Nebraska

Nursing Home Staffing Profile — 2025Q3

177 facilities9,721 residents4.14 avg HPRD

vs National Average

+0.24 HPRD

National avg: 3.90 · Nebraska: 4.14

📋

Nebraska ranks among the higher-performing states for nursing home staffing, with an average of 4.14 HPRD — 0.24 hours above the national average. Only 79.1% of facilities meet the CMS staffing benchmark of 3.48 HPRD, compared to 65.8% nationally. RN staffing averages 0.71 HPRD, with 35.6% of facilities meeting the 0.75 research recommendation.

4.14

Average Total HPRD

All nursing staff combined

▲ 0.24 vs national

0.71

Average RN HPRD

Recommended: 0.75

▲ 0.03 vs national

79.1%

Meet CMS Benchmark

140 of 177 facilities

17.5%

Avg Weekend Drop-off

Staffing reduction on Sat/Sun

8.4%

Avg Agency Staff

Contractor/temp worker hours

—

Had Zero-RN Days

Data unavailable

3.97

Median HPRD

50th percentile (less skewed by outliers)

F-Rated Facilities

Under 2.5 HPRD — critically understaffed

Grade Distribution

How Nebraska's 177 facilities grade out

HPRD Distribution

Where facilities fall across the staffing spectrum

Staffing by Ownership Type

For-profit facilities consistently staff lower than non-profit and government-run homes

For-Profit

3.85

avg HPRD

74 facilities (42%)

Non-Profit

4.43

avg HPRD

69 facilities (39%)

Government

4.15

avg HPRD

34 facilities (19%)

💡 Non-profit facilities in Nebraska average 0.58 more HPRD than for-profit ones — about 15% higher staffing.

▲ Best Staffed in Nebraska

Top 5 by total nurse HPRD

A+

CHI Health St. Francis

Ambassador Health of Omaha

Rock County Hospital Long Term Care

The Lighthouse at Lakeside Village

Omaha

6.29 HPRD

RN: 1.62

▼ Most Understaffed in Nebraska

Bottom 5 by total nurse HPRD

177

Falls City Care Center

Accura HealthCare of Pierce

Accura HealthCare of Kenesaw

Good Samaritan Society - Bloomfield

Arbor Care Centers - Ord, LLC

Ord

3.03 HPRD

RN: 0.34

⚖️

Compare Two Facilities Side by Side

Pick any two Nebraska nursing homes and see how they stack up across every metric

Open Comparison Tool →

County Breakdown

Staffing metrics by county in Nebraska — click a county to see individual facilities

Avg HPRD— total nurse hours per resident per day:≥ 3.48 meets federal benchmark,3.0–3.47 below benchmark,< 3.0 critically low

Meet Benchmark— share of facilities in the county at or above the 3.48 HPRD federal minimum:≥ 50%35–49%< 35%

