Average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Midwest Covenant Home during CMS and state inspections, most recent first.
Surveyors found that outdated food items, including cake mixes and frozen bologna, were not discarded as required. The Food Service Manager was unable to confirm the safety of these items after their expiration dates, and the facility's failure to monitor and remove expired foods had the potential to affect all residents receiving meals from the kitchen.
Staff did not consistently notify the physician when two residents with diabetes had blood glucose readings outside of ordered parameters. Despite clear physician orders and facility policy requiring notification for high or low blood sugar results, documentation showed that notifications were missed on multiple occasions. The DON confirmed that staff are expected to follow these orders, but confusion about the required parameters contributed to the deficiency.
The facility did not submit required written investigations to the state agency within five working days following two separate abuse incidents involving residents with severe cognitive impairment and high care needs. In both cases, the events were reported to APS and facility leadership, but the mandated written reports were not sent to the state agency as required by policy.
Outdated Food Not Discarded in Kitchen
Penalty
Summary
The facility failed to discard outdated foods in accordance with professional standards and its own food storage policy. During an observation in the kitchen, surveyors identified several food items that were past their manufacturer-recommended shelf life or best if used by dates, including five boxes of carrot cake mix, four boxes of angel food cake mix, and three packages of frozen bologna. The Food Service Manager (FSM) was unable to state how long these items were safe to use after their respective dates and confirmed that the manufacturer would not guarantee the safety of the products once expired. Record review and interviews revealed that the FSM was not aware of the specific shelf life for some products and relied on manufacturer data sheets when available. The FSM acknowledged that the identified food items were outdated and confirmed their destruction after being pointed out by surveyors. The failure to monitor and discard expired food items had the potential to affect all residents who consumed food from the kitchen, as the facility census was 38 at the time of the survey.
Failure to Notify Physician of Critical Blood Glucose Levels
Penalty
Summary
The facility failed to follow physician orders regarding the notification of blood glucose levels outside of set parameters for two residents with diabetes. For one resident with a history of Parkinson's Disease, kidney stones, and Type 2 Diabetes Mellitus with Diabetic Polyneuropathy, physician orders required staff to notify the physician if blood sugar was less than 60 or greater than 400, and to call the primary care provider for certain sliding scale insulin results. Blood sugar readings above 400 were documented on three occasions, but there was no evidence in the progress notes that the physician was notified as required. Facility policy also directed staff to notify the physician for blood glucose greater than 450 unless otherwise directed, but confusion among nursing staff led to missed notifications when readings were between 400 and 450. For another resident with diabetes receiving insulin injections per sliding scale, physician orders required staff to call the physician for blood sugar results over 450. Blood sugar readings exceeding this threshold were recorded on two occasions, but there was no documentation that the physician was notified as required. The Director of Nursing confirmed that staff are expected to follow physician orders, including notification of blood sugars as specified. These failures to notify the physician as ordered were identified through record reviews and interviews.
Failure to Submit Written Abuse Investigations to State Agency
Penalty
Summary
The facility failed to submit written investigations of alleged abuse incidents to the state agency within the required five working days for two residents. According to the facility's own policy, all alleged violations of abuse, neglect, or misappropriation must be reported immediately to the administrator and appropriate authorities, with a written investigation sent to the state agency within five working days. However, documentation and interviews confirmed that this process was not followed in two separate incidents. In the first incident, a resident with severely impaired cognition and high care needs was struck on the forearm by a tablemate in the dining room. The event was reported to Adult Protective Services (APS), and facility leadership was notified. Despite this, there was no documentation that a written investigation was completed and submitted to the state agency as required by policy and regulation. In the second incident, another resident with severely impaired cognition and significant care needs was subjected to physical abuse by a nurse aide, who attempted to forcibly move the resident by grasping their arms. The incident was witnessed by another staff member, who intervened, and APS was notified. Although an Incident Investigation Report was completed, it was not submitted to the state agency as mandated. Interviews with facility leadership confirmed the failure to submit the required written investigations for both incidents.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 41 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Stromsburg
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Good Samaritan Society - Osceola | 4.8 mi | ★★★★★ | 0 | 0 |
| York General Hearthstone | 16.1 mi | ★★★★★ | 5 | 0 |
| Adept Nursing & Rehab Of Central City | 21.5 mi | ★★★★★ | 1 | 0 |
| Litzenberg Memorial County Hospital | 21.6 mi | ★★★★★ | 5 | 0 |
| Genoa Community Hospital/ltc | 23.6 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.