Best Assisted Living in Nebraska

Overview of The Palm at Regency Square

The Palm at Regency Square is a 38-bed skilled nursing facility in South Sioux City, Nebraska, providing skilled nursing, memory care, and rehabilitation. The building operates at full capacity with a 100% occupancy rate, serving a population primarily covered by Medicaid (71%), alongside private pay (18%) and Medicare (11%). Residents experience an average length of stay of 111 days in this highly walkable neighborhood property. Despite maximum utilization, financial reports highlight a challenging operating deficit of $231.5 thousand and a negative 8.3% profit margin.

Looking at recent state monitoring logs, the facility shows a clear positive shift in compliance despite running on lean staffing lines. A standard February 2025 licensing review came back completely clean with zero deficiencies, pointing to long-term operational turnarounds. This stands in contrast to a heavier older footprint of 77 citations over 16 years, a $34,000 regulatory fine in 2023, and a 2012 probation period for past accident prevention gaps.

Daily care hours are on the thin side, averaging 3 hours and 53 minutes per resident, which drops 11% below the Nebraska average due to lower certified nursing aide coverage. Long-stay clinical charts reveal high numbers for walking deterioration and general functional decline compared to state averages. Short-stay post-acute recovery metrics mirror these challenges, recording a 24% higher re-hospitalization rate and a discharge self-care success mark of just 28%, compared to the 54% state baseline.

Older adults comparing area nursing homes or short-term rehab options can use these state tracking files to see how the home performs. Since the official tracking shows maximum occupancy and excellent recent inspection scores alongside below-average nursing hours and tough recovery metrics, the data reflects a building making great regulatory strides but facing ongoing clinical workloads. Booking a personal tour is a great next step to check out the therapy departments, watch the staff on a daily shift, and ask the management team how they plan to address long-term physical preservation and short-term recovery outcomes.

Overview of The Maples at Centennial

The Maples at Centennial is a 57-bed skilled nursing facility that focuses on short-term rehabilitation and long-term care. The property runs at an 81% occupancy rate, though its operational footprint was recently downsized from 62 beds. Financial records reflect notable business stress, highlighted by a $444,000 operating loss. Admissions primarily serve a mix of Medicare rehabilitation clients and Medicaid long-term residents, with daily operations supported by a high volume of physical therapy hours that track 167% above the state average.

Public health databases reveal a history of severe regulatory actions alongside lower direct nursing hours. Total nursing care averages 3 hours and 36 minutes per resident daily, falling 17% below the Nebraska average. A standard March 2025 inspection resulted in a 90-day license probation after the operator failed to implement required weight-loss interventions. This followed a separate November 2024 disciplinary order that froze new resident admissions for 180 days due to fall prevention and assessment failures.

Over a 12-year tracking history, the facility has accumulated 157 total deficiencies, which sits 202% above the state average, featuring recurring enforcement actions for care planning and medication management. Clinical charts mirror these challenges, showing permanent resident weight loss tracking 78% worse than the state norm and higher-than-average depression indicators, while short-term discharge success rates trail state performance benchmarks by 20%.

Prospective representatives researching regional physical therapy options or long-term placements can review these state monitoring logs to evaluate the provider’s overall status. Since the official tracking profiles document severe multi-month admission restrictions, consecutive state probations, and below-average nursing hours alongside strong on-site physical therapy volumes, the paperwork underscores a facility facing critical clinical and regulatory workloads.

Overview of The Cedars at Broadwell

The Cedars at Broadwell is a 76-bed nursing home that provides skilled nursing, memory care, and rehabilitation services with 24-hour staffing. Admissions focus primarily on Medicaid recipients, who make up 77% of the census, alongside clients utilizing Medicare and private pay. Residents record an average length of stay of 88 days. Business records indicate notable financial and operational strain, highlighted by declining occupancy trends and a net operating loss of $326 thousand.

Oversight files from state health departments show a sharp contrast between excellent recent inspection reports and weaker long-term clinical data. The home’s most recent routine inspection in February 2025 turned up zero deficiencies, continuing a recent trend of clean state compliance reviews and unsubstantiated consumer complaints. This recent progress follows a heavier historical footprint, including 73 citations over a 15-year window, a $17,000 regulatory fine in 2024, and a 2018 substantiated complaint regarding injury protection.

Daily personnel depth tracks below average, with total nursing care averaging 3 hours and 15 minutes per resident daily to run 25% below the state norm, while registered nurse hours sit 44% below the state baseline. Clinical quality tracking aligns with these lower staffing volumes; long-stay charts show functional physical decline and walking deterioration running 23% to 47% worse than state averages, and short-stay records reveal serious fall rates at nearly four times the Nebraska average.

