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Why trust this guide?
Our editorial team analyzed 139 nursing homes in NE using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in NE
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-ranked to lowest-ranked based on our 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 TableAL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
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.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative treatment.
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.
A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
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: 61.5% 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.
$8.6M*Fiscal year ending 08/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$4.3M*Fiscal year ending 08/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
50.4%*Fiscal year ending 08/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Rank badges are statewide and care-type specific: each nursing home is ranked against every other NE nursing home we track that reports that metric, not just the 139 on this page. See how we rank facilities
Arbor Care Centers-Countryside provides nursing home care, nursing care and skilled nursing in Madison, NE, along with hospice care and palliative care. Licensed nurses are on site around the clock for nursing home and skilled nursing services. Hospice and palliative care focus on comfort and symptom management. The community may be a good fit for a resident who needs skilled nursing after surgery or illness or comfort focused care through hospice or palliative services.
The home has 70 beds, with private and semi private rooms for residents who want a room to themselves or prefer to share. Rehabilitation services include outpatient therapy, rehabilitation after a hospital stay, IV therapy and care after surgery, supporting treatment needs following hospitalization, surgery or illness. Individual treatment plans and nutrition services, including support from a registered dietitian, address residents’ clinical and dietary needs.
A beauty salon provides salon services within the community, and transportation services are available. Medicaid, Medicare and private pay are accepted. Roger Bayliff serves as the administrator.
The Meadows at Ashland is a nursing home in Ashland, Nebraska, with 97 beds. Nursing home care provides ongoing nursing support and help with daily needs in a residential setting, making the home potentially suitable for someone who requires more support than independent living can provide. It may be a good fit for a loved one who needs that level of ongoing assistance.
Medicare, Medicaid, and private pay are accepted, giving families several listed ways to cover care. Medicare may apply to eligible short term skilled care after a hospital stay, while Medicaid may cover eligible long term care. Total nurse staffing is 4 hours and 48 minutes per resident per day, representing the daily hands on nursing time allocated to each resident, and Administrator Jeffrey Baker oversees the community.
Old Cheney Rehabilitation is a nursing home and skilled nursing facility in Lincoln, Nebraska. Licensed nursing support is available on site around the clock for residents who need ongoing medical care. Short term rehabilitation includes physical, occupational, and speech therapy, so the community may suit someone recovering from surgery, injury, or illness.
With 47 beds, Old Cheney Rehabilitation is a smaller community where staff and residents can get to know one another. Total nurse staffing is 5 hours and 11 minutes per resident each day, reflecting the daily nursing staff time allocated across residents. Payment options include Medicare, Medicaid, and private pay. Medicaid may help families whose savings may not cover a long stay, while Medicare applies to short term skilled care after a hospital stay rather than long term residence.
Private suites give each resident a single private living space. Meals are made fresh daily by an in house chef, with dining available in the resident’s room or dining room, along with special meals for people recovering from cardiac events or managing diabetes. An on site salon provides salon services within the community. Kylee Johnston serves as administrator, and Snf Lincoln Operating Company operates the community.
Imperial Manor Nursing Home is a nursing home in Imperial, Nebraska. Residents receive nursing care as part of daily life, without arranging a separate daily service. The home has 58 beds, a smaller size that may suit someone who prefers a smaller community. Medicare, Medicaid, and private pay are accepted, giving families those payment routes for care; total nurse staffing is 4 hours and 58 minutes per resident each day, representing the daily nurse time allocated per resident. Administrator Shane Filipi oversees the home, which is operated by City of Imperial.
Good Samaritan Society, St John’s provides nursing home care, skilled nursing, and respite care in Kearney, NE. Skilled nursing includes licensed nursing care on site around the clock, while respite care gives a resident a short stay when their usual caregiver needs to travel or recover. Respite care may be a good fit for a family caregiver who needs short term support.
The community has 56 beds, creating a smaller setting where staff and residents can get to know each other. Total nurse staffing is 3 hours and 40 minutes per resident per day, which represents the daily hands on nursing time assigned to each resident. Rehabilitation services support residents who need therapy as part of their care, and the Caregiver Support program serves people involved in a resident’s care.
Medicare, Medicaid, and private pay are accepted, giving families public coverage options or the ability to pay directly, depending on eligibility and their care arrangement. Administrator Jennifer Stauss oversees the community.
Emerald Nursing & Rehab Legacy Pointe in Omaha, NE, provides nursing home, hospice care, palliative care, and skilled nursing. Nursing home and skilled nursing include licensed nursing care on site around the clock. Hospice care focuses on comfort near the end of life, while palliative care addresses comfort and symptom needs during serious illness. The community may be a good fit for someone who needs short-term rehabilitation after surgery or ongoing nursing care, with hospice and palliative services also available.
Rehabilitation services cover post-surgical, orthopedic, cardiac, stroke, and respiratory recovery needs, so therapy can focus on the condition a resident is working to regain strength or function after. Alzheimer’s and dementia care is also available, along with IV medication, pain management, diabetes care, nutritional management, and palliative and hospice care. There are 108 beds in total.
