Gretna, Nebraska

In-Home Dementia and Alzheimer's Care in Gretna, NE

Help at home for someone living with Alzheimer’s or another dementia: steady routines, safety and patience with changes in memory and mood. Post what you need in Gretna for free and hire a caregiver directly, with no agency mark-up.

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Local figures

Dementia Care in Gretna, NE: the local picture

90
residents 85 or older (1.0% of all residents)
972
residents 65 or older (11% of Gretna)
41%
of residents 65+ report a disability (31% in Sarpy County)
6+
Medicare-certified nursing homes within 25 miles

Gretna has about 90 residents aged 85 or older among 972 aged 65 or older. The risk of Alzheimer’s rises steeply with age, and the Alzheimer’s Association estimates that about a third of people 85 and older have Alzheimer’s dementia.

41% of residents 65 and older report a disability (31% in Sarpy County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

43% of older Gretna residents in households live alone. For someone with memory loss who lives alone, a few hours of daily check-ins are often the first step.

Gretna compared with Sarpy County and Nebraska

Census figureGretnaSarpy CountyNebraska
Residents 85 or older1.0%1.2%2.0%
Residents 65 or older11%13%17%
Residents 65+ with a disability41%31%32%
Residents 65+ in households who live alone43%26%31%
Residents 65+ below the poverty line (approx.)17%6.8%9.2%
Residents 5+ who speak a language other than English at home2.8%10%13%
Median income, households headed by someone 65+$60,809$70,972—

Older residents in towns around Gretna

TownDistanceResidents 65+Residents 85+
Chalco, NE4.9 mi1,08553
Papillion, NE6.3 mi4,162383
La Vista, NE7.7 mi1,995198
Ralston, NE9.7 mi1,048133
Ashland, NE11 mi40539
Omaha, NE12 mi70,8657,208

Nursing homes near Gretna

Nursing homeTownDistanceCMS overall ratingCertified bedsPhone
Adept Nursing & Rehab Of GretnaGretna, NE2.6 mi2 of 563(402) 332-3446
Newport HouseOmaha, NE6.0 mi5 of 596(402) 572-2595
Good Samaritan Society - MillardOmaha, NE6.7 mi1 of 5106(402) 895-2266
Brookestone VillageOmaha, NE6.9 mi5 of 5140(402) 614-4000
The Lighthouse At Lakeside VillageOmaha, NE7.5 mi4 of 554(402) 717-0200
Brookestone Of PapillionPapillion, NE7.9 mi5 of 5110(402) 339-7700

Hospices serving Gretna

HospiceOfficeDistancePhone
Aseracare HospiceOmaha, NE7.0 mi(402) 926-2680
Compassionate Care HospiceLa Vista, NE7.8 mi(402) 390-2492
Aegis HospiceOmaha, NE8.9 mi(402) 509-9979
St. Croix HospiceOmaha, NE10 mi(402) 609-4818

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 dementia caregiver can help with

  • Keeping a predictable daily routine
  • Gentle help with bathing, dressing and toileting
  • Meals, hydration and medication reminders
  • Calming approaches for sundowning, agitation and repeated questions
Cost

What dementia care 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 dementia caregiver

An estimated 7.2 million Americans aged 65 and older are living with Alzheimer’s dementia, according to the Alzheimer’s Association 2025 Facts and Figures. Most live at home, cared for by family. The Association’s 24/7 Helpline (1-800-272-3900) is free.

Questions worth asking: Tell me about someone with dementia you cared for. What worked? What do you do when a client becomes agitated in the late afternoon? How do you keep someone safe who tries to leave the house? More in our dementia care guide.

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

Questions

Dementia Care in Gretna: common questions

What nursing homes are near Gretna?

The closest Medicare-certified nursing homes are Adept Nursing & Rehab Of Gretna in Gretna (2.6 mi, 2 of 5 overall); Newport House in Omaha (6.0 mi, 5 of 5 overall); Good Samaritan Society - Millard in Omaha (6.7 mi, 1 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care 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).

When does someone with dementia need care at home?

Common signs are missed meals or medication, getting lost in familiar places, unsafe cooking or driving, and a family caregiver who is exhausted. Many families start with a few hours a day and add hours, nights or live-in help as the disease progresses.

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.

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