SNF

St. Joseph Villa Nursing Center

CCN: 285078 · Omaha, NE 68108 · Douglas County

Overview

Address
2305 South 10th Street, Omaha, NE 68108
Phone
4023455683
Certified beds
184
Avg daily residents
154 (83% of beds filled)
Ownership
For-profit LLC
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1987-07-13
Setting
Urban
1 /5
★★★★★
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
★★★★★ 1/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
★★★★★ 1/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
★★★★★ 4/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
★★★★★ 3/5
Quality Measures breakdown
Long-Stay Quality Measures ★★★★★ 1/5
Short-Stay Quality Measures ★★★★★ 5/5

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
 4.09 3.43 4.60 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 0.35 0.60 0.39 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 0.65 0.76 0.73 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 3.09 2.07 3.48 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 1.00 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.05 — — —

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
3.79
hrs / resident / day
RN (weekend)
0.23
hrs / resident / day
Total nurse (adjusted, weekend)
4.27
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
37.4%
annual
RN turnover
46.7%
annual
Administrators departed
1
last 12 months

Resident acuity

Nursing Case-Mix Index
1.22
higher acuity than avg
Case-Mix Index Ratio
0.88
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2024-08-22 16 9 11 92 1 92
Cycle 2/3 (prior) 2023-07-21 6 6 0 95 1 95
Total weighted health score
92.8
lower is better

Deficiencies (27)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

1 A/B/C No actual harm — minor
22 D/E/F Actual harm — potential for minor
3 G/H/I Actual harm
1 J/K/L Immediate jeopardy
Tag Description Scope/Severity Survey date Corrected
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D 2026-01-08 —
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2026-01-08 —
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. E 2026-01-08 —
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2026-01-08 —
0606 Not hire anyone with a finding of abuse, neglect, exploitation, or theft. C 2025-07-21 2025-08-15
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2025-07-21 2025-08-15
0880 Provide and implement an infection prevention and control program. D 2025-07-07 2025-07-31
0583 Keep residents' personal and medical records private and confidential. D 2024-08-22 2024-09-21
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2024-08-22 2024-09-21
0757 Ensure each resident’s drug regimen must be free from unnecessary drugs. D 2024-08-22 2024-09-21
0761 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. E 2024-08-22 2024-09-21
0880 Provide and implement an infection prevention and control program. E 2024-08-22 2024-09-21
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. G 2024-08-22 2024-09-21
0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. D 2024-08-22 2024-09-21
0803 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. E 2024-08-22 2024-09-21
0887 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. D 2024-08-22 2024-09-21
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. J 2023-07-21 2023-08-16
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2023-07-21 2023-08-16
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2023-07-21 2023-08-16
0759 Ensure medication error rates are not 5 percent or greater. D 2023-07-21 2023-08-16
0760 Ensure that residents are free from significant medication errors. D 2023-07-21 2023-08-16
0839 Employ staff that are licensed, certified, or registered in accordance with state laws. D 2023-07-21 2023-08-16
0584 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. E 2022-06-14 2022-07-07
0637 Assess the resident when there is a significant change in condition D 2022-06-14 2022-07-07
0688 Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. G 2022-06-14 2022-07-07
0692 Provide enough food/fluids to maintain a resident's health. G 2022-06-14 2022-07-07
0880 Provide and implement an infection prevention and control program. E 2022-06-14 2022-07-07

Penalties (2)

Fines issued
2
last 3 years
Total fines
$36,170
Date Type Fine amount
2024-08-22 Fine $12,048
2023-04-04 Fine $24,122

Source: CMS Nursing Home Penalties.

Financial Health (FY 2024)

Payer mix (share of resident days)

Medicare 3.4% Medicaid 82.0% Other 14.5%

Operating performance

Operating Margin
-8.1%
Total Margin
-3.0%
Occupancy Rate
89.1%
Cost per Resident Day
$22

Revenue & costs

Net Patient Revenue
$17.1M
Total Costs
$1.3M
Net Income
-$536K

Balance sheet

Total Assets
$7.6M
Total Liabilities
$8.1M
Fund Balance
-$561K
Current Ratio
0.76

Source: CMS SNF Cost Report (FY 2024). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: DELMAR GARDENS

Chain ID
180
Facilities in chain
13
Legal business name
DELMAR GARDENS OF OMAHA, LLC
Chain-average star ratings (for peer context)
Overall
3.0
Health
3.1
Staffing
3.1
QM
2.5

Owner / manager organizations (8)

