St. Joseph Villa Nursing Center

2305 South 10th Street · Omaha, NE · 68108 · 4023455683

184 certified beds For profit - Limited Liability company Chain: Delmar Gardens

Why this verdict

  • Inspection results are getting worse cycle over cycle, not better.

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Red flags

1 immediate-jeopardy citation in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

1 abuse-related citation at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

RN staffing in the bottom 10% nationally

0.27 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.

Score breakdown

Inspection record 30% of score 45
Serious harm & abuse 20% 78
Staffing 20% 64
Federal penalties 15% 75
Trend 10% 45
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 2 of 5

Total nurse hours / resident-day3.863.48 min · 4.1 strong
RN hours / resident-day0.270.55–0.75
Weekend hours / resident-day3.67≈ weekday level
Nursing turnover / year33%median 45%
Fines (3-yr window)1 · $12,048

Inspection citations (33 in the current record)

  • Potential for harm · D January 8, 2026

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Corrected February 20, 2026 · Resident Rights

  • Potential for harm · D January 8, 2026

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected February 20, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D January 8, 2026

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

    Corrected February 20, 2026 · Quality of Life and Care

  • Potential for harm · D January 8, 2026

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

    Corrected February 20, 2026 · Quality of Life and Care

  • Potential for harm · D January 8, 2026

    Provide care or services that was trauma informed and/or culturally competent.

    Corrected February 20, 2026 · Quality of Life and Care

  • Potential for harm · D January 8, 2026

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected February 20, 2026 · Pharmacy Service

  • Potential for harm · D January 8, 2026

    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

    Corrected February 20, 2026 · Nutrition and Dietary

  • Potential for harm · E January 8, 2026

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected February 20, 2026 · Nutrition and Dietary

  • Potential for harm · E January 8, 2026

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

    Corrected February 20, 2026 · Nutrition and Dietary

  • Potential for harm · F January 8, 2026

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Corrected February 20, 2026 · Administration

  • Potential for harm · D January 8, 2026

    Provide and implement an infection prevention and control program.

    Corrected February 20, 2026 · Infection Control

  • Potential for harm · D January 8, 2026 · found via complaint

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected February 20, 2026 · Resident Rights

  • Potential for harm · D January 8, 2026 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected February 20, 2026 · Quality of Life and Care

  • Potential for harm · E January 8, 2026 · found via complaint

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

    Corrected February 20, 2026 · Quality of Life and Care

  • Potential for harm · D January 8, 2026 · found via complaint

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected February 20, 2026 · Quality of Life and Care

  • Potential for harm · D July 21, 2025 · found via complaint

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

    Corrected August 15, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • No harm found · C July 21, 2025 · found via complaint

    Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

    Corrected August 15, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D July 7, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected July 31, 2025 · Infection Control

  • Actual harm · G August 22, 2024 · found via complaint

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

    Corrected September 21, 2024 · Quality of Life and Care

  • Potential for harm · D August 22, 2024

    Keep residents' personal and medical records private and confidential.

    Corrected September 21, 2024 · Resident Rights

  • Potential for harm · D August 22, 2024

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

    Corrected September 21, 2024 · Quality of Life and Care

  • Potential for harm · D August 22, 2024

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected September 21, 2024 · Pharmacy Service

  • Potential for harm · E August 22, 2024

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Corrected September 21, 2024 · Pharmacy Service

  • Potential for harm · E August 22, 2024

    Provide and implement an infection prevention and control program.

    Corrected September 21, 2024 · Infection Control

  • Potential for harm · D August 22, 2024 · found via complaint

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected September 21, 2024 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
August 22, 2024Fine$12,048

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 285078 · certified since July 13, 1987. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.