Assisted Living in Nebraska

Get the insights you need to find the right city.

Families looking for assisted living in Nebraska (NE) have a wide array of communities to choose from, since estimated that there are more than 30,000 assisted living communities serving seniors across the U.S., and over 114 statewide. The state is also home to a rapidly growing number of senior citizens, with adults over 65 making up an estimated 15 percent of the population. A resident in an assisted living community in Nebraska will pay $3,844 per month on average.

Average Monthly Costs

States near Nebraska

$4,978.00 Kansas
$4,627.00 Wyoming
$4,370.00 Colorado
$4,203.00 Iowa
$4,200.00 Nebraska
$4,000.00 US
$3,107.00 Missouri
Genworth lists the average cost of a private, one bedroom unit in an assisted living community in Nebraska as $4,200. This places Nebraska on the higher end of the scale at about $200 over the national average, and about $0 lower than the median cost of assisted living in nearby states.

Compare Monthly Care Costs

When it comes to care options, assisted living is just one of several choices available to seniors. Some care options, like part-time in-home care or independent living, may cost less, while others like memory care or skilled nursing are likely to cost significantly more. Seniors can speak with their medical practitioners to receive guidance on what level of care will best suit their needs and abilities.

Nursing Home Care


In-Home Care


Assisted Living

Average Monthly Costs

Cities in Nebraska

$5,932.00 Lincoln
$4,682.00 Omaha, Council Bluffs
$3,540.00 Grand Island
$3,539.00 Rest Of State
When estimating the cost of assisted living, it's important to know that average prices can differ significantly between various parts of Nebraska. The most affordable region in Nebraska for assisted living is Rest of State at $3,539.

What You Should Know About Assisted Living in Nebraska

Nebraska defines assisted living facilities (ALFs) as facilities that provide regular care and that house residents who use the ALF staff for at least 25 percent of routine personal and professional services. Assisted living communities house a minimum of four residents, all of whom must be unrelated to the administrator or owner/operator, and provide shelter, food and care included but not limited to the activities of daily living (ADLs), personal care and other types of support.

Some ALFs offer specialized care for residents with dementia and other cognitive conditions. Those facilities must follow additional regulations as detailed by the Alzheimer’s Special Care Disclosure Act. For more information about these dedicated facilities, visit our Nebraska Memory Care page.

Financial Assistance for Assisted Living in Nebraska

Home and Community Services Aged & Disabled Waiver (ADW)

The Aged & Disabled Waiver is a Medicaid-sponsored subsidy that helps seniors with a range of essential services, such as plan and provider coordination, in-home help, caregiver relief, independence training and assisted living.

Who Is Eligible?

To be eligible for Medicaid’s Aged & Disabled Waiver, seniors must first be eligible for Medicaid. They must also be recommended for nursing home care but prefer an alternative, such as home care or assisted living, and be able to safely live in those environments.

How to Apply

To apply for the ADW, visit the Nebraska Department of Health & Human Services website or call (800) 358-8802.

More Ways to Finance Assisted Living

While many families use their own funds or personal assets to pay for assisted living, there are plenty of additional options to cover these costs. Visit our 9 Ways to Pay for Assisted Living page for more information.

Free Assisted Living Resources in Nebraska

Seniors and their loved ones looking for assistance during their assisted living search can find help from Nebraska’s numerous nonprofits and government-funded agencies. These organizations offer resources addressing everything from financing concerns to military benefits, making the path to long-term care as stress-free as possible.

Nebraska Association of Area Agencies on Aging (NAAAA)

The Nebraska Association of Area Agencies on Aging is a network of offices that offer resources and advocacy to the state’s older residents. The NAAAA takes its responsibilities, including social services and protection, very seriously, and their website has information that many seniors and their representatives find helpful.

For a list of services or to find the nearest office, visit the NAAAA’s website.

Aging Office of Western Nebraska

1517 Broadway, Suite 122, Scottsbluff, NE 69361
(308) 635-0851

Aging Partners

1005 O Street, Lincoln, NE 68508
(402) 441-7070

Blue Rivers Area Agency on Aging

103 Eastside Blvd, Beatrice, NE 68310
(402) 223-1376

Eastern Nebraska Office on Aging

4223 Center Street, Omaha, NE 68104
(402) 444-6536

Midland Area Agency on Aging

2727 West 2nd Street #440, Hastings, NE 68901
(402) 463-4565

Northeast Nebraska Area Agency on Aging

119 W Norfolk Avenue, Norfolk, NE 68701
(402) 370-3454

Nebraska Health & Human Services System

301 Centennial Mall South, Lincoln, NE 68509
(402) 471-2307

Omaha Tribe of Nebraska Title VI Program

PO Box 368, Macy, NE 68039
(402) 837-5639

Santee Sioux Tribe of Nebraska-Santee Nutrition Program

RR 2, Box 5112, Niobrara, NE 68760
(402) 857-2706

South Central Nebraska Area Agency on Aging

620 E. 25th Street, Ste 12, Kearney, NE 68847
(308) 234-1851

West Central Nebraska Area Agency on Aging

115 North Vine St., North Platte, NE 69101
(308) 535-8195

Winnebago Tribe of Nebraska-Senior Center

PO Box 687, Winnebago, NE 68071
(402) 878-2487

Assisted Living Laws and Regulations in Nebraska

Nebraska has a comprehensive set of rules in place that regulate operations in the state’s assisted living facilities. The following entries encompass some of the most important provisions and policies from the state code:

Assisted Living Service Plan Requirements

Upon admittance, each resident must receive an assessment and a corresponding service plan (a resident services agreement) that address which services will be provided, who will deliver those services, and how and when those services will take place. Service plans must be regularly updated to reflect any changes in the resident’s needs.

