Nebraska

Residential assisted living licensing rules and official state resources

Licensure term: Assisted Living Facility
Resident capacity: No limitation specified at state limit - must meet all regulations for bathrooms, square feet requirements, etc. Check with city for specific limitations for bed capacity.
Staff ratios: The facility must maintain a sufficient number of staff with the required training and skills necessary to meet the residents population's requirement for assistance or provision of personal care, activities of daily living, health maintenance activities, supervision and other supportive services, as defined in resident service agreements.
Cost of licensing: $950 (1-10 beds), $1450 (11-20 beds)
Bedroom square footage: Dining areas must have a floor area of 15 square feet per resident in existing facilities and 20 square feet for new construction
Memory care: Alzheimer's Special Care Disclosure Act applies.

Full requirements

Regulatory Agency: Nebraska Department of Health & Human Services
Contact Phone Number: (402) 471-3324
Licensure Term(s): Assisted Living Facility
Census Requirements: No limitation specified at state limit - must meet all regulations for bathrooms, square feet requirements, etc. Check with city for specific limitations for bed capacity.
Qualifications for Managers: Initial Administrator Training Requirements: After January 1, 2005, the administrator must have completed training consisting of a total of at least 30 hours, including, but not limited to: 1. Resident care and services; 2. Social services; 3. Financial management; 4. Administration; 5. Gerontology; and 6. Rules, regulations, and standards relating to the operation of an assisted-living facility. Verification of Initial Administrator Training: Verification of initial training completed must be submitted to the Department for approval. Training documentation may include but is not limited to: 1. Evidence of completion of training including documentation of date of training, number of hours, description of training, and trainer qualifications; 2. Evidence of successful completion of college courses and/or degree which includes topics in 4-006.02A; or 3. Evidence of completion of a Department approved training course. 4-006.02B1 Initial training requirements do not apply to an assisted-living facility administrator who also holds an active nursing home administrator license or who is currently employed as a hospital administrator. Verification of nursing home or hospital administrator status must be submitted to the Department. Such verification includes: 1. Proof of current licensure as a nursing home administrator in Nebraska or other jurisdiction; or 2. A statement from the governing authority of the hospital or other authorizing entity that could verify administrator status.
Qualifications for Caregivers: Direct Care Staff Training: Each assisted-living facility must ensure direct care staff receive training in order to perform job responsibilities. The facility must provide for and maintain evidence of the following training; Orientation: Orientation must be given within two weeks of employment to each direct care staff person of the facility and must include as a minimum, but is not limited to: 1. Resident’s rights; 2. Resident service agreement; 3. Infection Control practices including hand washing techniques, personal hygiene and disposal of infectious material; 4. The facility’s emergency procedures and information regarding advance directives; 5. Information on any physical and mental special care needs of the residents in the facility; 6. Information on abuse, neglect and misappropriation of money or property of a resident and reporting procedures; and 7. Disaster preparedness plans. Ongoing Training: Ongoing training must be given to each direct care staff person and must consist of at least 12 hours per year on topics appropriate to the employee’s job duties including meeting the physical and mental special care needs of residents in the facility. The record of such training must include topic of training, name of staff, date and length of training and name of person providing the training.
Staff Ratios: The facility must maintain a sufficient number of staff with the required training and skills necessary to meet the residents population's requirement for assistance or provision of personal care, activities of daily living, health maintenance activities, supervision and other supportive services, as defined in resident service agreements.
Cost of Licensing: $950 (1-10 beds), $1450 (11-20 beds)
Square Footage Requirements: Dining areas must have a floor area of 15 square feet per resident in existing facilities and 20 square feet for new construction Existing or New Facility: 1. Floor areas for single resident rooms must be 80 square feet; 2. Floor areas for multiple bed resident rooms must be 60 square feet per occupant with a maximum of four beds; or 3. Floor area for apartments or dwellings must have 120 square feet for one resident plus 100 square feet for each additional resident. New Construction: 1. Floor areas for single resident rooms must be 100 sq ft 2. Floor areas for multiple bed resident rooms must be 80 square feet per bed with a max of 2 beds; or 3. Floor area for apartments or dwellings must have 150 square feet
Bathrooms Required: Facilities must have a toilet and sink adjoining each bedroom or shared toilet rooms may be provided as follows: 1. One toilet fixture per six licensed beds in existing facilities; 2. One toilet fixture per four licensed beds in new facilities; and 3. One toilet room adjoining each resident’s bedroom in new construction
Memory Care Requirements: Alzheimer's Special Care Disclosure Act applies. 16. If applicable, the disclosure information required by Neb. Rev. Stat. §§ 71-516.01 to 71-516.04, the Alzheimer’s Special Care Disclosure Act. The following information must be submitted: a. The Alzheimer’s special care unit’s written statement of its overall philosophy and mission which reflects the needs of residents afflicted with Alzheimer’s disease, dementia, or a related disorder; b. The process and criteria for placement in, transfer to, or discharge from the unit; c. The process used for assessment and establishment of the plan of care and its implementation, including the method by which the plan of care evolves and is responsible to changes in condition; d. Staff training and continuing education practices; e. The physical environment and design features appropriate to support the functioning of cognitively impaired adult residents; f. The frequency and types of resident activities; g. The involvement of families and the availability of family support programs; and h. The costs of care and any additional fees.