Families assessing regional skilled nursing options or short-term physical rehabilitation can look over these public records to analyze the provider’s overall trends. Since the official tracking profiles document strong recent compliance and zero deficiencies alongside thin daily care hours, elevated short-stay fall risks, and chronic long-term functional decline marks, the paperwork points to a facility with an improved regulatory record but persistent clinical challenges.

Overview of Prestige Care Center of Plattsmouth

Prestige Care Center of Plattsmouth is a 111-bed skilled nursing and rehabilitation facility operated by private company Plattsmouth Operations LLC in Plattsmouth, Nebraska, in Cass County. 24-hour staffing is available. The facility provides skilled nursing, memory care including an 18-bed Alzheimer’s care unit, rehabilitation, and respite services. Accepted: Medicare, Medicaid, and private pay.

CMS rates the facility 2 stars, with health inspection and quality measure sub-ratings each roughly 27 percent below Nebraska’s average. Nurse hours run 3h 40m per resident per day, 15 percent below the 4h 20m state average, placing the facility 85th of 117 Nebraska SNFs. The facility changed ownership in April 2019; the inspection record prior to that date reflects the prior operator and is not attributed here. Unavailable are substantive post-ownership inspection surveys with deficiency findings. Occupancy stands at 54 percent, well below Nebraska’s 70.3 percent average, indicating current availability. The Alzheimer’s care unit serves up to 18 residents in a secured environment.

The community fits residents seeking skilled nursing or memory care in Cass County. It has current availability and a dedicated dementia unit serving the Plattsmouth area.

Overview of Prestige Care Center of Nebraska City

Prestige Care Center of Nebraska City is a 64-bed skilled nursing and rehabilitation facility operated by private company Nebraska City Operations LLC at 1420 North 10th Street in Nebraska City, Nebraska, in Otoe County. The facility provides skilled nursing, memory care including a 22-bed Alzheimer’s care unit, rehabilitation, and respite services. Medicare, Medicaid, and private pay are welcome. Occupancy indicates current availability at 64 percent which is below Nebraska’s 70.3 percent average. 24-hour staffing exists.

CMS rates the facility 3 stars, with health inspection and quality measure sub-ratings slightly above Nebraska average. Staffing runs below average: nurse hours at 3h 41m per resident per day are 15 percent below the 4h 20m state average, ranking the facility 85th of 117 Nebraska SNFs. A September 2024 inspection resulted in a 90-day probation from the Nebraska Department of Health for failing to implement practitioner’s medications orders, lab testing, and resident weight monitoring. The facility’s most recent inspection activity through December 2025 includes multiple follow-up visits; individual deficiency counts from those inspections unavailable. The Alzheimer’s care unit serves up to 22 residents in a secured setting.

With a dementia unit and current availability across care levels, Prestige Care Center of Nebraska City suits residents seeking skilled nursing or memory care in Otoe County.

Overview of Crest View Care Center

Crest View Care Center is a 70-bed skilled nursing facility in Chadron, Nebraska, providing long-term care, memory care, rehabilitation, and respite services. It is operated by Kismet SPF LLC in Dawes County and accepts Medicare, Medicaid, and private pay.

The facility holds a 1-star overall CMS rating, with all sub-ratings — health inspection, staffing, and quality measures — running well below Nebraska’s average. Nurse staffing averages 3 hours and 48 minutes per resident per day, roughly 36% below the state benchmark. The facility’s deficiency rate across the inspection record is 10.5 citations per year, compared to the state’s average of 4.2 — 150% above it.

In January 2026, the facility received a 90-day probationary notice from the state after failing to identify which residents were at risk of falls and to implement prevention measures. A 2015 complaint investigation was substantiated for failure to protect a resident from a pressure ulcer and for misappropriation of resident funds.

The facility’s occupancy rate is 40% compared with Nebraska’s average of 70%, which means most rooms are currently available. Other services included are physical, occupational, and speech therapy. Amenities include private room options, three daily meals, social and recreational activities, and transportation coordination. The facility also received a 2024 Customer Experience Award from Pinnacle Quality Insight.

Crest View is best suited for residents in Chadron and Dawes County needing long-term skilled nursing or memory care, with rehabilitation services available for shorter post-acute stays. However, families considering the facility should ask about its low staffing levels, probation notice, and elevated deficiency history.