Best Assisted Living in Nebraska

Overview of Hickory Villa

Hickory Villa is a 60-bed assisted living community at 7315 Hickory Street, Omaha, Douglas County, Nebraska, administered by Tawny McWilliams. The facility offers a warm, intimate environment for seniors emphasizing physical, emotional, and spiritual health, with memory care services. The facility allows pets, provides 24-hour staffing with licensed nurses and CNAs, and maintains emergency systems.

Hickory Villa provides assisted living services with restaurant-style dining, outdoor barbeque, gardens, social programs, and fitness programs. Religious services are available. Community activity calendar programming supports resident engagement and social participation.

Hickory Villa’s inspection record demonstrates improvement over time. The Nebraska Department of Health and Human Services, Division of Public Health, conducted 8 total visits and inspections. The most recent inspection on January 28, 2019, was a complaint investigation finding the facility in regulatory compliance, though a narcotic diversion allegation was substantiated and addressed with corrective action. Earlier inspections identified a pattern of deficiencies primarily involving medication administration, staff competency, and background checks, with some issues related to abuse reporting and timely call light response. Complaint investigations were mostly unsubstantiated except for the 2019 narcotic diversion case and prior substantiated medication errors and abuse reporting failures. No fines, immediate jeopardy findings, or license suspensions appear in available records. The facility’s record shows improvement with recent findings indicating compliance and corrective measures taken for earlier issues.

Occupancy reaches 80 percent with 48 residents in 60 beds, above the Nebraska state average of 70.3 percent, reflecting solid community demand. No federal penalties have been imposed in the past three years according to CMS records.

Families should directly inquire about current medication protocols, staff training and oversight, incident reporting procedures, and corrective systems implemented since 2019 before placement consideration.

Overview of Parsons House Assisted Living and Memory Care

Parsons House Assisted Living and Memory Care is a 180-bed senior living community at 14325 Eagle Run Drive Memory Care Endorse, Omaha, Douglas County, Nebraska, administered by Heather Herzberg and owned by Gen3 Holdings, LLC. The family-owned facility offers independent living, assisted living, and memory care services in a warm, home-like atmosphere emphasizing supportive care while encouraging independence and dignity. Operating hours are Monday through Sunday, 8:00 a.m. to 8:00 p.m.

Parsons House provides restaurant-style meals prepared by a professional culinary-trained chef with fresh fruits, vegetables, and nutritious offerings. Services include rehabilitation services, respite care, licensed nurses and CNAs, and 24-hour staffing. Programs include independent living, assisted living, and active assisted living designed for varying support levels.

Parsons House’s inspection record is mixed. The Nebraska Department of Health and Human Services, Division of Public Health, conducted 14 total visits and inspections with 8 complaint investigations. The most recent inspection on April 9, 2019, was a licensure renewal showing no deficiencies. Earlier inspections identified citations related to staff certification, resident safety, and documentation. Substantiated complaints involved failure to protect residents from abuse and unsafe conditions in memory care units. Notably, early 2017 enforcement included probation and daily fines for resident care failures and inadequate management of inappropriate sexual behaviors. Most complaint investigations were unsubstantiated except for substantiated cases involving resident safety and abuse prevention. The inspection history shows improvement over time with no deficiencies noted in latest renewal documents following earlier compliance challenges.

Occupancy reaches 80 percent with 144 residents in 180 beds, above the Nebraska state average of 70.3 percent, reflecting solid community demand. No federal penalties have been imposed in the past three years according to CMS records; however, historical enforcement including probation and fines occurred in 2017 for serious resident safety and abuse prevention violations.

Prior substantiated safety and abuse concerns means families should directly inquiry about current protocols and corrective measures implemented since 2017 before placement consideration.

Overview of Astoria Senior Living

Astoria Senior Living operates a 121-bed assisted living facility at 9220 Western Avenue in Omaha, Omaha County, Nebraska, under the administration of Nicole Ellermeier. The facility is licensed with an Alzheimer’s Memory Care endorsement covering 25 specialized beds and provides assisted living, short-term rehabilitation, and nursing services to residents requiring daily living assistance. Current occupancy of 79% (96 residents) exceeds the Nebraska state average of 70.3%, reflecting consistent community utilization.

