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Other Senior care options in Nebraska:

Best Assisted Living in Nebraska

Reviewed by Dr. Jordan Weiss
Updated May 2026
We analyzed 286 homes in Nebraska

Sources: CMS Centers for Medicare and Medicaid Services, and Nebraska Department of Health, Office of Aging and Long Term Care.

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Video Tour: Top-rated Assisted Living facilities in Nebraska.

Watch this Video to see Nebraska's Top-rated Senior Communities

Compare Assisted Living around Nebraska

The information below is reported by the Nebraska Department of Health and Human Services, Division of Public Health.

Click column headers to sort
Gateway Vista
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Lincoln (Culler)
80No 71 Medicaid and Medicare (80)18 90.0% A+Tonya NoackGateway Properties, Inc.168885
Remington Heights Retirement
IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

RH

Retirement Homes

Omaha (West Omaha)
79Yes 45 Studio / 1 Bed / 2 Bed25 36.7% A+Heather Holmes-7325
Riverside Lodge Retirement Community
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Grand Island
75Yes 35 Studio / Suite / 1 Bed / 2 Bed37-A+Kimberly Andrews-7---
Bailey Pointe Assisted Living at Roxbury Park
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Omaha (Millard)
75Yes 76 Studio / 1 Bed / 2 Bed- 81.3% -Douglas WilliamsWell Nebraska Tenant LLC11747
Aksarben Village Senior Living Community
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Omaha (South Central Omaha)
105Yes 48 Studio / 1 Bed / 2 Bed10-A+Colleen JonesMid O, LP7---
Westgate Assisted Living
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Omaha (South Central Omaha)
80Yes 50 Studio / Deluxe / 1 Bed35 75.0% A+Verlynn WinnickiSnh Neb Tenant LLC6411
Ridgewood Senior Living
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Bennington
88Yes 6 Studio / 1 Bed / 2 Bed16 72.7% A+Sarah GebhardtGahc3 Bennington Ne Alf Trs Sub, LLC11426
The Heritage at Shalimar Gardens
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Fremont (East 29Th Street)
100Yes 43 Studio / 1 Bed / 2 Bed- 49.0% -Michelle CallahanShalimar, LLC8524
Valley Lakes
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Valley (Orchard Gardens Assisted Living & Retirement Community)
64Yes 18 1 Bed / 2 Bed- 87.5% -Joseph Braga-95313
Morningside of Concord
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Concord
105Yes 29 Studio / 1 Bed- 60.3% ---20-749
Heritage Ridge
IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Bellevue
160Yes 44 Studio / 1 Bed / 2 Bed18 54.4% A+Autumn Durham-3112
Symphony Pointe
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Elkhorn
115Yes 16 Private Rooms---Shawn LahrLive Good Omaha, LLC1---
The Heritage at Legacy
IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Omaha (West Omaha)
135No 11 Studio / 1 Bed / 2 Bed10 57.8% A+Shelley Miller-8212
Broadwell Senior Living Kearney
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Kearney
90Yes 4 Studio / 1 Bed / 2 Bed---Twila Knaggs-----
AVIVA Woodlands
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Lincoln (Gable Pines Road)
107No 12 -- 79.4% -Candyce HaydenLincoln 9421 Opco, LLC82--
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Overview of Elk Ridge Village

Elk Ridge Village located in Douglas, NE, is a senior living community by Dial Senior Living, which offers independent living conveniences and amenities, as well as assisted living and memory care services. Their independent living option provides their residents with spacious accommodation options that feature big living areas, and comfortable bedrooms, as well as private bathrooms and kitchen.
Additionally they offer an incredible array of amenities aimed to provide its residents with a worry-free, maintenance free lifestyle. From chef prepared dining experiences, residents wouldn’t always need to worry about what to cook next. Transportation to medical appointments, shopping and outings, ensure the safety of the residents whether they are inside or outside the community. And bi-weekly housekeeping services ensure that the community is always clean, creating a safer environment for everyone.

Contact Elk Ridge Village

Overview of St. Joseph Tower Assisted Living

St. Joseph Tower assisted living proudly provides a home-like environment where its residents are treated like family. Residential living heeds a lifestyle of comfort. The community is where seniors thrive with everyday genuine support and care by the team of professionals.  The assisted living home promotes an environment that can enhance the quality of life for each resident in their new home.

St. Joseph Tower practices a person-centered approach, providing a reliable environment through maintenance-free services, housekeeping services, comfortable common spaces, and delicious dining experiences. They boast their highly trained care staff, spacious apartments, and a list of calendar-filled activities for an engaging and enriching experience during their stay.

