Midwest Covenant Home
615 East 9th Street, Stromsburg, NE 68666 · Polk County · (402) 764-2711
51 certified beds, about 41 residents a day · Non profit - Corporation · Medicare and Medicaid since 1983
Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 285062 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 26, 2025, inspectors cited 3 health deficiencies (the Nebraska average is 7.4, the national average 9.2).
None of its 12 health citations since March 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.30 hours per resident per day, against 3.98 across Nebraska and 3.86 nationally. Registered nurses accounted for 0.59 of those hours.
49.2% of nursing staff left within the year CMS measured (Nebraska average 48.7%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
303/23
604/24
303/25
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 12 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
9D
1E
2F
Potential for minimal harm
0A
0B
0C
March 26, 2025Standard inspection, Complaint inspection · 3 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on record review, observation, and interviews, the facility failed to discard outdated foods. This had the potential to affect all residents who consumed food from the kitchen. The census was 38.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteLicensure Reference Number 175NAC 12-006.02(H) Based on record review and interview the facility failed to submit a written investigation for alleged abuse to the state agency within 5 working days as required for 2 of 3 residents (Residents 12 and 19). The facility census was 38.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.09 Based on record reviews and interviews the facility failed to follow orders to notify the physician when blood glucose levels were outside of set parameters. This affected two residents, Resident 24, and Resident 38. The facility census was 38.
April 2, 2024Standard inspection, Complaint inspection · 6 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteLicensure Reference Number 175NAC 12-006.11E Based on observations, record reviews and interviews, the facility failed to monitor the required temperature for sanitization of facility dishware that had the potential to affect all facility residents; failed to ensure sanitary procedures between raw and cooked foods to prevent the potential for foodborne illness that had the potential to affect all facility residents; and the facility failed to monitor food temperatures for the prevention of foodborne illnesses for 12 of the 43 residents that ate from the kitchen. The facility census was 43.
- E Ensure medication error rates are not 5 percent or greater.
Inspectors wroteLicensure Reference Number 175NAC 12-006.10D Based on observation, record review, and interview the facility failed to ensure the medication error rate was under 5% with an observed medication error rate of 21.21%. This affected 7 of 15 residents observed (Residents 10, 32, 13, 9, 8, 22, and 21). The facility census was 43.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteLicensure Reference Number 175NAC 12-006.02(8) Based on interview and record review the facility failed to submit an investigation for alleged abuse to the state agency within 5 days as required for 1 (Resident 10) of 3 sampled residents. The facility census was 43.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteLicensure Reference Number 175NAC 12-006.09 Based on record review, observation, and interviews, the facility failed to implement resident care consistent with the resident's physician orders for 1, (Resident 4) of 5 sampled residents. Facility stated census of 43.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteLicensure Reference Number 175NAC 12-006.09D7b Based on record review and interviews, the facility failed to identify causal factors and implement interventions to prevent incidents and accidents. This affected 1 (Resident 7) of 5 sampled residents. Facility stated census of 43.
- D Ensure that residents are free from significant medication errors.
Inspectors wroteLicense reference number 175 NAC 12-006.10D Based on observation, record review, and interview the facility failed to ensure facility staff primed insulin pen needles as required to ensure the correct dosage administration for 2 residents of 2 residents observed (Residents 10, and 32). The facility census was 43.
March 9, 2023Standard inspection · 3 citations
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on record review and interview, the facility failed to provide Resident 43 with Written Notice of Transfer on transfer to the hospital. This affected 1 of 1 resident sampled for Hospitalization. The facility's census was 39.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.09D1c Based on observation, record review and interview; the facility failed to provide assistance with oral care for 1 (Resident 17) of 3 sampled residents. The facility census was 39.
- D Provide and implement an infection prevention and control program.
Inspectors wrote175 NAC 12-006. 17D and 175 NAC 12-006.18B Based on observations, record reviews and interviews, the facility failed to ensure Hand Hygiene (cleaning the hands with soap and water or the use of an alcohol based hand rub (ABHR) to help prevent the spread of infection) was completed during wound care for 1 Resident (40) out of 2 sampled for Pressure Injury, and the facility failed to maintain clean Respiratory equipment for 1 Resident 2 sampled for Respiratory Care. The facility census was 39. A. On 3/8/23 at 10:24 AM an observation was made of a dressing change for Resident 40's right heel wound completed by Licensed Practical Nurse (LPN) A. -LPN A washed their hands with soap and water and put on clean gloves. -LPN A then removed the resident's shoe, sock, and old dressing, then cleaned the open area with gauze and wound cleanser. [...]
Fire safety inspections
9 fire safety citations on file: 3 on March 26, 2025, 2 on April 2, 2024, 4 on March 9, 2023.
Every fire safety citation9 citations
- F Provide properly protected cooking facilities.
- F Ensure that testing and maintenance of electrical equipment is performed.
- E Have proper medical gas storage and administration areas.
- F Have simulated fire drills held at unexpected times.
