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Page 3 of Best Nursing Homes in Omaha, NE

Why trust this guide? Our editorial team analyzed 24 nursing homes in Omaha, NE using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in NE
Reviewed by
Jordan Weiss, PhD
Last updated
We analyzed These are the facilities in Omaha, NE our team has analyzed — not a count of every nursing home provider in Omaha, NE.
24 homes
Other senior care options in Omaha:
Assisted Living Memory Care Independent Living
Avg Overall CMS Rating: 2.6/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Omaha, NE. Ratings combine health inspections, staffing, and quality measures, with inspections weighted most. Individual facilities can vary widely from this average.
National Average: 3.2/ 5
Avg Staffing Rating: 3.3/ 5The average Staffing Rating across all CMS-certified nursing homes in Omaha, NE. Reflects nursing staff hours per resident per day (including RNs), adjusted for residents' care needs. Individual facilities can vary widely from this average.
National Average: 3.4/ 5
Avg Health Insp. Rating: 2.3/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Omaha, NE. Based on each facility's recent inspections and complaint investigations, weighing the number, scope, and severity of deficiencies. Individual facilities can vary widely from this average.
National Average: 3.0/ 5

Compare Nursing Homes around Omaha (Metro Area)

Info below is compiled from CMS reports & the NE Dept. of Health & Human Services (DHHS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Nebraska average is: 61.4% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Emerald Nursing & Rehab Omaha ★ ☆ ☆ ☆ ☆
NH
SNF
Omaha
155
Facility 155
NE AVG 81
Rank #20 / 225
42.1%
Facility 42.1%
NE AVG 73.3%
Rank #167 / 177
-43%
4.06
Facility 4.06
NE AVG 4.45
Rank #68 / 119
 ★ ☆ ☆ ☆ ☆ ★ ★ ☆ ☆ ☆ ★ ★ ★ ☆ ☆ -9%-9%
$87.4k
Facility $87.4k
NE AVG $38.1k
Rank #122 / 124
54
Facility 54
NE AVG 18.2
Rank #119 / 122
6.0
Facility 6.0
NE AVG 4.2
Rank #105 / 122
565-
27
Facility 27
NE AVG 47
Rank #225 / 285
Omaha Operations LLC
$7.5MFiscal year ending 12/2023
Facility $7.5MFiscal year ending 12/2023
NE AVG $7.6M
Rank #38 / 113
$4.4MFiscal year ending 12/2023
Facility $4.4MFiscal year ending 12/2023
NE AVG $4.5M
Rank #39 / 113
59.1%Fiscal year ending 12/2023
Facility 59.1%Fiscal year ending 12/2023
NE AVG 61.4%
Rank #72 / 113
285097

Rank badges are statewide: each community is ranked against every NE community we track that reports that metric, not just the 24 analyzed for Omaha.

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Aerial view of the assisted living facility and surrounding greenery
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Overview of Immanuel: Arboretum Village
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Immanuel: Arboretum Village is a faith-driven independent living community in Omaha, NE, that has spacious one- and two-bedroom apartments for older adults. The community’s home-like and welcoming environment fosters comfort and familiarity. Restaurant-style dining, salon services, and maintenance are also offered, dedicated to improving residents’ quality of life. Here, residents can age with dignity, especially with the community’s exceptional services and thoughtfully designed amenities.

Fitness programs, wood crafts, and social events provide residents with more opportunities to try new interests and stay active. A library, a heated underground parking, and a wellness center are among the state-of-the-art amenities dedicated to residents’ leisure and well-being. Residents also have convenient access to their healthcare needs and recreation, as Methodist Hospital, shops, restaurants, and bus stops are located nearby. This retirement community is a trusted choice for senior living in Nebraska, especially for those aiming to live independently in retirement.

Phone: (402) 704-3626

Contact Immanuel: Arboretum Village

Aerial view of the Immanuel Lakeside facility and surroundings
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Overview of Immanuel: Lakeside
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Immanuel: Lakeside is an upscale independent living community in Omaha, NE, that features beautiful one- and two-bedroom apartments. With its home-like atmosphere, older adults can keep their peace of mind during their stay. Housekeeping services, scheduled transportation, and restaurant-style dining are also provided, ensuring residents have a maintenance-free living. The community also strives to maintain residents’ independence, accompanied by its faith-driven commitment and exceptional services.

