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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 21 to 34 of 34, best-graded first.

B

78/100

Oakland Heights

Oakland, NE · Burt County

CMS 5/545 bedsGovernmentMedicaid
Nurse hours
4.40 /day
Staff turnover
47%
Serious cites
0

Oakland Heights is city-owned, which is unusual, and it runs on 4.40 nurse hours per resident day, roughly 14% above the national average. Weekends dip about 15% below its own weekday staffing, so coverage thins out on Saturdays and Sundays. Turnover sits at 46.8%, essentially the national rate, meaning you'll likely see new faces over a long stay. The inspection record is the strong part: three deficiencies total, none at harm or jeopardy level, none abuse-related, with the most recent survey in June 2025. Quality measures are where it lags, scoring 2 of 5 stars, worth asking what specifically is dragging that down before you decide.

B

77.5/100

Parkview Haven Nursing Home

Deshler, NE · Thayer County

CMS 3/549 bedsGovernmentMedicaid
Nurse hours
4.53 /day
Staff turnover
37%
Serious cites
0

Parkview Haven is city-county owned, and the staffing numbers reflect that: 4.53 nurse hours per resident day, roughly 17% above the national average, with turnover at 37% compared to 45.8% nationally. What keeps it out of the top tier is what inspectors found, nine deficiencies on the current record, including one at the harm or jeopardy level and one abuse-related, with the last inspection in May 2025. Weekend staffing also drops about 20% below its own weekday level, which matters if your family visits or needs help on Saturdays and Sundays. The care hours are there on paper; the survey history is the part worth asking about directly.

B

75/100

Litzenberg Memorial County Hospital

Central City, NE · Merrick County

CMS 4/546 bedsGovernmentMedicaid
Nurse hours
3.49 /day
Staff turnover
30%
Serious cites
0

Litzenberg Memorial is county-owned, which tends to mean stability and a local board that answers to voters rather than shareholders. The inspection record backs that up: seven deficiencies on file, none of them causing harm or involving abuse, and a survey completed just this September. Staffing is where it gets uneven. At 3.49 nurse hours per resident day, it runs about ten percent under the national average, and weekends dip another ten percent below the home's own weekday levels, so a Saturday shift is the thinnest coverage you'll find here. The saving grace is retention: 30 percent turnover against a 45.8 percent national average means the aides and nurses who are there tend to stay, which matters more than raw hours when your parent needs someone who knows their routine.

B

75/100

Genoa Community Hospital/Ltc

Genoa, NE · Nance County

CMS 2/543 bedsGovernmentMedicaid
Nurse hours
3.48 /day
Staff turnover
23%
Serious cites
0

Genoa Community Hospital's long-term care unit runs on a city-owned, 43-bed model, and the numbers tell a mixed story. Nurse staffing sits at 3.48 hours per resident day, roughly 10% under the national average, and weekends drop about 12% below its own weekday coverage, a gap families should ask about directly. What stands out in the other direction is turnover: 22.9% against a national average near 46%, meaning the aides and nurses here tend to stay. Ten deficiencies appear on the current record, three tied to abuse, though none reached harm or jeopardy level, and the last inspection was in May 2025. Quality measure scores lag at 1 star while staffing holds at 4.

B

74.5/100

Wilber Care Center

Wilber, NE · Saline County

CMS 2/558 bedsGovernmentMedicaid
Nurse hours
4.26 /day
Staff turnover
67%
Serious cites
0

Wilber Care Center is city/county-owned and staffs 4.26 nursing hours per resident day, about 10% above the national average, which is a real strength. But that number hides two problems: weekend coverage drops roughly 18% below weekday levels, and annual turnover sits at 67.4% against a national 45.8%, so the people providing that care change often. The 12 deficiencies on record include one abuse-related citation, though none reached harm or jeopardy level, and the last inspection was January 2025. Quality measures score well; inspections do not.

B

72.5/100

Community Pride Care Center

Battle Creek, NE · Madison County

CMS 4/550 bedsGovernmentMedicaid
Nurse hours
2.23 /day
Staff turnover
46%
Serious cites
0

Community Pride Care Center runs on 2.23 nurse hours per resident day, roughly 42% under the national average of 3.86, and weekends drop about 19% below its own weekday staffing. That thin coverage is the main reason its staffing rating sits at 1 out of 5, and turnover at 46.2% is right about at the national figure, so there's no stability advantage to offset it. The inspection record is cleaner: 9 deficiencies, none at harm or jeopardy level, though 2 are abuse-related, and the last inspection was December 31, 2025. Quality measures score 5 out of 5, and as a city or county home, it answers to local government rather than a chain.

B

71/100

Imperial Manor Nursing Home

Imperial, NE · Chase County

CMS 1/558 bedsGovernmentMedicaid
Nurse hours
n/a /day
Staff turnover
50%
Serious cites
0

Imperial Manor is city-and-county owned, which is unusual in a state where most homes are run by chains or nonprofits, and its staffing reflects that public backing: 4.30 nurse hours per resident day, roughly 11% above the national average. Weekends thin out by about 18% against its own weekday numbers, though, and turnover sits at 50%, a bit above the 45.8% national figure, which matters more in a 58-bed building where you notice every new face. The current inspection record carries 23 deficiencies, none at the harm level, one tied to abuse, plus a single $7,903 fine. The last inspection was November 2025. Federal inspectors rated staffing 4 out of 5 and quality measures 3, but health inspections 2, that gap tells you the care numbers look better on paper than the surveyors found in practice.

