Adult Disability Care in Gretna, NE: In-Home Support

Local figures

Disability Care for Adults in Gretna, NE: the local picture

3.4%

of residents aged 18 to 64 have a disability (8.8% in Sarpy County)

6

residents aged 18 to 64 have difficulty doing errands alone

5.5%

of households have no vehicle (3.0% in Sarpy County)

23

Medicare-certified home health agencies list Gretna ZIP codes in their service area

About 185 Gretna residents aged 18 to 64 report a disability (3.4%; 8.8% in Sarpy County).

6 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.

5.5% of Gretna households have no vehicle (3.0% in Sarpy County); say in your posting if you need a caregiver who drives.

Gretna compared with Sarpy County and Nebraska

Census figure	Gretna	Sarpy County	Nebraska
Residents 18 to 64 with a disability	3.4%	8.8%	10%
Residents 18 to 64 with difficulty doing errands alone	0.1%	2.9%	3.4%
Households with no vehicle	5.5%	3.0%	5.4%
Residents 5+ who speak a language other than English at home	2.8%	10%	13%
Residents 65+ with a disability	41%	31%	32%
Residents 65+ below the poverty line (approx.)	17%	6.8%	9.2%
Median income, households headed by someone 65+	$60,809	$70,972	—

Older residents in towns around Gretna

Town	Distance	Residents 65+	Disability (18 to 64)
Chalco, NE	4.9 mi	1,085	6.4%
Papillion, NE	6.3 mi	4,162	8.2%
La Vista, NE	7.7 mi	1,995	9.7%
Ralston, NE	9.7 mi	1,048	8.3%
Ashland, NE	11 mi	405	9.3%
Omaha, NE	12 mi	70,865	10%

Home health agencies serving Gretna

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Prime Home Care	La Vista, NE	7.8 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(402) 390-2492
Centerwell Home Health	Omaha, NE	10 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy	(402) 343-9433
Amedisys Home Health Of The Midlands	Omaha, NE	12 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	(402) 342-5566
Heritage Oncare Home Health, LLC	Omaha, NE	7.6 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(402) 403-4330
Aveanna Home Health	Omaha, NE	8.3 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy	(402) 933-3360

Straight-line miles from the center of Gretna. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.

What it covers

What a disability support caregiver can help with

Personal care, on the person’s terms
Cooking, shopping and housekeeping
Getting to work, school, appointments and activities
Keeping routines the person sets

Cost

What disability care for adults costs in Gretna

At the Nebraska median aide wage of $17.38 an hour, 20 hours of help a week comes to about $1,506 a month in wages, which is 30% of the $5,067 monthly median income of Gretna households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Nebraska's minimum wage is $15.00 an hour (U.S. Department of Labor table, updated July 1, 2026).

Hiring directly, you agree the rate with the caregiver and usually become the household employer (U.S. Department of Labor rules). Some families qualify for programs that pay for care at home; see Medicaid programs for family caregivers: who can be paid, and the rules in 12 states.

Before you hire

What to know before hiring a disability support caregiver

Many state Medicaid programs let adults with disabilities direct their own care: they, or a representative, hire and supervise the caregiver.

Questions worth asking: Have you supported adults with a disability like mine (or my family member’s)? How do you support someone to do things themselves? Can you drive to work, school or day programs? More in our disability care for adults guide.

CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.

Questions

Disability Care for Adults in Gretna: common questions

How much does disability care for adults cost in Gretna?

At the Nebraska median aide wage of $17.38 an hour, 20 hours of help a week comes to about $1,506 a month in wages, which is 30% of the $5,067 monthly median income of Gretna households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Nebraska's minimum wage is $15.00 an hour (U.S. Department of Labor table, updated July 1, 2026).

Can an adult with a disability hire their own caregiver?

Yes. Many state Medicaid programs offer self-direction, where the person or a representative hires and supervises the caregiver. Our guide Medicaid programs for family caregivers: who can be paid, and the rules in 12 states covers Nebraska.

More near Gretna

More senior care near Gretna

Disability Care for Adults in nearby cities

Other care in Gretna

More for Gretna families

Sources

Census ACS 2020–2024 5-year; CMS provider data (October 25, 2026); U.S. DOL state minimum wages (July 1, 2026); BLS OEWS May 2025 aide wages, which cover employed aides rather than private rates.

In-Home Support for Adults With Disabilities in Gretna, NE