Midwest Covenant Home
615 East 9th Street
Stromsburg, NE, 68666
4027642711
CCN: 285062
4
Overall3
Health4
Staffing5
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
OIG Federal Exclusion Matches (1)
This facility's name matches one or more entities on the OIG List of Excluded Individuals/Entities (LEIE). Excluded parties are prohibited from participation in Medicare and Medicaid programs.
MIDWEST HOSPITAL PHARMACY, INC
1128a1
Excluded 1998-04-20
Ownership
| Name | Role | % |
|---|---|---|
| SMALL, ROBERT | CORPORATE DIRECTOR | NOT APPLICABLE |
| TEEGERSTROM, TIMOTHY | CORPORATE DIRECTOR | NOT APPLICABLE |
| BJERRUM, SHEILA | CORPORATE DIRECTOR | NOT APPLICABLE |
| BOROVIAK, RICHARD | CORPORATE DIRECTOR | NOT APPLICABLE |
| BURKE, PHIL | CORPORATE DIRECTOR | NOT APPLICABLE |
| COOKSLEY, SUSAN | CORPORATE DIRECTOR | NOT APPLICABLE |
| CRAIG, JILL | CORPORATE DIRECTOR | NOT APPLICABLE |
| GERRARD, GRACE | CORPORATE DIRECTOR | NOT APPLICABLE |
| GIANNOU, CHERI | CORPORATE DIRECTOR | NOT APPLICABLE |
| HUTSELL, TAMARA | CORPORATE DIRECTOR | NOT APPLICABLE |
| MCIVOR, TIMOTHY | CORPORATE DIRECTOR | NOT APPLICABLE |
| SCHREIBER, BONNIE | CORPORATE DIRECTOR | NOT APPLICABLE |
| SMALL, ROBERT | CORPORATE OFFICER | NOT APPLICABLE |
| CRAIG, JILL | CORPORATE OFFICER | NOT APPLICABLE |
| GIANNOU, CHERI | CORPORATE OFFICER | NOT APPLICABLE |
| BURKE, PHIL | CORPORATE OFFICER | NOT APPLICABLE |
| JAMESON, DAVID | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| IENN, FAWN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
Health Deficiencies (12)
2025-03-26 · Health
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
2024-04-02 · Health
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F760 · Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
E
F759 · Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
2023-03-09 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
F623 · Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
4.57
RN Hrs/Resident/Day0.54
0.57
LPN Hrs/Resident/Day0.81
1.02
CNA Hrs/Resident/Day2.33
2.99
PT Hrs/Resident/Day0.12
0.03
Data as of 2026-03-01