Stromsburg, NE

Midwest Covenant Home

4-star overall rating with 3-star inspections with 3 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

615 East 9th Street, Stromsburg, NE

(402) 764-2711

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

51

Certified beds

Average residents

42

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1983-09-20

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.57

Registered nurse staffing

LPN hours / resident day

1.02

Licensed practical nurse staffing

Aide hours / resident day

2.99

Nurse aide staffing

Weekend hours

4.10

Weekend nurse staffing

RN turnover

17%

Annual RN turnover

Total nurse turnover

51%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 0.8
1.8
1 pts better
1.9
1.1 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 0.7
2.0
1.3 pts better
1.8
1.1 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
92.8%
7.2 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
96.1%
3.9 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 4.1%
4.5%
0.4 pts better
3.3%
0.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 1.4%
4.4%
3 pts better
11.4%
10 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 8.7%
5.3%
3.4 pts worse
5.4%
3.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 22.0%
19.5%
2.5 pts worse
19.6%
2.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 31.6%
21.6%
10 pts worse
16.7%
14.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.0%
0.3%
0.3 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 21.9%
20.4%
1.5 pts worse
16.3%
5.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 22.6%
19.9%
2.7 pts worse
14.9%
7.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
1.6%
1.6 pts better
1.0%
1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 5.6%
2.9%
2.7 pts worse
1.7%
3.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 24.0%
26.6%
2.6 pts better
19.8%
4.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 4.5%
4.3%
0.2 pts worse
5.1%
0.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
80.5%
19.5 pts better
81.7%
18.3 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
2.4%
2.4 pts better
1.6%
1.6 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 100.0%
75.9%
24.1 pts better
79.7%
20.3 pts better
Short Stay · 2024Q3-2025Q2

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-26 · Fire 2025-03-26

3 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

3 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 2 Health 2024-04-02 · Fire 2024-04-02

6 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 3 Health 2023-03-09 · Fire 2023-03-09

3 health deficiencies

Top issue: Infection Control (1 deficiency)

4 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-03-26

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-04-01

F · Potential for more than minimal harm 2025-03-26

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2025-04-01

E · Potential for more than minimal harm 2025-03-26

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2025-04-01

F · Potential for more than minimal harm 2024-04-02

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-05-17

F · Potential for more than minimal harm 2024-04-02

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2024-05-17

F · Potential for more than minimal harm 2023-03-09

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2023-03-29

F · Potential for more than minimal harm 2023-03-09

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-03-29

E · Potential for more than minimal harm 2023-03-09

K754 · Miscellaneous Deficiencies

Fire Safety

Provide properly sized and located linen or trash receptacles.

Corrected 2023-03-29

D · Potential for more than minimal harm 2023-03-09

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2023-03-29

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-03-26

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-04-15

D · Potential for more than minimal harm 2025-03-26

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-04-15

D · Potential for more than minimal harm 2025-03-26

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-04-15

F · Potential for more than minimal harm 2024-04-02

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-05-17

E · Potential for more than minimal harm 2024-04-02

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-05-17

D · Potential for more than minimal harm 2024-04-02

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-05-17

D · Potential for more than minimal harm 2024-04-02

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-05-17

D · Potential for more than minimal harm 2024-04-02

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-05-17

D · Potential for more than minimal harm 2024-04-02

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-05-17

D · Potential for more than minimal harm 2023-03-09

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2023-04-15

D · Potential for more than minimal harm 2023-03-09

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-04-15

D · Potential for more than minimal harm 2023-03-09

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-04-15

Penalties and ownership

What sits behind the stars

Ownership

Bjerrum, Sheila

Corporate Director · Individual

0% 1 facilities 2020-05-30
Boroviak, Richard

Corporate Director · Individual

0% 1 facilities 2023-05-25
Burke, Phil

Corporate Director · Individual

0% 1 facilities 2022-05-19
Burke, Phil

Corporate Officer · Individual

0% 1 facilities 2024-05-30
Cooksley, Susan

Corporate Director · Individual

0% 1 facilities 2023-05-25
Craig, Jill

Corporate Director · Individual

0% 1 facilities 2019-06-01
Craig, Jill

Corporate Officer · Individual

0% 1 facilities 2021-05-27
Gerrard, Grace

Corporate Director · Individual

0% 1 facilities 2021-07-15
Giannou, Cheri

Corporate Director · Individual

0% 1 facilities 2022-05-19
Giannou, Cheri

Corporate Officer · Individual

0% 1 facilities 2023-05-25
Hutsell, Tamara

Corporate Director · Individual

0% 1 facilities 2023-05-25
Ienn, Fawn

Operational/Managerial Control · Individual

0% 1 facilities 2024-03-18
Jameson, David

Operational/Managerial Control · Individual

0% 1 facilities 2021-06-01
Mcivor, Timothy

Corporate Director · Individual

0% 1 facilities 2022-05-19
Schreiber, Bonnie

Corporate Director · Individual

0% 1 facilities 2023-05-25
Small, Robert

Corporate Director · Individual

0% 1 facilities 2017-11-30
Small, Robert

Corporate Officer · Individual

0% 1 facilities 2022-05-19
Teegerstrom, Timothy

Corporate Director · Individual

0% 1 facilities 2025-01-13

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