Omaha Senior AdvisorRoyale Oaks / House of Hope Alzheimer's Care is a 140-bed assisted-living facility at 4801 North 52nd Street in Omaha, Douglas County, holding Nebraska DHHS license ALF150, 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 Royale Oaks / House of Hope Alzheimer's Care?
Yes: the DHHS Licensure Unit's October 15, 2026 roster lists Royale Oaks / House of Hope Alzheimer's Care as a licensed assisted-living facility with 140 beds, larger than the 60-bed median for the 79 licensed ALFs in the five-county Omaha area.
| Record | Value |
|---|---|
| License | ALF150 (Nebraska DHHS Licensure Unit), assisted-living facility |
| License term | Expires April 30, 2027 (all Nebraska ALF licenses expire April 30) |
| Licensed beds | 140 |
| Licensee (as listed) | Florence Home |
| Administrator (as listed) | Dolores Clarke |
| Medicaid AD Waiver certified | Yes |
| Alzheimer's unit | Yes |
| Memory care endorsement | Yes |
| Complex nursing interventions | Not listed |
| Roster date | October 15, 2026 |
Licensee of record: Florence Home (the business named on the roster). Nebraska requires ten days' written notice before a facility is sold, leased or moved, and a sale ends the old license.
What memory care designations does Royale Oaks / House of Hope Alzheimer's Care hold?
The DHHS roster lists Royale Oaks / House of Hope Alzheimer's Care 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.
Nebraska's dementia-unit rule requires awake, dressed and available direct care staff around the clock and written move-in and move-out criteria handed to the family in advance (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 Royale Oaks / House of Hope Alzheimer's Care for its Alzheimer's special care disclosure, which state law requires. See how Nebraska regulates memory care.
Is Royale Oaks / House of Hope Alzheimer's Care certified for the AD Waiver?
The roster marks Royale Oaks / House of Hope Alzheimer's Care 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.
Where are the state inspection results for Royale Oaks / House of Hope Alzheimer's Care?
DHHS makes ALF inspection results viewable only through its LIS license lookup, one facility at a time, so we cannot show Royale Oaks / House of Hope Alzheimer's Care's survey history here; ask the facility for its latest survey, which residents are entitled to see.
A survey that found problems is not unusual; what matters is what was cited and how it was fixed. Facilities answer non-urgent findings with a statement of compliance listing each correction and its timeline. Search the DHHS LIS license lookup.
Which assisted living facilities are closest to Royale Oaks / House of Hope Alzheimer's Care?
The closest other licensed ALF is Bridging Hands LLC in Omaha, in the same ZIP code, with 8 beds.
| Facility | Miles away | Licensed beds | Memory care (DHHS roster) | Medicaid AD Waiver certified |
|---|---|---|---|---|
| Bridging Hands LLC 4548 Bedford Avenue, 68104 | 0.0 | 8 | — | No |
| Quality Living Inc - Lied Assisted Living 6405 North 70th Plaza, 68104 | 0.0 | 52 | — | Yes |
| Bridging Hands II 3368 Grand Avenue, 68111 | 1.9 | 8 | — | No |
| Ewk, Inc - Kelly House Supportive Housing 1720 North 40th Street, 68111 | 1.9 | 16 | — | No |
| Golden Manor Assisted Living 3853 Decatur Street, 68111 | 1.9 | 49 | — | No |
What other licensed ALFs are in the North Omaha, Florence & Benson part of Omaha besides Royale Oaks / House of Hope Alzheimer's Care?
The North Omaha, Florence & Benson part of Omaha has 9 licensed ALFs on the roster with 394 beds; Royale Oaks / House of Hope Alzheimer's Care is number 1 by size, and 3 of the 9 are waiver-certified while 1 hold a memory care endorsement.
Other licensed ALFs here: Assisted Living at Immanuel Courtyard (74 beds), Assisted Living at Immanuel Village (42 beds), Bridging Hands II (8 beds), Bridging Hands LLC (8 beds), Ewk, Inc - Kelly House Supportive Housing (16 beds), Golden Manor Assisted Living (49 beds), Operation First Step (5 beds), Quality Living Inc - Lied Assisted Living (52 beds).
What medical care is close to Royale Oaks / House of Hope Alzheimer's Care in Omaha?
Royale Oaks / House of Hope Alzheimer's Care is in the North Omaha, Florence & Benson part of Omaha; the nearest hospital on the DHHS hospital roster is Methodist Hospital, about 3.4 miles away by straight line.
Next is Nebraska Medicine - Nebraska Medical Center at about 4.2 miles. Distances use ZIP-code centroids, so treat them as approximate.
If nursing care is needed later, the nearest CMS-certified nursing homes are Maple Crest Health Center (1.0 mi, CMS 2 of 5) and Life Care Center of Omaha (1.3 mi, CMS 2 of 5).
What questions does Royale Oaks / House of Hope Alzheimer's Care's record raise?
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 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.
