About Assisted Living in Nebraska

The state of Nebraska is ideal when comparing the cost of living to other states in the US - it’s significantly lower. This allows a fixed budget to stretch a little further, allowing room for occasional luxuries. Seniors can also enjoy homestead exemptions and tax-exempt VA benefits and Railroad retirement, if they apply.

What Options are Available for Assisted Living?

In the state of Nebraska, Assisted-Living Facilities (ALFs) provide 24-hour services due to age, illness, or physical disability to 4 or more people. A facility is required to disclose information about its practices to each applicant and his or her representative, including a description of services, staff availability, charges for all services provided, whether the ALF accepts residents eligible for Medicaid, circumstances requiring move-out, process for updating the resident services agreement, and if special care services are provided (residents with Alzheimer’s or other dementias.)

All facilities must comply with Nebraska state fire codes and standards as well as National Fire Protection Association standards regarding the use of smoke detectors, sprinklers, and evacuation requirements, including fire drills.

What are the Alzheimer’s Requirements for Assisted-Living Facilities in Nebraska?

Special care for residents with Alzheimer’s or other cognitive impairments must be in accordance with the resident service agreement, and a disclosure must be provided listing criteria for admission, discharge, transfer, resident conduct, and responsibly.

Senior Assisted Living Details and Costs for Cities in Nebraska

Found below are some of the larger cities in Nebraska. Each city details page provides details on senior care facilities, independent living, senior group homes, and Alzheimer's care. Details include amenities, services offered among other information.

What Training is Required for ALF Staff?

Direct care staff must complete an initial orientation as well as ongoing training.

Direct care for residents with Alzheimer’s or other cognitive impairments must be trained in providing care and supervision for persons with Alzheimer’s disease and the skills necessary to care for residents who are unable to perform ADLs, personal care, or health maintenance, or those who may wander or have behavior problems. All Special Care staff must complete at least 4 hours of continued education each year.

Is an Assessment Required Before Move-In?

Although a specific form is not required, each resident must be evaluated and a service agreement must be negotiated to determine the level of service required to meet the resident’s needs. The agreement must be reviewed and updated as the resident’s needs change.

What Care is Available in an Assisted-Living Facility?

  • Assistance with activities of daily living (ADLs).
  • Health maintenance activities.
  • Personal care.
  • Transportation.
  • Laundry.
  • Housekeeping.
  • Financial assistance/management.
  • Behavioral management.
  • Case management.
  • Shopping.
  • Beauty/barber services.
  • Spiritual services.

Residents may arrange for the services of a 3rd party licensed home health or hospice agency.

How is Medication Managed?about-assisted-living-(13)

Depending on the outcome of the assessment and the resident’s capabilities, medication may be self-administered by the resident with or without supervision. If it is determined that the resident’s medication should be administered, a licensed health care professional will oversee administration in accordance with professional standards by direct care or by directing and monitoring trained support staff.

The ALF must provide a registered nurse (RN) to review and document medication administration policies and procedures annually, as well as oversee the training of medication aides.

What are the Bathroom Requirements for an Assisted-Living Facility?

Bathing rooms consisting of a tub or shower must be adjacent to each bedroom or be located in a central bathing room and must be equipped with hand grips or other assistive devices needed by the resident. In existing facilities, at least 1 bathing facility must be provided for every 16 residents and 1 sink and toilet for every 6. In new facilities, there must be 1 bathtub or shower for every 8 residents, and 1 toilet and sink for every 4.

New construction requires 1 toilet room adjoined to each resident’s bedroom.

What are the Move-In or Move-Out Requirements?

ALFs can only admit residents whose needs can be met by the facility, and they may not admit or retain residents who:

  • Require complex nursing interventions.
  • Poses a danger to themselves or others.

The facility is required to provide a 30-day written notice except when the transfer or discharge is necessary to protect the health and safety of the resident, other resident, or staff.

Is an Assisted-Living Facility Covered by Medicaid in the State of Nebraska?

Supplemental payments may be available for those eligible for assistance, and additional services and payments may be available to those who qualify for Medicaid and meet the specified criteria.

Who can I contact for more information?

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