What government services provide money for senior housing?

Several government programs offer financial assistance for senior housing in various countries, focusing on the United States for a broad overview: Medicaid: Medicaid is a state and federally funded program that can cover the costs of nursing home care for those who meet eligibility criteria, including income and asset limits. Some states also offer Medicaid waivers that help pay for home and community-based services to prevent or delay nursing home placement. Medicare: Medicare, primarily a health insurance program for people aged 65 and over, does not cover long-term housing costs. However, it can cover short-term stays in a skilled nursing facility under specific conditions following a hospital stay. Section 202 Supportive Housing for the Elderly Program: This program provides housing for low-income seniors. It offers rental assistance and access to supportive services, such as cleaning, cooking, and transportation. Low-Income Housing Tax Credit (LIHTC) Properties: While not a direct subsidy, LIHTC encourages developers to create affordable housing. Seniors with low incomes can find reduced-rent apartments through this program. State and Local Programs: Many states, counties, and cities offer their own programs to assist seniors with housing costs. These can include property tax relief programs, rental assistance programs, and programs that offer affordable senior housing options. Veterans Affairs (VA): The VA offers several programs for veterans, including the Aid and Attendance benefit, which provides monthly payments to veterans who require the aid of another person, or are housebound, to help cover the cost of care in homes, nursing homes, and assisted living facilities. Social Security: While Social Security primarily provides retirement income, for many seniors, these benefits are a crucial part of their budget, including housing costs.

How do you pick the homes you recommend?

Before recommending homes, we conduct a thorough evaluation on crucial factors that define a senior home such as the quality of care they provide, the reputation of the organization, and a comprehensive review of community testimonials as well. Every detail is assessed to assure that seniors are offered not just senior care options, but trustworthy homes where they can experience the care that they deserve.

Do you help families that need Medicaid?

Yes. Assisting families who need Medicaid is important to us as it plays a crucial role in offering financial support to seniors confronting economic challenges. We would like to keep essential healthcare services accessible to all community members, irrespective of one’s financial circumstances.

How much does this service cost?

We extend our services at no cost, ensuring that families and seniors can benefit from tailored assistance in their search for care and home options. Our ability to offer personalized guidance without charge to families and seniors is made possible through the support and funding from the communities with which we team up.

What services do you offer?

Finding and ranking the best assisted living facilities Finding and ranking the best nursing homes Finding and ranking the best memory care facilities Our concierge service helps seniors move into the perfect home for them Helping seniors use medicare, medicaid, and other government programs to pay for their homes Helping seniors avoid senior homes that have bad service or fraud Helping seniors avoid senior homes that have bad service or fraud Autobiography & Family History Writing + Research Senior-focused concierge medicine Senior-focused nutritionist Senior-focused personal training Memory care specialists Custom wheelchairs at all price points. Custom hearing aids Cosmetic skincare + dermatology Companionship: We offer in-person and virtual companionship services. Someone engaging to hang out with or talk to on video chat. Senior housing concierge. Our service finds the best senior living options based on your needs, income, and personality.

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Sandhills Care Center | Nebraska | Photos & Videos

Overview of Sandhills Care Center

Sandhills Care Center is a skilled nursing facility located in Ainsworth, NE. It offers compassionate, person-centered care and a variety of services tailored to the needs of the elderly community. The center is community-owned and provides a welcoming environment for residents and their families.

(402) 387-1294 admin@sandhillscarecenter.com

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Nurse hours per resident 3.67/day Nebraska avg: 4.45/day

Overall rating

2/5

Nebraska avg: 2.9/5

Health Inspection

2/5

Nebraska avg: 2.8/5

Staffing

2/5

Nebraska avg: 3.3/5

Quality Measures

4/5

Nebraska avg: 2.9/5

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 46

This home usually has availability

Lower occupancy suggests more openings may be available.

57.3%

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Might be optimal for

Flexible care needs

How we assess these insights Show admissions and discharges

Breakdown by payment type

Medicare

39% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

48% of new residents, often for short stays.

Typical stay 1 years

Medicaid

13% of new residents, often for long-term daily care.