County	Facilities ↓	Avg HPRD	RN HPRD	Meet Benchmark	Grades
▸Douglas	23	4.39	0.80	82.6%	Mixed A/B
▸Lancaster	14	4.77	0.80	92.9%	Mixed A/B
▸Hall	6	4.94	1.06	83.3%	Mixed B/C
▸Madison	5	3.87	0.58	60.0%	Mixed B/C
▸Sarpy	5	4.28	0.64	80.0%	Mixed A/B
▸Buffalo	5	4.52	0.76	60.0%	Mostly C
▸Scott Bluff	4	4.13	0.58	100.0%	Mixed A/B
▸Lincoln	4	3.81	0.66	75.0%	Mixed B/A
▸Gage	3	3.77	0.57	100.0%	Mixed B/C
▸Otoe	3	3.65	0.49	66.7%	Mixed B/C
▸Phelps	3	3.71	0.84	100.0%	Mostly B
▸Knox	3	3.77	1.20	66.7%	Mixed A/B
▸Holt	3	3.61	0.63	66.7%	Mostly B
▸Cuming	3	4.38	0.76	100.0%	Mostly B
▸Saunders	3	4.42	0.46	100.0%	Mixed B/C
▸Dakota	3	3.42	0.76	33.3%	Mostly C
▸Cedar	3	3.83	0.88	66.7%	Mixed A/B
▸Sheridan	3	4.49	1.10	100.0%	Mostly B
▸Richardson	3	3.35	0.33	33.3%	Mixed C/D
▸Dodge	3	4.32	0.97	100.0%	Mostly A
▸York	2	3.82	0.66	100.0%	Mixed B/C
▸Boone	2	3.49	0.72	100.0%	Mostly B
▸Box Butte	2	4.72	0.65	100.0%	Mixed A/C
▸Burt	2	3.73	0.54	100.0%	Mixed B/C
▸Butler	2	4.04	0.42	100.0%	Mixed C/D
▸Cass	2	3.76	0.69	50.0%	Mixed A/D
▸Chase	2	4.06	0.66	100.0%	Mostly B
▸Clay	2	4.95	0.81	100.0%	Mostly A
▸Custer	2	3.78	0.68	50.0%	Mixed B/C
▸Dawes	2	3.81	0.84	100.0%	Mostly B
▸Dawson	2	3.96	0.60	100.0%	Mixed B/D
▸Fillmore	2	4.27	0.55	100.0%	Mixed B/C
▸Hamilton	2	4.47	0.45	100.0%	Mostly C
▸Jefferson	2	3.97	0.70	50.0%	Mixed A/C
▸Merrick	2	3.15	0.49	0.0%	Mixed C/D
▸Morrill	2	3.94	0.85	50.0%	Mixed A/C
▸Nance	2	3.26	0.47	0.0%	Mixed C/D
▸Pierce	2	3.25	0.65	50.0%	Mixed B/D
▸Platte	2	4.20	0.45	100.0%	Mixed B/D
▸Polk	2	4.03	0.63	50.0%	Mixed B/C
▸Saline	2	4.74	0.77	100.0%	Mixed A/B
▸Seward	2	3.81	0.44	100.0%	Mostly C
▸Thayer	2	3.80	0.78	100.0%	Mostly B
▸Washington	2	3.83	0.49	50.0%	Mixed B/C
▸Webster	2	4.00	0.54	100.0%	Mixed B/D
▸Adams	2	3.14	0.48	0.0%	Mixed C/D
▸Nuckolls	1	3.51	0.56	100.0%	Mostly B
▸Furnas	1	4.64	0.65	100.0%	Mostly B
▸Franklin	1	3.06	0.71	0.0%	Mostly C
▸Antelope	1	4.25	0.54	100.0%	Mostly C
▸Stanton	1	4.00	0.79	100.0%	Mostly B
▸Wayne	1	3.41	0.39	0.0%	Mostly D
▸Red Willow	1	4.56	0.46	100.0%	Mostly C
▸Dundy	1	4.36	0.43	100.0%	Mostly C
▸Rock	1	6.41	1.06	100.0%	Mostly A+
▸Thurston	1	5.98	1.32	100.0%	Mostly A+
▸Howard	1	4.32	0.71	100.0%	Mostly B
▸Dixon	1	5.24	0.84	100.0%	Mostly A
▸Kearney	1	4.37	0.83	100.0%	Mostly A
▸Keith	1	3.14	0.64	0.0%	Mostly C
▸Kimball	1	3.73	0.43	100.0%	Mostly C
▸Harlan	1	3.73	0.65	100.0%	Mostly B
▸Gosper	1	3.99	0.64	100.0%	Mostly B
▸Garfield	1	3.75	0.48	100.0%	Mostly C
▸Garden	1	4.32	0.91	100.0%	Mostly A
▸Cheyenne	1	3.69	0.68	100.0%	Mostly B
▸Brown	1	4.41	0.86	100.0%	Mostly A
▸Valley	1	3.03	0.34	0.0%	Mostly D
▸Nemaha	1	3.49	0.58	100.0%	Mostly B

HPRD Range in Nebraska

The spread between best and worst staffed facilities

3.53

25th pctile

3.97

Median

4.57

75th pctile

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.