Midwest Covenant Home

Nursing Home, Assisted Living, Independent Living & Skilled Nursing · Stromsburg, NE

CMS overall rating

615 East 9Th Street, Stromsburg, NE 68666 View map

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Midwest Covenant Home accepts Medicare, Medicaid, and private pay.

Calculator: See prices in your area

Midwest Covenant Home accepts Medicare, Medicaid, and private pay.

Overview of Midwest Covenant Home

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

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

5h 13m per day

vs avg

3 of 6 metrics below state avg

Standout metric LPN / LVN is +34% above state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) 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.	39m per day	▼ 9% State avg: 43m per day · National avg: 41m per day
LPN / LVN 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.	57m per day	▲ 34% State avg: 43m per day · National avg: 52m per day
Nurse Aide 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.	2h 51m per day	▲ 3% State avg: 2h 46m per day · National avg: 2h 20m per day
Weekend Total Nursing 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.	3h 55m per day	▲ 8% State avg: 3h 37m per day · National avg: 3h 26m per day
Physical Therapist 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 per day	▼ 40% State avg: 3m per day · National avg: 4m per day
Weekend RN 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.	23m per day	▼ 22% State avg: 29m per day · National avg: 28m per day

Capacity and availability

441 days

51-bed community

A moderately sized community that may balance personal attention with shared amenities and social activities.

Walk Score: 31 / 100

Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate

75%

Higher than the Nebraska average: 70.3%

Occupied beds

38 / 51

Average occupied beds in Nebraska homes 54 beds

Facility TypeNursing Home

CountyPolk

CMS Certification Number285062

Certification TypeCertification

Midwest Covenant Home is administered by Administrator Sheila Bjerrum.

Owner NameMidwest Covenant Home, Inc

Rehabilitation Services

24-Hour Staffing

Nursing Home

Fax(402) 764-4352

Pets not allowed

Minimum Age55

Since 2011 · 15 years of data 59 deficiencies

Inspection Scorecard 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

Latest Inspection January 30, 2025 Renewal

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	NE Average	vs. NE Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	59	52	This facility has 13% more total deficiencies than a typical Nebraska assisted living residence (59 vs. NE avg 52).↑ 13% worse
Deficiencies per year Average deficiencies per year since 2011.	3.9	3.5	This facility has 11% more deficiencies per year than a typical Nebraska assisted living residence (3.9 vs. NE avg 3.5).↑ 11% worse

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

The January 30, 2025 renewal inspection found no deficiencies and confirmed the facility met all licensure requirements with a capacity of 51 beds.
The October 4, 2017 inspection identified nine life safety code deficiencies, including fire door failures, obstructed sprinkler heads, and electrical hazards.
The June 14, 2018 complaint investigation substantiated inadequate supervision and fall prevention, resulting in multiple resident falls and injuries.

Show Inspection Reports

Inspections since 2023

Total health inspections 3

State average N/A

Last Health inspection on Mar 2025

Total health citations

State average N/A

Citations per inspection

State average N/A

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

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

0 critical citations State average: N/A

0 serious citations State average: N/A

12 moderate citations State average: N/A

0 minor citations State average: N/A

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

Total staff 98

Employees 77

Contractors 21

Staff to resident ratio 2.58 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 28

Average shift 7.5 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 19,359

Nursing staff breakdown

7.6 hours

8.1 hours

8.2 hours

Contractor staffing

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


Certified Nursing Assistant	45	6	51	10,464	92	100%	8.2
Licensed Practical Nurse	13	6	19	3,538	92	100%	8.1
Registered Nurse	7	0	7	1,581	92	100%	7.6
Other Dietary Services Staff	3	0	3	800	75	82%	5.6
Administrator	2	0	2	520	61	66%	7.2
Nurse Practitioner	1	0	1	496	62	67%	8
Clinical Nurse Specialist	1	0	1	396	55	60%	7.2
Dietitian	1	0	1	368	55	60%	6.7
Medication Aide/Technician	1	1	2	290	33	36%	8.5
Dental Services Staff	1	0	1	255	36	39%	7.1
Physical Therapy Assistant	0	1	1	200	66	72%	3
Respiratory Therapy Technician	0	3	3	115	52	57%	1.7
RN Director of Nursing	1	0	1	111	15	16%	7.4
Nurse Aide in Training	1	0	1	84	11	12%	7.6
Occupational Therapy Aide	0	1	1	81	19	21%	4.3
Speech Language Pathologist	0	1	1	42	20	22%	2.1
Qualified Social Worker	0	1	1	19	10	11%	1.9
Medical Director	0	1	1	1	1	1%	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%