Typical stay 4 years

Finances and operations

Home revenue

$3.2M

Surplus of revenue

$79.3K

Governmental home City

Home revenue

$3,174,032.00

Surplus of revenue

$79,285.00

Payroll costs

$2.0M

64.1% of revenue

Other operating costs

$1.1M

Total costs $3.1M

46-bed community

A moderately sized community that may balance personal attention with shared amenities and social activities.

About this community

Facility Type

NURSING HOME

Additional licensing details

CMS Certification Number: 285298

Certification type: Certification

County: BROWN

Certifications: Medicare and Medicaid certifications

Ownership & operating entity

Sandhills Care Center is administrated by Penny Jacobs, Administrator.

Owner name: AINSWORTH BROWN COUNTY CARE

Care Services

Accepts Medicaid

Accepts Medicare

Doctor on Staff

Nursing Services

Rehabilitation Services

Respite Care

Skilled Nursing

Contact Information

Fax: (402) 382-3536

Amenities & Lifestyle

Programs & Activities

Religious Services

Yes

Medicaid Accepted

This facility is certified for eligible Medicaid services.

Medicare Accepted

This facility is certified for eligible Medicare services.

Payment & Funding Options

Medicaid Medicare

Show Inspection Reports

Compare Nursing Homes around Nebraska

Accura HealthCare of Hartington

SNF

NE 68739

KLAASMEYER, KENNETH

63.6%

$3,668,324.00

$2,124,349.00

57.9%

31.40

4/5

4.1342

4/5

3/5

-7%

-10%

Accura HealthCare of Tekamah

SNF

NE 68061

GEIS, HEATHER

72.0%

$3,111,496.00

$2,065,549.00

66.4%

30.00

3/5

3.8342

4/5

1/5

3/5

-14%

+2%

Arbor Care Center-Valhaven, LLC

SNF

NE 68064

72.4%

$5,043,043.00

$3,225,812.00

64%

49.50

3/5

4.0787

3/5

4/5

-8%

+3%

Sandhills Care Center

SNF

NE 69210

AINSWORTH BROWN COUNTY CARE CENTER

57.3%

$3,044,725.00

$2,034,472.00

66.8%

30.30

2/5

3.6658

2/5

4/5

-18%

-19%

Arbor Care Centers – Ord, LLC

SNF

NE 68862

LUTH, KURT

51.8%

$2,881,257.00

$1,523,175.00

52.9%

35.20

2/5

3.7604

2/5

-16%

-26%

Accura HealthCare of Hartington

Type of care: SNF AL

Community: NE 68739

Bed Count: 67

Pets Allowed: No

Operator: KLAASMEYER, KENNETH

CCN: 285088

Occupancy: 63.6%

Home Revenue: $3,668,324.00

Payroll Costs: $2,124,349.00

Payroll %: 57.9%

Avg Residents/Day: 31.40

Overall Rating: 4/5

Adj Nurse Hours: 4.1342

Health Insp Rating: 4/5

Staffing Rating: 4/5

QM Rating: 3/5

Citations: 7

RN share vs State Avg:

-7%

Staffing vs State Avg:

-7%

Occupancy vs State Avg:

-10%

Accura HealthCare of Tekamah

Type of care: SNF AL

Community: NE 68061

Bed Count: 46

Pets Allowed: No

Operator: GEIS, HEATHER

CCN: 285118

Occupancy: 72.0%

Home Revenue: $3,111,496.00

Payroll Costs: $2,065,549.00

Payroll %: 66.4%

Avg Residents/Day: 30.00

Overall Rating: 3/5

Adj Nurse Hours: 3.8342

Health Insp Rating: 4/5

Staffing Rating: 1/5

QM Rating: 3/5

Citations: 12

RN share vs State Avg:

+19%

Staffing vs State Avg:

-14%

Occupancy vs State Avg:

+2%

Arbor Care Center-Valhaven, LLC

Type of care: SNF AL

Community: NE 68064

Bed Count: 66

Pets Allowed: No

CCN: 285117

Occupancy: 72.4%

Home Revenue: $5,043,043.00

Payroll Costs: $3,225,812.00

Payroll %: 64%

Avg Residents/Day: 49.50

Overall Rating: 3/5

Adj Nurse Hours: 4.0787

Health Insp Rating: 3/5

Staffing Rating: 3/5

QM Rating: 4/5

Citations: 18

Severe Citations: 1

RN share vs State Avg:

