Page 6 of Best Nursing Homes in Nebraska

A 58-bed nursing home in Imperial, Nebraska, owned by the City of Imperial on Grant Street, is Imperial Manor Nursing Home. It takes Medicare, Medicaid, and private pay, providing an array of payment options for families. The community typically operates at 66 percent occupancy, with residents staying 297 days on average.

Daily care is backed by a total nursing staff averaging 3 hours 42 minutes per resident day. This includes registered nurses providing 32 minutes of care daily, nurse aides at 2 hours 42 minutes, and LPN/LVN staff at 32 minutes each day. That level of staffing bolsters the attentive support occupants need all the time. The Imperial location offers moderate walkability with a Walk Score of 56, so residents and visiting families can run some errands on foot, though most trips demand a car. The surrounding area provides a small-town setting with good access to nearby services and amenities.

State inspection records show the facility’s latest licensure renewal confirmed compliance with statutory requirements and found no deficiencies or violations.

To families thinking of care options in Imperial, the home is available.

Overview of Tiffany Square

Tiffany Square is a 103-bed Nursing Home at 3119 West Faidley Avenue, Grand Island, Hall County, Nebraska. Administrated by STEPHANIE OLSON and owned by Fruehling, Richard, the facility is a voluntary non-profit organization certified by the Centers for Medicare & Medicaid Services (CMS Certification Number 285087). Tiffany Square is a skilled nursing and rehabilitation facility located in Grand Island, Nebraska. It provides comprehensive skilled nursing and rehabilitation services, certified with both Medicaid and Medicare. The facility emphasizes a warm and nurturing environment, reflecting its mission of dignity in life.

Tiffany Square is a mid-sized urban nursing home in Grand Island providing skilled nursing and rehabilitation services. The facility serves mostly short-term rehab residents who typically stay for a few weeks or months before returning home or moving on. Medicare admissions (40%) typically stay 1-2 months for short-term rehab. Private pay admissions (37%) typically stay 3-4 months. Medicaid admissions (23%) typically stay 7-8 months. Average length of stay is 106 days. Occupancy rate is 72.4%, ranked #76 out of 134 in Nebraska, slightly above the state average of 70.3%.

The CMS Overall Rating of 3/5 stars is at or slightly above the Nebraska average of 2.8/5 stars. The Health Inspection Rating of 3/5 stars is at or slightly above the Nebraska average of 2.8/5 stars. The Staffing Rating of 4/5 stars exceeds the Nebraska average of 3.1/5 stars. The Quality Measures Rating of 2/5 stars falls below the Nebraska average of 2.7/5 stars, indicating potential care delivery concerns.

Staffing levels are near-average with notable disparities between positions. Total nursing hours reach 4 hours 17 minutes per day, ranked #63 out of 129 in Nebraska, 1% below the Nebraska average of 4 hours 20 minutes. Registered Nurse hours total 39 minutes per day, 9% below the state average of 43 minutes. Licensed Practical Nurse hours total 32 minutes per day, 26% below the state average of 43 minutes, representing a significant gap. Certified Nursing Aide hours total 3 hours 24 minutes per day, 23% above the state average of 2 hours 46 minutes, representing strong CNA presence. Weekend nursing hours total 3 hours 38 minutes per day, at the state average of 3 hours 37 minutes. Weekend Registered Nurse hours total 19 minutes per day, 34% below the state average of 29 minutes, significantly below average. Physical Therapist hours are at state average (3 minutes per day). Three of six staffing metrics fall below state average.

Tiffany Square operates as a voluntary non-profit community with annual revenue of $10.6 million, ranked #34 out of 132 in Nebraska. The facility reports an operating surplus of $901.5 thousand, indicating strong financial performance. Payroll comprises $4.4 million, ranked #33 out of 132 in Nebraska, representing 41.4% of revenue, below the typical SNF range of 55–65%.

Families considering Tiffany Square should ask about the below-average Quality Measures rating (2/5), and protocols for clinical oversight with limited LPN and RN coverage before placement.

Overview of Good Samaritan Society – St John’s

Good Samaritan Society – St John’s is a 56-bed nonprofit skilled nursing facility in Kearney, Nebraska, offering long-term care, short-term rehabilitation, memory care, and respite care. The facility operates under the Good Samaritan Society. It accepts Medicare, Medicaid, and private pay.