2 Administrator

% of Days 66%

1 Nurse Practitioner

% of Days 67%

1 Clinical Nurse Specialist

% of Days 60%

1 Dietitian

% of Days 60%

2 Medication Aide/Technician

% of Days 36%

1 Dental Services Staff

% of Days 39%

1 Physical Therapy Assistant

% of Days 72%

3 Respiratory Therapy Technician

% of Days 57%

1 RN Director of Nursing

% of Days 16%

1 Nurse Aide in Training

% of Days 12%

1 Occupational Therapy Aide

% of Days 21%

1 Speech Language Pathologist

% of Days 22%

1 Qualified Social Worker

% of Days 11%

1 Medical Director

% of Days 1%

View All Staffing Data

Total fines amount $10K

70% lower than State average

State average: $33K

Number of fines 1

31% fewer fines than State average

State average: 1.5

Payment Denials 0

100% fewer payment denials than State average

State average: 0.7

Fines amount comparison

This facility $10K

State average $33K

No penalties in the past 3 years

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

High-risk clinical events score 13.1

16% worse than State average

State average: 11.3

Functional decline score 26.3

13% worse than State average

State average: 23.3

Long-stay resident measures

Average State avg: 2.8

Need for Help with Daily Activities Increased 26.2%

26% worse than State average

State average: 20.8%

Walking Ability Worsened 24.9%

13% worse than State average

State average: 22.1%

Low Risk Residents with Bowel/Bladder Incontinence 27.9%

In line with State average

State average: 26.9%

Falls with Major Injury 4.1%

9% better than State average

State average: 4.5%

High Risk Residents with Pressure Ulcers 2.6%

39% better than State average

State average: 4.3%

Urinary Tract Infection 7.6%

149% worse than State average

State average: 3.1%

Lost Too Much Weight 7.8%

44% worse than State average

State average: 5.4%

Depressive Symptoms 0.0%

100% better than State average

State average: 4.4%

Antipsychotic Use 22.5%

13% worse than State average

State average: 19.8%

Pneumococcal Vaccine 100.0%

7% better than State average

State average: 93.2%

Influenza Vaccine 100.0%

In line with State average

State average: 96.1%

Hospitalizations per 1,000 days 0.81

55% better than State average

State average: 1.80

ED visits per 1,000 days 0.73

63% better than State average

State average: 1.95

Short-stay resident measures

Significantly above average State avg: 2.2

Pneumococcal Vaccine 100.0%

24% better than State average

State average: 80.7%

Antipsychotic medication increase 0.0%

100% better than State average

State average: 2.4%

Influenza Vaccine 100.0%

32% better than State average

State average: 75.9%

Falls with major injury 4.0%

419% worse than State average

State average: 0.8%

Ability to care for self at discharge 47.6%

11% worse than State average

State average: 53.7%

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

Total residents 38

Medicare

7.9% of residents

Medicaid

47.4% of residents

Private pay or other

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.

Financial Trends

Historical financial and operational data for Midwest Covenant Home from 2012–2024, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 06/2024.