-2%

Staffing vs State Avg:

-8%

Occupancy vs State Avg:

+3%

Sandhills Care Center

Type of care: SNF AL

Community: NE 69210

Bed Count: 46

Pets Allowed: No

Operator: AINSWORTH BROWN COUNTY CARE CENTER

CCN: 285298

Occupancy: 57.3%

Home Revenue: $3,044,725.00

Payroll Costs: $2,034,472.00

Payroll %: 66.8%

Avg Residents/Day: 30.30

Overall Rating: 2/5

Adj Nurse Hours: 3.6658

Health Insp Rating: 2/5

Staffing Rating: 2/5

QM Rating: 4/5

Citations: 22

RN share vs State Avg:

+107%

Staffing vs State Avg:

-18%

Occupancy vs State Avg:

-19%

Arbor Care Centers – Ord, LLC

Type of care: SNF AL

Community: NE 68862

Bed Count: 60

Pets Allowed: No

Operator: LUTH, KURT

CCN: 285294

Occupancy: 51.8%

Home Revenue: $2,881,257.00

Payroll Costs: $1,523,175.00

Payroll %: 52.9%

Avg Residents/Day: 35.20

Overall Rating: 2/5

Adj Nurse Hours: 3.7604

Health Insp Rating: 2/5

Staffing Rating: 2/5

QM Rating: 2/5

Citations: 29

Severe Citations: 1

RN share vs State Avg:

+15%

Staffing vs State Avg:

-16%

Occupancy vs State Avg:

-26%

AINSWORTH, NE 69210

Calculate Travel Distance to Sandhills Care Center

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Total Staff

Employees

Contractors

12,370

Total Hours (Quarter)

Avg Staff/Day

9.1

Avg Shift (hrs)

Nursing Staff Breakdown

Role ⓘ	Count ⓘ	Avg Shift (hrs) ⓘ	Uses Contractors? ⓘ
Registered Nurse	10	8.7	No
Licensed Practical Nurse	6	9.5	No
Certified Nursing Assistant	29	9.3	No

Staff by Category

Administration

1 staff

9.9hs shift avg

Nursing Staff

45 staff

9.3hs shift avg

Physicians & Practitioners

1 staff

9.4hs shift avg

Therapy Services

0 staff

0hs shift avg

Activities & Recreation

0 staff

0hs shift avg

Social Services

0 staff

0hs shift avg

Dietary Services

2 staff

8.5hs shift avg

Other Services

1 staff

8.3hs shift avg

Role ⓘ	Employees ⓘ	Total Staff ⓘ	Total Hours ⓘ	Days Worked ⓘ	% of Days ⓘ	Avg Shift (hrs) ⓘ
Certified Nursing Assistant	29	29	7,164	91	100%	9.3
Licensed Practical Nurse	6	6	1,297	83	91%	9.5
Registered Nurse	10	10	1,137	85	93%	8.7
Other Dietary Services Staff	2	2	874	72	79%	8.5
Administrator	1	1	723	73	80%	9.9
Nurse Practitioner	1	1	674	72	79%	9.4
Dental Services Staff	1	1	501	60	66%	8.3

View All Staffing Data

Total Health inspections 4

7% below Nebraska average

Nebraska average: 4.3

Last Health inspection on Jun 2025

Total Health citations 22

21% above Nebraska average

Nebraska average: 18.2

5.5 citations per inspection (avg)

Citations origin

Citations can result from standard inspections or complaint-based investigations.

Standard inspections 21 citations

Complaint investigations 4 citations

Breakdown of citations

Critical Health citations 0

100% below Nebraska average

Nebraska average: 0.2

Serious Health citations 0

100% below Nebraska average

Nebraska average: 0.5

Moderate Health citations 21

Minor Health citations 1

Citations history (last 3 years)

Infection Control moderate citation Jun 17, 2025

Corrected

Nutrition moderate citation Jun 17, 2025

Corrected

Pharmacy moderate citation Jun 17, 2025

Corrected

Pharmacy moderate citation Jun 17, 2025

Corrected

Ownership: City/County Government

Resident Census by Payment Source

29 Total Residents

Medicare 1 (3.4%)

Medicaid 13 (44.8%)

Private Pay/Other 15 (51.7%)

Programs & Services

Residents' Group

Family Engagement

Active councils help families stay involved in care decisions and facility operations.

