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Midwest Covenant Home
Nursing Home, Assisted Living, Independent Living & Skilled Nursing · Stromsburg, NE
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Resident celebrating New Year's with fun props Midwest Covenant Home, Nursing Home in Stromsburg, NE — Senior resident preparing corn in a communal activity space Midwest Covenant Home, Nursing Home in Stromsburg, NE — Seniors preparing corn together in an activity space Resident displaying a handmade craft in the common area Elderly woman wearing bunny ears in a cozy armchair

Midwest Covenant Home

Nursing Home, Assisted Living, Independent Living & Skilled Nursing · Stromsburg, NE
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
615 East 9Th Street, Stromsburg, NE 68666 View map Calculator: See prices in your area
Midwest Covenant Home accepts Medicare, Medicaid, and private pay.
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Midwest Covenant Home accepts Medicare, Medicaid, and private pay.

Overview of Midwest Covenant Home

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Midwest Covenant Home is a 51-bed nursing home operated by Sheila Bjerrum in Stromsburg, Nebraska. The facility accommodates several billing structures by accepting Medicare, Medicaid, and private pay. For visitors, the surrounding small-town neighborhood is car-dependent with a walkability score of 31 out of 100, meaning family members will generally need a vehicle to travel to the property or manage errands.

Residents stay an average of 441 days, highlighting a population primarily focused on permanent, long-term nursing care over short-term recovery. This baseline keeps the building functioning at a 75 percent occupancy level. Around-the-clock staffing handles the daily clinical routine, delivering an average of 5 hours and 13 minutes of total nursing care per resident each day, which includes 3 hours of direct assistance from nurse aides to manage physical rehabilitation, medication setups, and daily hygiene.

Public oversight logs show a history of inspection surveys that previously looked at fire safety, accident prevention, and care practices. Follow-up evaluations from the state health department confirm that the property resolved these earlier tracking gaps, resulting in zero deficiencies on its latest renewal reviews and maintaining a cumulative citations-per-inspection rate of zero.

Interested individuals can set up in-person tours to speak directly with the care team and view the layout. The kitchen prepares home-cooked meals on site tailored to standard nutritional needs, which are served in a central dining room.

Facility Direct Line (402) 764-2711
Facility Direct Line (402) 764-2711
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Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
▲ 2.7% Above NE avg. ▲ 2.7% Above NE avg.NE average: 2.9Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
▲ 5.4% Above NE avg. ▲ 5.4% Above NE avg.NE average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
▲ 20.6% Above NE avg. ▲ 20.6% Above NE avg.NE average: 3.3Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
▲ 4.5% Above NE avg. ▲ 4.5% Above NE avg.NE average: 2.9Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day vs Nebraska averages

Rank #24 / 119Nurse hours — State benchmarkedThis home is ranked 24th out of 119 homes we track in Nebraska for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Nebraska average, with a ranking across 119 Nebraska facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Nebraska that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This home is ranked 24th out of 119 homes we track in Nebraska for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.

4h 53m

10% above state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
40m
−7% State avg: 43m per day · National avg: 41m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
1h 13m
+69% State avg: 43m per day · National avg: 52m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
3h 0m
+9% State avg: 2h 46m per day · National avg: 2h 20m per day
Weekend Total Nursing Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
4h 13m
+17% State avg: 3h 37m per day · National avg: 3h 26m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
2m
−49% State avg: 3m per day · National avg: 4m per day
Weekend RN Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
21m
−26% State avg: 29m per day · National avg: 28m per day

3 of 6 metrics below state avg

Standout metric: LPN / LVN is +69% above Nebraska average

By The Numbers

Community insights.

Bed count Info A moderately sized community that may balance personal attention with shared amenities and social activities. 51 Rank #152 / 225Bed count — State benchmarkedThis home is ranked 152nd out of 225 homes we track in Nebraska for bed count. Shows this facility's certified or reported bed count compared to other Nebraska facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Nebraska that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Smaller home · May offer a more intimate, personalized care environment.