Occupancy Rate 80.3% ↓ 1.9pp vs 2023

Net Patient Income -$792.2K ↑ ~$128.4K vs 2023

Payroll Costs $3.9M ↑ ~$327.4K vs 2023

Operating Margin -13.6% ↑ 2.3pp vs 2023

Metric	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023	2024
Occupancy %	86.6%	74.4%	77.0%	72.4%	67.6%	66.8%	69.1%	69.4%	63.7%	53.3%	76.1%	82.3%	80.3%
Beds	58	58	58	58	58	58	58	56	52	51	51	51	51
Net Income	-$160,739	-$375,841	-$77,384	-$184,320	-$87,019	-$119,962	-$304,620	-$338,527	-$700,407	$133,059	-$531,646	-$493,736	-$337,714
Gross Revenue	$4,408,033	$3,816,700	$4,271,896	$3,950,343	$3,820,183	$4,310,722	$4,494,676	$4,571,829	$4,188,566	$3,954,856	$5,666,831	$6,080,053	$5,819,258
Operating Expenses	$4,470,927	$4,130,453	$4,243,313	$4,055,828	$3,957,766	$4,331,274	$4,463,469	$4,559,751	$4,786,645	$4,929,029	$6,018,677	$6,693,806	$6,611,478
Net Patient Income	-$316,036	-$520,193	-$210,230	-$283,063	-$295,515	-$308,240	-$345,875	-$435,553	-$862,657	-$1,217,272	-$783,256	-$920,626	-$792,220
Net Patient Revenue	$4,154,891	$3,610,260	$4,033,083	$3,772,765	$3,662,251	$4,023,034	$4,117,594	$4,124,198	$3,923,988	$3,711,757	$5,235,421	$5,773,180	$5,819,258
Payroll Costs	$2,764,719	$2,475,271	$2,555,643	$2,481,890	$2,418,265	$2,732,927	$2,784,505	$2,990,759	$2,851,326	$2,718,728	$3,006,627	$3,585,346	$3,912,718
Operating Margin %	-7.6%	-14.4%	-5.2%	-7.5%	-8.1%	-7.7%	-8.4%	-10.6%	-22.0%	-32.8%	-15.0%	-16.0%	-13.6%
Medicare %	5.0%	6.9%	8.6%	5.9%	4.6%	6.3%	6.6%	5.5%	6.9%	13.9%	11.4%	6.5%	4.3%
Medicaid %	49.7%	50.1%	53.8%	60.0%	61.0%	55.3%	60.9%	59.3%	57.8%	46.6%	42.7%	47.6%	50.8%
Private %	45.3%	43.0%	37.6%	34.1%	34.4%	38.4%	32.6%	35.2%	35.3%	39.5%	45.9%	46.0%	45.0%
Net Patient Revenue/Day	$226	$229	$247	$246	$256	$285	$282	$286	$324	$374	$370	$377	$388
Cost/Day	$243	$262	$260	$265	$277	$306	$305	$316	$395	$497	$425	$437	$441
Avg Length of Stay	301.5 days	221.9 days	319.8 days	382.9 days	376.6 days	307.2 days	635.7 days	424.5 days	336.6 days	202.3 days	257.4 days	392.6 days	441.1 days

Finances and operations

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

Net patient revenue

$5.8M

Net patient income

-$792.2K

Nonprofit Nonprofit Corporation

Net patient revenue

$5.8M

Net patient income

-$792.2K

Other income

$514.2K

Payroll costs

$3.9M 67.2% of net patient revenue

Other operating costs

$2.7M

Total costs

$6.6M

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.

Coverage residents most often arrive under.

Medicare 42%

Private pay 36%

Medicaid 21%

Coverage residents most often leave under.

Medicare 26%

Private pay 38%

Medicaid 35%

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

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The information below is reported by the Nebraska Department of Health and Human Services, Division of Public Health.


Brookestone of Papillion	NH SNF	Papillion	-	110	-	35	-
Brookestone Acres	NH SNF	Columbus	-	80	-	70	-
Brookestone Meadows Rehabilitation and	NH HC HOS IL SNF	Plaza Elkhorn (Elkhorn)	-	140	-	6	-
St Joseph’s Hillside Villa	NH AL HOS RC SNF	West Point	-	54	-	66	-
Midwest Covenant Home	NH AL IL SNF	Stromsburg	-	51	-	31	-

Nursing Home Explorer

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.

Are there photos of Midwest Covenant Home?

Yes — there are 5 photos of Midwest Covenant Home in the photo gallery on this page.

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Midwest Covenant Home

Overview of Midwest Covenant Home

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Therapy & Rehabilitation

Staffing & Medical

Additional Services

Contact Information

Additional Policies & Features

Amenities & Lifestyle

Contact Midwest Covenant Home

Inspection History

Inspection Scorecard 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.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2023

Breakdown of citation severity (last 3 years)

Citations history (last 3 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

51 Certified Nursing Assistant

19 Licensed Practical Nurse

7 Registered Nurse

3 Other Dietary Services Staff

2 Administrator

1 Nurse Practitioner

1 Clinical Nurse Specialist

1 Dietitian

2 Medication Aide/Technician

1 Dental Services Staff

1 Physical Therapy Assistant

3 Respiratory Therapy Technician

1 RN Director of Nursing

1 Nurse Aide in Training

1 Occupational Therapy Aide

1 Speech Language Pathologist

1 Qualified Social Worker

1 Medical Director

Penalties and fines

Fines amount comparison

Fines amount comparison

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Nurse Aide Training

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly short-term rehab stays

Admissions

Discharges

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