Omaha Senior AdvisorLegato Living at Heartland Hills is a 10-bed assisted-living facility at 13510 S 36th St in Bellevue, Sarpy County, holding Nebraska DHHS license ALF452, 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 Legato Living at Heartland Hills?
Yes: the DHHS Licensure Unit's October 15, 2026 roster lists Legato Living at Heartland Hills as a licensed assisted-living facility with 10 beds, smaller than the 60-bed median for the 79 licensed ALFs in the five-county Omaha area.
| Record | Value |
|---|---|
| License | ALF452 (Nebraska DHHS Licensure Unit), assisted-living facility |
| License term | Expires April 30, 2027 (all Nebraska ALF licenses expire April 30) |
| Licensed beds | 10 |
| Licensee (as listed) | Z Squared Memory Care LLC |
| Administrator (as listed) | Alicia Zuger |
| Medicaid AD Waiver certified | No |
| Alzheimer's unit | Yes |
| Memory care endorsement | No |
| Complex nursing interventions | Not listed |
| Roster date | October 15, 2026 |
Z Squared Memory Care LLC holds the license, which is not transferable: if the building changes hands, the new owner must apply for its own license before operating.
Can Legato Living at Heartland Hills care for someone with dementia?
The DHHS roster lists Legato Living at Heartland Hills 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 Legato Living at Heartland Hills, 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 Legato Living at Heartland Hills for its Alzheimer's special care disclosure, which state law requires. See how Nebraska regulates memory care.
Does Legato Living at Heartland Hills accept Nebraska Medicaid?
The roster does not mark Legato Living at Heartland Hills 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.
At Nebraska's 2025 median of $6,350 a month, savings run down quickly, so check how long yours last at Legato Living at Heartland Hills's quoted rate. The closest waiver-certified ALFs are Hillcrest Mable Rose, LLC (2.8 mi), Heritage Ridge Retirement Community (3.9 mi), Richmont Terrace Assisted Living & Memory Care (3.9 mi).
How can we see Nebraska's inspection reports for Legato Living at Heartland Hills?
The fastest route to Legato Living at Heartland Hills's inspection history is to ask the administrator for the latest DHHS survey, which residents may examine by right; the same results are viewable, one facility at a time, in the state's LIS lookup.
Because visits after licensure are either random or triggered, Legato Living at Heartland Hills'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.
What are the alternatives to Legato Living at Heartland Hills nearby?
The closest other licensed ALF is Hillcrest Mable Rose, LLC in Bellevue, about 2.8 miles away in a straight line, with 84 beds and a memory care endorsement.
| Facility | Miles away | Licensed beds | Memory care (DHHS roster) | Medicaid AD Waiver certified |
|---|---|---|---|---|
| Hillcrest Mable Rose, LLC 4609 Hilltop Street, 68133 | 2.8 | 84 | Alzheimer's unit + endorsement | Yes |
| Hillcrest Grand Lodge Assisted Living 6021 Grand Lodge Avenue, 68133 | 2.8 | 75 | Alzheimer's unit + endorsement | No |
| Heritage Ridge Retirement Community 1502 Fort Crook Road South, 68005 | 3.9 | 160 | Alzheimer's unit + endorsement | Yes |
| Richmont Terrace Assisted Living & Memory Care 620 Fort Crook Road South, 68005 | 3.9 | 114 | Alzheimer's unit + endorsement | Yes |
| Assisted Living at Trinity Village 522 West Lincoln Street, 68046 | 5.7 | 35 | — | Yes |
What other licensed ALFs are in Bellevue besides Legato Living at Heartland Hills?
Bellevue has 4 licensed ALFs on the roster with 368 beds; Legato Living at Heartland Hills is number 4 by size, and 3 of the 4 are waiver-certified while 3 hold a memory care endorsement.
Other licensed ALFs here: Heritage Ridge Retirement Community (160 beds), Hillcrest Mable Rose, LLC (84 beds), Richmont Terrace Assisted Living & Memory Care (114 beds).
What medical care is close to Legato Living at Heartland Hills in Bellevue?
Legato Living at Heartland Hills is in Bellevue, Sarpy County; the nearest hospital on the DHHS hospital roster is Nebraska Medicine - Bellevue Medical Center, in the same ZIP code.
Next is CHI Health Midlands at about 5.7 miles. Distances use ZIP-code centroids, so treat them as approximate.
If nursing care is needed later, the nearest CMS-certified nursing homes are Hillcrest Health & Rehab (3.1 mi, CMS 1 of 5) and Hillcrest Country Estates-Cottages (4.0 mi, CMS 2 of 5).
What should we ask on a tour of Legato Living at Heartland Hills?
Start with the record itself: 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.