CMS rates the facility at 1 star overall, with Health Inspection and Quality Measures scores each running well below Nebraska averages. Staffing is the comparatively stronger sub-category, though nurse staffing averages 3 hours and 34 minutes per resident per day, about 18% below the Nebraska average of 4 hours and 20 minutes.

The inspection record spans 9 surveys from 2011 through 2022, with 89 total deficiencies — 136% above the Nebraska average. The facility received a 90-day probation in 2012 for failing to prevent accidents that caused injuries.

Substantiated complaint findings through 2018 involved fall prevention, medication errors, and delayed incident reporting. The trajectory has since improved: the most recent standard survey with deficiencies was April 2018, and the March 2022 renewal inspection reported none. No fines or license suspensions appear in the available reports.

The facility also offers a caregiver support program. At 82% occupancy — above the Nebraska average of 70% — current availability is limited.

Good Samaritan Society – St John’s suits residents and families seeking skilled nursing and post-acute rehabilitation in Kearney who are aware of the facility’s historical compliance record and are oriented toward its recent period of improved inspection performance.

Arbor Care Centers-Countryside is a 70-bed skilled nursing facility in Madison, Nebraska, offering long-term care, post-acute rehabilitation, and memory care through a 17-bed Alzheimer’s Special Care Unit, privately owned and operated by Arbor Care Centers-Countryside under Joseph Kezzar. It accepts both Medicare and Medicaid.

The facility’s 2-star CMS rating is mainly due to staffing levels. Nurse staffing averages 68.2% below the Nebraska average, the defining figure in the overall rating. Health inspection and quality measure performance are above the state average, which narrows but does not close the gap.

Over 11 years of inspection history, the facility averaged 4.1 deficiencies per year — close to Nebraska’s average of 4.2. There have been no deficiencies cited during renewal inspections since 2019, a consistent record of compliance.

Earlier years carried citations for life safety code issues, infection control, and fall prevention. A 2018 complaint investigation substantiated findings in fall evaluation, infection control, and motorized equipment competency; more recent complaint investigations have been unsubstantiated. No fines or enforcement actions appear in the record.

With an occupancy rate of 94% compared with the state’s average of 70.3%, the facility operates near capacity. Services include post-acute rehabilitation, IV therapy, fall prevention programming, outpatient therapy, and on-site registered dietitian support. Private and semi-private rooms are also available.

The facility is for residents seeking long-term skilled nursing care or short-term post-acute rehabilitation in a small-city Nebraska setting, with a dedicated memory care unit suited for individuals in earlier to mid-stage Alzheimer’s or dementia.

Owned by the City of Deshler, Parkview Haven Nursing Home is a small skilled nursing facility in Deshler, Nebraska. It provides nursing care to 49 residents in a rural Midwestern community. Most stay an average of 472 days, including those in short-term rehabilitation and longer-term care. The facility accepts Medicaid, Medicare, and private pay, giving families multiple ways to cover care costs. Its current occupancy is 57%.

The home has 24-hour staffing and provides consistent daily care. Total nurse staffing averages 4 hours and 7 minutes per resident each day. Registered nurses, nurse aides, and licensed practical nurses work together to deliver hands-on care. The nursing team provides coverage throughout the day and night, which is essential for a population with complex medical needs.

The surrounding neighborhood has a Walk Score of 35. Most errands and visits require a car. The rural setting may be ideal for residents and families who value a quieter, less congested environment and those with reliable transportation for medical appointments or social visits.

State inspections examined the home’s practices in resident safety protocols, care documentation, and infection control. Families considering the home should ask how these areas are managed and what quality-assurance measures are in place to support safe care.

Parkview Haven’s small size and public ownership by the City of Deshler set it apart in the landscape of nursing homes, which are mostly private or corporate operations. Families seeking a community-based option in a rural area should take a tour to clarify what services and daily routines the home offers.

Overview of Continental Springs

Under Tammy Jo Palmersheim’s ownership, Continental Springs is a 77-bed nursing home in South Sioux City, Nebraska. It’s situated on G Street with a Walk Score of 73, so most errands are easily walkable, with the neighborhood reachable to visiting family. Medicaid, Medicare, and private pay are welcome, giving families numerous ways to afford care.

