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Hillcrest Silver Ridge

Licensed assisted-living facility in Gretna, Sarpy County, Nebraska

140 licensed beds
Yes memory care listed
Yes Medicaid waiver
Quick answer

Hillcrest Silver Ridge is a 140-bed assisted-living facility at 20332 Hackberry Drive in Gretna, Sarpy County, holding Nebraska DHHS license ALF399, which runs through April 30, 2027, and the roster shows it certified for the Medicaid Aged and Disabled (AD) Waiver, listed with an Alzheimer's unit and holding a memory care endorsement.

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At a glance

Hillcrest Silver Ridge is a 140-bed assisted-living facility at 20332 Hackberry Drive in Gretna, Sarpy County, holding Nebraska DHHS license ALF399, which runs through April 30, 2027, and the roster shows it certified for the Medicaid Aged and Disabled (AD) Waiver, listed with an Alzheimer's unit and holding a memory care endorsement.

What does Nebraska's license roster show for Hillcrest Silver Ridge?

Hillcrest Silver Ridge appears on Nebraska's current assisted living roster as ALF399, 140 beds, which makes it larger than the middle of the local roster (60 beds).

RecordValue
LicenseALF399 (Nebraska DHHS Licensure Unit), assisted-living facility
License termExpires April 30, 2027 (all Nebraska ALF licenses expire April 30)
Licensed beds140
Licensee (as listed)Hillcrest Silver Ridge, LLC
Administrator (as listed)Crystal Padden
Medicaid AD Waiver certifiedYes
Alzheimer's unitYes
Memory care endorsementYes
Complex nursing interventionsNot listed
Roster dateOctober 15, 2026

Licensee of record: Hillcrest Silver Ridge, LLC (a limited liability company). Nebraska requires ten days' written notice before a facility is sold, leased or moved, and a sale ends the old license.

Does Hillcrest Silver Ridge offer memory care?

The DHHS roster lists Hillcrest Silver Ridge with both an Alzheimer's unit and a memory care endorsement, which means it represents itself to the state as specializing in care for residents with Alzheimer's disease or another dementia.

A facility or unit that specializes in dementia care must give families its written admission, discharge and transfer criteria before move-in and keep direct care staff awake, dressed and available at all hours (175 NAC 4-006.11E). The memory care endorsement is a separate state credential created by LB698 (Neb. Rev. Stat. 71-472) for ALFs that prove enhanced staffing, training, programming and security. Ask Hillcrest Silver Ridge for its Alzheimer's special care disclosure, which state law requires. See how Nebraska regulates memory care.

Can a Medicaid waiver participant live at Hillcrest Silver Ridge?

The roster marks Hillcrest Silver Ridge as certified for the Medicaid Aged and Disabled Waiver, so it can bill the waiver's Supported Residential Living service for eligible residents; the resident still pays room and board from their own income.

Waiver certification is the key question for families who expect savings to run out. Ask the facility in writing whether a current resident can convert to the waiver and stay in the same apartment. See how the AD Waiver pays for assisted living.

Has Nebraska inspected Hillcrest Silver Ridge recently?

Nebraska does not publish assisted living inspection results in bulk; DHHS posts them one facility at a time through its LIS license search, and every resident of Hillcrest Silver Ridge has a legal right to examine the most recent DHHS survey.

Because visits after licensure are either random or triggered, Hillcrest Silver Ridge's last survey could be recent or several years old. Ask for its date, what was cited, and whether any complaint investigation has happened since. Search the DHHS LIS license lookup.

Which assisted living facilities are closest to Hillcrest Silver Ridge?

The closest other licensed ALF is Hillcrest Highlands of Gretna in Gretna, in the same ZIP code, with 60 beds.

FacilityMiles awayLicensed bedsMemory care (DHHS roster)Medicaid AD Waiver certified
Hillcrest Highlands of Gretna
10890 S 208th St, 68028
0.060Alzheimer's unitNo
The Brant at Gretna
6991 S 178th Plaza, 68136
5.686Alzheimer's unitNo
Oxbow Living Center
1617 Bills Drive, 68003
6.7129Alzheimer's unit + endorsementYes
Echo Hills Assisted Living and Memory Care
14509 Echo Hills Drive, 68138
7.5152Alzheimer's unitNo
Assisted Living at Lakeside
17475 Frances Street, 68130
9.478Alzheimer's unit + endorsementNo

How does Hillcrest Silver Ridge fit among assisted living options in Gretna?

Gretna has 2 licensed ALFs on the roster with 200 beds; Hillcrest Silver Ridge is number 1 by size, and 1 of the 2 are waiver-certified while 1 hold a memory care endorsement.

Other licensed ALFs here: Hillcrest Highlands of Gretna (60 beds).

Which hospitals are near Hillcrest Silver Ridge?

Hillcrest Silver Ridge 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 we ask on a tour of Hillcrest Silver Ridge?

Use the state data to steer the tour: 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 the room-and-board charge is for a Medicaid waiver resident and whether one is open now.
  • Ask for the written rate schedule and how much notice the facility gives before an increase; Nebraska requires written pricing for all services.
Source: Nebraska DHHS Licensure Unit facility rosters updated October 15, 2026 (dhhs.ne.gov). Star ratings are CMS's own; we do not rate facilities.

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