Walk Score Info Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation. Rank #215 / 285Walk Score — State benchmarkedThis home is ranked 215th out of 285 homes we track in Nebraska for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Nebraska facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Nebraska that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
31 / 100
Occupancy rate Info Occupancy lower than 85% suggests more openings may be available. Rank #99 / 177Occupancy rate — State benchmarkedThis home is ranked 99th out of 177 homes we track in Nebraska for occupancy. Shows this facility's occupancy rate versus the Nebraska average, with its Statewide rank out of 177. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Nebraska that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
75% This home usually has availability
Higher than the Nebraska average: 70.3%
Occupied beds
38 / 51
Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
441 days

About this community

License Details

Facility TypeNursing Home
CountyPolk
CMS Certification Number285062
Certification TypeCertification

Ownership & Operating Entity

Midwest Covenant Home is administered by Administrator Sheila Bjerrum.

Owner NameMidwest Covenant Home, Inc

Therapy & Rehabilitation

1 service
Rehabilitation Services

Staffing & Medical

1 service
24-Hour Staffing

Additional Services

1 service
Nursing Home

Contact Information

Fax(402) 764-4352

Additional Policies & Features

Pets not allowed
Minimum Age55

Amenities & Lifestyle

Specific ProgramsShort/Long Term Stays, Senior Services

Contact Midwest Covenant Home

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.

Since 2011 · 15 years of data These figures come from state-published and/or federal inspection records. The period covered can vary depending on document availability. 59 deficiencies 19 inspections

Inspection Scorecard Info This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Nebraska state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2011 vs. Nebraska state average
Overall vs. NE average 2 Worse Metrics worse than Nebraska average:
• Total deficiencies (13% above)
• Deficiencies per inspection (17% above) 0 Better No metrics in this bucket.

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityNE Averagevs. NE Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 5952 This facility has 13% more total deficiencies than a typical Nebraska nursing home (59 vs. NE avg 52).↑ 13% worse
Deficiencies per inspection Info Average deficiencies per inspection. 3.12.66 This facility has 17% more deficiencies per inspection than a typical Nebraska nursing home (3.1 vs. NE avg 2.66).↑ 17% worse

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityNE Averagevs. NE Avg
Total inspections Info Combined count of all inspections conducted at this facility. 1913 This facility has had 46% more total inspections than the Nebraska average (19 vs. NE avg 13). More inspections can mean more regulatory scrutiny rather than worse care.↑ 46% more
Show Inspection Reports

CMS Health Inspection History

Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.

Inspections Since 2023 · 3 years of data
Total health inspections 3

State average 4.3

Last Health inspection on Mar 2025

Total health citations
12 Rank #40 / 122Health citations — State benchmarkedThis home is ranked 40th out of 122 homes we track in Nebraska for health citations. Shows this facility's total health deficiency citations benchmarked to the Nebraska State average, with a ranking across all 122 NE facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Nebraska that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 18.2

Citations per inspection
4 Rank #53 / 122Citations per inspection — State benchmarkedThis home is ranked 53rd out of 122 homes we track in Nebraska for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Nebraska mean across 122 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Nebraska that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 4.19

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

7 of 12 citations resulted from standard inspections; and 5 of 12 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical health citations
0
100% better than State average

State average: 0.2

Serious health citations
0
100% better than State average

State average: 0.5

0 critical citations State average: 0.2
0 serious citations State average: 0.5
12 moderate citations State average: 17.2
0 minor citations State average: 0.2
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

Data sourced from CMS Health Deficiencies reports, which cover the Medicare and/or Medicaid-certified skilled-nursing and nursing beds and no other part of the community. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 98
Employees 77
Contractors 21
Staff to resident ratio 2.58 : 1
27% more staff per resident than Nebraska average
Nebraska average ratio: 2.03 : 1 Nebraska average ratio: 2.03 : 1See full Nebraska ranking
Avg staff/day 28
Average shift 7.5 hours
0% compared with Nebraska average
Nebraska average: 7.8 hours Nebraska average shift: 7.8 hoursSee full Nebraska ranking
Total staff hours (quarter) 19,359