Active Resident Council

High-risk clinical events score 15.5

37% worse than Nebraska average

Nebraska average: 11.3

Functional decline score 30.5

31% worse than Nebraska average

Nebraska average: 23.3

Long-Stay Resident Measures

Need for Help with Daily Activities Increased 38.1%

83% above Nebraska average.

Walking Ability Worsened 27.3%

24% above Nebraska average.

Low Risk Long-Stay Residents with Bowel/Bladder Incontinence 26.0%

3% below Nebraska average.

Falls with Major Injury 2.6%

42% below Nebraska average.

High Risk Residents with Pressure Ulcers 1.6%

63% below Nebraska average.

Urinary Tract Infection 2.7%

13% below Nebraska average.

Depressive Symptoms 23.6%

433% above Nebraska average.

Antipsychotic Use 11.6%

42% below Nebraska average.

Pneumococcal Vaccine 93.1%

0% below Nebraska average.

Influenza Vaccine 96.9%

1% above Nebraska average.

Lost Too Much Weight 7.7%

41% above Nebraska average.

Short-stay resident measures

Pneumococcal Vaccine 65.4%

19% worse than Nebraska average

Financial Trends

Historical financial and operational data for Sandhills Care Center based on CMS SNF Cost Reports.

Occupancy Rate 57.3% ↑ 7.2pp vs 2023

Net Income $79,285 ↑ ~$207K vs 2023

Total Payroll $2,333,672 ↑ ~$158K vs 2023

Profit Margin 2.6% ↑ 7.7pp vs 2023

Loading trend charts...

Metric	2017	2018	2019	2020	2021	2022	2023	2024
Occupancy %	32.1%	37.3%	46.9%	49.6%	41.1%	41.1%	50.1%	57.3%
Beds	46	46	46	46	46	46	46	46
Net Income	-$620,327	-$186,421	-$130,009	$52,940	$202,399	-$520,478	-$127,645	$79,285
Gross Revenue	$510,377	$1,340,114	$1,694,923	$1,825,314	$1,627,239	$1,700,873	$2,483,966	$3,044,725
Operating Expenses	$1,043,018	$1,583,460	$1,834,652	$1,860,543	$1,735,565	$2,489,647	$3,007,241	$3,094,747
Net Patient Revenue	$510,377	$1,340,114	$1,694,923	$1,825,314	$1,627,239	$1,700,873	$2,483,966	$3,044,725
Total Payroll	$587,104	$931,565	$913,526	$1,289,270	$1,137,299	$991,925	$2,175,468	$2,333,672
Profit Margin %	-121.5%	-13.9%	-7.7%	2.9%	12.4%	-30.6%	-5.1%	2.6%
Medicare %	1.3%	2.1%	2.3%	2.3%	2.6%	1.3%	7.1%	3.5%
Medicaid %	36.4%	46.0%	42.4%	48.7%	65.1%	64.7%	44.1%	45.3%
Private %	62.3%	51.9%	55.2%	49.0%	32.3%	34.0%	48.8%	51.2%
Revenue/Day	$182	$214	$215	$219	$236	$247	$296	$317
Cost/Day	$372	$253	$233	$223	$252	$361	$358	$322
Avg Length of Stay	280.1 days	348.2 days	656.8 days	287.7 days	362.9 days	459.9 days	300.2 days	506.3 days

Guides for Better Senior Living

Care Cost Calculator: See Prices in Your Area

Nursing Home Data Explorer

Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now

The True Cost of Assisted Living in 2025 – And How Families Are Paying For It

Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance

Aged and Disabled Waiver

Nebraska Medicaid A&D Waiver

General: Age 65+ or disabled, Nebraska resident, Medicaid- eligible, nursing home-level care need.

Income Limits (2025): ~$2,829/month (300% FBR, individual).

Asset Limits: $4,000 (individual, higher than most states).

NE Specifics: Higher asset limit; rural access focus.

