71 of the 180 Medicare-certified nursing homes in Nebraska (39%) are for-profit, and all are listed below. Nurse staff turnover runs 57%, 8.3 points higher than the 48.7% across all homes there. 4 of the 71 graded homes earn an A and 12 earn a D or F. Legacy Square in Henderson grades highest at A (92 out of 100).
How for-profit homes in Nebraska compare
This group set against every nursing home in Nebraska, from the current CMS release.
Nursing hours per resident per day
3.74
All homes in Nebraska: 3.98
Worse than the local average
Nurse staff turnover
57%
All homes in Nebraska: 48.7%
Worse than the local average
Average ElderGrade score
67.7/100
All homes in Nebraska: 74.9/100
Worse than the local average
Grade spread
B
C
D
4 grade A, 28 grade B, 27 grade C, 12 grade D,
The best-graded for-profit home in Nebraska is
Legacy Square
in Henderson, NE, grade A, 92/100.
Emerald Nursing & Rehab Cozad runs on thinner nurse coverage than most homes, 3.50 hours per resident day against a national average of 3.86, and weekends dip about 11% below its own weekday level, so the hours when families visit are often the leanest. Annual turnover of 65.3% sits well above the 45.8% national figure, which matters because aides who know residents are the ones who notice changes first. Eighteen deficiencies appear on the current record, none at harm or jeopardy level and none abuse-related, with the most recent inspection in July 2025. The for-profit LLC structure and a one-star CMS staffing rating point to the same underlying issue: enough bodies to pass, not enough consistency to feel settled.
Adept Nursing & Rehab Of Blue Hill runs on 3.62 nurse hours per resident day, about 6% under the national average, and weekends dip roughly 9% below its own weekday staffing. That thin coverage shows up in the inspection record: 37 deficiencies, including one at the harm level and two tied to abuse, with a single $13,644 fine on file. The inspection that produced those findings is recent, dated April 2025. Annual turnover hits 68.9%, well above the 45.8% national figure, which means caregivers are cycling through quickly. It's a for-profit LLC with 62 certified beds, and the quality measure rating of 3/5 is the one place it looks average.
St. Joseph's runs on 3.44 nurse hours per resident day, about 11% under the national average, and weekends drop roughly 16% below its own weekday staffing. That thin coverage shows up in the numbers that matter: 65% annual turnover against a national 45.8%, plus 30 deficiencies on the current record, two of them abuse-related. The last inspection was March 2026, so the record is recent rather than stale. A for-profit limited liability company owns the 83-bed home, and its one-star health inspection rating sits alongside two-star marks for staffing and quality measures. No deficiencies rose to harm or jeopardy level, which is worth noting, but the pattern of low staffing and high turnover is the thing to ask about directly.
Emerald Nursing & Rehab Lakeview carries 23 deficiencies on its current record, including one serious enough to cause actual harm, and a single fine of $13,426. All three CMS star ratings, health inspections, quality measures, and staffing, sit at the lowest possible score. Staffing tells its own story: 3.50 nurse hours per resident day, roughly 9% under the national average, with weekends running about 11% thinner than weekdays. Turnover at 43.1% is slightly better than the 45.8% national figure, but that's a small comfort against everything else. The last inspection was in January 2026, so the record is current, not stale. A 95-bed for-profit corporate home with this pattern deserves close, specific questions before you consider it.
Accura Healthcare Of O'neill runs 84 beds under for-profit LLC ownership, and its staffing numbers tell a split story. Nurses provide 3.77 hours per resident day, just under the national average, and the weekend gap of roughly 11% means care thins out when families tend to visit. Staff turnover sits at 63.8%, well above the 45.8% national figure, so the people caring for your relative are likely to change often. Inspections in May 2025 turned up 26 deficiencies, four tied to abuse, none at harm level, and the health and quality ratings both land at 2 out of 5.
What that means for you: ask about weekend coverage and how the home keeps experienced aides.
Omaha Nursing and Rehabilitation Center is a 70-bed for-profit in Douglas County, and its inspection record is the thing to look at first. Forty-nine deficiencies on the current record, seven of them serious enough to cause harm or jeopardy, five tied to abuse, that's a lot of citations for a building this size, and one $39,146 fine. The most recent inspection was July 31, 2025, so the record is current, not stale.
Daily nurse staffing sits at 3.77 hours per resident, a bit under the national average, with weekends running about 8% thinner than weekdays. Combined with a one-star inspection rating, that pattern matters more than the three-star quality measure score.
