St. Joseph Villa Nursing Center

Omaha, NE · 184 beds · For profit - Limited Liability company

0 Trust Score
Grade: F CRITICAL Risk → Stable

Red Flags

  • 1 citation(s) at the highest severity level — immediate risk to residents
  • 3 citation(s) where residents suffered actual harm
  • RN hours significantly below state average

Green Flags

  • 4-star staffing rating

Quick Facts

★★☆☆☆
CMS Overall
★★☆☆☆
Health Inspection
12
1.8x state avg
Deficiencies
$36,170
Fines (3-yr)
★★★★☆
Staffing

Violation Timeline

July 20, 2025

2 deficiencyies
F0606 No Harm Scope/Severity: C

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

F0609 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

July 6, 2025

1 deficiency
F0880 Potential Harm Scope/Severity: D

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

August 21, 2024

9 deficiencyies
F0583 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Keep residents' personal and medical records private and confidential.

F0684 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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

F0757 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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

F0761 Potential Harm Scope/Severity: E

Pharmacy Service Deficiencies

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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.

F0880 Potential Harm Scope/Severity: E

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

F0689 Actual Harm Scope/Severity: G

Quality of Life and Care Deficiencies

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

F0690 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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

F0803 Potential Harm Scope/Severity: E

Nutrition and Dietary Deficiencies

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Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

F0887 Potential Harm Scope/Severity: D

Infection Control Deficiencies

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Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

July 20, 2023

6 deficiencyies
F0600 Immediate Jeopardy Scope/Severity: J

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

F0656 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F0677 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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

F0759 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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Ensure medication error rates are not 5 percent or greater.

F0760 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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Ensure that residents are free from significant medication errors.

F0839 Potential Harm Scope/Severity: D

Administration Deficiencies

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Employ staff that are licensed, certified, or registered in accordance with state laws.

June 13, 2022

2 deficiencyies
F0584 Potential Harm Scope/Severity: E

Resident Rights Deficiencies

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Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

F0637 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Assess the resident when there is a significant change in condition

See full violation history →

Staffing

0.39
RN hrs/res/day
0.73
LPN hrs/res/day
3.48
CNA hrs/res/day
4.27
Weekend hrs/res/day
37%
Total nurse turnover
47%
RN turnover

A nurse checks on each resident roughly every 5.2 hours on average.

Fines & Penalties

  • Fine Aug 21, 2024
    $12,048
  • Fine Apr 3, 2023
    $24,122
Total $36,170

Ownership

For profit - Limited Liability company Chain: DELMAR GARDENS
  • DELMAR GARDENS ENTERPRISES INC

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 03/12/2003

    100% Organization
  • GABE GROSSBERG AND GEORGE GROSSBERG, TRUSTEES OF THE HENRY AND BARBARA

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 03/12/2003

    8% Organization
  • GEORGE GROSSBERG AND GABE GROSSBERG, TRUSTEES OF THE HENRY AND BARBARA

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 03/12/2003

    8% Organization
  • GOLDBERG-NOM LLC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 03/12/2003

    25% Organization
  • NON-GST FAMILY TRUST EST U/W OF ISRAEL GOLDBERG FBO JANICE BITANSKI

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 04/10/2013

    6% Organization
  • NON-GST FAMILY TRUST ESTABLISHED U/W OF ISRAEL GOLDBERG FBO HARRY ZVI

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 04/10/2013

    6% Organization
  • NON-GSTFAMILY TRUST EST U/W ISRAEL GOLDBERG FBO DIANE FREDMAN

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 04/10/2013

    6% Organization
  • GROSSBERG, GABE

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 03/12/2003

    16% Individual
  • GROSSBERG, GEORGE

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 03/12/2003

    11% Individual
  • DELMAR GARDENS MANAGEMENT SERVICES INC

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 04/01/2005

    Organization
  • GROSSBERG, GABE

    CORPORATE OFFICER

    Since since 03/12/2003

    Individual
  • MARX, KENNETH

    CORPORATE OFFICER

    Since since 06/11/2019

    Individual
  • OPPENHEIMER, HOWARD

    CORPORATE OFFICER

    Since since 03/12/2003

    Individual
  • LEGUILLOW, HECTOR

    W-2 MANAGING EMPLOYEE

    Since since 05/13/2012

    Individual

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