The regulatory record prior to September 2025 demonstrated compliance strength. Over 14 years (2011-2023), the facility recorded only nine total deficiencies; 83% fewer than comparable Nebraska assisted living homes.

Complaint investigations were predominantly unsubstantiated, with facility findings of compliance in areas including abuse prevention, care delivery, and medication administration. One fine in 2011 addressed failure to monitor weight loss; another compliance inspection in 2018 cited a single deficiency related to call light response times.

Licensing renewals through 2023 showed no deficiencies or enforcement actions.

On September 29, 2025, regulatory circumstances changed materially. An inspection identified nine resident safety deficiencies specifically involving potential self-harm behavior and statements. The state imposed disciplinary action: prohibition on admitting new residents and a $1,000 fine, with finalization date of October 22, 2025. This represents the facility’s first serious enforcement action since 2011 and contrasts sharply with the 14-year prior history of minimal citations and unsubstantiated complaints.

Astoria Senior Living underwent a significant shift from long-term compliance to current serious regulatory enforcement.

The walk score of 51 indicates moderate walkability in a neighborhood 6.2 miles from downtown Omaha.

The September 2025 resident safety deficiencies and subsequent admission prohibition require direct inquiry regarding incident specifics, current safety protocols, staff training enhancements, and corrective measures implemented since the disciplinary notice.

Overview of Holdrege Memorial Homes

Mike Ecklun owns Holdrege Memorial Homes, a 45-bed nursing facility located on 11th Avenue in Holdrege, Nebraska. The office takes care of billing through standard choices like Medicare, Medicaid, and private pay. If you want to check out the immediate area, the neighborhood has a walkability score of 45 out of 100, which means visiting family members can run a few basic errands on foot, though a car is still helpful for most trips.

Residents live here for an average of 396 days, meaning the facility focuses mostly on long-term residential care alongside short-term post-hospital rehab. The building stays busy and regularly fills its available beds. To look after daily medical needs, the nursing team provides an average of 3 hours of total care per resident each day, with a registered nurse and an on-staff doctor managing the daily health schedules.

State health department logs show the facility has a clean regulatory track record. Recent inspections came back with zero deficiencies, and all past complaint investigations were found to be unsubstantiated, which keeps its cumulative citations-per-inspection rate at zero.

Prospective residents can access specialized physical and occupational therapy, temporary respite care, and a local Meals on Wheels program. The campus features an on-site library, a beauty shop, regular religious services, and local medical transportation. Daily life combines three hot meals cooked on-site with scheduled recreational activities, laundry help, room cleaning, and open visiting hours for family members.

Sutton Community Home, Inc. is a Nursing Home at 1106 North Saunders Avenue, Sutton, Clay County, Nebraska. Administrated by Amy Schelkopf and owned by Sutton Community Home, Inc., a non-profit organization, the facility is certified by the Centers for Medicare & Medicaid Services (CMS Certification Number 285277). Sutton Community Home, Inc. opened in 1964 and has operated for over 60 years as a home for area residents, licensed to accept Medicare, Medicaid, and Private Pay for residential and intermediate nursing care.

Sutton Community Home, Inc. is a rural nursing home providing a mix of short-term rehabilitation and long-term care services. The facility serves both rehabilitation and long-term care populations. Medicare admissions (28%) typically stay 1-2 months for short-term rehab. Private pay admissions (48%) typically stay 11 months. Medicaid admissions (24%) typically stay 2 years for long-term daily care. Average length of stay is 343 days. Occupancy rate is 78.7%, indicating strong census above the Nebraska state average of 70.3%.

The CMS Overall Rating of 4/5 stars significantly exceeds the Nebraska average of 2.8/5 stars. The Health Inspection Rating of 3/5 stars aligns with the Nebraska average of 2.8/5 stars. The Staffing Rating of 5/5 stars substantially exceeds the Nebraska average of 3.1/5 stars and ranks the facility #6 out of 117 in Nebraska. The Quality Measures Rating of 3/5 stars exceeds the Nebraska average of 2.7/5 stars.

