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Other Senior care options in Fremont:

Best Nursing Homes in Fremont, NE

Reviewed by Dr. Jordan Weiss
Updated Apr 2026

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 Nursing Homes facilities in Fremont, Nebraska.

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

Compare Nursing Homes around Fremont The information below is reported by the Nebraska Department of Health and Human Services, Division of Public Health.

4 facilities compared · CMS & NE Dept. of Health data · Updated May 2026

Click column headers to sort
Nye Legacy
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.

Fremont (North Clarkson Street)
100
80.0%
Facility 80.0%
NE AVG 70.3%
Rank #50 / 122
+14%
4.55
Facility 4.55
NE AVG 4.45
Rank #44 / 117
-27%+2%
0
Facility 0
NE AVG 0.6
13
Facility 13
NE AVG 18.2
Rank #40 / 122
4.3
Facility 4.3
NE AVG 4.2
Rank #66 / 122
-
Facility -
NE AVG 0.7
86A+
26
Facility 26
NE AVG 40
Rank #28 / 39
-
$22.0M
Facility $22.0M
NE AVG $7.6M
Rank #6 / 120
$5.2M
Facility $5.2M
NE AVG $3.5M
Rank #14 / 120
23.7%
Facility 23.7%
NE AVG 49.4%
Rank #116 / 120
285278
Nye Legacy Health & Rehabilitation Center
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.

Fremont
100
93.0%
Facility 93.0%
NE AVG 70.3%
Rank #1 / 122
+32%
4.55
Facility 4.55
NE AVG 4.45
Rank #44 / 117
-27%+2%
0
Facility 0
NE AVG 0.6
13
Facility 13
NE AVG 18.2
Rank #40 / 122
4.3
Facility 4.3
NE AVG 4.2
Rank #66 / 122
-
Facility -
NE AVG 0.7
86-
87
Facility 87
NE AVG 40
-
$22.0M
Facility $22.0M
NE AVG $7.6M
Rank #6 / 120
$5.2M
Facility $5.2M
NE AVG $3.5M
Rank #14 / 120
23.7%
Facility 23.7%
NE AVG 49.4%
Rank #116 / 120
285278
Nye Pointe
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.

Fremont (Laverna Street)
43
100.0%
Facility 100.0%
NE AVG 70.3%
Rank #1 / 122
+42%
3.95
Facility 3.95
NE AVG 4.45
Rank #74 / 117
+39%-11%
0
Facility 0
NE AVG 0.6
8
Facility 8
NE AVG 18.2
Rank #17 / 122
2.7
Facility 2.7
NE AVG 4.2
Rank #20 / 122
-
Facility -
NE AVG 0.7
38A+
36
Facility 36
NE AVG 40
Rank #22 / 39
Peterson, Russell
$7.3M
Facility $7.3M
NE AVG $7.6M
Rank #48 / 120
$1.7M
Facility $1.7M
NE AVG $3.5M
Rank #100 / 120
23.5%
Facility 23.5%
NE AVG 49.4%
Rank #118 / 120
285235
Shiloh Center Adult Day Services-
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.

Fremont
70
-
Facility -
NE AVG 70.3%
-
-
Facility -
NE AVG 4.45
-----
0
Facility 0
NE AVG 0.6
-
Facility -
NE AVG 18.2
-
Facility -
NE AVG 4.2
-
Facility -
NE AVG 0.7
--
87
Facility 87
NE AVG 40
-
-
Facility -
NE AVG $7.6M
-
Facility -
NE AVG $3.5M
-
Facility -
NE AVG 49.4%
-
Memory Care Endorse
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 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 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 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

What government services provide money for senior housing?

Several government programs offer financial assistance for senior housing in various countries, focusing on the United States for a broad overview:

  • Medicaid: Medicaid is a state and federally funded program that can cover the costs of nursing home care for those who meet eligibility criteria, including income and asset limits. Some states also offer Medicaid waivers that help pay for home and community-based services to prevent or delay nursing home placement.
  • Medicare: Medicare, primarily a health insurance program for people aged 65 and over, does not cover long-term housing costs. However, it can cover short-term stays in a skilled nursing facility under specific conditions following a hospital stay.
  • Section 202 Supportive Housing for the Elderly Program: This program provides housing for low-income seniors. It offers rental assistance and access to supportive services, such as cleaning, cooking, and transportation.
  • Low-Income Housing Tax Credit (LIHTC) Properties: While not a direct subsidy, LIHTC encourages developers to create affordable housing. Seniors with low incomes can find reduced-rent apartments through this program.
  • State and Local Programs: Many states, counties, and cities offer their own programs to assist seniors with housing costs. These can include property tax relief programs, rental assistance programs, and programs that offer affordable senior housing options.
  • Veterans Affairs (VA): The VA offers several programs for veterans, including the Aid and Attendance benefit, which provides monthly payments to veterans who require the aid of another person, or are housebound, to help cover the cost of care in homes, nursing homes, and assisted living facilities.
  • Social Security: While Social Security primarily provides retirement income, for many seniors, these benefits are a crucial part of their budget, including housing costs.
How do you pick the homes you recommend?

Before recommending homes, we conduct a thorough evaluation on crucial factors that define a senior home such as the quality of care they provide, the reputation of the organization, and a comprehensive review of community testimonials as well. Every detail is assessed to assure that seniors are offered not just senior care options, but trustworthy homes where they can experience the care that they deserve.

Do you help families that need Medicaid?

Yes. Assisting families who need Medicaid is important to us as it plays a crucial role in offering financial support to seniors confronting economic challenges. We would like to keep essential healthcare services accessible to all community members, irrespective of one’s financial circumstances.

How much does this service cost?

We extend our services at no cost, ensuring that families and seniors can benefit from tailored assistance in their search for care and home options. Our ability to offer personalized guidance without charge to families and seniors is made possible through the support and funding from the communities with which we team up. 

What services do you offer?
  • Finding and ranking the best assisted living facilities
  • Finding and ranking the best nursing homes
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  • Our concierge service helps seniors move into the perfect home for them
  • Helping seniors use medicare, medicaid, and other government programs to pay for their homes
  • Helping seniors avoid senior homes that have bad service or fraud
  • Autobiography & Family History Writing + Research
  • Senior-focused concierge medicine
  • Senior-focused nutritionist
  • Senior-focused personal training
  • Memory care specialists
  • Custom wheelchairs at all price points.
  • Custom hearing aids
  • Cosmetic skincare + dermatology
  • Companionship: We offer in-person and virtual companionship services. Someone engaging to hang out with or talk to on video chat.
  • Senior housing concierge. Our service finds the best senior living options based on your needs, income, and personality.

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.