Midwest Covenant Home
615 East 9th Street, Stromsburg, NE 68666 · Polk County · 51 certified beds · avg 41 residents/day · certified since Sep 20, 1983
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (12)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 26, 2025 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Mar 26, 2025 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Mar 26, 2025 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Apr 2, 2024 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Apr 2, 2024 | E · Potential for harm, repeated | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Apr 2, 2024 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Apr 2, 2024 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Apr 2, 2024 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Apr 2, 2024 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. |
| Mar 9, 2023 | D · Potential for harm, one-off | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| Mar 9, 2023 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Mar 9, 2023 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (6 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 3 | 0 | D |
| 2024 | 6 | 0 | F |
| 2025 | 3 | 0 | F |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Nebraska avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.89 | 4.33 | 3.95 | top 25% in Nebraska; top 15% in the U.S. |
| Registered Nurse hours | 0.67 | 0.72 | 0.69 | top 49% in Nebraska; top 40% in the U.S. |
| Weekend total nurse staffing | 4.22 | 3.79 | 3.50 | top 26% in Nebraska; top 17% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.36 | 0.47 | 0.48 | bottom 38% in Nebraska; bottom 44% in the U.S. |
| Total nursing staff turnover (%) | 49.2 | 48.7 | 45.8 | bottom 46% in Nebraska; bottom 39% in the U.S. |
| RN turnover (%) | 14.3 | 44.1 | 42.9 | top 8% in Nebraska; top 7% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.30, RN 0.59, weekend 3.71. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: 3/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Bjerrum, Sheila | Individual | Corporate Director | NOT APPLICABLE | 05/30/2020 |
| Bjerrum, Sheila | Individual | ADP of the SNF | NOT APPLICABLE | 01/20/2025 |
| Borg, Terry | Individual | Corporate Director | NOT APPLICABLE | 05/29/2025 |
| Boroviak, Richard | Individual | Corporate Director | NOT APPLICABLE | 05/25/2023 |
| Burke, Phil | Individual | Corporate Director | NOT APPLICABLE | 05/19/2022 |
| Burke, Phil | Individual | Corporate Officer | NOT APPLICABLE | 05/30/2024 |
| Cooksley, Susan | Individual | Corporate Director | NOT APPLICABLE | 05/25/2023 |
| Dubas, Michelle | Individual | Corporate Director | NOT APPLICABLE | 02/27/2025 |
| Giannou, Cheri | Individual | Corporate Director | NOT APPLICABLE | 05/19/2022 |
| Giannou, Cheri | Individual | Corporate Officer | NOT APPLICABLE | 05/25/2023 |
| Hutsell, Tamara | Individual | Corporate Director | NOT APPLICABLE | 05/25/2023 |
| Hutsell, Tamara | Individual | Corporate Officer | NOT APPLICABLE | 05/29/2025 |
| Ienn, Fawn | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/18/2024 |
| Jameson, David | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2021 |
| Jameson, David | Individual | ADP of the SNF | NOT APPLICABLE | 02/05/2025 |
| McIvor, Timothy | Individual | Corporate Director | NOT APPLICABLE | 05/19/2022 |
| McIvor, Timothy | Individual | Corporate Officer | NOT APPLICABLE | 05/29/2025 |
| Pinley, Mary | Individual | Corporate Director | NOT APPLICABLE | 05/29/2025 |
| Schreiber, Bonnie | Individual | Corporate Director | NOT APPLICABLE | 05/25/2023 |
| Teegerstrom, Timothy | Individual | Corporate Director | NOT APPLICABLE | 01/13/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Good Samaritan Society - Osceola | 4.8 mi | Osceola, NE | ★★★★★ | 5/5 | |
| York General Hearthstone | 16.1 mi | York, NE | ★★★★★ | 5/5 |
Compare this facility with the 2 closest →
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Facility data as of CMS processing date 2026-08-01. CCN 285062.