The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited March 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Nursing home report
Midwest Covenant Home
Stromsburg, NE · Medicare-certified · 51 beds
In good standing
Non-profit
3 of 5 overall
Midwest Covenant Home has a 3 out of 5 overall rating, with 3-star health inspections and stronger 4-star staffing and quality ratings. It reports 4.45 nurse hours per resident per day, above the federal benchmark of 4.1, with no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.4512 hrs/resident/day
Quality measures
Last inspection: March 26, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.4512.
Staffing detail
- Registered nurses
- 0.65
- Licensed practical nurses
- 0.96
- Nurse aides
- 2.84
- Weekend nursing
- 3.91
Hours per resident per day.
Total staff turnover: 48%
Registered nurse turnover: 14%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
30.8%29.2%Improving
Residents with a fall causing major injury
2.7%2.6%No change
Residents with pressure ulcers (bedsores)
2.8%7.4%Worsening
Residents with a urinary tract infection
2.8%13.9%Worsening
Residents who lost too much weight
14.3%3.7%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
16%30%Worsening
Residents whose ability to walk got worse
—11.1%—
Long-stay residents on antianxiety or sleep medication
27.6%13.3%Improving
Short-stay residents newly given an antipsychotic
—1.7%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
35.3%19.1%Improving
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—100%—
Short-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
The nursing home failed to keep medication mistakes below the allowed level. Cited April 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 759 — 42 CFR §483.45(f)(1) — S/S: E
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited March 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: D
The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited March 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 609 — 42 CFR §483.12 — S/S: D
The nursing home failed to ensure residents were free from significant medication errors. Cited April 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: D
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- Non profit - Corporation
- Occupancy
- 41.4 residents on an average day (81% of 51 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 42 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.