What does this home offer?

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Room Sizes: 407 / 474 / 502 - 947 sq. ft

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Housing Options: 1 Bed

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Building Type: High-rise

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Contact St. Joseph Tower Assisted Living

Overview of Pathfinder Senior Living

Pathfinder Senior Living, situated in Fremont, Nebraska, is a truly distinctive community that exudes a charming rustic charm and possesses its own small-town personality, creating a uniquely peaceful atmosphere. The community offers convenient access to local amenities, including shopping and entertainment downtown, fostering a sense of comfort and ease. With a strong emphasis on culture, it’s an environment where highly trained personal care staff provide assistance and medication management, ensuring residents receive the support they need.

Safety is a top priority at Pathfinder, evident through the presence of an emergency response system and handicap accessibility. The community goes beyond basic services, offering delicious meals that elevate the daily experience for residents. Pathfinder is more than just a place to stay; it’s a pet-friendly haven with raised garden beds, an arts and crafts center, and various indoor and outdoor common areas. With options for short-term stays and resident parking, Pathfinder Senior Living caters to a diverse range of needs, making it a truly exceptional and engaging place for seniors.

What does this home offer?

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Pets Allowed

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Room Sizes: 278 / 338 / 381 sq. ft

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Housing Options: Studio / 1 Bed

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Building Type: Single-storey

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Contact Pathfinder Senior Living

Overview of Cottonwood Senior Living

Cottonwood Senior Living, nestled in Columbus, Nebraska, is more than a residence—it’s a welcoming home that defies the stereotypical nursing home atmosphere. Boasting accommodations that exude a warm and friendly ambiance, Cottonwood prioritizes round-the-clock support and a team of competent staff dedicated to ensuring residents’ well-being. The community’s programming reflects a vibrant culture, seamlessly woven into the fabric of a place that feels like home, where first-class finishes and elevated ceilings contribute to an overall sense of comfort.

At Cottonwood, excellence extends beyond physical spaces, encompassing a robust activity schedule that enhances residents’ engagement. The dining experience is a delightful journey, featuring flavorful and nutritious meals served in elegant common areas. Here, senior living reaches its finest, creating an environment where residents not only reside but thrive in a space that values both comfort and community.

What does this home offer?

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Minimum Age: 55 Years Old

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Room Sizes: 278 / 381 sq. ft

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Housing Options: Studio / 1 Bed

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Building Type: Single-story

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Contact Cottonwood Senior Living

Crown Pointe

2820 S 80Th St, Omaha, NE 68124
Overview of Crown Pointe

Ranked as one of the best assisted living communities in Omaha, Crown Pointe is an upscale community that provides amenities that promote fun and relaxation with a warm and welcoming environment. It is an independent living, assisted living, and memory care community where safety and security are their top priority so as to promote a hassle-free living environment. Residents can feel confident about choosing to live in an ideal place for them to build and expand their active social life.

Crown Pointe promotes a lifestyle centered on independence while still receiving the best possible care. Community features were thoughtfully designed by keeping in mind a lifestyle of independence: housekeeping and laundry services, maintenance, and scheduled transportation; as well as 24-hour staff, emergency call systems, and monitored community security. Management promotes a vibrant social life for their residents which is why they provide social, educational, and recreational programs that help create relationships. 

What does this home offer?

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Pets Allowed

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Room Sizes: 376-402 / 570-594 / 882-990 sq. ft.

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Housing Options: Studio / 1 Bed / 2 Bed

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Building Type: 3-story

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Transportation Services

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Contact Crown Pointe

Overview of Bailey Pointe on Van Dorn

Bailey Pointe on Van Dorn is a premier senior living community in Lincoln, Nebraska. With its focus on exceptional care, modern amenities, and a warm and welcoming atmosphere, Bailey Pointe offers seniors a comfortable and fulfilling retirement lifestyle. The community is renowned for its commitment to providing personalized care and creating a vibrant and engaging environment for residents to thrive.

At Bailey Pointe on Van Dorn, residents can choose from a variety of spacious and thoughtfully designed living options, including well-appointed apartments and cozy cottages. Each residence is equipped with modern amenities and features that provide comfort and convenience. The community offers a wide range of amenities and activities to cater to residents’ interests and preferences, including a fitness center, a theater room, beautifully landscaped outdoor spaces, and a variety of social and recreational programs. The compassionate and dedicated staff members are available 24/7 to provide personalized care, assistance with daily tasks, and medication management, ensuring residents’ needs are met with compassion and dignity.

What does this home offer?

