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Nebraska is centrally located in the middle of the United States, serving as the only “triply landlocked state†in the nation. As a result, Nebraska has quick access to a ton of different states in every single direction which makes it an ideal setting for seniors that relocate to memory care facilities in Nebraska yet have families spread out across the rest of the country. With a population of around 2 million people, Nebraska is also not extremely dense or crowded.

Memory Care in Nebraska - Cheapest & Most Expensive Places

Dementia care homes in Nebraska are moderately priced, just following in the first third of most affordable in the country. The average monthly prices for Alzheimer’s care homes in Nebraska are comparable to other midwestern states like Iowa, Missouri and Wisconsin. What are the least expensive and most expensive cities and counties in the state? Check out our breakdown below.

The Top 5 Most Affordable Cities for Memory Care in Nebraska based on Monthly Median Rent:

  1. Fremont, NE - $4,535
  2. Norfolk, NE - $4,565
  3. Grand Island, NE - $4,615
  4. Columbus, NE - $4,770
  5. Omaha, NE - $4,800

The Top 5 Most Expensive Cities for Dementia Care in Nebraska:

  1. Gretna, NE - 5,370
  2. Elkhorn, NE - $5,215
  3. Bennington, NE - $5,185
  4. Lincoln, NE - $4,890
  5. Omaha, NE - $4,800

The Top 7 Most Affordable Counties in Nebraska for Memory Care based on Monthly Median Average:

  1. Dodge County - $4,535
  2. Madison County - $4,580
  3. Hall County - $4,605
  4. Platte County - $4,765
  5. Douglas County - $4,855
  6. Lancaster County - $4,895
  7. Sarpy County - $5,415

Nebraska Dementia & Alzheimer’s Care - Services

When families decide to make the move and relocate a loved one into a dementia care home, it is a major transition. The senior is leaving behind familiar surroundings for a brand new facility that may seem extremely large and uncomfortable at first. As a result, it is of the utmost importance for dementia trained staff to make new admittances feel as welcomed and loved and comfortable as possible.

Thankfully, the presentation at many of the Alzheimer’s care homes in Nebraska is not only beautiful but remarkably clean. The rooms are fitted with very comfortable beds and oversized bathrooms to accommodate all seniors. The rooms are private, and staff is mindful to respect personal privacy while also maintaining 24-hour service and monitoring for residents with Alzheimer’s and other forms of dementia.

Because disorientation and confusion are common symptoms of Alzheimer’s and dementia, the buildings are designed and situated for residents with cognitive disabilities to help them easily walk around the facility while not wandering outside the premise without notice.

In addition to high quality rooms, the top memory care homes in Nebraska also feature a variety of activities on a daily basis, from ones that focus on personal productivity to those related to leisure. Guest speakers and other individuals outside the facility (such as musicians) can be invited and often perform or teach residents something new. These are great opportunities for individuals to associate with other residents and enjoy socialization.

Nebraska Memory Care Regulations

Memory care is provided at licensed assisted living facilities in Nebraska. This is distinct from nursing home care in that assisted living facilities focus more on non-medical care, such as assisting with daily personal care, to allow residents in age in a more homelike, community environment.

Here is a short overview of some of the regulations that apply specifically to memory care and assisted living facilities in Nebraska.

Licensing

All assisted living facilities must be licensed. Licensing is provided through and monitored by the Nebraska Department of Health and Human Services department of licensure and regulation. Although there are multiple classes of licensing, this summary covers only the regulations for licensed assisted living facilities since these are the only facilities eligible to offer memory care.

Check on the status of an existing facility’s license here.

General Regulations

Assisted living facilities must have a written document that discloses information about the facility to potential new residents and their legal representatives. For memory care facilities, this disclosure must contain a description of:

  • Services offered and their costs
  • Participation in Medicaid programs
  • Admission, transfer, and discharge policies
  • Philosophy and mission of care
  • Assessment policies for resident services plans
  • Staffing policies
  • Staff training levels
  • Environmental design to support memory care
  • Available activities and recreation
  • Family involvement policies

Along with disclosures, all new residents at a facility should be provided with both a resident agreement and a service plan. The resident agreement reiterates most of the information from the disclosure with a focus on the individual rights and responsibilities of both parties involved in the agreement. This agreement is signed by both the resident and/or their representative as well as a representative of the facility.