Continental Springs specializes in rehabilitation and respite services, with 24-hour staffing to support residents’ daily needs. Total nursing care averages 3 hours 50 minutes per resident day, with registered nurses providing 36 minutes of that care. More support comes from nurse aides offering 2 hours 38 minutes per resident daily, with licensed practical nurses contributing 21 minutes each day. This staffing model provides consistent hands-on care for residents convalescing from illness or injury, plus those staying longer term. The average stay length is 308 days, indicating a blend of short-term rehabilitation admissions and longer-term residents. With 47 residents in its 77 licensed beds, the facility currently operates at 61 percent occupancy. Dining is centered around home-cooked meals served in the social center, a focal point of daily life. Daily amenities span personal laundry service, scheduled transportation to local destinations, and housekeeping support. Such services are tailored to ease life’s practical and social aspects for occupants and visiting families.

The facility’s inspection history spans 15 years of data. A recent inspection confirmed the home complies with no deficiencies. Earlier surveys had raised some concerns regarding environmental cleanliness, resident dignity, fire safety, and emergency preparedness, though a subsequent complaint investigation found the specific allegation unsubstantiated, and the facility complied on that matter. Families touring the community can inquire how these areas are handled every day.

Emerald Nursing & Rehab Legacy Pointe is a 108-bed Nursing Home at 3110 Scott Circle, Omaha, Douglas County, Nebraska. Administrated by Stephen Osborne and owned by Emerald Nursing & Rehab Legacy Pointe, the facility is newly licensed. Emerald Nursing & Rehab Legacy Pointe is committed to developing the physical and emotional potential of residents with spacious private rooms, gourmet dining with personalized menus, beautiful patio areas, and telehealth services. Programs include physical, occupational, and speech therapy with specialization in post-surgical and orthopedic rehabilitation and cardiac care.

Emerald serves short-term rehabilitation and post-acute care. Occupancy is 56 percent, significantly below the Nebraska state average of 70.3 percent, with 60 of 108 beds occupied. Low occupancy is expected for newly licensed facilities but indicates slower ramp-up.

CMS quality rating data is not prominently displayed. Overall, Health Inspection, Staffing, and Quality Measures ratings are not clearly presented. This is a newly licensed facility without established rating history.

The Nebraska Department of Health and Human Services, Division of Public Health conducted original licensing inspection on June 16, 2025. This is a brand-new facility with no prior compliance history. The original licensing inspection documented 119 deficiencies versus the Nebraska average of 52, significantly above average for a new facility. The inspection resulted in issuance of a new license. The high deficiency count at initial licensing indicates substantial compliance gaps and operational issues at startup.

Staffing is below average across most categories. Registered Nurse hours total 32 minutes per day, 26 percent below the state average of 43 minutes. Licensed Practical Nurse hours total 34 minutes per day, 21 percent below the state average of 43 minutes. Certified Nursing Aide hours total 2 hours 23 minutes per day, 14 percent below the state average of 2 hours 46 minutes. Weekend nursing totals 3 hours 1 minute per day, 17 percent below the state average of 3 hours 37 minutes. Weekend Registered Nurse hours total 24 minutes per day, 17 percent below the state average of 29 minutes. Physical Therapist hours total 3 minutes per day, at the state average. Staffing shows consistent below-average coverage across RN, LPN, and CNA categories.

Emerald Nursing & Rehab Legacy Pointe operates as a for-profit community. Revenue, profitability, and payroll details are not disclosed. The 108-bed size represents a large facility.

Families considering Emerald Nursing & Rehab Legacy Pointe should request detailed information about the 119 deficiencies identified at original licensing before placement.

Located in the rural community of Wauneta, Nebraska, Wauneta Care and Therapy Center is a skilled nursing facility owned and operated by the Village of Wauneta. The 36-bed home serves residents recovering from hospitalization or surgery, as well as those needing ongoing skilled care and rehabilitation. The facility has an occupancy rate of 78%. Residents stay for an average of nearly two years, reflecting a stable population of longer-term residents.

The facility focuses on rehabilitation and therapy. It offers both inpatient and outpatient services to support recovery from acute events. Daily nurse staffing averages about 4 hours per resident. There is a registered nurse on duty for 36 minutes per day, and nursing aides provide 3 hours and 6 minutes of direct care. With these combined, staff can provide hands-on assistance residents need with activities of daily living and medical oversight.

