After winning Miss Nebraska USA , Summers earned the right to represent Nebraska at Miss USA 2018 , held at Hirsch Memorial Coliseum in Shreveport , Louisiana . She went on to win the competition , beating out first runner-up Caelynn Miller-Keyes of North Carolina and second runner-up Carolina Urrea of Nevada , becoming the first woman from Nebraska and the eleventh former Miss Teen USA contestant to win Miss USA . After winning Miss USA , she crowned Bree Coffey as her Miss Nebraska USA successor ; pageant protocol states that the two titles can not be held coterminously as her new Miss USA duties would have interfered with her duties as Miss Nebraska USA
Miss USA 2018
Miss USA 2018
Sarah Rose Summers