Show Inspection Reports
Total Health inspections
3
30% below Nebraska average
Nebraska average:
4.3
Last Health inspection on Mar 2025
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Midwest Covenant Home
Midwest Covenant Home is a Nursing Home in Nebraska
Midwest Covenant Home is a Nursing Home in Nebraska
Midwest Covenant Home
Midwest Covenant Home is a Nursing Home in Nebraska
Midwest Covenant Home is a Nursing Home in Nebraska
Midwest Covenant Home is a nursing home that provides a Christian living environment where residents can live with dignity while receiving quality care. It offers skilled nursing care, physical therapy, and occupational therapy services. The facility has a history of over 50 years serving the Stromsburg area.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
51
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
80.3%
Residents per day (avg)
39
Occupancy rate
80.3%
Residents per day (avg)
39
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
42% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
36% of new residents, often for short stays.
Typical stay
1 - 2 years
Medicaid
21% of new residents, often for long-term daily care.
Typical stay
3 years
Finances and operations
Voluntary non-profit home
Other
Home revenue
$6.3M
Operating deficit
-$337.7K
Voluntary non-profit home
Other
Home revenue
$6,333,429.00
Operating deficit
$-337,714.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.3M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.7M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$6.9M
51-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
About this community
Occupancy Rate
75%
Occupied Beds
38 of 51
Percentage of available beds currently in use by residents.
Facility Type
NURSING HOME
Additional licensing details
CMS Certification Number:
285062
Certification type:
Certification
County:
POLK
Ownership & operating entity
Midwest Covenant Home is administrated by Sheila Bjerrum, Administrator.
Owner name:
MIDWEST COVENANT HOME, INC
Safety & Compliance
Care Services
Nursing Services
Rehabilitation Services
Independent Living
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
All Levels of Care
Contact Information
Fax:
(402) 764-4352
Additional Policies & Features
Minimum Age:
55
Amenities & Lifestyle
Programs & Activities
Specific Programs
Nursing Home, Short/Long Term Stays, Assisted Living, Independent Living, Senior Services
Dining & Nutrition
Food Description
Home cooked meals
Meals Included
Yes
Inspection History
In Nebraska, the Department of Health and Human Services, Division of Public Health conducts regular inspections to ensure nursing and assisted living facilities meet state and federal standards.
25 visits/inspections
7 visits/inspections triggered by complaints
2 routine inspections
Results
9 with issues
16 without issues
Latest inspection
Date:January 30, 2025
Type:Renewal
59 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Compare Nursing Homes around Nebraska
The information below is reported by the Nebraska Department of Health and Human Services, Division of Public Health.
Midwest Covenant Home
-15%
+17%
+14%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
NE 68666
51
No
BJERRUM, SHEILA
80.3%
$5,819,258.00
$3,258,107.00
56%
39.30
5.2088
1
12
-
-15%+17%+14%
Accura HealthCare of Hartington
-7%
-7%
-10%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
NE 68739
67
No
KLAASMEYER, KENNETH
63.6%
$3,668,324.00
$2,124,349.00
57.9%
31.40
4.1342
-
7
-
-7%-7%-10%
Accura HealthCare of Tekamah
+19%
-14%
+2%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
NE 68061
46
No
GEIS, HEATHER
72.0%
$3,111,496.00
$2,065,549.00
66.4%
30.00
3.8342
-
12
-
+19%-14%+2%
Arbor Care Center-Valhaven, LLC
-2%
-8%
+3%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
NE 68064
66
No
-
72.4%
$5,043,043.00
$3,225,812.00
64%
49.50
4.0787