The facility accepts Medicare, Medicaid, and private pay, ensuring multiple ways for families to cover care. When it comes to dining, residents are served three meals daily, including a choice of entrée, and snacks are available throughout the day. The home has a certified dietitian on-site to oversee nutritional care.

Residents have a full activity schedule run by a full-time certified director, alongside religious services, family and resident councils, and a patient education program. Private and semiprivate rooms have private bathrooms, bedside call lights, and access to wireless internet and telephone service. A beauty salon and barber shop are also available on site. Residents who need space can go to the landscaped grounds and courtyards.

Located in a rural setting with a Walk Score of 18, the neighborhood is car-dependent, which is common in small towns in Nebraska.

In recent years, state inspections have examined infection control practices, care planning documentation, staffing credentials, and environmental safety standards. The facility’s residential setting and longer resident stays mean many people live here for extended periods rather than coming only for short-term rehabilitation.

Overview of Park View Haven Nursing Home

Park View Haven Nursing Home is a 34-bed nursing home at 309 North Madison Street, Coleridge, Cedar County, Nebraska, administered by Nancy Mosel and owned by Village Trustees of Coleridge. The facility provides skilled nursing care for residents requiring nursing services.

Staffing shows mixed performance. Registered nurses provide 53 minutes per resident per day, 23 percent above the Nebraska average of 43 minutes. Licensed practical nurses deliver 33 minutes per day, 23 percent below the state average of 43 minutes. Nurse aides work 2 hours 41 minutes per day, 3 percent below the Nebraska average of 2 hours 46 minutes. Weekend total nursing hours reach 3 hours 29 minutes per day, 4 percent below the state average of 3 hours 37 minutes. Physical therapy is minimal at 1 minute per resident per day, 67 percent below the state average of 3 minutes. Occupancy runs at 88 percent with 30 residents in 34 beds, above the Nebraska state average of 70.3 percent.

Park View Haven’s inspection record documents serious and persistent compliance failures. The Nebraska Department of Health and Human Services, Division of Public Health, conducted 15 visits and inspections. The most recent inspection on January 28, 2025, found deficiencies related to failure to develop and implement fall prevention interventions, resulting in a 90-day probation period beginning February 21, 2025. Earlier inspections documented ongoing patterns of resident safety issues, fall prevention failures, care planning inadequacies, medication management problems, and fire safety violations. Complaint investigations substantiated failures to protect residents from injury and abuse, including inadequate supervision and unsafe transfers. The facility was placed on probation in 2017 and again in 2025, demonstrating recurring compliance failures across multiple years. No fines or license revocations appear in available records.

The current probation status, combined with the documented pattern of fall-related deficiencies and substantiated complaints involving resident supervision and safety, represents material regulatory and clinical concerns.

Families considering Park View Haven should request details about fall prevention protocols, and corrective actions implemented following the January 2025 inspection before any placement decision.

Mid-Nebraska Lutheran Home is a 45-bed nursing home owned and operated by the Mid-Nebraska Lutheran Home Association in Newman Grove, Nebraska. The facility accommodates several billing structures by accepting Medicare, Medicaid, and private pay. For visitors, the surrounding small-town layout is car-dependent with a walkability score of 28 out of 100, meaning family members will generally need a personal vehicle to travel to the property or handle nearby errands.

Stays here average about 463 days, demonstrating an operational focus heavily centered on permanent or extended nursing care rather than brief rehabilitation stints. The community handles these daily needs at a 64 percent occupancy level, meaning about 29 beds are occupied. To cover daily clinical treatments, around-the-clock staffing provides 4 hours and 44 minutes of total nursing care per resident each day, utilizing a combined team of registered nurses, licensed practical nurses, and nurse aides who manage physical therapy tracks and general medical support.

State oversight logs note historical inspection reviews that have focused on fall prevention, pain management, and building equipment codes. Subsequent evaluation reports confirm that the property adjusted its operational protocols to lower these tracking counts over time, and the center maintains an overall cumulative citations-per-inspection rate of zero.

Interested individuals can expect a quiet residential setting that balances core clinical oversight with organized group activities and basic social services. The kitchen plans daily meals tailored to standard nutritional guidelines, which are served in a communal dining space.