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 7 RN Staff are full-time employees. No contractors work on this role. 7
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.6 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 19 total: 13 full-time employees and 6 contractors. 19
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.1 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 51 total: 45 full-time employees and 6 contractors. 51
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.2 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

6.8%

1,315 contractor hours this quarter

Licensed Practical Nurse: 6 Certified Nursing Assistant: 6 Respiratory Therapy Technician: 3 Medication Aide/Technician: 1 Physical Therapy Assistant: 1 Speech Language Pathologist: 1 Qualified Social Worker: 1 Occupational Therapy Aide: 1 Medical Director: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant4565110,46492100%8.2
Licensed Practical Nurse136193,53892100%8.1
Registered Nurse7071,58192100%7.6
Other Dietary Services Staff3038007582%5.6
Administrator2025206166%7.2
Nurse Practitioner1014966267%8
Clinical Nurse Specialist1013965560%7.2
Dietitian1013685560%6.7
Medication Aide/Technician1122903336%8.5
Dental Services Staff1012553639%7.1
Physical Therapy Assistant0112006672%3
Respiratory Therapy Technician0331155257%1.7
RN Director of Nursing1011111516%7.4
Nurse Aide in Training101841112%7.6
Occupational Therapy Aide011811921%4.3
Speech Language Pathologist011422022%2.1
Qualified Social Worker011191011%1.9
Medical Director011111%0.5
51 Certified Nursing Assistant
% of Days 100%
19 Licensed Practical Nurse
% of Days 100%
7 Registered Nurse
% of Days 100%
3 Other Dietary Services Staff
% of Days 82%
View All Staffing Data

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 Rank #1 / 124Federal fines — State benchmarkedThis home is ranked 1st out of 124 homes we track in Nebraska for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Nebraska average among facilities with fines, and where it ranks among 124 facilities in the pool. Lower total dollars mean a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Nebraska that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
70% lower than Nebraska average

Nebraska average: $33K

Number of fines 1
31% fewer fines than Nebraska average

Nebraska average: 1.5

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than Nebraska average

Nebraska average: 0.7

Fines amount comparison
Fines amount comparison
This facility $10K
Nebraska average $33K

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

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 Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 13.1
16% worse than Nebraska average

Nebraska average: 11.3

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 26.3
13% worse than Nebraska average

Nebraska average: 23.3

Long-stay resident measures
Average Nebraska avg: 2.8 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 26.2%
26% worse than Nebraska average

Nebraska average: 20.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 24.9%
13% worse than Nebraska average

Nebraska average: 22.1%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 27.9%
In line with Nebraska average

Nebraska average: 26.9%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 4.1%
9% better than Nebraska average

Nebraska average: 4.5%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 2.6%
39% better than Nebraska average

Nebraska average: 4.3%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 7.6%
149% worse than Nebraska average

Nebraska average: 3.1%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 7.8%
44% worse than Nebraska average

Nebraska average: 5.4%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than Nebraska average

Nebraska average: 4.4%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 22.5%
13% worse than Nebraska average

Nebraska average: 19.8%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
7% better than Nebraska average

Nebraska average: 93.2%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
In line with Nebraska average

Nebraska average: 96.1%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 0.81
55% better than Nebraska average

Nebraska average: 1.80

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 0.73
63% better than Nebraska average

Nebraska average: 1.95

Short-stay resident measures
Average Nebraska avg: 2.2 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
24% better than Nebraska average

Nebraska average: 80.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than Nebraska average

Nebraska average: 2.4%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
32% better than Nebraska average

Nebraska average: 75.9%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 4.0%
419% worse than Nebraska average

Nebraska average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 47.6%
11% worse than Nebraska average

Nebraska average: 53.7%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

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

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 38
Medicare
3
7.9% of residents
Medicaid
18
47.4% of residents
Private pay or other
17
44.7% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 06/2024.

