State plate · NE
Assisted living in Nebraska
Nebraska licenses assisted living through DHHS, Licensure Unit, under the license types Assisted Living Facility. Nebraska does not publish a downloadable list with capacity. CDC's 2020 survey estimated 240 residential care communities with 11,500 beds. HUD's active-loan file shows 26 FHA-insured assisted living loans in Nebraska with $234.9 million outstanding as of September 30, 2026.
Licensing
- Licensing agency
- DHHS, Licensure Unit
- License types
- Assisted Living Facility
- Official program page
- dhhs.ne.gov
- Facility list
- ArcGIS (2025-10/11)
Licensing details checked against each agency's site on 2026-10-24. HUD requires a Section 232 assisted living project to be licensed or regulated by the state and have at least 20 beds.
CDC survey profile (2020)
The National Post-acute and Long-term Care Study, run by CDC's National Center for Health Statistics, estimates residential care communities with four or more beds. 2020 is its latest wave with state figures, so these numbers differ from the state's own list.
| Measure | Nebraska | US |
|---|---|---|
| Communities | 240 | 30,600 |
| Beds | 11,500 | 1,197,600 |
| Average beds per community | 47 | 39 |
| For-profit | 49.1% | 81.9% |
| Chain affiliated | 56.5% | 61.4% |
| Medicaid certified | 85.7% | 43.6% |
| Dementia-only communities | 13.9% | 10.5% |
| Dementia-only or with a dementia unit | 18.0% | 20.5% |
| Residents 85 and older | 52.0% | 49.9% |
| Residents with Alzheimer disease or other dementias | 39.3% | 42.1% |
Source: CDC/NCHS, Biennial Overview of Post-acute and Long-term Care (data.cdc.gov). Percentages are of communities, except the resident rows.
HUD Section 232 assisted living loans
- Active FHA loans
- 26
- Outstanding
- $234.9 million
- Median note rate
- 3.37%
- Endorsed since FY2001
- 37
Since fiscal 2001 HUD has endorsed 37 FHA-insured assisted living loans in Nebraska for $327 million of original principal, 9 of them for new construction or substantial rehabilitation, and 7 since fiscal 2021. 3 of today's active loans carry a note rate of 5% or more. The active file also lists 4 board and care loans in the state.
| Property (HUD name) | City | Units | Endorsed | Rate | Balance | Matures |
|---|---|---|---|---|---|---|
| Salt Creek Assisted LivingFHA 10343059 | Lincoln | 87 | May 2022 | 3.33% | $24,923,293 | Mar 2064 |
| Pemberly Place Senior LivingFHA 10322090 | Lincoln | 120 | Mar 2026 | 5.42% | $21,099,364 | Apr 2061 |
| The Heritage at Fountain PointFHA 10322091 | Norfolk | 92 | Aug 2026 | 5.95% | $19,040,900 | Sep 2061 |
| The Heritage at Sterling RidgeFHA 10322066 | Omaha | 240 | Oct 2018 | 3.55% | $18,040,453 | Nov 2053 |
| Knolls Assisted LivingFHA 10343058 | Lincoln | 160 | Dec 2016 | 2.75% | $17,559,564 | Sep 2058 |
| Heritage Ridge Retirement CommunityFHA 10322075 | Bellevue | 146 | Apr 2022 | 3.24% | $14,549,469 | May 2057 |
| Knolls AdditionsFHA 10310005 | Lincoln | 142 | Feb 2019 | 3.85% | $14,546,278 | Sep 2058 |
| Aksarben Assisted LivingFHA 10343055 | Omaha | 87 | Mar 2014 | 2.98% | $12,134,989 | Sep 2055 |
| Aksarben Village Phase IIFHA 10310006 | Omaha | 30 | Sep 2025 | 6.22% | $10,800,000 | Jan 2056 |
| Heritage PointeFHA 10322073 | Omaha | 233 | Mar 2021 | 2.39% | $10,654,930 | Apr 2056 |
| Labitha Health Care ServicesFHA 10343049 | Lincoln | 65 | Mar 2010 | 2.80% | $8,914,884 | Aug 2051 |
| Aksarben Village Phase IIFHA 10322071 | Omaha | 98 | Dec 2020 | 2.55% | $8,174,684 | Jan 2056 |
| Shalimar Gardens Assisted LivingFHA 10322033 | Fremont | 100 | Nov 2011 | 4.06% | $6,279,426 | Dec 2046 |
| Royale Oaks Assisted Living and House of Hope Alzheimer's CareFHA 10322070 | Omaha | 212 | Sep 2020 | 2.49% | $5,851,395 | Oct 2050 |
| St Joseph Terrace AptsFHA 10343053 | Omaha | 102 | Aug 2011 | 3.02% | $5,829,828 | Sep 2051 |
| Elk Ridge Assisted LivingFHA 10322036 | Elkhorn | 92 | Apr 2012 | 2.17% | $5,628,624 | May 2047 |
| College View Assisted LivingFHA 10322074 | Hastings | 58 | Aug 2021 | 2.53% | $5,142,213 | Sep 2056 |
| Stone Hearth EstatesFHA 10343054 | Gothenburg | 65 | May 2013 | 3.40% | $4,215,739 | Jun 2053 |
| Wel-life Assisted Living at KearneyFHA 10322047 | Kearney | 44 | Apr 2014 | 4.10% | $3,769,086 | May 2049 |
| Countryhouse of Grand IslandFHA 10322061 | Grand Island | 54 | Sep 2016 | 3.06% | $3,366,270 | Oct 2051 |
| The Waterford at CollegeviewFHA 10322043 | Lincoln | 56 | Jan 2014 | 4.36% | $3,257,876 | Feb 2049 |
| Kensington- HastingsFHA 10322064 | Hastings | 156 | Jun 2017 | 3.44% | $2,797,269 | Jul 2047 |
| Wel-life Assisted Living at ScottsbluffFHA 10322050 | Scottsbluff | 44 | Apr 2014 | 4.10% | $2,444,828 | May 2049 |
| The Waterford at WilliamsburgFHA 10322042 | Lincoln | 41 | Feb 2013 | 2.89% | $2,341,851 | Apr 2041 |
| Assited Living at PapillionFHA 10322049 | Papillion | 44 | Apr 2014 | 4.10% | $1,826,215 | May 2049 |
| Wel-life Assisted Living at OgallalaFHA 10322048 | Ogallala | 34 | Apr 2014 | 4.10% | $1,702,016 | May 2049 |
Active loans: HUD FHA insured mortgages, active, as of September 30, 2026. Endorsements: HUD Office of Healthcare Programs database, data run July 8, 2026. Facility type comes from HUD's endorsement records.
Own or are buying an assisted living or memory care building in Nebraska? See what HUD, Fannie Mae and Freddie Mac would lend against your NOI.
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