Private rooms give each resident an individual room. Personalized menus allow meals to be tailored to individual needs or preferences, while patio areas offer outdoor space. Telehealth services mean some clinical visits or consultations can take place remotely.
Medicare, Medicaid, and private pay are accepted. Eligible residents can use public coverage options, while other families can fund care directly. Total nurse staffing is 3 hours and 25 minutes per resident per day, representing the daily nursing time allocated to each resident. Stephen Osborne serves as the administrator.
Emerald Columbus envisions Assisted Living as the ideal solution for those seeking support in daily living. The community maximizes residents’ independence by providing tailored assistance and engaging in daily activities. With a commitment to creating a home-like environment, Emerald Columbus organizes pet visits and recreational outings. In Emerald, residents maintain mobility and independence, receiving minimal attendant care or supervision.
At Emerald Columbus’ Assisted Living, residents experience a range of amenities and facilities designed to enhance their well-being. The community is staffed with professionally trained and compassionate personnel who provide 24-hour assisted care and continuous health monitoring. Residents enjoy daily life enrichment activities tailored to their interests, including regular outings. Essential services such as laundry, housekeeping, social and pastoral services, personal attendant care, and three delicious meals daily contribute to a comfortable and fulfilling lifestyle. Emerald Columbus ensures residents’ independence while fostering a supportive and enriching atmosphere.
Hillcrest Country Estates Cottages is a charming community located in Papillion, Nebraska. It proudly stands as the first and only freestanding nursing households in Omaha, offering 24-hour skilled nursing care services. Setting itself apart from traditional nursing homes, this exceptional establishment ensures its elders can relish a customized schedule, adding a touch of familiarity to their lives. The home has beautifully designed houses that exude an inviting atmosphere, shunning any institutional feel.
A registered dietitian is on hand to cater to residents’ nutritional needs, and meals are served family-style, fostering a warm dining experience that meets nursing home quality measures. Beyond that, an array of amenities awaits, from a well-stocked library and a convenient laundry room to a whirlpool bath suite and a hair salon. Residents can bask in the comfort of large living spaces, take leisurely strolls along walking paths, and unwind on comfortable patios, all thoughtfully designed to enhance their quality of life and ensure exceptional nursing home care.
Holdrege Memorial Homes provides skilled nursing and assisted living in Holdrege, Nebraska. Skilled nursing includes licensed nursing care on site around the clock. Assisted living helps with daily tasks such as dressing, bathing, and medication while allowing a resident to keep a private living space.
The community has 45 beds and also offers respite care and short term rehabilitation. Respite care can help when a caregiver travels or needs time to recover, while short term rehabilitation supports a resident working through a recovery period. Daily nurse staffing is 3 hours and 56 minutes per resident, representing the hands on nursing time allocated to each resident.
Medicare, Medicaid, and private pay are accepted, giving families public benefit and direct payment options for covering care. A doctor is on staff. Physical and occupational therapy are available on site, so residents can receive rehabilitation without arranging transportation to an outside provider.
An in house beauty shop provides grooming services on site, and the library gives residents a dedicated place to read. Chapel and church services are available for residents who wish to attend religious services within the community. Pets are allowed.
A Walk Score of 69 places the area in the somewhat walkable band. Some errands can be done on foot, so a resident who no longer drives may be able to reach select nearby errands independently. Holdrege Memorial Homes may be a good fit for residents who need skilled nursing, assistance with daily tasks, temporary respite support, or short term rehabilitation. Kevin Moriarty serves as administrator.
Plainview Manor provides nursing home, assisted living, respite care, and skilled nursing in Plainview, NE. Nursing home and skilled nursing include licensed nursing support on site around the clock. Assisted living helps with daily tasks such as bathing, dressing, and medication while residents maintain their own apartment, and respite care offers a short stay when a usual caregiver travels or needs time to recover.
With 39 beds, Plainview Manor is a smaller community where staff and residents get to know each other. Rehabilitation services include occupational, speech, and physical therapy, supporting daily activities, communication, and movement during recovery. Short term rehabilitation is available for residents who need temporary care rather than a permanent nursing home stay.
Medicare, Medicaid, and private pay are accepted. Medicare can apply to short term skilled care after a hospital stay, Medicaid can help when savings may not cover a long stay, and private pay means paying directly for care. The community is operated by City of Plainview and administered by Juleen Johnson.
A Walk Score of 52 places the area in the somewhat walkable band, so some errands can be done on foot. A resident who no longer drives may be able to complete some nearby errands independently. The combination of assisted living and skilled nursing can suit a resident whose care needs may grow over time, while respite care gives families a short term care option.
Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports. Rank badges compare each home against other nursing homes in the same state — never against assisted living, memory care, or independent living communities.
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
Frequently Asked Questions about Nursing Homes in Nebraska
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 139 nursing homes in Nebraska. Use the filters and comparison tools above to compare ratings, amenities, and pricing.
How do I choose the right nursing home 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 nursing homes 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.
If you move into a community through us, that community may pay us a referral fee. This never changes your cost or which options we recommend. Learn more
Nursing Homes in Nebraska at a glance
Avg Overall CMS Rating:2.9/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Nebraska. 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 Nebraska. 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:2.8/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Nebraska. 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
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