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34 Government-Run Nursing Homes in Nebraska

34 of the 180 Medicare-certified nursing homes in Nebraska (19%) are government-run, and all are listed below. 13 of the 34 graded homes earn an A and 0 earn a D or F. Nurse staff turnover runs 42%, 6.7 points lower than the 48.7% across all homes there. Douglas County Health Center in Omaha grades highest at A (94 out of 100).

How government-run homes in Nebraska compare

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

Nursing hours per resident per day

4.1

All homes in Nebraska: 3.98

Better than the local average

Nurse staff turnover

42%

All homes in Nebraska: 48.7%

Better than the local average

Average ElderGrade score

79.5/100

All homes in Nebraska: 74.9/100

Better than the local average

Grade spread

A
B
C

13 grade A, 16 grade B, 5 grade C,

The best-graded government-run home in Nebraska is Douglas County Health Center in Omaha, NE, grade A, 94/100.

Every government-run nursing home in Nebraska

Showing 1 to 20 of 34, best-graded first.

A

94/100

Douglas County Health Center

Omaha, NE · Douglas County

CMS 3/5254 bedsGovernmentMedicaid
Nurse hours
4.78 /day
Staff turnover
15%
Serious cites
0

Douglas County Health Center runs on a county-owned model, and its staffing shows it: 4.78 nurse hours per resident day, roughly a quarter more than the national average, with just 14.9% turnover against a national rate near 46%. Weekend coverage dips about 8% below weekday levels, but that's a modest gap compared with most homes. The tradeoff sits in its inspection record. Thirty-three deficiencies are on file, including four tied to abuse and one at the harm level, which pulled its health inspection rating down to 2 out of 5. Quality measures score 4 out of 5. The last survey was in May 2025, so the picture is current. Strong staffing, a shakier compliance history, that's the honest tension here.

A

91.5/100

Carl T Curtis Health Education Center Nursing Home

Macy, NE · Thurston County

CMS 4/525 bedsGovernmentMedicaid
Nurse hours
5.15 /day
Staff turnover
32%
Serious cites
0

Carl T Curtis Health Education Center runs on a federal government license in Macy, and its nurse staffing sits at 5.15 hours per resident day, roughly a third more than the national average of 3.86. That's the number driving its five-star staffing rating, and turnover of 32.4% is well below the 45.8% national figure, which suggests people stick around. Weekends do run about 18% lighter than weekdays, so ask how that's covered. Inspectors logged 11 deficiencies, none at the harm level, but one tied to abuse, worth asking about directly. The last inspection was January 29, 2026, so the record is current.

A

91.5/100

Gordon Countryside Care

Gordon, NE · Sheridan County

CMS 5/540 bedsGovernmentMedicaid
Nurse hours
4.30 /day
Staff turnover
31%
Serious cites
0

Gordon Countryside Care runs on a government hospital district model, and the numbers show a facility that's been kept in decent shape. Nurse staffing sits at 4.30 hours per resident day, about 11% above the national average, and the staff actually stay, 31.3% turnover against a national rate of 45.8%. Inspectors were last in on September 23, 2025, and the 12 deficiencies on record include nothing at the harm level and nothing abuse-related. The one soft spot: weekend staffing drops roughly 16% below what the home runs during the week, so coverage on Saturdays and Sundays isn't quite what families see Monday through Friday.

A

91/100

Wakefield Health Care Center

Wakefield, NE · Dixon County

CMS 5/540 bedsGovernmentMedicaid
Nurse hours
5.05 /day
Staff turnover
33%
Serious cites
0

Wakefield Health Care Center is city-owned, and its 40 beds get 5.05 nursing hours per resident per day, roughly a third more than the national average. Staff turnover sits at 33.3%, well below the 45.8% national figure, though weekend coverage dips about 7% from weekday levels. The tradeoff shows up in its record: 17 deficiencies, five tied to abuse, but none at the harm or jeopardy level, and the most recent inspection was in July 2025. A 4 out of 5 on health inspections and a 3 on quality measures round out a home that's better staffed than most, with a survey history worth asking about directly.

