Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at St Joseph's Hillside Villa during CMS and state inspections, most recent first.
A facility failed to accurately complete the PASARR for a resident, indicating no signs of mental illness despite the resident having Delusional Disorder and Recurrent Depressive Disorder. The resident's medical records and hospital discharge orders confirmed these diagnoses and the use of psychotropic medications. Interviews with the DON and SSD revealed the facility did not verify the PASARR's accuracy, leading to an inaccurate screening that could affect admission decisions and service needs.
A facility failed to implement Enhanced Barrier Precautions (EBP) during wound care for a resident with pressure ulcers and multiple diagnoses, including diabetes and cognitive impairment. The care plan and physician orders lacked documentation of EBP, and a nurse was observed changing dressings without appropriate PPE. Interviews confirmed the absence of EBP implementation and policy.
Inaccurate PASARR Screening for Resident with Mental Health Diagnoses
Penalty
Summary
The facility failed to ensure the accurate completion of the Preadmission Screening and Resident Review (PASARR) for a resident, which is a federally mandated screening tool used to determine appropriate placement and services for individuals with mental illness, intellectual disabilities, or related disorders. The PASARR for the resident, dated February 27, 2025, incorrectly indicated that there were no signs of serious mental illness or intellectual disability, despite the resident having documented diagnoses of Delusional Disorder and Recurrent Depressive Disorder. This discrepancy was confirmed through a review of the resident's medical records and hospital discharge orders, which listed psychotropic medications prescribed for these conditions. Interviews with the Director of Nursing and the Social Services Director revealed that the facility did not verify the accuracy of the PASARR, leading to an inaccurate screening that failed to reflect the resident's mental health diagnoses. This oversight could have impacted the decision regarding the need for additional screening and the appropriateness of the resident's admission or required services. The facility's policy mandates that all applicants be screened for serious mental disorders and intellectual disabilities, and the Social Services Director is responsible for tracking each resident's PASARR status, which was not adhered to in this case.
Failure to Implement Enhanced Barrier Precautions During Wound Care
Penalty
Summary
The facility failed to implement Enhanced Barrier Precautions (EBP) during wound care for a resident, which is an infection control intervention designed to reduce the transmission of multi-drug resistant organisms (MDROs). The resident, who had mild cognitive impairment and was diagnosed with diabetes, anxiety, high blood pressure, and hardening of the arteries, was dependent on assistance for daily activities and had pressure ulcers. The resident's care plan, last revised in August, did not document the implementation of EBP, and the physician orders active in September also lacked documentation of EBP. During an observation in September, a registered nurse was seen changing the resident's dressings without using the appropriate personal protective equipment (PPE) beyond gloves, and no EBP measures were evident in or outside the resident's room. Interviews with the registered nurse and the Director of Nursing confirmed that EBP had not been implemented for the resident, and the facility did not have an EBP policy in place.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 23 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near West Point
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Colonial Haven | 7.9 mi | ★★★★★ | 0 | 0 |
| Oakland Heights | 12.7 mi | ★★★★★ | 0 | 0 |
| Wisner Care Center | 14.5 mi | ★★★★★ | 0 | 0 |
| Clarkson Community Care Center Inc | 23.3 mi | ★★★★★ | 23 | 0 |
| Accura Healthcare Of Tekamah | 25.8 mi | ★★★★★ | 14 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.