Nursing home
Midwest Covenant Home
615 East 9Th Street, Stromsburg, NE 68666 · Map
Non profit - Corporation · 51 certified beds
Midwest Covenant Home is a Medicare-certified nursing home in Stromsburg, Nebraska. CMS rates it 4 out of 5 stars overall (4/5 for staffing, 3/5 for health inspections). Nurse staffing is 4.57 hours per resident per day, above the Nebraska average of 4.17. Its most recent inspection on Mar 26, 2025 cited 3 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Midwest Covenant Home compares
This facility vs. the Nebraska and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Nebraska avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 4.57 | 4.17 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.57 | 0.71 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.99 | 2.76 | 2.34 | above avg |
| Nursing staff turnover | 50.9% | 49.3% | 46.4% | above avg |
| Deficiencies cited, last inspection | 3.0 | 6.7 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the March 26, 2025 inspection was corrected by April 15, 2025
What inspectors found at Midwest Covenant Home
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Mar 26, 2025 · Full report (PDF) - Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Mar 26, 2025 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Mar 26, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Apr 2, 2024 · Full report (PDF) - Potential for harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Apr 2, 2024 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Apr 2, 2024 · Full report (PDF) - Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Apr 2, 2024 · Full report (PDF) - Potential for harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Apr 2, 2024 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Apr 2, 2024 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Mar 9, 2023 - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Mar 9, 2023 - Potential for harm
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · Mar 9, 2023
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 615 East 9Th Street
Stromsburg, NE 68666 - CMS certification #
- 285062
- Ownership
- Non profit - Corporation
- Certified beds
- 51
- Avg residents/day
- 41.8
- Provider type
- Medicare and Medicaid
- First certified
- 1983-09-20
- Setting
- Rural
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Midwest Covenant Home using Google Maps.
Other public records
- Website says Nurse 24 hours a day, transportation
- Staff pay 1 federal wage case with violations found, since 2005
- Workplace safety 2 OSHA workplace safety inspections since 2021, 1 violation cited
Full public records, with dates and sources
Care and services
From the community’s website
What Midwest Covenant Home says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Nurse on site: 24 hours a day.
We offer 24-hour skilled nursing care with physical, speech and occupational therapy services available.
(page, checked Oct 15, 2026) - Provides transportation.
Home meals, transportation and volunteering are available.
(page, checked Oct 15, 2026) - Apartment types named: cottage or villa.
Park Villa Apartments offer cozy, independent and private living arrangements in a congregate setting.
(page, checked Oct 15, 2026)
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for Mar 27, 2005 to Mar 26, 2007. Violations found: Child labor. Civil money penalties assessed: $495. Employer as DOL recorded it: Midwest Covenant Home (Midwest Covenant Home, Inc.). Case 1471991.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Feb 11, 2022: follow-up inspection, partial (health). Case closed Mar 3, 2022. No violations cited. OSHA record. OSHA recorded the employer as Midwest Covenant Home, INC.
- Oct 5, 2021: referral inspection, partial (health). Case closed Apr 5, 2023. 1 violation cited (1 serious). Penalties: $6,827 proposed, $4,800 now. OSHA record. OSHA recorded the employer as Midwest Covenant Home, INC.
Details
- Serious: Respiratory protection (respirators, N95 fit testing) (1910.134(f)(2)). Penalty $6,827 proposed, $4,800 now. To be fixed by Jan 13, 2022.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Annie Jeffrey Memorial County Health Center, Osceola. 4.1 miles away, straight line.
- Nearest Medicare nursing home
- Good Samaritan Society - Osceola, Osceola. 4.8 miles away, straight line.
- Nearest home health agency office
- York General Hosp Home Health, York. 16.3 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 25.2 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 68666 as rural (rural area).
- Hospice
- 3 Medicare hospices tell CMS they serve ZIP code 68666.
Aseracare Hospice, office in York, 16.7 miles away, straight line (CMS family survey rating 3 of 5 stars) - Nearest geriatric medicine practice
- Unmc Physicians, Omaha. 72.8 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively high. By hazard: inland flooding relatively moderate, wildfire relatively low, tornado very high, heat wave relatively moderate, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Midwest Covenant Home a good nursing home?
CMS gives Midwest Covenant Home an overall rating of 4 out of 5 stars, including 4/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Midwest Covenant Home staffed?
Midwest Covenant Home reports 4.57 total nurse hours per resident per day, compared with the Nebraska average of 4.17.
Has Midwest Covenant Home had inspection problems?
Its most recent CMS inspection cited 3 deficiencies.
How many beds does Midwest Covenant Home have?
Midwest Covenant Home is certified for 51 beds.