Wellness activities, social events, and interest clubs provide residents with various options for leisure and social interaction. Residents can also relax, surrounded by its thoughtfully curated amenities, including walking paths, raised garden beds, and an on-site lake. CHI Health Lakeside, restaurants, Lakeside Plaza, and public transportation are also available in the area, ensuring accessibility and convenience. As one of the finest options for senior living in Nebraska, this retirement community provides high-quality services for older adults to live comfortably in their later years.

Phone: (402) 704-4871

Contact Immanuel: Lakeside

Exterior view of Immanuel Village with landscaped grounds
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Overview of Immanuel Village
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Immanuel Village is a pet-friendly independent living and assisted living community in Omaha, NE, dedicated to providing older adults with maintenance-free living and personal care. The community ensures older adults feel at home, accompanied by its warm and welcoming environment. Restaurant-style dining, scheduled transportation, and assistance with daily living activities are also offered to enrich residents’ living experiences. The community also strives to ease challenges in retirement with paid utilities.

Card games, intergenerational activities, and outings are among the many programs that residents can participate in to explore new hobbies and make friends. A wellness center, a library, and a garden are also available, so residents can rest without hassles. CHI Health Immanuel Medical, fast-food chains, grocery stores, and other local amenities also surround the area, providing residents with easy access to their necessities and leisure. This retirement community has high-quality services and well-maintained amenities, making it one of the finest options for senior living in Nebraska.

Phone: (402) 378-9474

Contact Immanuel Village

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Overview of Astoria Senior Living
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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.

Phone: (402) 393-7313

Contact Astoria Senior Living

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Ranking Methodology

How we rank these nursing homes

Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.

  • CMS data
  • 5 weighted categories
  • Updated quarterly
Full methodology

Weighting overview

  • 35%
    Care Quality
  • 20%
    Staffing
  • 20%
    Regulatory
  • 20%
    Operational
  • 5%
    Environment
01

Care Quality 35%

The largest single share of every ranking. CMS star ratings and quality measures that reflect actual care delivered to residents.

  • Includes
  • Overall Rating
  • Health Inspection
  • QM Rating
  • Long-Stay QM
  • Short-Stay QM
02

Staffing Adequacy 20%

The strongest predictor of resident outcomes. Volume and stability of nursing care, drawn from CMS Payroll-Based Journal.

  • Includes
  • Nurse Hrs/Res/Day
  • RN vs State
  • Total Nurse Staff Hrs vs State
  • RN Turnover
03

Regulatory & Safety Record 20%

Inspection patterns that star ratings can mask. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • Citations
  • Citations/Inspection
  • Severe Citations
  • Fines
  • Accreditations
04

Operational & Financial Stability 20%

Stable operations and sound finances are leading indicators of consistent care over time.

  • Includes
  • Occupancy vs State
  • Avg Length of Stay
  • Revenue
  • Payroll %
  • Years in Operation
  • Admin Tenure
05

Environment & Accessibility 5%

Context that matters to families but doesn't directly measure clinical care. Weighted lower for nursing homes than for assisted or independent living.

  • Includes
  • Walk Score
  • BBB Rating
Full methodology →
No paid rankings Facilities cannot pay to influence placement.
Data source Centers for Medicare & Medicaid Services (CMS)
How we're paid: If we help you find a home and you move in, that home may pay us a referral fee. This never affects where they rank or what you pay. Learn more
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Omaha Nursing Home Facilities Overview

  • Avg payroll costs: $4,959,601.64 (Nebraska avg: $3,259,748.46)
  • Avg home costs: $6,455,724.45 (Nebraska avg: $3,947,179.51)
  • Avg occupancy: 70.72% (Nebraska avg: 70.67%)
  • Avg bed count: 116 (Nebraska avg: 82)
  • Avg home revenue: $12,598,046.82 (Nebraska avg: $7,444,145.58)

