Occupancy rate
75%
In line with Nebraska averageMostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
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Nursing Home in Nebraska
CMS overall rating
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.
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.
Midwest Covenant Home
Nursing Home in Nebraska
CMS overall rating
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.
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.
Midwest Covenant Home
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
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.
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.
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.
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
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
74.5%
Residents per day (avg)
39
Occupancy rate
74.5%
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 community
Home revenue
$6.3M
Operating deficit
-$337.7K
Voluntary non-profit community
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
In line with Nebraska averageOccupied beds
38 / 51
Average residents
54 per day
Facility TypeNursing Home
CountyPOLK
CMS Certification Number285062
Certification TypeCertification
Midwest Covenant Home is administrated by Sheila Bjerrum, Administrator.
Owner NameMIDWEST COVENANT HOME, INC
Rehabilitation Services
Skilled Nursing
24-Hour Staffing
Nursing Home
Fax(402) 764-4352
Minimum Age55
Specific ProgramsNursing Home, Short/Long Term Stays, Assisted Living, Independent Living, Senior Services
Food DescriptionHome cooked meals
Meals IncludedYes
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.
19 visits/inspections
7 visits/inspections triggered by complaints
2 routine inspections
Results
9 with issues
10 without issues
Show Inspection Reports
Latest inspection
Date
January 30, 2025
Renewal59 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Nebraska average: 52 deficiencies
Health Inspection History
Inspections
Total health inspections
3
Nebraska average 4.3
Last Health inspection on Mar 2025
Total health citations
12
Nebraska average 18.2
Citations per inspection
4
Nebraska 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
0
100% better than Nebraska averageNebraska average: 0.2
Serious Health citations
0
0
100% better than Nebraska averageNebraska average: 0.5
0 critical citations
0 serious citations
12 moderate citations
0 minor citations
Citations history (last 3 years)
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Mar 26, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Mar 26, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Mar 26, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Mar 26, 2025
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Mar 26, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Mar 26, 2025
Corrected
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Apr 02, 2024
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Apr 02, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. 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.
Compare Nursing Homes around Nebraska The information below is reported by the Nebraska Department of Health and Human Services, Division of Public Health.
Filter by care type
Midwest Covenant Home
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
STROMSBURG
51
80.3%
+14%
5.21
+17%
1
12
4.0
0
39
-
Bjerrum, Sheila
$5.8M
$3.3M
56%
285062
Accura HealthCare of Hartington
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HARTINGTON
67
63.6%
-10%
4.13
-7%
0
7
2.3
0
31
-
Klaasmeyer, Kenneth
$3.7M
$2.1M
57.9%
285088
Accura HealthCare of Tekamah
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
TEKAMAH
46
72.0%
+2%
3.83
-14%
0
12
4.0
0
30
-
Geis, Heather
$3.1M
$2.1M
66.4%
285118
Arbor Care Center-Valhaven, LLC
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
VALLEY
66
72.4%
+3%
4.08
-8%
0
18
4.5
1
50
A+
-
$5.0M
$3.2M
64%
285117
Arbor Care Centers – Ord, LLC
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
ORD
60
51.8%
-26%
3.76
-16%
0
29
7.3
1
35
-
Luth, Kurt
$2.9M
$1.5M
52.9%
285294
Places of interest near Midwest Covenant Home
0.0 miles from city center
615 East 9th Street, STROMSBURG, NE 68666
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
97
Employees
74
Contractors
23
Staff to resident ratio
2.55:1
19% better than Nebraska averageNebraska average ratio: 2.15:1
Avg staff/day
27
Average shift
7.7 hours
0% compared with Nebraska averageNebraska average: 7.8 hours
Total staff hours (quarter)
18,834
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
8
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
13
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
56
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
18.9%
3,566 contractor hours this quarter
Certified Nursing Assistant: 13
Respiratory Therapy Technician: 3
Licensed Practical Nurse: 2
Occupational Therapy Aide: 1
Physical Therapy Assistant: 1
Speech Language Pathologist: 1
Qualified Social Worker: 1
Medical Director: 1
Staff by category
| 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 |
56 Certified Nursing Assistant
% of Days
100%
13 Licensed Practical Nurse
% of Days
100%
8 Registered Nurse
% of Days
100%
3 Other Dietary Services Staff
% of Days
82%
1 Medication Aide/Technician
% of Days
88%
1 Administrator
% of Days
66%
1 Nurse Practitioner
% of Days
64%
1 Clinical Nurse Specialist
% of Days
52%
1 Dietitian
% of Days
65%
1 Dental Services Staff
% of Days
34%
1 Physical Therapy Assistant
% of Days
64%
1 RN Director of Nursing
% of Days
13%
3 Respiratory Therapy Technician
% of Days
47%
1 Occupational Therapy Aide
% of Days
18%
1 Speech Language Pathologist
% of Days
32%
2 Nurse Aide in Training
% of Days
7%
1 Qualified Social Worker
% of Days
19%
1 Medical Director
% of Days
1%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
38 residents
Residents by payment source
Medicare
3 residents (7.9%)
Medicaid
18 residents (47.4%)
Private pay or other
17 residents (44.7%)
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.
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
13.1
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 averageNebraska average: 11.3
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
26.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
26.3
13% worse than Nebraska averageNebraska average: 23.3
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
26.2%
Percent of long-stay residents whose need for help with daily activities has increased
26.2%
26% worse than Nebraska averageNebraska average: 20.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
24.9%
Percent of long-stay residents whose ability to move independently worsened
24.9%
13% worse than Nebraska averageNebraska average: 22.1%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
27.9%
Percent of low risk long-stay residents who lose control of their bowels or bladder
27.9%
In line with Nebraska averageNebraska average: 26.9%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
4.1%
Percent of long-stay residents experiencing one or more falls with major injury
4.1%
9% better than Nebraska averageNebraska average: 4.5%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
2.6%
Percent of long-stay high risk residents with pressure ulcers
2.6%
39% better than Nebraska averageNebraska average: 4.3%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
7.6%
Percent of long-stay residents with a urinary tract infection
7.6%
149% worse than Nebraska averageNebraska average: 3.1%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
7.8%
Percent of long-stay residents who lose too much weight
7.8%
44% worse than Nebraska averageNebraska average: 5.4%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Nebraska averageNebraska average: 4.4%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
22.5%
Percent of long-stay residents who received an antipsychotic medication
22.5%
13% worse than Nebraska averageNebraska average: 19.8%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
7% better than Nebraska averageNebraska average: 93.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Nebraska averageNebraska average: 96.1%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
24% better than Nebraska averageNebraska average: 80.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Nebraska averageNebraska average: 2.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
32% better than Nebraska averageNebraska average: 75.9%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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
70% lower than Nebraska averageNebraska average: $33K
Number of fines
1
31% fewer fines than Nebraska averageNebraska average: 1.5
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Nebraska averageNebraska average: 0.7
Fines amount comparison
Fines amount comparison
This facility
$10K
Nebraska average
$33K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 9, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
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
Loading trend charts...
Guides for Better Senior Living
Care Cost Calculator: See Prices in Your Area
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The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
Financial Aid for Nebraska Seniors
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