A

90/100

Alpine Village Retirement Center

Verdigre, NE · Knox County

CMS 5/545 bedsGovernmentMedicaid
Nurse hours
4.01 /day
Staff turnover
44%
Serious cites
0

Alpine Village runs on city government ownership in Verdigre, and the numbers show a home that's been kept in decent shape. Nurse staffing sits at 4.01 hours per resident day, a bit above the national average, though weekends drop roughly 14% below what the home staffs during the week, worth asking about if your family member needs more attention on Saturdays and Sundays. Staff turnover lands at 44.4%, essentially in line with the national rate rather than worse. Five deficiencies on the current record, none at the harm level and none abuse-related, with the last inspection in May 2025. That combination, solid staffing, no serious citations, a recent look from the state, is what's driving the grade here.

A

89/100

Saunders Medical Center

Wahoo, NE · Saunders County

CMS 4/560 bedsGovernmentMedicaid
Nurse hours
4.83 /day
Staff turnover
40%
Serious cites
0

Saunders Medical Center is county-owned, and that shows in the numbers. Nurse staffing runs 4.83 hours per resident day, roughly a quarter above the national average of 3.86, and turnover sits at 39.7% against a national 45.8%, a fairly stable crew for this industry. Weekend coverage dips about 8% below weekday levels, which is common but worth asking about if your family visits mainly on Saturdays and Sundays. Five deficiencies on the current record, none at the harm level, none abuse-related, and the last inspection was in April 2026, so the picture is recent. All three CMS ratings, health inspection, quality measures, staffing, come in at 4 out of 5.

A

87/100

Parkside Manor

Stuart, NE · Holt County

CMS 5/540 bedsGovernmentMedicaid
Nurse hours
3.52 /day
Staff turnover
36%
Serious cites
0

Parkside Manor is city-owned, and the numbers show a home that runs lean but steady. Nurse staffing sits at 3.52 hours per resident day, about 9% under the national average, and weekends dip roughly 9% below its own weekday levels, worth asking about if your family visits on Saturdays. What stands out is retention: turnover is 35.7% against a national 45.8%, which suggests people stay. The inspection record shows 8 deficiencies, none at harm or jeopardy level, though 2 are abuse-related and worth reading closely. Its last inspection was March 2026, so the record is current. Quality and staffing star ratings both land at 4 out of 5.

A

87/100

Garden County Hospital & Nursing Home

Oshkosh, NE · Garden County

CMS 3/524 bedsGovernmentMedicaid
Nurse hours
4.18 /day
Staff turnover
44%
Serious cites
0

Garden County Hospital & Nursing Home runs on a county-owned model with 24 certified beds in Oshkosh, and its staffing is the real bright spot: 4.18 nurse hours per resident day, roughly 8% above the national average, with the federal staffing rating at the top of the scale. Turnover sits at 44%, basically in line with the national 45.8%. Weekend coverage dips about 14% below weekday levels, so ask how that plays out on Saturdays. The inspection record is where it gets shakier, 18 deficiencies, including one at the harm level and one abuse-related, with the most recent inspection in August 2025. That combination is worth asking the administrator about directly before you decide.

A

86.5/100

Rock County Hospital Long Term Care

Bassett, NE · Rock County

CMS 4/530 bedsGovernmentMedicaid
Nurse hours
6.14 /day
Staff turnover
n/a
Serious cites
0

Rock County Hospital Long Term Care runs a genuinely strong staffing operation, 6.14 nurse hours per resident day against a national average of 3.86, roughly 59% more hands-on time. Weekends dip about 13% below its own weekday level, which is worth asking about, but the baseline is high enough that even the lower weekend figure beats most homes. The tradeoff shows up in the inspection record: 12 deficiencies on file, including one at the harm or jeopardy level and one abuse-related, with the last survey in September 2025. County ownership tends to mean stable funding and no profit motive, but it doesn't erase those findings. The care hours are real; the inspection history is the part to press on.