Service plans focus more on the condition of the resident and their specific care needs as residents in the facility. The process starts off by assessing the medical, physical, and mental health of the resident. With an understanding of the resident’s needs, the plan then goes over how the facility will address those needs, either by providing services from direct care staff or by assisting the resident to arrange for third party support. This plan should be updated periodically, especially when a resident’s needs change significantly.

Facility Regulations

Residents in assisted living facilities can be provided with either an individual apartment or a bedroom in a larger, shared facility. If apartments are provided, they must have a private full bathroom, kitchen area, and a bedroom.

In shared units, facilities built before April of 2007 can have a maximum of 4 people per unit. A minimum of 1 toilet and sink are required for every 6 residents and at least 1 bathing facility must be available for every 16 residents.

Any facilities built after April of 2007 may have no more than 2 residents per unit. At least 1 toilet and sink must be provided for every 4 residents and at least 1 bathing facility should be available for every 8 residents. Any new constructions should have a toilet room that adjoins to resident bedrooms.

Staffing Regulations

Nebraska does not require any specific ratios of staff to be on duty throughout the day, but there is a requirement that all memory care facilities should have enough staff to care for resident needs. This applies during the day and overnight for all scheduled and reasonably predictable unscheduled needs. There must always be at least 1 person awake and on duty at the facility overnight.

Facilities must hire an administrator. When the administrator is not at the premises, another person should be designated as the substitute administrator. There should also be direct care staff employed who will care for residents individually. If medication will be administered to residents, the facility must have medication aides on staff. There should also be a registered nurse who is either an employee or who is contracted to provide necessary supervisory and directive services.

Staff working at a memory care facility will go through both an initial orientation training and annual continuous education. All staff members, including the administrator, will go through a minimum of 12 hours of continuous education every year, of which a minimum of 4 hours of training will focus on memory care. Direct care staff in a memory care facility will all go through orientation training relating specifically to caring for those with dementia, Alzheimer’s, and other memory impairments.

Nebraska Medicaid Memory Care Programs

In Nebraska, the state Medicaid program cannot be applied to care received at an assisted living facility. However, those in need of memory care can apply for a Medicaid waiver program that will go toward the cost of certain care services they receive while at a memory care facility. These Medicaid waivers do not cover room and board, but focus instead on costs of care to remain in the community.

Aged & Disabled Waiver

Nebraska’s Aged & Disabled waiver program helps memory care recipients receive medical care and personal care they need where they live, allowing recipients to remain outside of nursing home care for longer.

Eligibility for Medicaid in Nebraska

To be eligible for Medicaid in Nebraska, an applicant must be a current resident of Nebraska, a legal resident in the US, at least 65 years of age or older, and be in need of nursing home levels of care. They must also fall into the income standards for the year. Income standards for Nebraska Medicaid in 2023 are as follows:

  • Individual applicants cannot earn more than $1,215 per month or have more than $4,000 in countable assets
  • Married couples applying together cannot earn more than $1,643 per month in total, and cannot have more than $4,000 in countable assets each
  • Applicants who are married buy applying without their spouse must meet the individual limits stated above, but their non-applying spouse may not have more than $148,620 in countable assets

Admissions Requirements for Memory Care in Nebraska

Assisted living facilities can admit individuals who need help with some activities of daily life or with personal care. However, these are not skilled medical care facilities, so there are limits on who can be admitted or retained as a resident in assisted living. Memory care facilities cannot admit residents who:

  • Have unstable mental or physical conditions
  • Require complex medical care or interventions

There are exceptions to these criteria. If a resident’s admission or retention is deemed appropriate by the facility’s RN, the resident or their representative assume all responsibility for arranging specialized care, and the resident does not pose a threat to others or to normal facility operations, they may still be admissible.

Are Memory Care Facilities in Nebraska Safe for Your Loved One?

Making the choice to relocate your loved one to memory care is never easy. If you’re having second thoughts and worrying about whether your loved one will be well looked after in a memory care units, rest assured that memory care is one of the safest forms of assisted living available in Nebraska.