B

70.5/100

Mitchell Care Center

Mitchell, NE · Scott Bluff County

CMS 3/550 bedsGovernmentMedicaid
Nurse hours
3.81 /day
Staff turnover
48%
Serious cites
0

Mitchell Care Center runs on thin margins, and the numbers show it. Nurse staffing sits at 3.81 hours per resident day, just under the national average, but the real gap is weekends, coverage drops about 18% below what the home staffs on weekdays, which is when falls and infections tend to happen. Turnover runs 47.5%, higher than the national rate, and the current record carries 19 deficiencies, including five tied to abuse. None rose to the harm level, and the most recent inspection was in September 2025, so the picture is current rather than stale. City- or county-run ownership can mean steadier funding, but it doesn't change what the staffing pattern and survey history already tell you.

B

70/100

Plainview Manor

Plainview, NE · Pierce County

CMS 2/539 bedsGovernmentMedicaid
Nurse hours
3.76 /day
Staff turnover
n/a
Serious cites
0

Plainview Manor runs 39 beds under city government ownership, and the numbers split in two directions. The health inspection side is decent, three stars, with 15 deficiencies on record but none rising to actual harm or jeopardy, and a recent survey from August 2025. Where it struggles is everything measured outside the survey visit: one star for staffing and one star for quality measures. Those two ratings look at day-to-day nurse coverage and how residents are actually faring on clinical measures, and both land well below what you'd want to see. Four abuse-related deficiencies also appear on the current record, which is worth asking about directly. City-owned homes like this one often sit in small towns with limited labor pools, which can explain thin staffing, but it doesn't make the shortfall less real. Ask what direct-care hours look like on evenings and weekends.

C

68/100

Arbor Care Centers-Countryside Llc

Madison, NE · Madison County

CMS 2/570 bedsGovernmentMedicaid
Nurse hours
n/a /day
Staff turnover
64%
Serious cites
0

Arbor Care Centers-Countryside is city-owned, with 70 certified beds in Madison. Its last inspection wrapped in December 2025, and what inspectors have on record is heavy: 31 deficiencies, including four tied to abuse and two serious enough to put residents in harm's way. Staffing is where the trouble really shows, the federal staffing rating sits at 1 out of 5, and turnover runs about 64 percent a year against a national average near 46 percent, meaning most of the people caring for your family member this year likely won't be there next year. Resident outcome measures look strong on paper, but thin, constantly changing staffing is what tends to wear those numbers down.

C

65.5/100

Ponderosa Villa

Crawford, NE · Dawes County

CMS 2/539 bedsGovernmentMedicaid
Nurse hours
2.90 /day
Staff turnover
n/a
Serious cites
0

Ponderosa Villa runs on 2.90 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekends drop about 14% below its own weekday level, so the thinnest coverage lands when families tend to visit. The city-owned home carries 13 deficiencies on its current record, none at harm or jeopardy level and none abuse-related, and it was inspected January 14, 2026. Its quality measure rating sits at 2 out of 5 and staffing at 1 out of 5, which tells you the shortfall is consistent, not a one-time dip. A 35-bed home can be worth a look for its size and local ownership, but ask directly how weekends are covered before deciding.

C

65/100

Chimney Rock Villa

Bayard, NE · Morrill County

CMS 1/549 bedsGovernmentMedicaid
Nurse hours
3.47 /day
Staff turnover
50%
Serious cites
0

Chimney Rock Villa is city-owned and holds 49 beds, and its staffing looks decent on paper, 3.47 nurse hours per resident day, about 10% under the national average, with a 4-out-of-5 staffing rating. The problems sit elsewhere. Inspectors have cited 30 deficiencies, four of them at the level where residents were harmed or put in jeopardy, plus one abuse-related finding, and the health inspection rating is 1 out of 5. Annual turnover runs 50%, above the national 45.8%, and weekends are staffed about 6% leaner than weekdays. Two fines total $110,988, and the most recent inspection was July 2025. Ask about the harm-level citations and what changed since.

C

63/100

Wauneta Care And Therapy Center

Wauneta, NE · Chase County

CMS 1/536 bedsGovernmentMedicaid
Nurse hours
3.11 /day
Staff turnover
60%
Serious cites
0

Wauneta Care and Therapy Center runs on 3.11 nurse hours per resident per day, roughly 19% under the national average of 3.86, and weekends dip about 10% below its own weekday level. Staff turnover sits at 59.5% against a national 45.8%, which means a good share of the people caring for residents are still learning the building, and the staffing star rating of 1 out of 5 reflects that. The current record shows 14 deficiencies, including one at the harm or jeopardy level and one abuse-related. Quality measures score 1 out of 5. Its most recent inspection was May 2025.

C

58.5/100

Kimball County Manor

Kimball, NE · Kimball County

CMS 1/549 bedsGovernmentMedicaid
Nurse hours
3.57 /day
Staff turnover
57%
Serious cites
0

Kimball County Manor runs on county government ownership, and its 49 beds are staffed at 3.57 nurse hours per resident day, about 8% under the national average of 3.86. Weekends drop roughly 17% below the home's own weekday level, so coverage thins out exactly when families tend to visit. Annual turnover sits at 57.1% against a national 45.8%, meaning more than half the nursing staff leaves each year. The inspection record is the harder read: 27 deficiencies, including one at the harm or jeopardy level and three tied to abuse, plus a $27,606 fine. Health inspection and quality measure ratings both sit at 1 out of 5, though staffing scored 3. The most recent inspection was April 21, 2025.

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