Nebraska is home to a diverse network of assisted living communities designed to support the aging population through every stage of care. Whether your loved one is seeking a lifestyle focused on independence and social engagement or they require personalized attention and advanced medical services, Nebraska offers a variety of high-quality assisted living options throughout urban, suburban, and rural settings. This guide provides essential details about assisted living in Nebraska to help families make informed decisions about care, cost, regulations, and payment options.
The cost of assisted living in Nebraska is relatively moderate compared to the national average. However, prices can vary depending on the level of care needed, facility amenities, and geographic location.
| Type of Care | Average Monthly Cost (Private Room) | Average Monthly Cost (Shared Room) |
| Standard Assisted Living | $4,000 | $3,200 |
| Memory Care | $5,300 | Not typically shared |
| Skilled Nursing | $8,100 | $7,100 |
| Respite Care (daily) | $150/day | $120/day |
| Category | NE | National Average |
| Average Monthly Cost | $4,000 | $4,000 |
| Number of Facilities | 250+ | 28,900+ |
| Medicaid Coverage | Limited via Medicaid Waiver | Limited |
| Specialized Care | Yes (Memory, Alzheimer’s, Rehab) | Yes |
| Licensing Authority | NE Department of Health and Human Services (DHHS) | Varies by state |
| State | Average Cost per Month | Total Licensed Facilities | Specialized Care Availability |
| NE | $4,000 | 250+ | Yes |
| IA | $4,200 | 300+ | Yes |
| KS | $4,100 | 275+ | Yes |
| SD | $3,900 | 200+ | Limited |
| National Avg | $4,000 | 28,900+ | Yes |
Takeaway: Nebraska offers competitive pricing compared to its neighboring states and provides a strong range of care options. Though it may not have as many facilities as more populous states, it balances quality, affordability, and accessibility.
Paying for assisted living can be a challenge for many families. Fortunately, Nebraska offers a combination of private and public funding options to help cover the cost of care.
| Payment Method | Coverage Provided | Availability |
| Private Pay | Full or partial | Most common method |
| Long-Term Care Insurance | Full or partial (varies) | Based on individual policy |
| Veterans Benefits (Aid & Attendance) | Partial coverage for eligible veterans and spouses | Available through VA |
| Nebraska Medicaid Waiver (AD-Waiver) | Partial coverage for eligible seniors | Limited availability |
| Supplemental Security Income (SSI) | May cover small portion of room and board | For low-income residents |
The Aged and Disabled Medicaid Waiver helps eligible low-income seniors pay for services in assisted living settings. It does not cover room and board, but it does help with personal care and health-related services.
Eligibility Requirements:
Nebraska assisted living facilities are regulated by the Nebraska Department of Health and Human Services (DHHS). These regulations are designed to ensure safety, care quality, and resident rights.
| Regulation Category | NE Standards |
| Licensing Entity | NE DHHS, Division of Public Health |
| Staffing Ratios | Determined by facility based on care needs |
| Minimum Staff Training | Orientation + 12 hours annually |
| Background Checks | Required for all direct care staff |
| Inspections | Annual and unannounced |
| Resident Rights | Dignity, privacy, grievance procedures, autonomy |
Facilities must also maintain compliance with fire safety, emergency preparedness, food safety, and health service delivery standards.
Understanding government-funded coverage is critical when planning long-term care.
| Program | Coverage for Assisted Living | Eligibility Requirements |
| Medicare | No | N/A |
| Medicaid AD-Waiver | Partial (excludes room/board) | Income and care-needs based |
Choosing an assisted living facility is one of the most important decisions a family can make. At AssistedLivingSeniorCare.com, we provide free, personalized support to guide you every step of the way.
Nebraska provides a solid foundation for assisted living with its balanced combination of affordability, care quality, and regulatory oversight. While not as expansive as some coastal states, Nebraska’s assisted living facilities deliver exceptional service in both small towns and major cities. With options for memory care, skilled nursing, and specialized services, there is a solution for every family’s needs.
Let AssistedLivingSeniorCare.com help you navigate your options with confidence—so you can find the right care environment where your loved one will thrive with dignity, comfort, and security.
