How many assisted living facilities are licensed in Omaha, NE?
Nebraska's DHHS roster lists 46 licensed assisted-living facilities with Omaha postal addresses, 3,434 licensed beds in all (a median of 67 beds each); 17 are certified for the Medicaid AD Waiver and 21 hold a memory care endorsement.
| Omaha area | Licensed ALFs | Beds | Waiver-certified | Largest |
|---|---|---|---|---|
| Midtown, Downtown & South Omaha | 5 | 398 | 3 | St. Joseph Tower Assisted Living |
| North Omaha, Florence & Benson | 9 | 394 | 3 | Royale Oaks / House of Hope Alzheimer's Care |
| Central Omaha & the West Dodge corridor | 12 | 864 | 5 | New Cassel Retirement Center |
| West Omaha | 15 | 1350 | 5 | Ovation Heartwood Preserve |
| Millard & Southwest Omaha | 5 | 428 | 1 | Echo Hills Assisted Living and Memory Care |
Why is assisted living concentrated in west and central Omaha?
West Omaha holds the largest share of the city's licensed ALFs because most purpose-built assisted living since the 1990s went up along the West Dodge, Center Street and 144th-to-168th Street corridors, near CHI Health Lakeside, Methodist and Bergan Mercy, where newer subdivisions and land were available.
For a parent in South or North Omaha, that can mean choosing between a nursing home or smaller building close to home and assisted living farther west. Waiver certification is unevenly spread too, so check the table above before touring.
Are there assisted living options in the suburbs around Omaha?
Yes: 23 more licensed buildings are in Elkhorn, Bennington, Valley and the Sarpy County cities, and Cass, Saunders and Washington counties add 10.
- Heritage Ridge Retirement Community, Bellevue — 160 beds, Alzheimer's unit + endorsement
- Hillcrest Mable Rose, LLC, Bellevue — 84 beds, Alzheimer's unit + endorsement
- Legato Living at Heartland Hills, Bellevue — 10 beds, Alzheimer's unit
- Richmont Terrace Assisted Living & Memory Care, Bellevue — 114 beds, Alzheimer's unit + endorsement
- Ridgewood Active Retirement Community, Bennington — 88 beds, Alzheimer's unit + endorsement
- Elk Ridge Village, Elkhorn — 92 beds, Alzheimer's unit + endorsement
- Garden View Manor Llc, Elkhorn — 8 beds, —
- Grandview Partners, LLC, Elkhorn — 46 beds, Memory care endorsement
- Legato Living at Five Fountains, Elkhorn — 14 beds, Alzheimer's unit
- Legato Living at Skyline, Elkhorn — 8 beds, Alzheimer's unit
- Marquis Place of Elkhorn, Elkhorn — 69 beds, Alzheimer's unit + endorsement
- Symphony Pointe, Elkhorn — 115 beds, Alzheimer's unit
- Hillcrest Highlands of Gretna, Gretna — 60 beds, Alzheimer's unit
- Hillcrest Silver Ridge, Gretna — 140 beds, Alzheimer's unit + endorsement
- Cedarhurst of La Vista, La Vista — 156 beds, Memory care endorsement
- Homestead of La Vista, La Vista — 50 beds, —
- Hospice House - the Josie Harper Residence, La Vista — 26 beds, —
- Assisted Living at Trinity Village, Papillion — 35 beds, —
- Hillcrest Grand Lodge Assisted Living, Papillion — 75 beds, Alzheimer's unit + endorsement
- Miles Memory Care, Papillion — 16 beds, Alzheimer's unit + endorsement
- Miles Memory Care, Papillion — 16 beds, Alzheimer's unit + endorsement
- Wel-Life at Papillion, Papillion — 48 beds, —
- Valley Lakes Assisted Living, Valley — 64 beds, —
What does assisted living cost in Omaha?
No Omaha-only figure is published; CareScout's 2025 Nebraska median for assisted living is $76,200 a year, $6,350 a month, and local quotes vary with care level and apartment size.
Nebraska Medicaid's AD Waiver can pay for Supported Residential Living in a waiver-certified ALF for eligible residents, but not room and board, so ask every facility whether it is certified and whether a waiver apartment is open.
Assisted living in Omaha at a glance
| Assisted living in Omaha is | Assisted living in Omaha is not | |
|---|---|---|
| License | DHHS ALF license | A marketing label |
| Where | Concentrated in West Omaha | Evenly spread across Omaha |
| Price data | A Nebraska median (assisted living only) | A published Omaha figure |
| Medicaid | AD Waiver pays services in certified ALFs | Pays room and board |