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46 Best Medicaid Nursing Homes in Nebraska

46 of the 180 Medicare-certified nursing homes in Nebraska (26%) are top-graded Medicaid-certified, and all are listed below. 46 of the 46 graded homes earn an A and 0 earn a D or F. Nurse staff turnover runs 35%, 13.7 points lower than the 48.7% across all homes there. Newport House in Omaha grades highest at A (99 out of 100).

How top-graded Medicaid-certified homes in Nebraska compare

This group set against every nursing home in Nebraska, from the current CMS release.

Nursing hours per resident per day

4.72

All homes in Nebraska: 3.98

Better than the local average

Nurse staff turnover

35%

All homes in Nebraska: 48.7%

Better than the local average

Average ElderGrade score

89.3/100

All homes in Nebraska: 74.9/100

Better than the local average

Grade spread

A

46 grade A,

The best-graded top-graded Medicaid-certified home in Nebraska is Newport House in Omaha, NE, grade A, 99/100.

Every top-graded Medicaid-certified nursing home in Nebraska

Showing 41 to 46 of 46, best-graded first.

A

85.5/100

Good Samaritan Society - Osceola

Osceola, NE · Polk County

CMS 5/547 bedsNon-profitMedicaid
Nurse hours
3.88 /day
Staff turnover
29%
Serious cites
0

The nurse staffing here works out to 3.88 hours per resident per day, essentially even with the national average of 3.86, so this isn't a place padding its numbers with aides. Weekends run about 17 percent lighter than weekdays, which is worth asking about if your family member needs more help on Saturdays and Sundays. What stands out is retention: 28.6 percent turnover against a national average near 46 percent, meaning the people caring for residents tend to stay. Fifteen deficiencies sit on the current record, but none involved harm or jeopardy and none were abuse-related, and the last inspection was in January 2025.

A

85/100

The Ambassador Nebraska City, Inc

Nebraska City, NE · Otoe County

CMS 5/571 bedsFor-profitMedicaid
Nurse hours
4.39 /day
Staff turnover
45%
Serious cites
0

The Ambassador in Nebraska City runs on more nursing hours than most homes, 4.39 per resident day against a national average of 3.86, and that staffing shows in a four-star rating there. Turnover sits at 44.9%, essentially the national rate, while weekend coverage drops about 13% below the home's own weekday level, so care can thin out when families visit. Inspections in October 2024 turned up seven deficiencies, none causing harm or jeopardy, though two were abuse-related. For-profit corporate ownership is worth knowing about, but the record itself reads steady.

A

85/100

Elwood Care Center

Elwood, NE · Gosper County

CMS 5/543 bedsGovernmentMedicaid
Nurse hours
4.01 /day
Staff turnover
39%
Serious cites
0

Elwood Care Center is city-owned, which is unusual, most nursing homes are run for profit, and it tends to show in how the place is staffed. Nurses here give about 4.01 hours of care per resident each day, a bit above the national average, though weekends run roughly 9% leaner than weekdays. Staff turnover sits at 39.4%, lower than the 45.8% national figure, meaning fewer unfamiliar faces. The home was inspected in February 2025 and carries just four deficiencies, none involving harm or abuse. Quality measures score a middling 3 out of 5, but the inspection and staffing records are what carry this one.

A

85/100

Brookestone View

Broken Bow, NE · Custer County

CMS 4/560 bedsNon-profitMedicaid
Nurse hours
4.22 /day
Staff turnover
30%
Serious cites
0

Brookestone View runs on 4.22 nurse hours per resident day, roughly 9% above the national average, and its staff turnover sits at 29.8% against a national 45.8%, that retention is doing real work here. The trade-off is weekends: staffing drops about 12% below the home's own weekday level, so coverage isn't perfectly level across the week. Inspections show 11 deficiencies on record, none at the harm level and none abuse-related, and the most recent visit was June 2026. All three CMS star ratings land at 4 out of 5. For a 60-bed nonprofit in Custer County, the numbers point to steady nursing presence and stable leadership rather than anything flashy.

A

85/100

Sandhills Care Center

Ainsworth, NE · Brown County

CMS 3/546 bedsGovernmentMedicaid
Nurse hours
4.28 /day
Staff turnover
n/a
Serious cites
0

Sandhills Care Center is county-owned, which matters here, no corporate chain pulling the strings, and the city or county answers for how it runs. Staffing sits at 4.28 nurse hours per resident day, about 11% above the national average, though weekends run roughly 19% leaner than weekdays, so care can thin out when families visit. The health inspection record is the weak spot: 22 deficiencies, including three tied to abuse, though none rose to actual harm or jeopardy. The last inspection was June 2025, so that picture is current. Quality measures score well on paper, but the inspection findings are where the real problems live.

A

85/100

Hillcrest Firethorn

Lincoln, NE · Lancaster County

CMS 4/572 bedsFor-profitMedicaid
Nurse hours
3.89 /day
Staff turnover
38%
Serious cites
0

Hillcrest Firethorn runs 72 beds in Lincoln under corporate ownership, and its nurse staffing sits right at the national mark, 3.89 hours per resident day against 3.86 nationally, so about a 1% edge. Weekends tell a different story: coverage drops roughly 11% below the home's own weekday level, which is worth asking about if your family visits or calls on Saturdays and Sundays. Turnover is the genuine bright spot at 37.8%, well under the 45.8% national average, meaning aides and nurses tend to stay. The tradeoff shows up in inspections, 12 deficiencies on record, one serious enough to involve harm or jeopardy, though none tied to abuse. The last state visit was April 2025, so the record is recent.

Frequently asked questions

How many top-graded Medicaid-certified nursing homes are there in Nebraska?
There are 46 top-graded Medicaid-certified Medicare-certified nursing homes in Nebraska, 26% of the 180 nursing homes there.
Are top-graded Medicaid-certified nursing homes better staffed?
In Nebraska they average 4.72 total nursing hours per resident per day, against 3.98 for all nursing homes in Nebraska, a difference of +0.74 hours. Staff turnover averages 35% against 48.7%.
Which top-graded Medicaid-certified nursing home grades best in Nebraska?
Newport House in Omaha, NE, grade A, 99 out of 100.
Does being top-graded Medicaid-certified mean a nursing home is safe?
No. Of the 46 graded top-graded Medicaid-certified homes in Nebraska, 46 grade A and 0 grade D or F.
Do top-graded Medicaid-certified nursing homes in Nebraska accept Medicaid?
46 of the 46 are certified to accept Medicaid. See Medicaid and nursing homes.

Before you shortlist in Nebraska