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86 Independent Nursing Homes in Nebraska

86 of the 180 Medicare-certified nursing homes in Nebraska (48%) are independently owned, and all are listed below. 23 of the 85 graded homes earn an A and 3 earn a D or F. They average 4.13 nursing hours per resident per day, 0.15 hours above the 3.98 for every home in Nebraska. Douglas County Health Center in Omaha grades highest at A (94 out of 100).

How independently owned homes in Nebraska compare

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

Nursing hours per resident per day

4.13

All homes in Nebraska: 3.98

Better than the local average

Nurse staff turnover

49.8%

All homes in Nebraska: 48.7%

Worse than the local average

Average ElderGrade score

76/100

All homes in Nebraska: 74.9/100

Better than the local average

Grade spread

A
B
C

23 grade A, 38 grade B, 21 grade C, 3 grade D,

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

Every independently owned nursing home in Nebraska

Showing 21 to 40 of 86, best-graded first.

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.

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.

B

83/100

Sutton Community Home, Inc.

Sutton, NE · Clay County

CMS 3/531 bedsNon-profitMedicaid
Nurse hours
4.72 /day
Staff turnover
38%
Serious cites
0

Sutton Community Home runs on a nonprofit model with 31 beds, and its staffing is the strongest part of the picture: 4.72 nurse hours per resident day, roughly 22 percent above the national average. Weekend coverage dips about 7 percent below its own weekday level, and turnover sits at 37.9 percent, better than the 45.8 percent national figure, though still meaning more than a third of staff leaving each year. The current record shows 12 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last inspection in December 2025. The weak spot is quality measures, which lag well behind what the staffing numbers would suggest.

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

Midwest Covenant Home

Stromsburg, NE · Polk County

CMS 3/551 bedsNon-profitMedicaid
Nurse hours
4.30 /day
Staff turnover
49%
Serious cites
0

Midwest Covenant Home runs a solidly staffed floor: 4.30 nurse hours per resident day puts it about 11% above the national average, and CMS gives that staffing a 4 out of 5. The catch is consistency, weekends run roughly 14% leaner than weekdays, and turnover sits at 49.2%, a few points above the national rate, so familiar faces cycle through. The record shows 12 deficiencies from a March 2025 inspection, none rising to harm or jeopardy, though two are abuse-related, which any family should ask about directly. Its inspection and quality ratings both land at 3 out of 5. This nonprofit is decently resourced and recently reviewed; the questions worth pressing on are weekend coverage and how those abuse findings were resolved.

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

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

80.5/100

Hilltop Estates

Gothenburg, NE · Dawson County

CMS 2/564 bedsFor-profitMedicaid
Nurse hours
4.11 /day
Staff turnover
46%
Serious cites
0

Hilltop Estates runs 4.11 nurse hours per resident per day, roughly 6% above the national average, and that staffing shows up as its strongest CMS category. The catch is weekends, when coverage drops about 18% below the home's own weekday level, the stretch when families tend to visit and when problems often surface. Turnover sits at 46.4%, essentially matching the national rate, so continuity of caregivers isn't unusually bad or good here. Seven deficiencies on record, none causing harm or jeopardy and none abuse-related, with the last inspection in March 2025. For-profit corporate ownership, 64 beds, middle-of-the-road marks on inspections and quality measures. Solid, not spotless.

B

80/100

Community Memorial Health Center

Burwell, NE · Garfield County

CMS 2/564 bedsNon-profitMedicaid
Nurse hours
3.98 /day
Staff turnover
24%
Serious cites
0

Community Memorial Health Center runs on a non-profit model in Burwell, and its staffing is the strongest part of the picture: 3.98 nurse hours per resident day, just above the national average, with a 4-out-of-5 staffing rating. Turnover sits at 24.3%, roughly half the national rate, which matters for consistency of care. Weekends run about 14% leaner than weekdays, so ask how that plays out on Saturdays. The weaker spot is inspections, a 2-out-of-5 health inspection rating, 32 deficiencies on record, including two tied to abuse, though none reached harm or jeopardy level. The most recent inspection was February 2026, so the record is current.

B

80/100

Bethany Home, Inc

Minden, NE · Kearney County

CMS 2/564 bedsNon-profitMedicaid
Nurse hours
4.21 /day
Staff turnover
40%
Serious cites
0

Bethany Home runs on unusually strong staffing for a 64-bed nonprofit, 4.21 nurse hours per resident day, about 9% above the national average, and turnover at 40% sits below the 45.8% national figure. Weekends thin out roughly 13% against its own weekday coverage, so ask how that gap gets managed. The inspection record is the harder part: 19 deficiencies, none at harm or jeopardy level, but one tied to abuse, and just a 2-star health inspection rating with a 1-star quality measure score. June 2025 was the last full look. The people providing care appear to be the strength here; the paper trail is what a family should press on.