Nebraska Respite Network

NE Respite Network

General: Caregiver of someone 60+, Nebraska resident.

Income Limits: No strict limit; prioritizes low-income.

Asset Limits: Not applicable.

NE Specifics: Lifespan respite focus; limited funding.

Personal Assistance Services (PAS)

Nebraska Personal Assistance Services

General: Age 19+ (65+ for seniors focus), Nebraska resident, Medicaid-eligible, needs help with 1+ ADL (e.g., bathing, dressing).

Income Limits (2025): ~$1,255/month (100% FPL, individual); spenddown allowed.

Asset Limits: $4,000 (individual), $6,000 (couple) (excludes home up to $688,000, car).

NE Specifics: Family can be paid caregivers; statewide via DHHS.

Program of All-Inclusive Care for the Elderly (PACE)

Nebraska PACE (Immanuel Pathways)

General: Age 55+, Nebraska resident (specific counties), NFLOC, safe with PACE support.

Income Limits (2025): ~$2,829/month (Medicaid-eligible); private pay option available.

Asset Limits: $4,000 (individual), $6,000 (couple).

NE Specifics: Only in Douglas, Sarpy, parts of Cass/Pottawattamie/Washington Counties.

Medicare Savings Program (MSP)

Nebraska Medicare Savings Program

General: Age 65+ or disabled, Nebraska resident, Medicare Part A/B.

Income Limits (2025): ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

Asset Limits: $9,430 (individual), $14,130 (couple).

NE Specifics: Three tiers; no waitlist; includes Extra Help for Part D.

Senior Community Service Employment Program (SCSEP)

Nebraska SCSEP

General: Age 55+, unemployed, low-income, Nebraska resident.

Income Limits (2025): ~$1,983/month (125% FPL).

Asset Limits: Not specified; income-focused.

NE Specifics: Priority for veterans, rural residents; AARP partnership.

VA Aid and Attendance (A&A) and Housebound Benefits

Nebraska VA Aid and Attendance/Housebound

General: Age 65+ or disabled veteran/spouse, Nebraska resident, wartime service, need for ADL help (A&A) or homebound.

Income Limits (2025): Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

Asset Limits: ~$155,356 (net worth limit).

NE Specifics: High veteran demand in rural areas.

Sandhills Care Center

Sandhills Care Center is a Nursing Home in Nebraska

Sandhills Care Center is a Nursing Home in Nebraska

Sandhills Care Center

Sandhills Care Center is a Nursing Home in Nebraska

Sandhills Care Center is a Nursing Home in Nebraska

Quality ratings

Capacity and availability

Smaller home

This home usually has availability

Who this home usually serves

Mix of rehab and long-term care

Breakdown by payment type

Medicare

Private pay

Medicaid

Finances and operations

About this community

Additional licensing details

Ownership & operating entity

Care Services

Contact Information

Amenities & Lifestyle

Programs & Activities

Access & Eligibility

Payment & Funding Options

Inspection History

Inspection Reports

Compare Nursing Homes around Nebraska

Places of interest near Sandhills Care Center

Calculate Travel Distance to Sandhills Care Center

Staffing Data

Nursing Staff Breakdown

Staff by Category

Health Inspection History

Breakdown of citations

Citations history (last 3 years)

Facility Characteristics

Resident Census by Payment Source

Programs & Services

Family Engagement

Quality of care over time

Long-Stay Resident Measures

Daily care & independence

Safety & clinical stability

Emotional & behavioral wellbeing

Preventive care

Nutrition & physical health

Short-stay resident measures

Financial Trends

Occupancy Rate

Financial Performance

Payroll & Labor Costs

Payer Mix

Revenue vs Cost Per Patient Day

Guides for Better Senior Living

Eldertainment

Financial Aid for Nebraska Seniors

Aged and Disabled Waiver

Nebraska Respite Network

Personal Assistance Services (PAS)

Program of All-Inclusive Care for the Elderly (PACE)

Medicare Savings Program (MSP)

Senior Community Service Employment Program (SCSEP)

VA Aid and Attendance (A&A) and Housebound Benefits

Touring Checklist for Senior Living

Location

Community Spaces and Overall Environment

Services

Staffing

Accommodations

Finances

Other Notes

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