A

86/100

Pioneer Manor Nursing Home

Hay Springs, NE · Sheridan County

CMS 5/557 bedsGovernmentMedicaid
Nurse hours
3.99 /day
Staff turnover
45%
Serious cites
0

Pioneer Manor runs on city government ownership in a small Sheridan County town, and the numbers mostly hold up. Nurse staffing sits at 3.99 hours per resident day, a touch above the national average, and the weekend-to-weekday gap of roughly 15% is worth asking about directly, that's when families tend to notice less coverage. Staff turnover at 44.8% lands right around the national figure, so this isn't a home bleeding workers faster than everyone else. Nine deficiencies on record, one serious enough to involve harm, none tied to abuse, with an inspection completed at the end of 2025. That single harm-level finding is the one item I'd want explained before deciding.

A

86/100

Bertrand Nursing Home

Bertrand, NE · Phelps County

CMS 5/526 bedsGovernmentMedicaid
Nurse hours
3.91 /day
Staff turnover
46%
Serious cites
0

Bertrand Nursing Home is a 26-bed city-owned home in Phelps County, and the numbers behind its A grade are steady rather than spectacular. Nurse staffing runs 3.91 hours per resident day, just barely above the national average of 3.86, though weekends dip about 6% below its own weekday coverage. Staff turnover sits at 45.5%, essentially matching the national rate of 45.8%. What stands out is the inspection record: three deficiencies total, none at the harm or jeopardy level, none abuse-related, with the most recent inspection on May 1, 2025. A 5/5 health inspection rating and 5/5 quality measure rating support that. For a small rural home, this reads as consistent, well-monitored care without serious red flags.

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

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.

B

82.5/100

Fairview Manor

Fairmont, NE · Fillmore County

CMS 5/540 bedsGovernmentMedicaid
Nurse hours
4.13 /day
Staff turnover
16%
Serious cites
0

Fairview Manor runs on a city-county budget in a town of about 6,000, and the numbers suggest that setup is working. Nurses give residents 4.13 hours of care a day, roughly 7 percent more than the national average, and only 16.3 percent of staff left last year against a national rate near 46 percent, that kind of retention usually means people want to stay. Inspection history is clean: three deficiencies on record, none causing harm, none tied to abuse, and the last state visit came in January 2026. The softer spot is weekend coverage, which dips about 19 percent below weekday levels, and quality measures sit mid-range.

B

82.5/100

Harvard Rest Haven

Harvard, NE · Clay County

CMS 4/530 bedsGovernmentMedicaid
Nurse hours
4.41 /day
Staff turnover
49%
Serious cites
0

Harvard Rest Haven runs on a fairly lean crew for a 30-bed home, though the 4.41 nurse hours per resident day lands above the national average. Weekends are where it thins out, roughly 19% less staffing than weekdays, which is common but worth knowing if your family visits or calls on Saturdays and Sundays. Staff turnover sits at 48.5%, a bit above the national figure, so continuity of caregivers isn't guaranteed. The inspection record is genuinely strong: a 5/5 health inspection rating, ten deficiencies on file with none at the harm level, and the most recent survey done in February 2025. One abuse-related deficiency is on the record, which you should ask about directly.

B

82/100

Hillcrest Nursing Home

Mccook, NE · Red Willow County

CMS 2/5100 bedsGovernmentMedicaid
Nurse hours
4.88 /day
Staff turnover
36%
Serious cites
0

Hillcrest runs on county money, and the staffing shows it: 4.88 nurse hours per resident day against a national average of 3.86, with turnover at 36.3% compared to 45.8% nationally. That's a real edge in keeping aides and nurses on the floor, though weekends run about 13% thinner than weekdays, so coverage isn't perfectly even. The softer spots are inspections and quality measures, both two out of five stars, with 16 deficiencies on record, one tied to abuse. None of those rose to harm or jeopardy level, and the most recent inspection was May 2026. Strong hands-on care, middling survey history, that's the tradeoff here.