B

80/100

Hillcrest Country Estates-Cottages

Papillion, NE · Sarpy County

CMS 2/548 bedsFor-profitMedicaid
Nurse hours
4.77 /day
Staff turnover
69%
Serious cites
0

The staffing numbers look good on paper, 4.77 nurse hours per resident day, roughly a quarter above the national average, and the federal staffing rating backs that up. But 68.7% of staff turned over in a year against a national average near 46%, which means those hours are often delivered by people still learning the building, and weekend coverage drops about 11% below weekday levels. The inspection record shows 22 deficiencies with two tied to abuse, though none rose to actual harm or jeopardy, and the last state visit was April 2025. A for-profit LLC operation with that much churn is worth asking about directly.

B

80/100

Heartland Ridge Care Center

Lincoln, NE · Lancaster County

CMS 2/547 bedsFor-profitMedicaid
Nurse hours
5.12 /day
Staff turnover
78%
Serious cites
0

Heartland Ridge runs lean on one thing and heavy on another. Nurse staffing sits at 5.12 hours per resident day, roughly a third more than the national average, and weekends dip only slightly below weekdays, so coverage stays fairly steady. The catch is turnover: 77.6% of staff leave each year, well above the 45.8% norm, which means many of those hours come from people still learning the building. Inspections are the weak spot. Twenty-one deficiencies on the current record, including one abuse-related citation, though none rose to harm or jeopardy, and the last survey was in May 2025. This for-profit LLC is recently inspected and adequately staffed on paper; whether that holds depends on who stays.

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

79/100

York General Hearthstone

York, NE · York County

CMS 5/5127 bedsNon-profitMedicaid
Nurse hours
3.90 /day
Staff turnover
44%
Serious cites
0

York General Hearthstone runs 3.90 nurse hours per resident day, just above the national average, and 43.8% of its staff left last year, a bit better than the typical 45.8%. Weekend coverage dips roughly 11% below weekday levels, which is common but worth asking about if your family visits on Saturdays. The three deficiencies on record include nothing at the harm level and nothing abuse-related, and its last inspection was in March 2026. Ownership is nonprofit. Quality measures scored 3 out of 5, so clinical outcomes are middle of the road even though staffing and inspections look stronger.

B

79/100

Milford Meadows Care Center

Milford, NE · Seward County

CMS 2/580 bedsFor-profitMedicaid
Nurse hours
3.34 /day
Staff turnover
n/a
Serious cites
0

Milford Meadows runs 3.34 nurse hours per resident day, about 14 percent under the national average, and weekends drop roughly 17 percent below its own weekday staffing. That thin coverage shows up in the federal staffing star, which sits at the bottom of the scale, while the quality measure star sits at the top, a split worth noticing, since good clinical numbers can coexist with too few hands on a Saturday. Inspectors logged 18 deficiencies on the current record, none at harm or jeopardy level but one tied to abuse, and the last full inspection was February 2025. The corporate for-profit owner holds a two-star inspection record, so read the quality score alongside the staffing, not instead of it.

B

79/100

Hemingford Care Center

Hemingford, NE · Box Butte County

CMS 1/539 bedsFor-profitMedicaid
Nurse hours
4.02 /day
Staff turnover
55%
Serious cites
0

Hemingford Care Center has 39 certified beds and enough nursing hours per resident, 4.02, to sit slightly above the national average. The catch is who's there on weekends, when staffing drops about 12% below its own weekday level, and how long anyone stays: turnover runs 55.3% against a national 45.8%, so the hands at the bedside keep changing. Its record carries 50 deficiencies, 8 of them abuse-related, and CMS has placed it in the Special Focus Facility program. Inspectors were last out on February 2, 2026. Quality and staffing measures both score 4 out of 5, but the health inspection side tells a harder story.

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

78/100

Eventide Prairie Commons Care Center

Grand Island, NE · Hall County

CMS 1/536 bedsNon-profitMedicaid
Nurse hours
4.41 /day
Staff turnover
67%
Serious cites
0

Eventide Prairie Commons runs a tight operation on nurse hours, 4.41 per resident day, roughly 14% above the national average, but that staffing comes at a cost in continuity, with 67.4% annual turnover against a national figure near 46%. The inspection record is the bigger concern: 15 deficiencies, one serious enough to reach harm or jeopardy level, and a $10,296 fine, all from a May 2025 survey that left the home with a single star for health inspections even as its quality measures score 4 out of 5. Weekend coverage dips about 5% below weekday levels, which matters most when something goes wrong on a Saturday.

Frequently asked questions

How many independently owned nursing homes are there in Nebraska?
There are 86 independently owned Medicare-certified nursing homes in Nebraska, 48% of the 180 nursing homes there.
Are independently owned nursing homes better staffed?
In Nebraska they average 4.13 total nursing hours per resident per day, against 3.98 for all nursing homes in Nebraska, a difference of +0.15 hours. Staff turnover averages 49.8% against 48.7%.
Which independently owned nursing home grades best in Nebraska?
Douglas County Health Center in Omaha, NE, grade A, 94 out of 100.
Does being independently owned mean a nursing home is safe?
No. Of the 85 graded independently owned homes in Nebraska, 23 grade A and 3 grade D or F.
Do independently owned nursing homes in Nebraska accept Medicaid?
85 of the 86 are certified to accept Medicaid. See Medicaid and nursing homes.

Before you shortlist in Nebraska