-
18
1
-2%-8%+3%
Arbor Care Centers – Ord, LLC
+15%
-16%
-26%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
NE 68862
60
No
LUTH, KURT
51.8%
$2,881,257.00
$1,523,175.00
52.9%
35.20
3.7604
-
29
1
+15%-16%-26%
Midwest Covenant Home
Type of care:
SNF
AL
Community:
NE 68666
Bed Count:
51
Pets Allowed:
No
Operator:
BJERRUM, SHEILA
CCN:
285062
Occupancy:
80.3%
Home Revenue:
$5,819,258.00
Payroll Costs:
$3,258,107.00
Payroll %:
56%
Avg Residents/Day:
39.30
Overall Rating:
Adj Nurse Hours:
5.2088
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
12
RN share vs State Avg:
-15%
-15%
Staffing vs State Avg:
+17%
+17%
Occupancy vs State Avg:
+14%
+14%
Accura HealthCare of Hartington
Type of care:
SNF
AL
Community:
NE 68739
Bed Count:
67
Pets Allowed:
No
Operator:
KLAASMEYER, KENNETH
CCN:
285088
Occupancy:
63.6%
Home Revenue:
$3,668,324.00
Payroll Costs:
$2,124,349.00
Payroll %:
57.9%
Avg Residents/Day:
31.40
Overall Rating:
Adj Nurse Hours:
4.1342
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
7
RN share vs State Avg:
-7%
-7%
Staffing vs State Avg:
-7%
-7%
Occupancy vs State Avg:
-10%
-10%
Accura HealthCare of Tekamah
Type of care:
SNF
AL
Community:
NE 68061
Bed Count:
46
Pets Allowed:
No
Operator:
GEIS, HEATHER
CCN:
285118
Occupancy:
72.0%
Home Revenue:
$3,111,496.00
Payroll Costs:
$2,065,549.00
Payroll %:
66.4%
Avg Residents/Day:
30.00
Overall Rating:
Adj Nurse Hours:
3.8342
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
12
RN share vs State Avg:
+19%
+19%
Staffing vs State Avg:
-14%
-14%
Occupancy vs State Avg:
+2%
+2%
Arbor Care Center-Valhaven, LLC
Type of care:
SNF
AL
Community:
NE 68064
Bed Count:
66
Pets Allowed:
No
CCN:
285117
Occupancy:
72.4%
Home Revenue:
$5,043,043.00
Payroll Costs:
$3,225,812.00
Payroll %:
64%
Avg Residents/Day:
49.50
Overall Rating:
Adj Nurse Hours:
4.0787
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
18
Severe Citations:
1
RN share vs State Avg:
-2%
-2%
Staffing vs State Avg:
-8%
-8%
Occupancy vs State Avg:
+3%
+3%
Arbor Care Centers – Ord, LLC
Type of care:
SNF
AL
Community:
NE 68862
Bed Count:
60
Pets Allowed:
No
Operator:
LUTH, KURT
CCN:
285294
Occupancy:
51.8%
Home Revenue:
$2,881,257.00
Payroll Costs:
$1,523,175.00
Payroll %:
52.9%
Avg Residents/Day:
35.20
Overall Rating:
Adj Nurse Hours:
3.7604
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
29
Severe Citations:
1
RN share vs State Avg:
+15%
+15%
Staffing vs State Avg:
-16%
-16%
Occupancy vs State Avg:
-26%
-26%Places of interest near Midwest Covenant Home
0.0 miles from city center
STROMSBURG, NE 68666
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
97
Total Staff
74
Employees
23
Contractors
18,834
Total Hours (Quarter)
27
Avg Staff/Day
7.7
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 8 | 7.6 | No |
| Licensed Practical Nurse | 13 | 8.6 | Yes |
| Certified Nursing Assistant | 56 | 8.3 | Yes |
Staff by Category
Administration ⓘ
2 staff
7.9hs shift avg
Nursing Staff ⓘ
81 staff
8.2hs shift avg
Physicians & Practitioners ⓘ
2 staff
7.7hs shift avg
Therapy Services ⓘ
6 staff
2.2hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
1 staff
1.6hs shift avg
Dietary Services ⓘ
4 staff
5.7hs shift avg
Other Services ⓘ
1 staff
6.9hs shift avg
Contractor Analysis
18.9%
of total hours from contractors
3,566 contractor hours this quarter
Occupational Therapy Aide: 1
Certified Nursing Assistant: 13
Respiratory Therapy Technician: 3
Licensed Practical Nurse: 2
Physical Therapy Assistant: 1
Speech Language Pathologist: 1
Qualified Social Worker: 1
Medical Director: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 43 | 13 | 56 | 9,903 | 91 | 100% | 8.3 |
| Licensed Practical Nurse | 11 | 2 | 13 | 3,619 | 91 | 100% | 8.6 |
| Registered Nurse | 8 | 0 | 8 | 1,622 | 91 | 100% | 7.6 |
| Other Dietary Services Staff | 3 | 0 | 3 | 800 | 75 | 82% | 5.6 |
| Medication Aide/Technician | 1 | 0 | 1 | 552 | 80 | 88% | 6.9 |
