HomeNebraskaPolk CountyMidwest Covenant Home
B
Good

Midwest Covenant Home

615 East 9th Street · Stromsburg, NE 68666

4027642711 · Non profit - Corporation

51 beds41.8 residents95 staff
CMS Five-Star Ratings
Overall
Staffing
Quality
Inspections
Staffing Grades
A
Very Good
Total Staff
B
Good
RN Staff
B
Good
Overall
CMS Benchmark(≥ 3.48 HPRD)
RN Recommendation(≥ 0.75 HPRD)
Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Midwest Covenant Home receives an overall staffing grade of B (Good). With 4.5849 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.5693 HPRD, below the recommended 0.75. It is 0.69 HPRD above the national average.

Weekend staffing stays relatively consistent — dropping 13.92% compared to weekdays. The facility uses a moderate level of agency staff (13.9% of hours), suggesting some reliance on temporary workers.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (1)

⚠️RN staffing (0.5693 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

Strengths (2)

Meets the CMS staffing benchmark (≥ 3.48 HPRD)
No days with zero registered nurse hours this quarter
Total Nurse HPRD
4.5849hrs/resident/day 0.69
CMS benchmark: 3.48
RN HPRD
0.5693hrs/resident/day 0.11
Recommended: 0.75
Weekend Drop-off
13.92%
4.7726 weekday → 4.1083 weekend
Agency Staff
13.9%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.8144hrs/resident/day
Direct care aides
LPN HPRD
1.0207hrs/resident/day
Licensed practical nurses
Consistency
0.559std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Polk County Average+0.55 HPRD
4.03
04.58 HPRD
vs. Nebraska State Average+0.45 HPRD
4.14
04.58 HPRD
vs. National Average+0.69 HPRD
3.90
04.58 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Midwest Covenant Home
Stromsburg · This facility
B
4.58490.5693★★★★
Good Samaritan Society - Osceola
Osceola
4.8 mi
C
3.47750.7001★★★★
York General Hearthstone
York
16 mi
C
3.6820.506★★★★★
The Oaks at Central City
Central City
21.5 mi
D
3.09030.3654★★☆☆☆
Litzenberg Memorial County Hospital
Central City
21.6 mi
C
3.21920.6151★★★★
Genoa Community Hospital/LTC
Genoa
23.6 mi
C
3.4250.621★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
12
Total Deficiencies
$9,750
Fines Assessed
Mar 26, 2025Health
3 deficiencies cited
Apr 2, 2024Health
6 deficiencies cited
Mar 9, 2023Health
3 deficiencies cited

Penalty History

Mar 9, 2023Fine
$9,750
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.