Emerald Nursing & Rehab in Omaha runs on thinner staffing than most homes, at 3.43 nurse hours per resident day against a national average of 3.86. Weekends drop further, about 11% below its own weekday levels, so coverage is stretched exactly when families tend to visit. The 60.3% turnover rate matters too, well above the 45.8% national figure, meaning the aides and nurses caring for your relative are frequently new. Its inspection record shows 53 deficiencies, including 9 abuse-related and 3 at the harm level, with $87,389 in fines. The most recent inspection was January 2026, so that record is current, not old.
Accura Healthcare of Tekamah runs 44 certified beds under corporate for-profit ownership, and its nurse staffing sits at 2.91 hours per resident day, roughly a quarter below the national average of 3.86. Weekends dip about 10% below the home's own weekday coverage, and annual turnover reaches 51.6% against a national 45.8%, meaning more than half the nursing staff turns over each year. The current record carries 15 deficiencies, two of them abuse-related, though none rose to harm or jeopardy level. CMS rates staffing 1 out of 5 stars, with inspection and quality measures each at 2. The most recent inspection was February 12, 2026. Families should ask how weekend coverage is actually staffed and how abuse-related findings were resolved.
Nye Pointe runs 43 beds in Fremont under corporate for-profit ownership, and the staffing picture is where the trouble shows. Nurses give about 3.71 hours per resident per day, a bit under the national average, and weekends drop roughly 14% below the home's own weekday hours, so coverage thins out exactly when families tend to visit. Annual turnover sits at 64.2% against a national 45.8%, meaning most of the people caring for your relative this year likely won't be there next year. The recent inspection record is genuinely clean: seven deficiencies, none at harm or jeopardy level, nothing abuse-related, and the last survey was August 2025. But federal quality measures score 1 out of 5, which sits oddly beside that inspection result.
Arbor Care Centers in Ord runs on thinner nurse coverage than most homes, 3.28 hours per resident day against a national average of 3.86. Weekends drop another 13% below its own weekday levels, and more than half the nursing staff turns over each year, which is higher than the 45.8% national rate.
On its last inspection in November 2025, the home logged 25 deficiencies, three of them abuse-related, though none rose to harm or jeopardy level. Federal reviewers give it one star each for health inspections and quality measures, and two for staffing. That combination is what sits behind the grade, a limited liability company operating a 60-bed home with persistent shortfalls across the measures CMS tracks.
Hillcrest Millard runs on thin staffing. At 3.13 nurse hours per resident day, it sits about 19% under the national average of 3.86, and weekends drop roughly 9% below its own weekday levels, so coverage is lightest exactly when families tend to visit. Turnover tells the other half of the story: 77.2% of staff leave within a year, well above the 45.8% national figure, which makes consistent care hard to sustain. The inspection record shows 26 deficiencies, none at harm or jeopardy level, but one abuse-related citation. Ownership is for-profit, through a limited liability company. The last inspection was February 24, 2026.
Adept Nursing & Rehab Of Gretna runs 63 certified beds under corporate for-profit ownership, and its nurse staffing works out to 4.04 hours per resident day, roughly 5% above the national average of 3.86. That edge fades on weekends, when coverage drops about 11% below the home's own weekday level. Staff turnover sits at 87.1% against a national average of 45.8%, so most of the people caring for residents are relatively new to the building. The current inspection record carries 24 deficiencies, including one at the harm or jeopardy level and one abuse-related citation, with the most recent inspection dated March 5, 2026. All three CMS star ratings, health inspections, quality measures, staffing, land at 2 out of 5.
Adept Nursing & Rehab Of North Platte runs 94 beds under for-profit LLC ownership, and the numbers show a building under real strain. Nurse staffing sits at 3.49 hours per resident day, about 10 percent under the national average, and it thins out further on weekends, roughly 14 percent below its own weekday level, which is when families tend to visit and notice. Staff turnover is the bigger red flag: 63.2 percent a year against a national average of 45.8 percent, meaning most of the aides and nurses you'd meet are relatively new. Add 23 deficiencies on the current record, two of them serious enough to risk harm, plus $44,343 in fines, and the two-out-of-five ratings on health inspections and quality measures line up with what the record already says.
