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Nebraska Assisted Living Facilities

Search Nebraska Assisted Living Communities by ZIP

Nebraska assisted living facilities are listed by city below. We recommend you search by ZIP code to include nearby facilities. However, you may choose a city to view all assisted living options in that area.


Cost of Nebraska Assisted Living Facilities

According to the 2015 Genworth Financial cost of care survey, the average cost of assisted living in Nebraska is $3,628 per month.

The monthly base rate for Nebraska assisted living is typically average when compared to neighboring states. Nebraska is also more expensive compared to the national average.

This cost is the base cost for a one-bedroom assisted living unit in Nebraska. Additional fees beyond the base rate may apply.

More info on Assisted Living Costs

Monthly Costs Compared to Neighboring States

South Dakota$3,023

Assisted Living Regulations

Nebraska defines an assisted living facility as an entity that provides food, shelter, and care for a fee for at least four people who need care because of their illness, age, and/or physical disability.

Nebraska Assisted Living Facilities Scope of Care

Nebraska assisted living facilities may provide a number of different services including, but not limited to: assistance with ADL's, supportive personal care, health maintenance activities, case management, assistance with shopping, beauty services, transportation, laundry and spiritual support. Additional services can be arranged through home health care and/or hospice as needed.

Nebraska Assisted Living Admission Requirements

A resident cannot be admitted to a Nebraska assisted living facility if he or she needs complex nursing care or if his or her condition is not stable, or might be a danger to himself or others. Potential residents must also have the capacity to understand what is happening.

Nebraska Assisted Living Care Plan Requirements

All new residents must have a thorough assessment completed and have a written service assessment negotiated with the facility and the resident, or the resident's legal representative. The agreement needs to contain very clear specific information about which services will be provided, by whom, how often and when, as well as conditions and terms for continued occupancy. The care plan needs to be changed as a resident's needs change.

Nebraska Assisted Living Medication Management Requirements

Medication is managed according to the service plan. For some residents, self-administration of medication is appropriate. For others, facility staff who are licensed health care professionals may administer medication. If medication aides are appropriately trained and monitored, then they may administer medication. An RN must review medication policies annually, and upon admission, residents must provide a list with dosage instructions of all medical devices, medications and supplements being used.

Nebraska Assisted Living Facility Requirements

Nebraska guidelines say that the facility must be designed, constructed and maintained in such a way that provides safety and cleanliness for residents. In older buildings, residents must have at least 80 square feet of living space per unit in a single, and 60 square feet of living space in a double. In newer buildings, private units must allow 100 square feet of space, while double units must offer 160 total square feet. One tub/shower must be available for every 16 residents in older homes, for every eight in newer facilities. Older facilities require one toilet per six beds, while new construction requires one toilet for every bedroom.

Nebraska Assisted Living Staffing Requirements

An administrator must operate the facility on a full-time basis, and must be 21 years old. All direct care staff must be trained by an RN to meet the physical and mental needs of all residents.

Nebraska Assisted Living Medicaid Policy

State supplemental payments for assisted living facilities may be available through the aged, blind, and disabled/Medicaid program. If residents qualify for Medicaid, they may be eligible for the state's aged and disabled home and community-based waiver.

Nebraska Alzheimer's Unit Requirements

Staff members who work in this unit must have adequate training to meet the needs of this population. Direct care staff must be sufficient in number to meet the needs of the residents, including an awake and dressed staff person present during the night.

Nebraska Medicaid Coverage of Assisted Living and Related Services

The State of Nebraska created the Aged and Disabled Medicaid Waiver to assist the elderly to remain living independently at home or in an assisted living residence. The purpose of the waiver is to help individuals avoid living in nursing home facilities; therefore assisted living is an included benefit.

The Aged and Disabled Waiver permits individuals to direct their care services and select their own care providers. The providers, managed by the care recipient, are paid by the state. The care recipient may choose to hire an adult child but spouses are not eligible to become paid caregivers.

The Nebraska Aged and Disabled Waiver offers the following services, if they qualify:

- Adult Day Care

- Assisted Living

- Assistive Technology for the Home and Vehicle

- Chore Services (laundry, housekeeping and shopping for essentials)

- Home Delivered, Hot and Prepared Meals

- Independence Skills Training

- In-Home Help

- Medical Transportation

- Nutrition Advice

- Personal Emergency Response Service

- Respite Care

- Services Coordination

- Training on Independent Skills

- Transportation for needed activities

How to apply - the Aged and Disabled Waiver in Nebraska has no geographical limitations but it accommodates a specific number of individuals. Depending upon the number of available slots, a waiting list may exist. Click here for more information and / or call the Nebraska Department of Health & Human Services at 1-800-358-8802.

To find your local Area Agency on Aging and to get more information on the Aged and Disabled Waiver, click here.

Office of Long Term Care Facilities, Licensure Unit, Division of Public Health, Nebraska Department of Health and Human Services Phone (402) 471-2133

Contact: Eve Lewis Phone (402) 471-3324


Web Site:

What is the best number to call to get started? 1-800-358-8802

Is there a website?

Nebraska Contacts

Office of Long Term Care Facilities, Licensure Unit, Division of Public Health, Nebraska Department of Health and Human Services

Phone: (402) 471-2133

Eve Lewis
Phone: (402) 471-3324

Much of the information above was adapted from the National Center of Assisted Living 2010 Regulatory Review.

License information source: Nebraska Department of Health and Human Services

Nebraska Assisted Living Facilities by City