Community-level financial and occupancy data

  • EMERALD NURSING & REHAB OMAHA: 41.48% occupancy, 155 beds, $8,404,214.00 home revenue, $3,151,271.00 payroll costs, $4,414,053.00 home costs.
  • DELMAR GARDENS OF OMAHA: 84.51% occupancy, 184 beds, $20,536,797.00 home revenue, $8,360,801.00 payroll costs, $8,897,159.00 home costs.
  • EMERALD NURSING & REHAB LEGACY POINT: 58.43% occupancy, 108 beds, $5,003,933.00 home revenue, $2,198,147.00 payroll costs, $2,885,009.00 home costs.
  • GOOD HOPE HEALTHCARE INC.: 70.10% occupancy, 88 beds, $8,286,934.00 home revenue, $3,981,569.00 payroll costs, $4,211,985.00 home costs.
  • SOUTHSIDE HEALTHCARE INC.: 81.00% occupancy, 70 beds, $5,926,536.00 home revenue, $3,334,516.00 payroll costs, $2,425,146.00 home costs.
  • GOOD SAMARITAN SOCIETY MILLARD: 53.40% occupancy, 106 beds, $8,222,230.00 home revenue, $2,355,354.00 payroll costs, $3,903,347.00 home costs.
  • LEGACY POINTE REHABILITATION CENTER: 58.43% occupancy, 108 beds, $2,339,996.00 home revenue, $1,059,496.00 payroll costs, $1,019,938.00 home costs.
  • AZRIA HEALTH OF MONTCLAIR: 72.91% occupancy, 175 beds, $18,764,052.00 home revenue, $4,958,746.00 payroll costs, $12,655,379.00 home costs.
  • AZRIA HEALTH OF MIDTOWN: 79.02% occupancy, 54 beds, $5,815,462.00 home revenue, $2,415,867.00 payroll costs, $4,595,640.00 home costs.
  • FLORENCE HOME: 62.70% occupancy, 126 beds, $12,287,057.00 home revenue, $5,763,312.00 payroll costs, $7,453,651.00 home costs.
View Chart Data Table
MetricOmahaNebraska
Avg payroll costs$4,959,601.64$3,259,748.46
Avg home costs$6,455,724.45$3,947,179.51
Avg occupancy70.72%70.67%
Avg bed count11682
Avg home revenue$12,598,046.82$7,444,145.58
CommunityOccupancyBedsHome RevenuePayroll CostsHome CostsMedicareMedicaidPrivate Pay
EMERALD NURSING & REHAB OMAHA41.48%155$8,404,214.00$3,151,271.00$4,414,053.008.02%68.14%23.84%
DELMAR GARDENS OF OMAHA84.51%184$20,536,797.00$8,360,801.00$8,897,159.004.77%80.91%14.32%
EMERALD NURSING & REHAB LEGACY POINT58.43%108$5,003,933.00$2,198,147.00$2,885,009.004.46%75.84%19.70%
GOOD HOPE HEALTHCARE INC.70.10%88$8,286,934.00$3,981,569.00$4,211,985.0012.46%73.01%14.53%
SOUTHSIDE HEALTHCARE INC.81.00%70$5,926,536.00$3,334,516.00$2,425,146.0012.03%71.58%16.39%
GOOD SAMARITAN SOCIETY MILLARD53.40%106$8,222,230.00$2,355,354.00$3,903,347.003.49%54.38%42.13%
LEGACY POINTE REHABILITATION CENTER58.43%108$2,339,996.00$1,059,496.00$1,019,938.002.27%61.91%35.82%
AZRIA HEALTH OF MONTCLAIR72.91%175$18,764,052.00$4,958,746.00$12,655,379.004.17%79.30%16.53%
AZRIA HEALTH OF MIDTOWN79.02%54$5,815,462.00$2,415,867.00$4,595,640.0011.68%69.50%18.82%
FLORENCE HOME62.70%126$12,287,057.00$5,763,312.00$7,453,651.006.16%64.68%29.16%
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Frequently Asked Questions about Nursing Homes in Omaha, NE

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 nursing home care?

Yes — Nebraska Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.

What is nursing home care?

Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.

How many nursing homes are listed on this page?

This page features 24 nursing homes in Omaha, NE. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right nursing home in Omaha, NE?

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 Omaha, NE, 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 nursing homes in Omaha, NE?

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.

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