Monument Healthcare and Nursing Center runs 160 certified beds in Scottsbluff under for-profit LLC ownership, and its staffing hours sit just barely above the national average, about 2%, which sounds fine until you notice weekends drop roughly 11% below its own weekday level. Turnover is the bigger problem: 63% annually against a national average of 45.8%, meaning most of the people caring for residents are new or on their way out. The inspection record backs that up: 44 deficiencies, including 2 at harm or jeopardy level and 4 abuse-related, with two fines totaling $28,182 and a 1-out-of-5 rating on both health inspections and quality measures.
Nye Summit is city-owned, which usually means less pressure to turn a profit, but that alone isn't keeping the place steady. Nurse staffing sits slightly under the national average, weekends run nearly a fifth leaner than weekdays, and 80% annual turnover means most of the people caring for residents this year won't be there next. Inspectors have logged 22 deficiencies, two serious enough to put residents in harm's way and one tied to abuse, with a $23,595 fine on record. The most recent inspection was in January 2025, so the picture is current. Government ownership, thin weekend coverage, and a churning workforce is a hard combination.
Good Shepherd Lutheran Home runs 84 certified beds in Blair under for-profit LLC ownership, and the staffing numbers are where I'd start. At 3.50 nurse hours per resident day, it sits about 9% under the national average of 3.86, and weekends drop roughly another 11% below its own weekday level, so coverage thins out exactly when families tend to visit. Annual turnover of 70.3% is well above the 45.8% national figure, meaning the people caring for your relative are likely new and still learning the building. Add a one-star health inspection rating, 34 deficiencies on record including one at harm level and three abuse-related, and a May 2025 inspection, and you're looking at a home with real, documented problems. Worth asking hard questions before committing.
Adept Nursing & Rehab Of Waverly runs 54 beds under corporate ownership, and the staffing numbers are the first thing to look at. At 3.50 nurse hours per resident day, it sits about 9% under the national average, and weekends drop roughly 11% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover is the bigger flag: 78.1% of staff leaving annually, against a national 45.8%, meaning the people caring for residents are still learning the building. Behind the one-star inspection rating sit 41 deficiencies, including two at harm or jeopardy level and two tied to abuse, plus $25,642 in fines. The most recent inspection was December 2024.
Accura Healthcare of North Platte runs 71 certified beds under corporate ownership, and its last state inspection was in April 2025, recent enough that the findings still reflect how the place operates now. That inspection history is the strong part: 19 deficiencies on record, but none at the harm or jeopardy level and none tied to abuse. Where it gets thinner is staffing. At 3.35 nurse hours per resident day, it sits about 13% under the national average, weekend coverage dips below its own weekday level, and turnover near 65% means CNAs and nurses keep cycling through. High turnover and below-average hours are the combination families usually feel first.
Prestige Care Center Of Nebraska City runs on 3.41 nurse hours per resident day, about 12% under the national average, and weekends dip roughly 4% below its own weekday levels. Turnover tells you more: 76.6% of staff left last year against a national average of 45.8%, so the people caring for your relative are likely newer than the job requires. The inspection record backs that up, 43 deficiencies, four serious enough to put residents in harm's way, three tied to abuse, and the most recent inspection was November 2024. Quality measures score 1 out of 5. For-profit corporate ownership out of Nebraska City. Ask hard questions before you sign anything.
The Banyan At Montclair holds 175 beds under for-profit LLC ownership, and its staffing runs about 8% above the national average, 4.16 nurse hours per resident day. But that number hides a churn problem: 62.8% annual turnover against a national 45.8%, and weekend coverage drops roughly 7% below weekday levels. The inspection record is the harder read. Sixty-one deficiencies on file, four at harm or jeopardy level, five tied to abuse, plus three CMS fines totaling $141,793. CMS has placed it in the Special Focus Facility program, reserved for homes with a persistent pattern of poor care. A recent December 2025 inspection doesn't reset any of that.
Frequently asked questions
How many for-profit nursing homes are there in Nebraska?
There are 71 for-profit Medicare-certified nursing homes in Nebraska, 39% of the 180 nursing homes there.
Are for-profit nursing homes better staffed?
In Nebraska they average 3.74 total nursing hours per resident per day, against 3.98 for all nursing homes in Nebraska, a difference of -0.24 hours. Staff turnover averages 57% against 48.7%.
Which for-profit nursing home grades best in Nebraska?
Legacy Square in Henderson, NE, grade A, 92 out of 100.
Does being for-profit mean a nursing home is safe?
No. Of the 71 graded for-profit homes in Nebraska, 4 grade A and 12 grade D or F.
Do for-profit nursing homes in Nebraska accept Medicaid?