Organization Role Association
DELMAR GARDENS ENTERPRISES INC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 03/12/2003
GABE GROSSBERG AND GEORGE GROSSBERG, TRUSTEES OF THE HENRY AND BARBARA 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 03/12/2003
GEORGE GROSSBERG AND GABE GROSSBERG, TRUSTEES OF THE HENRY AND BARBARA 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 03/12/2003
GOLDBERG-NOM LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 03/12/2003
NON-GST FAMILY TRUST EST U/W OF ISRAEL GOLDBERG FBO JANICE BITANSKI 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 04/10/2013
NON-GST FAMILY TRUST ESTABLISHED U/W OF ISRAEL GOLDBERG FBO HARRY ZVI 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 04/10/2013
NON-GSTFAMILY TRUST EST U/W ISRAEL GOLDBERG FBO DIANE FREDMAN 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 04/10/2013
DELMAR GARDENS MANAGEMENT SERVICES INC OPERATIONAL/MANAGERIAL CONTROL since 04/01/2005

Owner / manager individuals (6)

Name Role Association
GROSSBERG, GABE 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 03/12/2003
GROSSBERG, GEORGE 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 03/12/2003
GROSSBERG, GABE CORPORATE OFFICER since 03/12/2003
MARX, KENNETH CORPORATE OFFICER since 06/11/2019
OPPENHEIMER, HOWARD CORPORATE OFFICER since 03/12/2003
LEGUILLOW, HECTOR W-2 MANAGING EMPLOYEE since 05/13/2012

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

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Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $22 metrics.cost_per_resident_day
Cost Report Current Ratio 0.76 metrics.current_ratio
Cost Report fiscal_year 2,024 fiscal_year
Cost Report Medicaid Day Share (%) 82.0% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 3.4% metrics.medicare_day_share
Cost Report Net Income ($) $-536,350 metrics.net_income
Cost Report Net Patient Revenue ($) $17,114,964 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 89.1% metrics.occupancy_rate
Cost Report Operating Margin (%) -8.1% metrics.operating_margin
Cost Report Total Assets ($) $7,557,911 metrics.total_assets
Cost Report Total Costs ($) $1,321,673 metrics.total_costs
Cost Report Total Fund Balances ($) $-560,771 metrics.fund_balance
Cost Report Total Liabilities ($) $8,118,682 metrics.total_liabilities
Cost Report Total Margin (%) -3.0% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.73194 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 3.47607 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.39452 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 4.60253 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 4.26738 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote — Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 153.6 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote — Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.76166 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.07002 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.60035 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.43203 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.02497 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 3.1 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 3.0 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 2.5 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 3.1 Chain Average Staffing Rating
Provider Information Chain ID 180 Chain ID
Provider Information Chain Name DELMAR GARDENS Chain Name
Provider Information City/Town Omaha City/Town
Provider Information CMS Certification Number (CCN) 285078 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Douglas County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1987-07-13 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating 1 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 41.2381 Latitude
Provider Information Legal Business Name DELMAR GARDENS OF OMAHA, LLC Legal Business Name
Provider Information Location 2305 South 10th Street,Omaha,NE,68108 Location
Provider Information Long-Stay QM Rating 1 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote — Long-Stay QM Rating Footnote
Provider Information Longitude -95.929 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 1 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 184 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections — Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 13 Number of Facilities in Chain
Provider Information Number of Fines 2 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.21581 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.88253 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 1 Overall Rating
Provider Information Overall Rating Footnote — Overall Rating Footnote
Provider Information Ownership Type For profit - Limited Liability company Ownership Type
Provider Information Physical Therapist Staffing Footnote — Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 2305 South 10th Street Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name St. Joseph Villa Nursing Center Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 270 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 3 QM Rating
Provider Information QM Rating Footnote — QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 92 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 11 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 9 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2024-08-22 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 92 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 16 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 6 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2023-07-21 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 95 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 0 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 95 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 6 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.22559 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 46.7 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.00132 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.65063 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 3.08992 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.05230 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.35070 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote — Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 4.09125 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 5 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote — Short-Stay QM Rating Footnote
Provider Information Special Focus Status — Special Focus Status
Provider Information Staffing Rating 4 Staffing Rating
Provider Information Staffing Rating Footnote — Staffing Rating Footnote
Provider Information State NE State
Provider Information Telephone Number 4023455683 Telephone Number
Provider Information Total Amount of Fines in Dollars 36170.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.79333 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 2 Total Number of Penalties
Provider Information Total nursing staff turnover 37.4 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 92.750 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 68108 ZIP Code