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
Data as of July 1, 2026
3 of 5 overall
Midwest Covenant Home has a 3 out of 5 star overall rating, with 3-star health inspection and quality scores and a stronger 4-star staffing rating. Reported nurse staffing is 4.30 hours per resident per day, slightly above the federal benchmark of 4.1, and there were $0 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.3002 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 4.3002.
Staffing detail
- Registered nurses
- 0.59
- Licensed practical nurses
- 1.07
- Nurse aides
- 2.64
- Weekend nursing
- 3.71
Hours per resident per day.
Total staff turnover: 49%
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
33.3%21.4%Improving
Residents with a fall causing major injury
5.9%2.5%Improving
Residents with pressure ulcers (bedsores)
5.4%7.3%Worsening
Residents with a urinary tract infection
6.1%7.5%Worsening
Residents who lost too much weight
11.5%6.1%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
26.9%20%Improving
Residents whose ability to walk got worse
—13.3%—
Long-stay residents on antianxiety or sleep medication
14.8%24.2%Worsening
Short-stay residents newly given an antipsychotic
—3.8%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
30.5%23.5%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 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 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 nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited April 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — 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
- 41.3 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.