Omaha Senior AdvisorHillcrest Highlands of Gretna is a 60-bed assisted-living facility at 10890 S 208th St in Gretna, Sarpy County, holding Nebraska DHHS license ALF453, which runs through April 30, 2027, and the roster shows it listed with an Alzheimer's unit.
What does Nebraska's license roster show for Hillcrest Highlands of Gretna?
Hillcrest Highlands of Gretna appears on Nebraska's current assisted living roster as ALF453, 60 beds, which makes it the same size as the middle of the local roster (60 beds).
| Record | Value |
|---|---|
| License | ALF453 (Nebraska DHHS Licensure Unit), assisted-living facility |
| License term | Expires April 30, 2027 (all Nebraska ALF licenses expire April 30) |
| Licensed beds | 60 |
| Licensee (as listed) | Hillcrest Highlands of Gretna, LLC |
| Administrator (as listed) | Samantha Niemoth |
| Medicaid AD Waiver certified | No |
| Alzheimer's unit | Yes |
| Memory care endorsement | No |
| Complex nursing interventions | Not listed |
| Roster date | October 15, 2026 |
The roster names the licensee as Hillcrest Highlands of Gretna, LLC, a limited liability company. A license covers one licensee at one location and ends automatically on a change of ownership, so a new name in that field means a new license.
What memory care designations does Hillcrest Highlands of Gretna hold?
The DHHS roster lists Hillcrest Highlands of Gretna with an Alzheimer's unit but no memory care endorsement, which means it represents itself to the state as specializing in care for residents with Alzheimer's disease or another dementia.
For Hillcrest Highlands of Gretna, that means asking for the written move-in and move-out criteria first, then the overnight staffing on the dementia unit, since the rule (175 NAC 4-006.11E) sets no ratio. It does not hold the separate memory care endorsement, so ask what dementia training and overnight staffing it provides beyond the base rule. Ask Hillcrest Highlands of Gretna for its Alzheimer's special care disclosure, which state law requires. See how Nebraska regulates memory care.
Does Hillcrest Highlands of Gretna accept Nebraska Medicaid?
The roster does not mark Hillcrest Highlands of Gretna as certified for the Medicaid Aged and Disabled Waiver, so it cannot bill Medicaid for assisted living services, and a resident who runs out of money would usually need to move.
Plan for that before move-in. The closest waiver-certified ALFs are Hillcrest Silver Ridge (same ZIP code), Oxbow Living Center (6.7 mi), Edgewood Omaha Senior Living, LLC (9.4 mi).
How can we see Nebraska's inspection reports for Hillcrest Highlands of Gretna?
DHHS makes ALF inspection results viewable only through its LIS license lookup, one facility at a time, so we cannot show Hillcrest Highlands of Gretna's survey history here; ask the facility for its latest survey, which residents are entitled to see.
Inspections after the first license are not on a fixed cycle. The rule allows random inspections of up to 25% of ALFs a year and focused visits triggered by complaints, harm to a resident or five years without an inspection (175 NAC 4-005.04). Search the DHHS LIS license lookup.
Which assisted living facilities are closest to Hillcrest Highlands of Gretna?
The closest other licensed ALF is Hillcrest Silver Ridge in Gretna, in the same ZIP code, with 140 beds and a memory care endorsement.
| Facility | Miles away | Licensed beds | Memory care (DHHS roster) | Medicaid AD Waiver certified |
|---|---|---|---|---|
| Hillcrest Silver Ridge 20332 Hackberry Drive, 68028 | 0.0 | 140 | Alzheimer's unit + endorsement | Yes |
| The Brant at Gretna 6991 S 178th Plaza, 68136 | 5.6 | 86 | Alzheimer's unit | No |
| Oxbow Living Center 1617 Bills Drive, 68003 | 6.7 | 129 | Alzheimer's unit + endorsement | Yes |
| Echo Hills Assisted Living and Memory Care 14509 Echo Hills Drive, 68138 | 7.5 | 152 | Alzheimer's unit | No |
| Assisted Living at Lakeside 17475 Frances Street, 68130 | 9.4 | 78 | Alzheimer's unit + endorsement | No |
What other licensed ALFs are in Gretna besides Hillcrest Highlands of Gretna?
Gretna has 2 licensed ALFs on the roster with 200 beds; Hillcrest Highlands of Gretna is number 2 by size, and 1 of the 2 are waiver-certified while 1 hold a memory care endorsement.
Other licensed ALFs here: Hillcrest Silver Ridge (140 beds).
What medical care is close to Hillcrest Highlands of Gretna in Gretna?
Hillcrest Highlands of Gretna is in Gretna, Sarpy County; the nearest hospital on the DHHS hospital roster is CHI Health Lakeside, about 9.4 miles away by straight line.
Next is CHI Health Midlands at about 10.9 miles. Distances use ZIP-code centroids, so treat them as approximate.
If nursing care is needed later, the nearest CMS-certified nursing homes are Adept Nursing & Rehab of Gretna (2.1 mi, CMS 1 of 5) and Adept Nursing & Rehab of Ashland (7.2 mi, CMS 3 of 5).
What should families ask Hillcrest Highlands of Gretna before moving in?
Let the public record set the agenda: ask for the most recent DHHS inspection report and the facility's statement of compliance for anything cited.
- Ask how many direct care staff are awake overnight and who gives medications (a nurse or a registered medication aide).
- Ask what happens if your parent's savings run out, since the building is not waiver-certified.
- Ask for the written rate schedule and how much notice the facility gives before an increase; Nebraska requires written pricing for all services.