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Pets Allowed

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Room Sizes: 425 / 538 / 765 sq. ft

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Housing Options: Studio / 1 Bed / 2 Bed

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Building Type: Two-story

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Contact Bailey Pointe on Van Dorn

Overview of The Waterford at Williamsburg Assisted Living

Settled in the neighborhood of Lincoln, NE, The Waterford at Williamsburg Assisted Living is a reliable senior living community that specializes in assisted living. The community provides a home-like atmosphere and environment surrounded by a team of carefully selected caregivers who are trained to offer comprehensive care and support with utmost respect and compassion. Residents are offered bright and spacious accommodations with various floor plans to choose from and weekly housekeeping and laundry services for a worry-free lifestyle.

Committed to the betterment of its residents quality of life, the community offers a multitude of life-enriching activities & programs and delicious meals and snacks throughout the day to help residents maintain an active and healthy lifestyle. Access to on-site physician services and home health & hospice partnerships are offered to ensure residents continue receiving the care they need even as their needs change, allowing them to successfully age in place. With its excellent care services, care team, and programs, this community makes an ideal place for seniors seeking a place to live a truly comfortable life.

What does this home offer?

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Building Type: Two-story

Contact The Waterford At Williamsburg Assisted Living

Overview of Southlake Village Rehabilitation & Care Center

Southlake Village Rehabilitation & Care Center is a Nursing Home at 9401 Andermatt Drive, Lincoln, Lancaster County, Nebraska. Administrated by David Bergmann and owned by Bergmann, David, the facility is a voluntary non-profit organization certified by the Centers for Medicare & Medicaid Services (CMS Certification Number 285219). Southlake Village Rehabilitation & Care Center provides a full range of senior care services, including short-term rehabilitation, skilled nursing, and memory care. The facility is committed to improving the health and well-being of seniors through specialized care and rehabilitation programs.

Southlake Village Rehabilitation & Care Center is an urban nursing home in Lincoln providing short-term rehabilitation, skilled nursing, and memory care services. The facility accepts Medicare, Medicaid, and private pay. Medicare admissions (71%) typically stay 1 month for short-term rehab. Private pay admissions (23%) typically stay 3-4 months. Medicaid admissions (6%) typically stay 1-2 years. Average length of stay is 78 days. Occupancy rate is 94.1%, ranked #17 out of 122 in Nebraska, significantly above the state average of 70.3%, indicating strong community demand and reputation.

The CMS Overall Rating of 5/5 stars significantly exceeds the Nebraska average of 2.8/5 stars. The Health Inspection Rating of 5/5 stars significantly exceeds the Nebraska average of 2.8/5 stars. The Staffing Rating of 5/5 stars significantly exceeds the Nebraska average of 3.1/5 stars. The Quality Measures Rating of 4/5 stars exceeds the Nebraska average of 2.7/5 stars. These CMS metrics represents top-tier performance. The Nebraska Department of Health and Human Services, Division of Public Health conducts regular inspections.

Staffing levels are exceptional. Total nursing hours reach 5 hours 10 minutes per day, ranked #19 out of 117 in Nebraska, 19% above the Nebraska average of 4 hours 20 minutes. This represents outstanding staffing depth. Registered Nurse hours total 36 minutes per day, 16% below the state average of 43 minutes. Licensed Practical Nurse hours total 54 minutes per day, 26% above the state average of 43 minutes. Certified Nursing Aide hours total 3 hours 10 minutes per day, 14% above the state average of 2 hours 46 minutes. Weekend nursing hours total 4 hours 16 minutes per day, 18% above the state average of 3 hours 37 minutes. Weekend Registered Nurse hours total 26 minutes per day, 10% below the state average of 29 minutes. Physical Therapist hours total 7 minutes per day, 133% above the state average of 3 minutes, representing a standout metric for rehabilitation support. Only 2 of 6 staffing metrics fall below state average, indicating strong overall performance.

Southlake Village Rehabilitation & Care Center operates as a voluntary non-profit community with annual revenue of $21.3 million, ranked #8 out of 120 in Nebraska. The facility reports a minimal operating deficit of $73.7 thousand, typical for non-profit organizations. Payroll comprises $8.6 million, ranked #5 out of 120 in Nebraska, representing top-tier investment in staffing at 40.3% of revenue.

Southlake Village Rehabilitation & Care Center is suited for seniors and families seeking exemplary skilled nursing care with strong rehabilitation support and memory care services.

