St. Joseph's Villa, Inc. in David City, NE has an overall 2-star rating, with 2-star health inspection and quality ratings and 3-star staffing. It has a recent federal penalty, $27,115 in fines over the last 24 months, and reported nurse staffing of 3.73 hours per resident per day, below the federal benchmark of 4.1.
Last inspection: August 12, 2025Penalties, last 24 months: $27,115recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.7338.
Staffing detail
Registered nurses
0.40
Licensed practical nurses
0.58
Nurse aides
2.75
Weekend nursing
3.23
Hours per resident per day.
Total staff turnover: 65%
Registered nurse turnover: 83%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
28.1%11.4%Improving
Residents with a fall causing major injury
4.9%8.5%Worsening
Residents with pressure ulcers (bedsores)
2.3%2.1%No change
Residents with a urinary tract infection
2.5%0%Improving
Residents who lost too much weight
5.4%2.4%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
34.3%36.8%Worsening
Residents whose ability to walk got worse
47.2%16.8%Improving
Long-stay residents on antianxiety or sleep medication
31.6%16.7%Improving
Short-stay residents newly given an antipsychotic
—4.5%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
44.5%31.6%Improving
Residents with depressive symptoms
2.5%0%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—93.9%—
Long-stay residents given the pneumonia vaccine
100%87.2%Worsening
Short-stay residents given the seasonal flu vaccine
—89.5%—
Short-stay residents given the pneumonia vaccine
94.7%70.4%Worsening
What the inspectors found
The home failed to ensure staff provided basic life support, including CPR, before emergency medical personnel arrived. Cited October 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 678 — 42 CFR §483.24(a)(3) — S/S: J
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2025 — widespread issue, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited September 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited August 2025 — isolated incident, potential for harm.
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F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: D
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited August 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: D
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
PENALTY
A federal payment denial was recorded.
PENALTY
A federal fine of $27,115 was recorded.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $27,115 in total fines · 1 payment denial.
Medicare/Medicaid payment denial
Sep 26, 2024
3 days
Federal fine
Sep 26, 2024
$27,115
Operator & ownership
Ownership
Non profit - Corporation
Chain
Part of RURAL HEALTH DEVELOPMENT · 9 homes · 4.1 stars avg
Occupancy
51.4 residents on an average day (89% of 58 beds)
Resident voice
Resident council
Medicare history
Certified for 23 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.