

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved automatic sprinkler system connected to the fire alarm system. 02/01/2007 01/01/2008 2 Many
Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly protected cooking facilities. 02/01/2007 01/01/2008 2 Some
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 02/01/2007 01/01/2008 2 Some
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed hallway dispensers for alcohol-based hand rub. 02/01/2007 01/01/2008 2 Some
Illumination and Emergency Power Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Emergency lighting that can last at least 1 1/2 hours. 02/01/2007 01/01/2008 2 Few

Inspection, 00/07/2002

Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Restrictions on the use of portable space heaters. 00/07/2002 02/09/2003 2 Some
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 00/07/2002 02/09/2003 2 Many
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 00/07/2002 02/09/2003 2 Some
Emergency Plans and Fire Drills Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Record of quarterly fire drills for each shift under varying conditions. 00/07/2002 02/09/2003 2 Many
Furnishings and Decorations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Restrictions on the use of highly flammable decorations. 00/07/2002 02/09/2003 2 Some
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 00/07/2002 02/09/2003 2 Many
Properly installed hallway dispensers for alcohol-based hand rub. 00/07/2002 02/09/2003 2 Some
Medical Gases and Anesthetizing Areas Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper medical gas storage and administration areas. 00/07/2002 02/09/2003 2 Some
No-smoking signs where oxygen is used. 00/07/2002 02/09/2003 2 Some
 

2305 South 10th Street
Omaha, NE 68108

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