| Administrator | 1 | 0 | 1 | 480 | 60 | 66% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 464 | 58 | 64% | 8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 349 | 47 | 52% | 7.4 |
| Dietitian | 1 | 0 | 1 | 342 | 59 | 65% | 5.8 |
| Dental Services Staff | 1 | 0 | 1 | 215 | 31 | 34% | 6.9 |
| Physical Therapy Assistant | 0 | 1 | 1 | 126 | 58 | 64% | 2.2 |
| RN Director of Nursing | 1 | 0 | 1 | 99 | 12 | 13% | 8.2 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 80 | 43 | 47% | 1.9 |
| Occupational Therapy Aide | 0 | 1 | 1 | 77 | 16 | 18% | 4.8 |
| Speech Language Pathologist | 0 | 1 | 1 | 44 | 29 | 32% | 1.5 |
| Nurse Aide in Training | 2 | 0 | 2 | 36 | 6 | 7% | 6 |
| Qualified Social Worker | 0 | 1 | 1 | 27 | 17 | 19% | 1.6 |
| Medical Director | 0 | 1 | 1 | 1 | 1 | 1% | 0.5 |
Health Inspection History
Total Health citations
12
34% below Nebraska average
Nebraska average:
18.2
4 citations per inspection (avg)
Citations origin
Citations can result from standard inspections or complaint-based investigations.
Standard inspections
12 citations
Complaint investigations
5 citations
Breakdown of citations
Critical Health citations
0
100% below Nebraska average
Nebraska average:
0.2
Serious Health citations
0
100% below Nebraska average
Nebraska average:
0.5
Moderate Health citations
12
Minor Health citations
0
Citations history (last 3 years)
Abuse/Neglect moderate citation
Mar 26, 2025
Corrected
Nutrition moderate citation
Mar 26, 2025
Corrected
Quality of Care moderate citation
Mar 26, 2025
Corrected
Abuse/Neglect moderate citation
Apr 02, 2024
Corrected
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: Non-Profit Corporation
Resident Census by Payment Source
38
Total Residents
Medicare
3
(7.9%)
ⓘ
Medicaid
18
(47.4%)
ⓘ
Private Pay/Other
17
(44.7%)
ⓘ
Programs & Services
Residents' Group
ⓘ
Nurse Aide Training
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
13.1
16% worse than Nebraska average
Nebraska average:
11.3
Functional decline score
26.3
13% worse than Nebraska average
Nebraska average:
23.3
Long-Stay Resident Measures
Daily care & independence
Need for Help with Daily Activities Increased
26.2%
26% above Nebraska average.
Walking Ability Worsened
24.9%
13% above Nebraska average.
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence
27.9%
4% above Nebraska average.
Safety & clinical stability
Falls with Major Injury
4.1%
9% below Nebraska average.
High Risk Residents with Pressure Ulcers
2.6%
39% below Nebraska average.
Urinary Tract Infection
7.6%
149% above Nebraska average.
Emotional & behavioral wellbeing
Depressive Symptoms
0.0%
100% below Nebraska average.
Antipsychotic Use
22.5%
13% above Nebraska average.
Preventive care
Pneumococcal Vaccine
100.0%
7% above Nebraska average.
Influenza Vaccine
100.0%
4% above Nebraska average.
Nutrition & physical health
Lost Too Much Weight
7.8%
44% above Nebraska average.Short-stay resident measures
Pneumococcal Vaccine
100.0%
24% better than Nebraska average
Antipsychotic medication increase
0.0%
100% better than Nebraska average
Influenza Vaccine
100.0%
32% better than Nebraska average Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$10K
This home paid 70% less in fines than the state average.
Nebraska average:
$33K
Number of Fines
1
This home received 31% fewer fines than the state average.
Nebraska average:
1.5
Payment Denials
0
This home had 100% fewer payment denials than the state average.
Nebraska average:
0.7
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Mar 9, 2023
$10K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Midwest Covenant Home based on CMS SNF Cost Reports.
Occupancy Rate
80.3%
↓ 1.9pp vs 2023
Net Income
-$337,714
↑ ~$156K vs 2023
Total Payroll
$3,912,718
↑ ~$327K vs 2023
Profit Margin
-5.8%
↑ 2.3pp vs 2023
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