Nonprofit
Nonprofit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$5.8M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$792.2K
Nonprofit Nonprofit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$5.8M Rank #57 / 113Net patient revenue — State benchmarkedThis home is ranked 57th out of 113 homes we track in Nebraska. Shows this facility's net patient revenue compared to the Nebraska average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Nebraska that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$792.2K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$514.2K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #47 / 113Payroll costs — State benchmarkedThis home is ranked 47th out of 113 homes we track in Nebraska. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Nebraska average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Nebraska that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
$3.9M 67.2% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #39 / 113Payroll % of net patient revenue — State benchmarkedThis home is ranked 39th out of 113 homes we track in Nebraska. Shows payroll as a percentage of net patient revenue versus the Nebraska average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Nebraska that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$2.7M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$6.6M
How we calculate these figures

This home is administered by Administrator Sheila Bjerrum.

This home is owned by Sheila Bjerrum

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 285062

Show certification details

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

New residents most often arrive under Medicare (42% of admissions), and a typical Medicare stay runs around 1 - 2 months.

Admissions
33 total

Coverage residents most often arrive under.

Medicare 42%
Private pay 36%
Medicaid 21%
Discharges
34 total

Coverage residents most often leave under.

Medicare 26%
Private pay 38%
Medicaid 35%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Places of interest near Midwest Covenant Home

Address 0.0 miles from city center Info Estimated distance in miles from Stromsburg's city center to Midwest Covenant Home's address, calculated via Google Maps.