Memory Care Unit Protections

Memory care is offered as part of assisted living in Nebraska. Whether the entire facility is dedicated to memory care or only a specific unit in an existing facility, the area where memory care residents stay is designed for safety. These spaces usually have protective design that makes it easier for residents to remember where they are or where they’re going, and to prevent wandering out of the facility.

Staffing Requirements

Everyone who will be interacting with residents at a memory care facility must be trained in caring for those with memory impairments. All direct care staff and administrators will receive both orientation training and ongoing annual training that addresses the unique needs of memory care residents. This means that staff in memory care facilities are well prepared to handle the challenges that come with caring for your loved one. Staff are aware of the risks and how to respond to the needs of your loved one, allowing the facility to create a thriving, comfortable environment where their needs can be met without an issue.  

Specialized Care

Memory care units are built to care for those with memory impairments. Because of this, they’re set up to help ease the challenges of memory care residents. Everything from the environmental design, daily activities, and care routines to the staffing and training choices contributes to the goal of helping those with memory impairments to live thriving lives with as much autonomy as possible.

Memory care in Nebraska is likely one of the safest options for your loved one when they begin to need more help and supervision in their daily life.

Common Questions About Memory Care in Nebraska

1. What is memory care, and how does it differ from other types of senior care in Nebraska?

Memory care in Nebraska is a specialized form of senior care designed for individuals with Alzheimer's disease and other forms of dementia. It differs from traditional assisted living as it provides tailored care and support to manage memory-related challenges and maintain a safe and structured environment.

2. What are the average costs of memory care in Omaha and Lincoln?

The cost of memory care in Omaha and Lincoln, Nebraska, can vary but is generally higher than standard assisted living due to the specialized care provided. On average, it ranges from $5,000 to $7,000 per month. Costs may differ based on the level of care and the specific memory care facility you choose.

3. What services are typically offered in memory care facilities in Grand Island and Bellevue?

Memory care facilities in Grand Island and Bellevue, Nebraska, offer services tailored to individuals with dementia. These services often include 24-hour supervision, cognitive stimulation activities, medication management, secure environments to prevent wandering, and assistance with daily living activities like bathing and dressing.

4. Are there financial assistance programs for memory care in Kearney and North Platte?

Financial assistance for memory care in Nebraska, including Kearney and North Platte, may be available through Medicaid or other state programs. Eligibility criteria and coverage may vary, so it's essential to explore these options and seek guidance from the Nebraska Department of Health and Human Services.

5. How do I know if my loved one needs memory care in Nebraska City or South Sioux City?

Recognizing the need for memory care in Nebraska City, South Sioux City, or elsewhere can involve observing signs such as increasing memory loss, confusion, wandering, or agitation. Consult with a healthcare professional for a proper assessment and guidance on the appropriate level of care for your loved one.

6. Can residents in memory care facilities in Scottsbluff and Seward have their own private rooms?

Many memory care facilities in Nebraska cities like Scottsbluff and Seward offer both shared and private room options. Residents can often choose based on their preferences and budget. Private rooms provide added privacy and can be a suitable choice for some individuals with dementia.

7. Are there specialized memory care facilities for veterans in Omaha and Grand Island?

Yes, there are specialized memory care facilities for veterans in Omaha, Grand Island, and other Nebraska cities. The Department of Veterans Affairs (VA) may offer memory care services or financial assistance through programs like Aid and Attendance to eligible veterans and their spouses requiring memory care support.

8. What security measures are in place to ensure the safety of residents in memory care facilities in Norfolk and Beatrice?

Memory care facilities in Norfolk, Beatrice, and across Nebraska prioritize resident safety. They often have secure environments with locked doors and monitored access to prevent residents from wandering. Staff members are trained to handle emergencies and provide constant supervision to ensure the well-being of residents.

9. What activities and therapies are available for residents in memory care facilities in Kearney and North Platte?

Memory care facilities in Kearney, North Platte, and other Nebraska cities offer various activities and therapies designed to stimulate cognitive function and enhance quality of life. These may include reminiscence therapy, music therapy, art activities, and structured daily routines to engage residents with dementia.

