Omaha Senior AdvisorCass County runs south of the Platte River from Plattsmouth, the county seat, to Louisville, Weeping Water and Elmwood; about 27,657 people lived there in 2025.
It is one of the older counties in the region (21.1% of residents 65 or older, median age 43.2) and has no hospital on the DHHS hospital roster, so hospital care means Bellevue, Papillion, Omaha or Lincoln. The Nebraska Masonic Home in Plattsmouth is a long-standing campus.
How many seniors and licensed care options are in Cass County, Nebraska?
Cass County had about 5,836 residents 65 and older (21.1% of 27,657) and 541 aged 85 and older on July 1, 2025, and Nebraska's DHHS rosters list 3 licensed assisted-living facilities and 3 nursing homes there.
| Available in Cass County | Not available in Cass County | |
|---|---|---|
| Licensed or certified here | Assisted-living facilities: 3, Nursing homes: 3 | — |
| Not present here | — | Home health agencies, Hospices, Adult day services |
| Memory care on the roster | 1 building | — |
| Medicaid waiver ALFs | 2 | — |
Population: U.S. Census Bureau, Vintage 2025 county population estimates by age (July 1, 2025).
Which senior care facilities are licensed in Cass County?
Every licensed assisted-living facility and nursing home in Cass County on the DHHS rosters of October 15, 2026 is listed below, with beds, memory care designations and Medicaid waiver status.
| Facility | Type | Licensed beds | Memory care (DHHS roster) | Medicaid AD Waiver certified | City |
|---|---|---|---|---|---|
| Bailey Pointe of Plattsmouth 1913 Old Hwy 34 East, 68048 | ALF | 45 | — | Yes | Plattsmouth |
| Nye Summit 410 West 5th Street, 68037 | ALF | 26 | — | Yes | Louisville |
| The Nebraska Masonic Home 1300 Avenue D, 68048 | ALF | 52 | — | No | Plattsmouth |
| Nye Summit 410 West 5th Street, 68037 | NH | 61 | — | No | Louisville |
| Prestige Care Center of Plattsmouth 602 South 18th Street, 68048 | NH | 111 | — | No | Plattsmouth |
| The Nebraska Masonic Home 1300 Avenue D, 68048 | NH | 72 | Alzheimer's/special care unit | No | Plattsmouth |
Who helps seniors and caregivers in Cass County, NE?
Cass County is served by the Eastern Nebraska Office on Aging (ENOA), the Area Agency on Aging for Douglas, Sarpy, Dodge, Cass and Washington counties, whose Information and Assistance line is (402) 444-6444.
Licensing complaints go to the DHHS Licensure Unit at (402) 471-0316; suspected abuse goes to Adult Protective Services at (800) 652-1999; and the Long-Term Care Ombudsman at (800) 942-7830 advocates for nursing home and assisted living residents. Immanuel Pathways, the PACE program, serves select ZIP codes in the county; call (402) 512-6199 to check an address.
Which hospitals are closest to Plattsmouth, NE?
From Plattsmouth, the county seat, the closest hospital on the DHHS hospital roster is Nebraska Medicine - Bellevue Medical Center, about 8.2 miles away in a straight line, and downtown Omaha is about 19 miles away.
The next closest hospitals are CHI Health Midlands (about 11 miles) and Nebraska Medicine - Nebraska Medical Center (about 18 miles). Distances are between ZIP-code centroids, not driving routes.