Calculate Travel Distance to Midwest Covenant Home

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Address

Compare Nursing Homes around the area

Info below is compiled from CMS reports & the NE Dept. of Health & Human Services (DHHS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HC (Home Care): Professional care delivered in the person's own home, from companionship to skilled nursing. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Nebraska average is: 61.4% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Brookestone Meadows Rehabilitation and ★ ★ ★ ★ ★
NH
HC
HOS
IL
SNF
Elkhorn
140
Facility 140
NE AVG 81
Rank #26 / 225
91.4%
Facility 91.4%
NE AVG 73.3%
Rank #21 / 177
+25%
4.71
Facility 4.71
NE AVG 4.45
Rank #35 / 119
 ★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ -18%+6%
$0
Facility $0
NE AVG $38.1k
Rank #1 / 124
4
Facility 4
NE AVG 18.2
Rank #4 / 122
2.0
Facility 2.0
NE AVG 4.2
Rank #7 / 122
1128-
6
Facility 6
NE AVG 47
Rank #274 / 285
Timothy Malloy
$21.8MFiscal year ending 06/2024
Facility $21.8MFiscal year ending 06/2024
NE AVG $7.6M
Rank #4 / 113
$12.6MFiscal year ending 06/2024
Facility $12.6MFiscal year ending 06/2024
NE AVG $4.5M
Rank #4 / 113
58%Fiscal year ending 06/2024
Facility 58%Fiscal year ending 06/2024
NE AVG 61.4%
Rank #75 / 113
285276
Midwest Covenant Home ★ ★ ★ ☆ ☆
NH
AL
IL
SNF
Stromsburg
51
Facility 51
NE AVG 81
Rank #152 / 225
74.5%
Facility 74.5%
NE AVG 73.3%
Rank #99 / 177
+2%
4.89
Facility 4.89
NE AVG 4.45
Rank #24 / 119
 ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ☆ ★ ★ ★ ☆ ☆ -26%+10%
$0
Facility $0
NE AVG $38.1k
Rank #1 / 124
12
Facility 12
NE AVG 18.2
Rank #40 / 122
4.0
Facility 4.0
NE AVG 4.2
Rank #53 / 122
-38-
31
Facility 31
NE AVG 47
Rank #215 / 285
Sheila Bjerrum
$5.8MFiscal year ending 06/2024
Facility $5.8MFiscal year ending 06/2024
NE AVG $7.6M
Rank #57 / 113
$3.9MFiscal year ending 06/2024
Facility $3.9MFiscal year ending 06/2024
NE AVG $4.5M
Rank #47 / 113
67.2%Fiscal year ending 06/2024
Facility 67.2%Fiscal year ending 06/2024
NE AVG 61.4%
Rank #39 / 113
285062
Emerald Columbus ★ ☆ ☆ ☆ ☆
NH
AL
HOS
MC
PC
SNF
Columbus
145
Facility 145
NE AVG 81
Rank #24 / 225
56.6%
Facility 56.6%
NE AVG 73.3%
Rank #147 / 177
-23%
3.15
Facility 3.15
NE AVG 4.45
Rank #115 / 119
 ★ ★ ★ ☆ ☆ ★ ☆ ☆ ☆ ☆ ★ ☆ ☆ ☆ ☆ -37%-29%
$0
Facility $0
NE AVG $38.1k
Rank #1 / 124
20
Facility 20
NE AVG 18.2
Rank #77 / 122
3.3
Facility 3.3
NE AVG 4.2
Rank #36 / 122
-82-
57
Facility 57
NE AVG 47
Rank #98 / 285
Columbus Operations LLC
$10.4MFiscal year ending 12/2023
Facility $10.4MFiscal year ending 12/2023
NE AVG $7.6M
Rank #19 / 113
$5.0MFiscal year ending 12/2023
Facility $5.0MFiscal year ending 12/2023
NE AVG $4.5M
Rank #30 / 113
48%Fiscal year ending 12/2023
Facility 48%Fiscal year ending 12/2023
NE AVG 61.4%
Rank #100 / 113
285092
The Mulberry at Waverly ★ ☆ ☆ ☆ ☆
NH
AL
Waverly (Waverly Precinct)
54
Facility 54
NE AVG 81
Rank #147 / 225
83.3%
Facility 83.3%
NE AVG 73.3%
Rank #58 / 177
+14%
3.62
Facility 3.62
NE AVG 4.45
Rank #96 / 119
 ★ ☆ ☆ ☆ ☆ ★ ★ ☆ ☆ ☆ ★ ★ ★ ☆ ☆ -15%-19%
$25.6k
Facility $25.6k
NE AVG $38.1k
Rank #106 / 124
41
Facility 41
NE AVG 18.2
Rank #112 / 122
4.1
Facility 4.1
NE AVG 4.2
Rank #66 / 122
245-
58
Facility 58
NE AVG 47
Rank #89 / 285
-$6.1M*Fiscal year ending 08/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.$3.0M*Fiscal year ending 08/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.48.8%*Fiscal year ending 08/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.285143
The Pines at Blue Hill ★ ☆ ☆ ☆ ☆
NH
AL
Blue Hill
62
Facility 62
NE AVG 81
Rank #128 / 225
50.0%
Facility 50.0%
NE AVG 73.3%
Rank #156 / 177
-32%
4.24
Facility 4.24
NE AVG 4.45
Rank #60 / 119
 ★ ☆ ☆ ☆ ☆ ★ ★ ★ ☆ ☆ ★ ★ ★ ☆ ☆ -71%-5%
$13.6k
Facility $13.6k
NE AVG $38.1k
Rank #100 / 124
39
Facility 39
NE AVG 18.2
Rank #110 / 122
6.5
Facility 6.5
NE AVG 4.2
Rank #112 / 122
131A+
41
Facility 41
NE AVG 47
Rank #180 / 285
Dixie Jackson$4.7M*Fiscal year ending 08/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.$2.4M*Fiscal year ending 08/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.52%*Fiscal year ending 08/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.285144
Nursing Home Explorer

Frequently Asked Questions about Midwest Covenant Home

Is Midwest Covenant Home in a walkable area?

Midwest Covenant Home has a walk score of 31. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the occupancy rate at Midwest Covenant Home?

Midwest Covenant Home's occupancy is 75%.

Are pets allowed at Midwest Covenant Home?

No, Midwest Covenant Home has a no-pet policy.

Does Midwest Covenant Home operate as a for-profit or non-profit?

Midwest Covenant Home is registered as a non-profit in NE.

Who is the administrator of Midwest Covenant Home?

Administrator Sheila Bjerrum is the administrator of Midwest Covenant Home.

How many beds does Midwest Covenant Home have?

Midwest Covenant Home has 51 beds.

Has Midwest Covenant Home had any deficiencies?

Midwest Covenant Home has had 59 reported deficiencies since 2011 according to records from Nebraska Dept. of Health and Human Services (DHHS).

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