10. How can I find memory care facilities with a good reputation and track record in Grand Island and Bellevue?

To find memory care facilities with a good reputation in Grand Island, Bellevue, or any other Nebraska city, you can research online reviews and ratings, speak with healthcare professionals for recommendations, and visit potential facilities in person to assess their quality of care, staff training, and resident satisfaction.

11. Do memory care facilities in Nebraska provide dietary accommodations for residents with specific nutritional needs in Nebraska City and South Sioux City?

Yes, memory care facilities in Nebraska, including those in Nebraska City and South Sioux City, offer dietary accommodations for residents with specific nutritional needs. They work with registered dietitians to create customized meal plans that address dietary restrictions and preferences, ensuring residents receive proper nutrition.

12. Are there memory care facilities in Nebraska that incorporate outdoor spaces and gardens for residents' enjoyment in Scottsbluff and Seward?

Many memory care facilities in Scottsbluff, Seward, and across Nebraska feature outdoor spaces and gardens. These areas provide safe and serene environments where residents can enjoy nature, relax, and engage in outdoor activities, contributing to their overall well-being.

13. What are the visiting policies for family and friends at memory care facilities in Omaha and Grand Island?

Visiting policies for memory care facilities in Omaha, Grand Island, and other Nebraska cities may vary. Due to the nature of memory care and visiting considerations, some facilities have specific visiting hours and guidelines to ensure the safety and comfort of residents. It's advisable to contact the facility directly to inquire about their current policies.

14. How can I assess the level of staff training and expertise in memory care facilities in Norfolk and Beatrice?

To assess the level of staff training and expertise in memory care facilities in Norfolk, Beatrice, and other Nebraska cities, inquire about the facility's staff-to-resident ratio, staff training programs, and any specialized dementia training. Additionally, ask for references and speak with current families to gauge their satisfaction with the staff's abilities.

15. What is the process for transitioning a loved one from home care to a memory care facility in Kearney and North Platte?

Transitioning a loved one from home care to a memory care facility in Kearney, North Platte, or any other Nebraska city typically involves a thorough assessment by the facility's staff to determine the level of care needed. The facility will work with you to create a personalized care plan and coordinate the move to ensure a smooth transition for your loved one.

16. Can residents in memory care facilities in Scottsbluff and Seward participate in social and recreational activities?

Yes, residents in memory care facilities in Scottsbluff, Seward, and throughout Nebraska are encouraged to participate in social and recreational activities. These activities are designed to engage and stimulate residents while promoting social interaction and overall well-being.

17. What safety measures are in place to prevent falls and accidents in memory care facilities in Nebraska City and South Sioux City?

Memory care facilities in Nebraska City, South Sioux City, and across Nebraska prioritize resident safety. They implement safety measures such as secure layouts, handrails, nonslip flooring, and regular assessments to minimize fall risks. Additionally, staff members are trained to provide assistance and support to residents to prevent accidents.

18. Can residents bring their personal belongings and furnishings to memory care facilities in Omaha and Grand Island?

Many memory care facilities in Omaha, Grand Island, and other Nebraska cities allow residents to bring their personal belongings and furnishings. This helps residents create a familiar and comforting environment, which can be especially beneficial for individuals with dementia. However, it's essential to check with the specific facility for any restrictions or guidelines.

19. What specialized medical services are available in memory care facilities in Norfolk and Beatrice?

Memory care facilities in Norfolk, Beatrice, and Nebraska in general, often collaborate with healthcare professionals to provide specialized medical services. These may include medication management, routine health assessments, and coordination with doctors who specialize in dementia care to address residents' unique medical needs.

20. Are there memory care facilities in Nebraska that offer bilingual staff to assist residents who speak languages other than English in Kearney and North Platte?

Some memory care facilities in Nebraska, including those in Kearney and North Platte, may have bilingual staff members who can assist residents who speak languages other than English. If language assistance is essential for your loved one, be sure to inquire about the language capabilities of the staff when researching memory care options.

SeniorGuidance.org provides comprehensive resources on various senior living options, including: assisted living facilities, senior living communities, nursing homes, independent living communities, continuing care retirement communities (CCRC) and all other long term senior care options, including memory care such as Alzheimer's or Dementia.

Additional senior living options in Nebraska:

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