94 of the 180 Medicare-certified nursing homes in Nebraska (52%) are chain-owned, and all are listed below. 23 of the 94 graded homes earn an A and 10 earn a D or F. They average 3.85 nursing hours per resident per day, 0.13 hours below the 3.98 for every home in Nebraska. Newport House in Omaha grades highest at A (99 out of 100).
How chain-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
3.85
All homes in Nebraska: 3.98
Worse than the local average
Nurse staff turnover
47.7%
All homes in Nebraska: 48.7%
Better than the local average
Average ElderGrade score
73.9/100
All homes in Nebraska: 74.9/100
Worse than the local average
Grade spread
A
B
C
D
23 grade A, 38 grade B, 23 grade C, 10 grade D,
The best-graded chain-owned home in Nebraska is
Newport House
in Omaha, NE, grade A, 99/100.
Good Samaritan Society - Grand Island Village runs 67 certified beds as a nonprofit, and its nurse staffing sits at 3.56 hours per resident day, roughly 8% under the national average of 3.86. Weekends dip about 10% below its own weekday numbers, so the thinnest coverage lands when families are most likely to visit. The 63.8% annual turnover is the number that stands out most: well above the 45.8% national figure, which means a good share of the people caring for residents are still learning the building. Its record shows 22 deficiencies, including one at the harm level and one abuse-related, with a single $10,033 fine. The last inspection was 2025-12-30, so the picture is current.
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.
Emerald Nursing & Rehab Legacy Pointe runs 108 beds under for-profit LLC ownership, and its nurse staffing sits at 3.45 hours per resident day, roughly 11% under the national average of 3.86. Weekends drop about 13% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover is 53.3% against a national 45.8%, which means more than half the staff left within a year. The home carries 29 deficiencies on its current record, including one abuse-related citation, none at the harm level, plus eight fines totaling $56,445. A July 2025 inspection is recent, and the quality measure rating of 3/5 suggests clinical outcomes are middling, not alarming.
Emerald Nursing & Rehabilitation Mercy runs 174 beds under for-profit LLC ownership, and the numbers behind its record are worth walking through. Nurse staffing sits at 3.28 hours per resident day against a national average of 3.86, roughly 15% below, and weekends drop about 13% below the home's own weekday levels, while annual turnover hits 64.8% against a 45.8% national figure. The inspection history is the heavier weight: 71 deficiencies on the current record, six at harm or jeopardy level, one abuse-related, and $61,867 in fines across three events. CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of poor care.
Indian Hills Manor runs on 2.56 nursing hours per resident per day, roughly a third below the national average of 3.86, and staffing thins out further on weekends, dropping about 9% below its own weekday level. That shortfall shows up in turnover: 55.6% of staff left over the past year, well above the 45.8% national figure, so residents see a revolving door of caregivers. The current record carries 30 deficiencies, including one at the harm or jeopardy level and one abuse-related, and the last inspection in March 2025 produced a one-star health inspection rating to go with one-star marks for staffing and quality measures. It's a for-profit limited liability company, which tells you where the margin gets protected.
Emerald Nursing & Rehab Columbus runs 145 beds under corporate ownership, and the staffing numbers are where the trouble starts. At 3.57 nurse hours per resident day, it sits about 7% under the national average, and weekends drop roughly 9% below what the home itself staffs on weekdays. Turnover is the bigger flag: 60.9% of staff leaving annually against a national 45.8% means caregivers are constantly new, which matters most for residents who need consistent hands. The current record shows 22 deficiencies, two tied to abuse, though none reached harm or jeopardy level. A recent August 2025 inspection is a plus, but quality and staffing measures both land at the bottom.
Adept Nursing & Rehab Of Sutherland is a 60-bed for-profit home in Lincoln County, and the numbers behind its record are worth understanding before you visit. Nurse staffing sits at 3.46 hours per resident day, roughly 10% under the national average, and weekends run about 14% thinner than weekdays, which matters because that's when many families actually show up. Staff turnover is the harder number: 69.5% of the nursing team leaves within a year, against a national average of 45.8%.
The inspection record is where things get serious. Thirty-nine deficiencies are on file, three at the harm or jeopardy level, two tied to abuse, with $51,637 in fines. CMS has placed the home in its Special Focus Facility program, and a March 2026 inspection is the most recent look regulators have taken.
Adept Nursing & Rehab Of Grand Island runs on 2.86 nurse hours per resident day, roughly a quarter below the national average, and weekend coverage dips even further below its own weekday level. That thin margin matters more when you consider that 76.1% of staff turned over in a year, well above the 45.8% national rate, so the people providing that care are often new to the building. The current inspection record shows 32 deficiencies, including one at the harm level and three tied to abuse, with a $16,801 fine and a May 2025 inspection. The federal ratings land at one star for health inspections and one for staffing.
Accura Healthcare of Franklin runs 42 beds under for-profit LLC ownership, and the staffing numbers are the first thing I'd flag. At 2.75 nurse hours per resident day, it's roughly 29% under the national average of 3.86, and weekends dip about 13% below its own weekday coverage, so your family member's care could look thinner on Saturdays and Sundays. Annual turnover sits at 70% against a national 45.8%, which means aides and nurses cycle through faster than most places. The 16 deficiencies on record carry no harm or abuse findings, and the last inspection was March 2025, so the record is current. But a 1-out-of-5 quality measure rating tells you the clinical outcomes aren't strong.
Emerald Nursing & Rehab Lancaster is a 293-bed for-profit home in Lincoln, and the numbers behind its record are worth knowing before you tour. Nurse staffing sits at 3.39 hours per resident day, roughly 12 percent under the national average, and it drops another 10 percent on weekends when families tend to visit. Staff turnover is 73.5 percent against a national 45.8, most of the people caring for your relative this year likely won't be there next year. The inspection history shows 57 deficiencies, four at harm or jeopardy level, two tied to abuse, and $79,725 in fines. CMS has placed it in the Special Focus Facility program, which is reserved for the country's most persistently troubled homes.
Emerald Nursing & Rehab Brookside is a 173-bed for-profit in Lincoln, and the numbers behind its record are worth walking through slowly. Nurse staffing sits at 3.23 hours per resident per day against a national average of 3.86, and weekends drop about 8% below the home's own weekday level, so coverage thins out exactly when families tend to visit. Staff turnover runs 62.8%, well above the 45.8% national figure, which matters because unfamiliar caregivers miss changes in a resident's condition. The current inspection record shows 44 deficiencies, including one at the harm or jeopardy level and two tied to abuse, with three fines totaling $37,998 and a survey completed February 11, 2026. All three CMS star ratings land at one out of five.
Frequently asked questions
How many chain-owned nursing homes are there in Nebraska?
There are 94 chain-owned Medicare-certified nursing homes in Nebraska, 52% of the 180 nursing homes there.
Are chain-owned nursing homes better staffed?
In Nebraska they average 3.85 total nursing hours per resident per day, against 3.98 for all nursing homes in Nebraska, a difference of -0.13 hours. Staff turnover averages 47.7% against 48.7%.
Which chain-owned nursing home grades best in Nebraska?