Contact Southlake Village Rehabilitation & Care Center

Overview of Wel-life Assisted Living at Kearney

Wel-life At Kearney (Formerly Welcov Assisted Living at Kearney) is a senior living community that offers assisted living in Kearney, Nebraska. This community provides a warm and inviting environment where seniors can embrace their golden years with comfort and support. With a focus on assisted living, the community offers a range of amenities and services designed to enhance the quality of life for its senior residents.

From personalized care to engaging activities, Wel-life At Kearney is dedicated to creating a thriving and enriching living experience for older adults in the heart of Kearney, Nebraska.

What does this home offer?

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Pets Allowed

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Housing Options: Studio / 1 Bed / 2 Bed

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Transportation Services

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Fitness and Recreation

Contact Wel-Life Assisted Living at Kearney

Overview of Primrose Retirement Community of Grand Island

Resting gracefully in Nebraska, Primrose Retirement Community of Grand Island stands as a gem, offering a home for seniors navigating the journey of their golden years. Here, challenges are met with unwavering support. Within these welcoming walls, residents discover a vibrant home where a world of possibilities awaits. From private balconies and serene patios to beautifully manicured raised flower gardens, every space is designed to inspire. Therapy services stand ready to enhance well-being, while the proximity to doctor’s offices and a hospital ensures a sense of security.

The community’s bistro and wellness center beckon, complemented by scheduled transportation for convenience. A library, ice cream parlor, and chapel are among the many offerings that foster connections and cater to diverse interests. Notably, the emergency response system adds an extra layer of reassurance. At the heart of Primrose Retirement Community lies a commitment to providing exceptional assisted living for seniors and independent living services. The warmth and respect exuded by the staff create an environment where residents feel truly valued.

What does this home offer?

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Pets Allowed

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Room Sizes: 497 / 548 - 811 / 1,018 - 1,055 sq. ft

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Housing Options: Studio / 1 Bed / 2 Bed

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Contact Primrose Retirement Community of Grand Island

Weighting overview

  • 35%
    Resident Experience
  • 25%
    Regulatory
  • 15%
    Visual Media
  • 10%
    Website
  • 10%
    Stability
  • 5%
    Environment
01

Resident & Family Experience 35%

The single largest share of every ranking. Aggregated review sentiment and volume from major platforms — the closest signal to real resident experience.

  • Includes
  • Review Sentiment
  • Review Volume
02

Regulatory & Safety Record 25%

State inspection records, citations, and complaint visits. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • State Inspections
  • Citations/Inspection
  • % Inspections w/ Citations
  • Complaint Visits
  • Accreditations
  • BBB Rating
03

Visual Media & Transparency 15%

Communities that publish high-quality visuals give families a real preview. No photos or tours = a negative transparency signal.

  • Includes
  • Video Tours
  • Virtual Walkthroughs
  • Photo Quantity
  • Photo Quality
04

Website & Operator Transparency 10%

Site quality and whether the operator publishes basic accountability information — staff names, contact details, ownership.

  • Includes
  • Website Content
  • Mobile Usability
  • Staff Info Available
  • Owner Info Available
05

Community Stability 10%

Operational signals indicating whether a community is well-run and meeting demand.

  • Includes
  • Occupancy Rate
  • Bed Options
06

Environment & Pricing 5%

Walkability and pricing transparency. Walk Score is weighted higher for Independent Living than for Memory Care, where most residents do not leave unaccompanied.

  • Includes
  • Walk Score
  • Pricing Transparency
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Frequently Asked Questions about Assisted Living in Nebraska

What's the difference between assisted living and memory care in Nebraska?

Assisted living in Nebraska supports residents with daily activities (bathing, dressing, medication management) while preserving independence. Memory care is a specialized form of assisted living for residents living with Alzheimer's or dementia, and adds 24/7 secured environments, dementia-trained staff, and structured routines designed to reduce confusion and wandering.

What's the difference between assisted living and a nursing home in Nebraska?

Assisted living in Nebraska is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.

Does Nebraska Medicaid cover assisted living?

Nebraska Medicaid does not directly pay room-and-board for assisted living, but most states (including Nebraska) offer Home and Community-Based Services (HCBS) waivers that can offset the cost of care services delivered inside a licensed community. Eligibility, waitlists, and covered services vary — check directly with the state Medicaid agency.

What is assisted living?

Assisted living combines private or semi-private apartments with help on activities of daily living (meals, bathing, dressing, medication management) and a social calendar — for residents who need some support but do not need 24/7 medical care.

How many assisted living facilities are listed on this page?

This page features 41 assisted living facilities in Nebraska. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right assisted living facility in Nebraska?

Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Nebraska, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.

What should I look for when visiting assisted living facilities in Nebraska?

Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.