Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Midwest Covenant Home

Stromsburg, NE · 51 certified beds · Last Life Safety survey March 26, 2025

CMS Certification Number 285062 · first certified September 1983

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

9
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
5
Inspection & testing records
Of the citations on file

Position within NE

9 citations — more than 21% of the 180 certified nursing homes in NE. Compared within NE rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Holding steadyabout the same at the latest survey as at its earlier surveys in the window.

The latest survey found 3 citations; the earlier surveys in the window averaged 3. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (March 2026 to June 2026), and past the point by which nine in ten NE facilities have been surveyed. This facility’s last Life Safety survey was March 2025. Facilities in NE are typically surveyed 12–14 months after the last one (median 13), measured over 271 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

Emergency preparedness

1 of the 9 citations on file is Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

2 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 9 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in NE, and nationally. Surveyors differ markedly between states, so the NE figure is the meaningful one.

This facility9NE median15National median11
Citations on file over three years, compared
MeasureCitations
This facility9
Median facility in NE15
Median facility nationally11

Survey history

Citations at each Life Safety survey
42023-0322024-0432025-03
Citations at each Life Safety survey
Survey dateCitations
March 9, 20234
April 2, 20242
March 26, 20253

Most-cited tags

Most-cited tags at this facility
K-09212K-09181E-00411K-09231K-03241K-02911K-07541K-07121
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0921Ensure that testing and maintenance of electrical equipment is performed.22025-03-26
K-0918Have generator or other power source capable of supplying service within 10 seconds.12023-03-09
E-0041Implement emergency and standby power systems.12023-03-09
K-0923Have proper medical gas storage and administration areas.12025-03-26
K-0324Provide properly protected cooking facilities.12025-03-26
K-0291Install emergency lighting that can last at least 1 1/2 hours.12023-03-09
K-0754Provide properly sized and located linen or trash receptacles.12023-03-09
K-0712Have simulated fire drills held at unexpected times.12024-04-02

What the citations cover

Citations by CMS category
  • Gas, Vacuum, and Electrical Systems Deficiencies 4
  • Miscellaneous Deficiencies 2
  • Egress Deficiencies 1
  • Emergency Preparedness Deficiencies 1
  • Other 1
Citations by CMS category
CategoryCitations
Gas, Vacuum, and Electrical Systems Deficiencies4
Miscellaneous Deficiencies2
Egress Deficiencies1
Emergency Preparedness Deficiencies1
Smoke Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

March 26, 2025 — 3 citations

Citations issued on March 26, 2025
TagWhat the surveyor checksStatus
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (April 1, 2025)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (April 1, 2025)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (April 1, 2025)

April 2, 2024 — 2 citations

Citations issued on April 2, 2024
TagWhat the surveyor checksStatus
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (May 17, 2024)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (May 17, 2024)

March 9, 2023 — 4 citations

Citations issued on March 9, 2023
TagWhat the surveyor checksStatus
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (March 29, 2023)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (March 29, 2023)
K-0754Provide properly sized and located linen or trash receptacles.Deficient, Provider has date of correction (March 29, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (March 29, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.