Assisted Living Admission Requirements

Admission to an ALF and ongoing retention is at the discretion of the facility’s administrator, who has a lot of leeway. However, that administrator’s decision must reflect the Assisted-Living Facility Act. Generally, applicants are expected to both need and want ongoing shelter, food and help with personal care and both medical and daily living activities.

Those who display violent or otherwise disruptive behavior are typically not admitted in an assisted living facility.

Assisted Living Scope of Care

Assisted living facilities in Nebraska are permitted to provide a wide range of services, including the following:

  • Help with personal care
  • Assistance with the activities of daily living
  • Health maintenance activities
  • Transportation
  • Laundry and housekeeping
  • Financial management
  • Case management
  • Behavioral management
  • Shopping
  • Spiritual services
  • Personal beauty and salon services

Assisted Living Medicaid Policy

Medicaid subsidies may be an option for low-income seniors in Nebraska looking for help paying for assisted living, but not all facilities accept these subsidies. To find out if a specific ALF accepts Medicaid programs such as SSI and the Aged & Disabled Waiver, ask them about their Medicaid policy.

Assisted Living Facility Requirements

Residential units in Nebraska's assisted living facilities may be either individual bedrooms or apartment style, but apartment-style accommodations are not required. ALFs who choose to offer apartments must ensure those units have a sleeping area as well as a kitchen area and private bathroom.

Other facility requirements depend on the age of the facility.

Facilities built before April 3, 2007, must have:

  • No more than four residents per unit
  • A toilet and sink for every six beds
  • At least one bathing area for every 16 residents

Facilities built after April 3, 2007, must have:

  • No more than two residents per unit
  • A toilet and sink for every four beds
  • At least one bathing area for every 8 residents
  • A toilet room attached to every bedroom

Medication Management Regulations

All medication policies at assisted living facilities in Nebraska must be overseen by a registered nurse (RN) who will review those policies, oversee aide/administration training and document findings on an annual basis at a minimum.

There are three ways assisted living residents can receive their medications:

  • Self-administration, with or without the supervision of on-site staff
  • Administered by a licensed health care professional
  • Administered by a trained, competent and professional directed medication aide

In general, medication administration in ALFs follows the Medication Aide Act and aides must be trained in the following:

  • How to handle, store and provide medications to residents
  • How to properly document medications
  • Directions for managers/supervisors monitoring medication aides
  • Directions for providing medications according to the needs of the existing resident population

Staffing Requirements

Each ALF must have an administrator tasked with not just overseeing operations but also ensuring that the proper planning and organization of service takes place. That administrator must also empower a second in command who can take over managerial duties if the administrator is absent from the facility.

Nebraska has no law detailing minimum staff-to-resident ratios. However ALFs must have sufficient staff on site to meet all resident needs. In addition, there must at all times be at least one staff who is on duty, awake and ready to assist residents.

Staff Training Requirements

All assisted living facility staff who have direct interactions with residents must complete an orientation upon hire as well as ongoing training that covers general job duties as well as topics specific to the needs of the current resident population. Continuing education must total at least 12 hours per year.

Within six months of assuming his or her position, every assisted living facility administrator must complete training to include 30 hours on the following topics:

  • Administration
  • Gerontology
  • General resident care and services
  • Social services
  • Financial management
  • Overarching rules and regulations pertaining to ALFs

Administrators must also commit to continuing education totaling at least 12 hours of training per year.

Administrators with an active nursing home or hospital administrator's license are exempt from both types of training detailed above.

Background Checks for ALR Staff in Nebraska

Every staff member who will have direct contact with residents must undergo a criminal background check and be run through the sex offender registry, the adult central registry for abuse and neglect, the child central registry of abuse and neglect and the nurse aide registry to determine suitability for employment.

Requirements for Reporting Abuse

Physicians, nurses, physician and nursing assistants, mental health professionals, human service professionals and AFL owners, operators and employees are just some of the individuals who are mandated by law to report suspected or witnessed elder abuse to the proper authorities. Anyone who suspects elder abuse should contact local law enforcement or call the elder abuse hotline at (800) 652-1999 with the following information:

  • Basic information on the vulnerable adult
  • Basic information on the caregiver
  • Details regarding the expected abuse
  • Any evidence of previous abuse
  • Any other pertinent information

Assisted Living Facilities in Nebraska



Top-Rated Caring Stars Winners in Nebraska’s Caring Stars award program recognizes the best assisted living facilities across the U.S. based on reviews from family caregivers and older adults. This award is meant to help older adults and their loved ones find the best assisted living or in-home care option in their area. The list below shows up to 10 listings that have won the most Caring Stars annual awards in their state, sorted by their current overall average rating. For a complete list of Caring Stars winners for each year, please visit our Caring Stars info center.


Elk Ridge Village Retirement Community

Elkhorn, NE Cost Levels

24 reviews


Brighton Gardens of Omaha

Omaha, NE $$$

25 reviews


Ridgewood Senior Living

Bennington, NE Cost Levels

6 reviews


Richmont Village

Bellevue, NE $$$

6 reviews


The Woodlands at Hillcrest

Lincoln, NE $$$

9 reviews


Heritage Pointe

Omaha, NE Cost Levels

6 reviews


The Windcrest on Van Dorn

Lincoln, NE $$$

15 reviews


The Waterford at Woodbridge

Plattsmouth, NE $$$

3 reviews