- F Ensure that testing and maintenance of electrical equipment is performed.
- F Implement emergency and standby power systems.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Provide properly sized and located linen or trash receptacles.
- D Install emergency lighting that can last at least 1 1/2 hours.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Nebraska | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.30 | 3.98 | 3.86 |
| Registered nurses | 0.59 | 0.67 | 0.69 |
| All nursing staff on weekends | 3.71 | 3.48 | 3.42 |
| Nurse aides | 2.64 | ||
| Licensed practical nurses | 1.07 | ||
| Nursing staff turnover (share who left in a year) | 49.2% | 48.7% | 45.8% |
| Registered nurse turnover | 14.3% | 44.1% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.37 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.54 on weekdays and 3.71 on weekends, 18% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 2.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.66 in April to June 2025 to 4.30 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.30 | 0.59 | 4.54 | 3.71 | 2.9% | 0 of 90 | 41 |
| Oct to Dec 2025 | 4.45 | 0.65 | 4.66 | 3.91 | 5.1% | 0 of 92 | 41 |
| Jul to Sep 2025 | 4.57 | 0.57 | 4.76 | 4.10 | 13.9% | 0 of 92 | 42 |
| Apr to Jun 2025 | 4.66 | 0.68 | 4.93 | 3.96 | 19.3% | 0 of 91 | 39 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Nebraska, Jan to Mar 2026 | 4.01 | 0.66 | 4.21 | 3.53 | 7.1% | 1.6% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Nebraska | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 22.3 | 19.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 8.2 | 2.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.3 | 4.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 3.8 | 2.0 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 13.3 | 18.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.8 | 4.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 29.8 | 20.7 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.9 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.9 | 1.9 | 1.8 |
Owners and operators
Legal business name: MIDWEST COVENANT HOME, INC..
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Bjerrum, Sheila | Corporate director | Individual | 05/30/2020 | |
| Borg, Terry | Corporate director | Individual | 05/29/2025 | |
| Boroviak, Richard | Corporate director | Individual | 05/25/2023 | |
| Burke, Phil | Corporate director | Individual | 05/19/2022 | |
| Cooksley, Susan | Corporate director | Individual | 05/25/2023 | |
| Dubas, Michelle | Corporate director | Individual | 02/27/2025 | |
| Giannou, Cheri | Corporate director | Individual | 05/19/2022 | |
| Hutsell, Tamara | Corporate director | Individual | 05/25/2023 | |
| McIvor, Timothy | Corporate director | Individual | 05/19/2022 | |
| Pinley, Mary | Corporate director | Individual | 05/29/2025 | |
| Schreiber, Bonnie | Corporate director | Individual | 05/25/2023 | |
| Teegerstrom, Timothy | Corporate director | Individual | 01/13/2025 | |
| Burke, Phil | Corporate officer | Individual | 05/30/2024 | |
| Giannou, Cheri | Corporate officer | Individual | 05/25/2023 | |
| Hutsell, Tamara | Corporate officer | Individual | 05/29/2025 | |
| McIvor, Timothy | Corporate officer | Individual | 05/29/2025 | |
| Ienn, Fawn | Operational/managerial control | Individual | 03/18/2024 | |
| Jameson, David | Operational/managerial control | Individual | 06/01/2021 | |
| Bjerrum, Sheila | Adp of the SNF | Individual | 01/20/2025 | |
| Jameson, David | Adp of the SNF | Individual | 02/05/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on March 26, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on March 26, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on March 26, 2025: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on April 2, 2024: "Ensure medication error rates are not 5 percent or greater."
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Good Samaritan Society - Osceola Osceola, 4.8 mi · 5 of 5 stars · 8 citations
- York General Hearthstone York, 16.1 mi · 5 of 5 stars · 3 citations
- Adept Nursing & Rehab of Central City Central City, 21.5 mi · 2 of 5 stars · 19 citations
- Litzenberg Memorial County Hospital Central City, 21.6 mi · 4 of 5 stars · 7 citations
- Genoa Community Hospital/LTC Genoa, 23.6 mi · 2 of 5 stars · 10 citations
- Emerald Nursing & Rehab Columbus Columbus, 25 mi · 1 of 5 stars · 22 citations
Nebraska contacts for a concern about a nursing home
These are the official offices in Nebraska. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Nebraska Department of Health and Human Services, Licensure Unit, Long Term Care Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Nebraska Long-Term Care Ombudsman Program, (800) 942-7830. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
Common questions
- What is Midwest Covenant Home's Medicare star rating?
- CMS rates Midwest Covenant Home 3 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Midwest Covenant Home get at its last inspection?
- 3 health deficiencies at the standard inspection on March 26, 2025. The Nebraska average is 7.4.
- Has Midwest Covenant Home been fined?
- CMS lists no fines in the last three years.
- Does Midwest Covenant Home accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Midwest Covenant Home?
- CMS lists 20 owners and managers. Legal business name: MIDWEST COVENANT HOME, INC..
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.