Omaha Senior AdvisorWhat does senior care cost in the Omaha area?
CareScout's 2025 Nebraska medians are $6,350 a month for assisted living, $8,377 for a semi-private nursing home room, $6,864 for 44 hours a week of home care at $36/hour and $3,521 for five days a week of adult day health care; no Omaha-only or memory care median is published.
Last verified: October 2026| Care type (Nebraska, 2025) | Annual median | Monthly | Daily / hourly | U.S. annual median | State rank |
|---|---|---|---|---|---|
| Assisted living community (private one-bedroom) | $76,200 | $6,350 | $209 | $74,400 | 22 |
| Nursing home, semi-private room | $100,521 | $8,377 | $275 | $114,975 | 42 |
| Nursing home, private room | $110,595 | $9,216 | $303 | $129,575 | 41 |
| Home care, non-medical caregiver (44 hrs/week) | $82,368 | $6,864 | $36/hour | $80,080 | 23 |
| Adult day health care (5 days/week) | $42,250 | $3,521 | $162 | $24,700 | 8 |
| Private duty nurse (1 hr/week, 52 weeks) | $3,243 | $270 | $62/hour | $4,680 | 45 |
CareScout Cost of Care Survey 2025, Median Cost Data Tables and Ranked Median Costs by State (published March 2, 2026). CareScout publishes the annual, monthly, daily and hourly medians; rank is Nebraska's position among states from most to least expensive. CareScout collects rates by metro area (Omaha is one of its Nebraska survey areas) but its tables publish statewide medians only, and it does not survey memory care separately.
Who pays for senior care in Nebraska?
Most Omaha families pay privately at first; Medicare covers only short skilled stays, home health and hospice; Nebraska Medicaid pays for nursing home care and, through the Aged and Disabled Waiver, for care at home and assisted living services (room and board excluded); PACE covers everything for enrolled members; and VA Aid and Attendance helps eligible veterans and survivors.
The fact that surprises families most is the room-and-board gap: the waiver pays for the care in an ALF but not the rent and meals, so a resident's own income must cover those.
Where can Omaha families get free help with benefits?
The Eastern Nebraska Office on Aging's Information and Assistance line at (402) 444-6444 serves Douglas, Sarpy, Cass and Washington counties, Aging Partners at (402) 441-7070 serves Saunders County, and Nebraska Medicaid applications go through iServe or (855) 632-7633.
AD Waiver applications use their own line, (877) 667-6266.
Costs & Paying guides
What senior care costs in Omaha and Nebraska
CareScout's 2025 Nebraska medians: assisted living $6,350 a month, nursing home $8,377 semi-private, home care $36 an hour, adult day $3,521 a month. What is and is not published for Omaha.
Read →How the AD Waiver pays for assisted living in Omaha
Nebraska's Medicaid Aged and Disabled (AD) Waiver: eligibility, Supported Residential Living in certified assisted living facilities, the room-and-board gap, how to apply and ENOA services coordination in Omaha.
Read →How Nebraska Medicaid works for long-term care
Nebraska Medicaid long-term care rules for Omaha families: the $4,000 resource limit, the Medically Needy share of cost, the $75 personal needs allowance, spousal protections and the five-year look-back.
Read →PACE in Omaha: how Immanuel Pathways works
The Program of All-Inclusive Care for the Elderly (PACE) in the Omaha area: Immanuel Pathways' eligibility, service area, what it covers, costs and how it compares with the AD Waiver.
Read →What Medicare does and doesn't pay for
What Original Medicare and Medicare Advantage pay for Omaha seniors: skilled nursing after a hospital stay, home health, hospice, and why Medicare does not pay for assisted living or long-term custodial care.
Read →VA Aid and Attendance for Omaha veterans and spouses
VA pension with Aid and Attendance for Omaha and Bellevue veterans and surviving spouses: 2025-26 maximum rates, the net worth limit, how care costs reduce countable income, and the Eastern Nebraska Veterans' Home.
Read →Paying privately for senior care in Omaha
How Omaha families pay privately for assisted living, memory care and home care: savings and income, home sale or rental, long-term care insurance, life insurance options, and planning for a later Medicaid transition.
Read →Home care or assisted living: the math for Omaha
At $36 an hour, home care costs more than Nebraska's $6,350 assisted living median at about 41 hours a week. A table of weekly hours, monthly cost and how to compare them for an Omaha family.
Read →Free and low-cost help from ENOA and local programs
Eastern Nebraska Office on Aging programs for Douglas, Sarpy, Cass and Washington county seniors: Information and Assistance, care management, caregiver support, Meals on Wheels, in-home services and AD Waiver services coordination; Aging Partners for Saunders County.
Read →At a glance
| This section gives you | This section does not give you | |
|---|---|---|
| Prices | Nebraska's published 2025 medians | An Omaha or memory care figure that does not exist |
| Programs | How Medicaid, the AD Waiver, PACE, Medicare and VA pension work | An eligibility decision |
| Limits | Resource, income and spousal figures with dates | Legal or tax advice |
| Planning | Questions to ask and when to start | A substitute for an elder law attorney |
