Midwest Covenant Home — nursing home in Stromsburg, NE

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 51 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 38.3 CMS, MDS-derived
CMS Certification Number: 285062
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Sep 20, 1983
Ownership type: Non profit - Corporation
Operator (legal business name): Midwest Covenant Home, Inc
CMS chain: Not part of a CMS-reported chain
Phone: (402) 764-2711
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

6

latest Jul 21, 2026

Citations

16

9 health · 7 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D6	E3	F7
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 285062
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 51
First approved: Sep 20, 1983
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Nebraska.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Jul 21, 2026	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Jul 21, 2026	Health	Health Standard	0	No citations	—	Open →
Mar 26, 2025	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Mar 26, 2025	Health	Health Complaint, Health Standard	3	Potential harm	—	Open →
Apr 2, 2024	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Apr 2, 2024	Health	Health Complaint, Health Standard	6	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D6	E3	F7
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Jul 21, 2026	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Aug 12, 2026
Jul 21, 2026	K-0921	Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 12, 2026
Mar 26, 2025	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 1, 2025
Mar 26, 2025	K-0921	Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 1, 2025
Mar 26, 2025	K-0923	Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Apr 1, 2025
Mar 26, 2025	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Apr 15, 2025	Complaint
Mar 26, 2025	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 15, 2025
Mar 26, 2025	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Apr 15, 2025
Apr 2, 2024	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected May 17, 2024
Apr 2, 2024	K-0921	Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected May 17, 2024
Apr 2, 2024	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected May 17, 2024	Complaint
Apr 2, 2024	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 17, 2024
Apr 2, 2024	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 17, 2024	Complaint
Apr 2, 2024	F-0759	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected May 17, 2024
Apr 2, 2024	F-0760	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected May 17, 2024
Apr 2, 2024	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected May 17, 2024

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 2.9

Health inspectionsstate 2.8

Staffingstate 3.3

Quality measuresstate 3.2

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing4.41

State avg 4.12US avg 3.90

Registered nurse (RN)0.51

State avg 0.69US avg 0.69

Licensed practical nurse1.24

State avg 0.68US avg 0.86

Nurse aide2.66

State avg 2.75US avg 2.35

Weekend total nurse3.85

State avg 3.57US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.73 (case-mix index 1.30).

Staff turnover

Total nursing staff turnover41.9%

State avg 48.5%US avg 45.3%

Registered nurse turnover14.3%

State avg 43.5%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Jul 21, 2026
Cycle 1 health score: 0
Total weighted score: 8

Operating entity

Midwest Covenant Home, Inc

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Not part of a CMS-reported chain.

Ownership disclosures

Disclosures

20

Organizations

0

Individuals

20

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Fawn Ienn	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Mar 18, 2024
David Jameson	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jun 1, 2021
Sheila Bjerrum	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	May 30, 2020
Terry Borg	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	May 29, 2025
Richard Boroviak	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	May 25, 2023
Phil Burke	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	May 19, 2022
Susan Cooksley	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	May 25, 2023
Michelle Dubas	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Feb 27, 2025
Cheri Giannou	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	May 19, 2022
Tamara Hutsell	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	May 25, 2023
Timothy Mcivor	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	May 19, 2022
Mary Pinley	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	May 29, 2025
Bonnie Schreiber	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	May 25, 2023
Timothy Teegerstrom	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 13, 2025
Phil Burke	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	May 30, 2024
Cheri Giannou	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	May 25, 2023
Tamara Hutsell	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	May 29, 2025
Timothy Mcivor	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	May 29, 2025
Sheila Bjerrum	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 20, 2025
David Jameson	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Feb 5, 2025

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 615 East 9th Street, Stromsburg, NE 68666
ZIP: 68666
County: Polk County FIPS 31143
State: Nebraska
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	CMS overall	Last inspection	Citations (window)	Fines
Good Samaritan Society - Osceola 600 Center Drive, Osceola, NE 68651 CCN 285193	7.8 km	47		May 19, 2026	23	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	285062	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	285062	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 285062

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction