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Best Nursing Homes in Fremont, NE

Why trust this guide? Our editorial team analyzed 4 nursing homes in Fremont, NE using Centers for Medicare & Medicaid Services (CMS) data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in NE
Reviewed by
Last updated
May 2026
We analyzed
4 homes
Other senior care options in Fremont:
Avg Overall CMS Rating: 4.0/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Fremont, 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: 3.5/ 5The average Staffing Rating across all CMS-certified nursing homes in Fremont, 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: 4.0/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Fremont, 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 Fremont

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

2 facilities compared · CMS & NE Dept. of Health data

Nye Pointe
NH
HC
SNF
Fremont (Laverna Street)
43
Facility 43
NE AVG 82
Rank #192 / 228
100.0%
Facility 100.0%
NE AVG 70.3%
Rank #1 / 196
+42%
3.95
Facility 3.95
NE AVG 4.45
Rank #80 / 130
+25%-11%
$0
Facility $0
NE AVG $38.1k
Rank #1 / 135
8
Facility 8
NE AVG 18.2
Rank #19 / 135
2.7
Facility 2.7
NE AVG 4.2
Rank #22 / 135
-36A+
36
Facility 36
NE AVG 46
Rank #196 / 298
Russell Peterson
$5.1MFiscal year ending 12/2023
Facility $5.1MFiscal year ending 12/2023
NE AVG $7.6M
Rank #56 / 133
$2.2MFiscal year ending 12/2023
Facility $2.2MFiscal year ending 12/2023
NE AVG $3.5M
Rank #114 / 133
42.4%Fiscal year ending 12/2023
Facility 42.4%Fiscal year ending 12/2023
NE AVG 49.4%
Rank #129 / 133
285235
Nye Legacy Health & Rehabilitation Center
NH
HC
HOS
RC
SNF
Fremont
100
Facility 100
NE AVG 82
Rank #65 / 228
93.0%
Facility 93.0%
NE AVG 70.3%
Rank #1 / 196
+32%
4.55
Facility 4.55
NE AVG 4.45
Rank #49 / 130
-21%+2%
$0
Facility $0
NE AVG $38.1k
Rank #1 / 135
13
Facility 13
NE AVG 18.2
Rank #47 / 135
4.3
Facility 4.3
NE AVG 4.2
Rank #76 / 135
-80-
87
Facility 87
NE AVG 46
Rank #4 / 298
-
$12.8MFiscal year ending 12/2023
Facility $12.8MFiscal year ending 12/2023
NE AVG $7.6M
Rank #7 / 133
$6.6MFiscal year ending 12/2023
Facility $6.6MFiscal year ending 12/2023
NE AVG $3.5M
Rank #21 / 133
51.7%Fiscal year ending 12/2023
Facility 51.7%Fiscal year ending 12/2023
NE AVG 49.4%
Rank #127 / 133
285278
Overview of Nye Pointe

Nye Pointe, nestled in Fremont, Nebraska, offers short-stay rehabilitation, outpatient therapy, and skilled nursing care. Committed to a personalized approach and the highest standards of compassionate care, Nye Pointe ensures residents have peace of mind with around-the-clock care provided by a team of highly qualified healthcare professionals. The facility boasts Medicare-certified services and state-of-the-art rehabilitation, featuring comprehensive physical, occupational, and speech therapy. 

It extends its support to those seeking outpatient therapy, aiding in the recovery from work-related injuries, sports injuries, and more. Recognized with numerous awards, the caring team at Nye Pointe strives to create a nurturing environment for residents, providing amenities like whirlpool baths and access to a registered dietitian. The secured building with Wi-Fi and a wealth of daily social and recreational opportunities completes the picture, making Nye Pointe not just a place for skilled nursing care but a home where residents can thrive.

Contact Nye Pointe

Overview of Nye Legacy Health & Rehabilitation Center

Nye Legacy Health & Rehabilitation Center is a 100-bed nursing home at 3210 North Clarkson, Fremont, Dodge County, Nebraska, administered by Brooke Belina and owned by Fremont Care Center, Inc. The facility provides short-stay rehabilitation, outpatient therapy, traditional skilled care, aquatic therapy, and home health services, serving primarily Medicare short-term rehabilitation residents (68 percent of admissions) and private pay (31 percent). Average length of stay is 80 days.

Staffing exceeds state averages. Total adjusted nursing hours are 4 hours 33 minutes per resident per day, 5 percent above the Nebraska average of 4 hours 20 minutes and ranked 49th among 129 Nebraska nursing homes. CMS staffing rating is 5 of 5 stars, 1.9 points above the Nebraska average of 3.1. Occupancy reaches 93 percent with 93 residents in 100 beds, reflecting strong local demand. The facility generated $22.0 million in revenue but reported an operating loss of $677,700. Payroll costs are $5.2 million (23.7 percent of revenue), substantially below the 55-65 percent benchmark typical of well-operated facilities.

CMS ratings show stark divergence. Overall rating is 4 of 5 stars (1.2 points above Nebraska average of 2.8), with health inspection rating at 4 of 5 stars (1.2 points above state average). However, quality measures rating is 1 of 5 stars (1.7 points below Nebraska average of 2.7), indicating significant clinical outcome concerns. This gap between strong staffing metrics and poor quality measure performance merits careful scrutiny.

Inspection history details are not published. Federal penalty data is not reported for the facility. The facility’s operating loss despite high occupancy, combined with below-benchmark payroll percentage and the stark disconnect between staffing ratings and quality outcomes, suggests operational and clinical management challenges requiring direct examination before placement.

Families considering Nye Legacy should ask administrators directly about the quality measure rating discrepancy, and the operational status reflected in the annual loss.

Contact Nye Legacy Health & Rehabilitation Center

Overview of Nye Legacy

Situated in Fremont, Nebraska, Nye Legacy offers top-notch services, including short-term rehabilitation, outpatient therapy, skilled care, and aquatic therapy. With a dedicated team offering a personalized approach, residents experience exceptional care. The facility boasts Medicare-certified services and state-of-the-art rehabilitation, earning recognition through various awards and accolades. 

The highly qualified healthcare professionals, coupled with a cutting-edge 90° hydrotherapy pool, make Nye Legacy a haven for those with work-related injuries, providing a tailored home exercise program to aid recovery and alleviate pain. Achieving a healthy lifestyle is made possible with their around-the-clock care, ensuring residents have the support they need. Social activities abound, creating a vibrant and engaging environment where the Nye Legacy team truly makes a positive impact.

Contact Nye Legacy

Overview of Shiloh Center Adult Day Services

Shiloh Center Adult Day Services is a 70-bed adult day service at 437 Jefferson Road, Fremont, Dodge County, Nebraska, administered by Cyndi Whitten and operated by Shiloh Center, LLC. The facility is not a traditional nursing home but rather a specialized adult day service providing daytime programming, respite care, education, and support for adults and their caregivers. Operating hours are Monday through Friday, 8:00 a.m. to 5:00 p.m.

Shiloh Center operates a community-based daytime care model rather than residential care. Programs include adult day services, respite care for caregivers, education, and support services designed to enrich participants’ lives and support family caregivers. The facility serves individuals who reside in the community and require daytime supervision, activities, and engagement while enabling caregivers to maintain employment or manage their responsibilities.

The facility holds active adult day service licensure (license number ADS202202) under Nebraska Department of Health and Human Services. Like other adult day services, Shiloh Center is not subject to CMS inspection cycles, quality measure reporting, or federal nursing home regulations. No penalties have been imposed in the past three years according to CMS records.

Funding may be available through Nebraska Medicaid for eligible individuals. The Aged and Disabled Waiver covers adult day care services at approximately $60 per day for eligible residents 65 and older or those with disabilities. Services are designed for daytime participation with individuals maintaining community residence.

Shiloh Center Adult Day Services is appropriate for individuals requiring structured daytime programming, activities, and support in a community setting, and for family caregivers needing respite services to manage caregiving demands. The facility is not designed for individuals requiring 24-hour residential care, skilled nursing services, or overnight accommodation.

Individuals or families considering enrollment should clarify the program’s scope relative to housing, residential needs, and medical requirements.

Contact Shiloh Center Adult Day Services

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
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Frequently Asked Questions about Nursing Homes in Fremont, 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 4 nursing homes in Fremont, NE. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right nursing home in Fremont, 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 Fremont, 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 Fremont, 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.