B

82/100

Colonial Acres Of Humboldt

Humboldt, NE · Richardson County

CMS 2/549 bedsGovernmentMedicaid
Nurse hours
4.35 /day
Staff turnover
53%
Serious cites
0

Colonial Acres is city-owned, which is unusual in this part of Nebraska, and its staffing is the strongest card it holds, 4.35 nurse hours per resident day, comfortably above the national figure, with a four-star staffing rating to match. The catch is consistency: weekends run roughly 14% thinner than weekdays, and turnover sits at 53.3%, well past the national rate. Inspections are a softer spot, at two stars with 15 deficiencies on record, though none reached harm or jeopardy and none involved abuse. The most recent visit was in March 2026, so the picture is current.

B

81/100

Beaver City Manor

Beaver City, NE · Furnas County

CMS 3/530 bedsGovernmentMedicaid
Nurse hours
4.43 /day
Staff turnover
29%
Serious cites
0

Beaver City Manor is a 30-bed city-owned home in Furnas County, and its strongest asset is people: 4.43 nurse hours per resident day, about 15% above the national average, with turnover at 29% against a national 45.8%. That staffing consistency matters more than any single number here, though weekend coverage dips roughly 14% below weekday levels. The trade-off sits in care quality measures, which scored 1 out of 5, and nine deficiencies on record, none at harm or jeopardy level, but one abuse-related. The last inspection was in June 2025, so the picture is reasonably current. Small, government-run, well-staffed, but with real quality-measure gaps worth asking about directly.

B

79.5/100

Wisner Care Center

Wisner, NE · Cuming County

CMS 3/538 bedsGovernmentMedicaid
Nurse hours
3.83 /day
Staff turnover
51%
Serious cites
0

Wisner Care Center runs on city government ownership, which is uncommon and tends to mean stable local ties rather than corporate pressure. The numbers are solid but not spotless: 14 deficiencies on record, none at the harm level, though one is abuse-related, worth asking about directly. Nurse staffing sits at 3.83 hours per resident day, a hair under the national average, and weekend coverage drops roughly 21% below weekdays, which is the kind of gap families notice on Saturdays. Staff turnover at 51.2% runs above the national 45.8%. A March 2025 inspection means the record is current, and the four-star marks across health, quality, and staffing hold up.

B

78.5/100

Colonial Haven

Beemer, NE · Cuming County

CMS 5/534 bedsGovernmentMedicaid
Nurse hours
3.98 /day
Staff turnover
n/a
Serious cites
0

Colonial Haven runs on city government ownership in Beemer, and its last inspection came in April 2025 with no deficiencies at the harm or jeopardy level, a clean record on the serious stuff. Two of its ten deficiencies are abuse-related, though, which is worth asking about directly. Nurse staffing sits at 3.98 hours per resident day, about 3% above the national average, but weekends drop roughly 15% below its own weekday level, so coverage isn't even across the week. The five-star inspection rating shows the survey history is strong; the three-star quality measure rating is middling. With 34 beds, it's small enough that you can ask specific questions about who's on duty Saturday and Sunday.

Frequently asked questions

How many government-run nursing homes are there in Nebraska?
There are 34 government-run Medicare-certified nursing homes in Nebraska, 19% of the 180 nursing homes there.
Are government-run nursing homes better staffed?
In Nebraska they average 4.1 total nursing hours per resident per day, against 3.98 for all nursing homes in Nebraska, a difference of +0.12 hours. Staff turnover averages 42% against 48.7%.
Which government-run nursing home grades best in Nebraska?
Douglas County Health Center in Omaha, NE, grade A, 94 out of 100.
Does being government-run mean a nursing home is safe?
No. Of the 34 graded government-run homes in Nebraska, 13 grade A and 0 grade D or F.
Do government-run nursing homes in Nebraska accept Medicaid?
34 of the 34 are certified to accept Medicaid. See Medicaid and nursing homes.

Before you shortlist in Nebraska