Selling a skilled nursing facility in Nebraska

Nebraska at a glance

Nebraska has 180 Medicare- and Medicaid-certified skilled nursing facilities with 13,715 certified beds, and on average 71.7% of those beds are occupied, below the national average of 80.3%.

Source: CMS Provider Information file, August 2026. The full Nebraska picture, rates and every building are on SNFRadar, the market record we built and publish free.

What a buyer reads first in Nebraska

The numbers a buyer pulls before the first call, for the typical Nebraska building against the nation. Your own building's are on its SNFRadar page.

Sources: CMS Provider Information file, August 2026 (occupancy, staffing, turnover, star ratings: averages across certified buildings); Medicare cost reports (full-year filings), as SNFRadar compares them (medians, the same figures each building's SNFRadar page is compared against).

What moves value in Nebraska

Occupancy. 71.7% of Nebraska's certified beds are occupied, below the national 80.3%. With empty beds common, buyers pay for a building that fills its own and discount one that cannot say why it does not.

Payer mix and the Medicaid rate. Medicaid pays for 52% of resident days in the median Nebraska building, less than the national 66%. Medicare and private-pay residents carry more of the value here, so buyers weigh referral sources and short-stay results heavily. Nebraska's Medicaid rate files are on SNFRadar.

Revenue and margin. Net patient revenue runs $351 per patient day in the median Nebraska filing, below the national $373, and the median net margin is -3.5% against 3.6%. With thin margins common, buyers price on what they can fix, so a seller who can show where the costs sit gets paid for it.

Staffing. Nebraska's buildings average 3.98 nurse staffing hours per resident per day, more than the national 3.86, and nurse turnover runs 48.7% a year against 45.8%. Buyers treat agency use and turnover as a cost they will inherit, so a stable staff is worth showing early.

Inspection record. 34% of Nebraska buildings are rated four or five stars by Medicare and 49% one or two, against 40% and 41% nationally. With low ratings common here, a clean inspection record stands out, and buyers pay for it.

Size and ownership type. The average Nebraska building has 76 certified beds, against 107 nationally. 39% are for-profit, 42% non-profit and 19% government, and 53% are part of a chain.

Where the beds are

Nebraska's largest counties by certified beds. Each opens that county's buildings on SNFRadar.

How a sale works

1. A first call. What you want from the sale, and when. No listing, no blast.
2. A value from the record. Your building's own numbers and the trades around it. How valuation works
3. Vetted buyers under confidentiality, bidding against each other, not against you.
4. Letter of intent, then the purchase agreement and the operations transfer agreement. The full process
5. Change of ownership. Nebraska's licensure filings plus Medicare and Medicaid, timed so billing does not stop. CHOW and Medicaid

Our recent closings

All five closings, with the press coverage they drew.

Questions owners ask