Staffing levels are substantially above state and national benchmarks. Total nursing care per resident per day reaches 5 hours 55 minutes, +37% above the Nebraska state average of 4 hours 20 minutes. This facility ranks #6 out of 117 in Nebraska for total nursing hours. Weekend nursing hours total 3 hours 56 minutes per day, +9% above the Nebraska state average of 3 hours 37 minutes. The strong weekend staffing is notable because staffing often declines significantly on weekends.

Sutton Community Home, Inc. operates as a non-profit organization with annual revenue of $3.4 million. Payroll comprises 61.7% of revenue ($2.1 million), which aligns with well-run nursing homes typically ranging from 55–65%. The facility has operated continuously since 1964, reflecting long-term community commitment and care continuity.

The facility is rural, serving Clay County and surrounding communities in south-central Nebraska. The 60-year operational history demonstrates established community presence and stability. The non-profit structure emphasizes community benefit over profit maximization.

Sutton Community Home, Inc. has an above-average overall CMS rating and outstanding staffing performance; it’s suited for families seeking rehabilitation and skilled nursing care in a rural setting.

Overview of Wayne Countryview Care and Rehabilitation

Wayne Countryview Care and Rehabilitation is a 60-bed Nursing Home in Wayne, Wayne County, Nebraska. Administrated by Martin Brown and owned by Lindahl Healthcare, Inc., the facility accepts Medicare and Medicaid. It provides skilled nursing, rehabilitation services, and short-term rehab with in-house therapy and daily meals.

Wayne Countryview serves a mix of short-term rehabilitation and long-term care. Occupancy is 57 percent, significantly below the Nebraska state average of 70.3 percent, with 34 of 60 beds occupied.

CMS quality ratings for Overall, Health Inspection, Staffing, and Quality Measures are not publicly available for this facility. This lack of information prevents comparison to Nebraska benchmarks and federal quality standards. Families cannot assess care quality using standard federal metrics.

The Nebraska Department of Health and Human Services, Division of Public Health conducted 14 documented inspection visits. The most recent documented inspection occurred February 26, 2019, over six years ago. That inspection documented 92 deficiencies versus the Nebraska average of 52, indicating significant compliance issues at that time. No current inspection data is available. The six-year gap since the last documented inspection raises serious concerns about regulatory status and current compliance.

Specific staffing hours per resident per day are not publicly disclosed. The facility provides 24-hour staffing and in-house therapy. Detailed Registered Nurse, Licensed Practical Nurse, and Certified Nursing Aide hours, weekend coverage, and staffing ratios are unavailable publicly.

Financial data including revenue, operating results, and payroll are not disclosed.

Families should request current CMS certification status and recent inspection reports from the Nebraska Department of Health and Human Services before placement.

A 58-bed nursing home in Imperial, Nebraska, owned by the City of Imperial on Grant Street, is Imperial Manor Nursing Home. It takes Medicare, Medicaid, and private pay, providing an array of payment options for families. The community typically operates at 66 percent occupancy, with residents staying 297 days on average.

Daily care is backed by a total nursing staff averaging 3 hours 42 minutes per resident day. This includes registered nurses providing 32 minutes of care daily, nurse aides at 2 hours 42 minutes, and LPN/LVN staff at 32 minutes each day. That level of staffing bolsters the attentive support occupants need all the time. The Imperial location offers moderate walkability with a Walk Score of 56, so residents and visiting families can run some errands on foot, though most trips demand a car. The surrounding area provides a small-town setting with good access to nearby services and amenities.

State inspection records show the facility’s latest licensure renewal confirmed compliance with statutory requirements and found no deficiencies or violations.

To families thinking of care options in Imperial, the home is available.

Located at 5410 17th Avenue in Kearney, Nebraska, Kinship Pointe Kearney Northridge is a community with 55 residential units available. There are both studio and one-bedroom floor plans for different preferences. It’s in a car-dependent area where most daily errands will require a car. However, the surrounding Kearney neighborhood provides convenient access to local services and amenities.

The community welcomes residents seeking residential care and support. Families considering Kinship Pointe as a home for a loved one should visit to understand the community’s daily environment, see the floor plans, and learn about the specific care, activities, and services available.