What does a nursing home provide in Nebraska?
A Nebraska nursing home, licensed by DHHS as a nursing facility or skilled nursing facility, provides 24-hour licensed nursing care, help with all daily activities, rehabilitation therapies and medical oversight for people whose needs exceed what assisted living or home care can safely meet.
The DHHS long-term care roster lists 38 licensed nursing homes in the five counties with 4,367 licensed beds; CMS rates 36 of them, 11 with four or five stars overall (Care Compare data as of October 1, 2026). Most also provide short-term rehab after hospital stays. Some have Alzheimer's or special care units for residents with dementia.
Who needs a nursing home rather than assisted living?
People who need skilled nursing every day, complex wound or medical care, help from two staff for transfers, or nursing assessment around the clock usually need a nursing home; so do people recovering from surgery or illness who need intensive rehab for a short time.
Nebraska ALF staff may not perform complex nursing interventions, which is the clearest line between the two settings.
What does a nursing home cost in Omaha?
CareScout's 2025 Nebraska medians are $8,377 a month for a semi-private room and $9,216 for a private room; Medicare covers short skilled stays after a qualifying hospital admission, and Nebraska Medicaid covers long stays for eligible residents, who keep a $75 monthly personal needs allowance.
Ask each home for its private daily rate and whether it accepts Medicaid for long-term residents.
How do I compare Omaha nursing homes?
Start with CMS's overall, health inspection, staffing and quality ratings, then look at the latest inspection's deficiencies, total nurse staffing hours per resident day and staff turnover; our facility pages put each home's figures next to the Omaha-area median.
Then visit at mealtime and in the evening, ask about the issues the record raises, and confirm whether the home accepts Medicare, Medicaid or both for the kind of stay you need.
What should Omaha families ask a nursing home first?
Ask whether a long-term Medicaid bed is available, how many nurse aides cover your parent's hall on nights and weekends, who the attending physician is, and what changed after the latest inspection's deficiencies.
Bring the CMS figures with you; our facility pages show each certified home's staffing hours, turnover, fines and inspection history.
Where is nursing homes available across the Omaha area?
Here is how Nebraska's DHHS rosters and CMS's datasets distribute nursing homes across the five counties.
| County | Providers | Licensed beds |
|---|---|---|
| Douglas County | 24 | 2955 |
| Sarpy County | 6 | 768 |
| Cass County | 3 | 244 |
| Saunders County | 3 | 242 |
| Washington County | 2 | 158 |
At a glance
| Nursing Homes in Nebraska is | Nursing Homes in Nebraska is not | |
|---|---|---|
| Care | 24-hour licensed nursing and rehab | Residential help only |
| Ratings | CMS stars and inspections | Unrated |
| Medicaid | Nebraska Medicaid for eligible residents ($4,000 resource limit) | Free under Medicare for long stays |