Alliance, Nebraska

Certified Nursing Assistants (CNAs) for Home Care in Alliance, NE

Hands-on personal care at home from a certified nursing assistant, for families who want state-certified training. Post what you need in Alliance for free and hire a caregiver directly, with no agency mark-up.

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Local figures

Nursing Assistants in Alliance, NE: the local picture

2
Medicare-certified nursing homes within 25 miles
99
certified beds in the 2 nearest nursing homes
$17.38
median hourly wage of home care aides in Nebraska (BLS, May 2025)
$15.00
Nebraska minimum wage per hour

The nearest Medicare-certified nursing homes to Alliance are Highland Park Care Center in Alliance (0.7 mi), Hemingford Care Center in Hemingford (18 mi). Nursing homes employ many of the area’s CNAs, and CNAs who want home care work often come from them.

Aides in Nebraska earn a median $17.38 an hour (BLS, May 2025, home health and personal care aides). Nebraska's minimum wage is $15.00 an hour (U.S. Department of Labor table, updated July 1, 2026).

Alliance has about 87 residents aged 85 or older, the group most likely to need hands-on help with bathing, transfers and toileting.

Alliance compared with Box Butte County and Nebraska

Census figureAllianceBox Butte CountyNebraska
Residents 85 or older1.1%1.4%2.0%
Residents 65+ with a disability33%31%32%
Residents 65 or older21%21%17%
Residents 65+ in households who live alone31%28%31%
Residents 65+ below the poverty line (approx.)19%17%9.2%
Households with no vehicle7.6%6.4%5.4%
Median income, households headed by someone 65+$36,198$42,813—

Older residents in towns around Alliance

TownDistanceResidents 65+Residents 85+
Scottsbluff, NE43 mi3,013632
Gering, NE45 mi1,685199
Chadron, NE50 mi805211
Torrington, WY67 mi1,395215
Sidney, NE67 mi1,346178

Nursing homes near Alliance

Nursing homeTownDistanceCMS overall ratingCertified bedsPhone
Highland Park Care CenterAlliance, NE0.7 mi5 of 560(308) 762-2525
Hemingford Care CenterHemingford, NE18 mi1 of 539(308) 487-3301

Home health agencies serving Alliance

AgencyOfficeDistanceCMS quality starsServices listedPhone
Brookestone Home Health & HospiceGering, NE45 mi3.5 of 5nursing, physical therapy, occupational therapy, medical social work, home health aides(308) 630-1430
Morrill County Comm. Hosp. Home Health AgencyBridgeport, NE31 mi1.5 of 5nursing, physical therapy, occupational therapy, speech therapy, home health aides(308) 262-7164

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

What it covers

What a nursing assistant can help with

  • Bathing, dressing, grooming and toileting
  • Safe transfers, repositioning and walking
  • Help with eating and fluids
  • Taking and noting vital signs if asked
Cost

What CNAs costs in Alliance

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 50% of the $3,017 monthly median income of Alliance 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 nursing assistant

To be certified, a nurse aide completes a state-approved training program of at least 75 hours, including 16 hours of supervised practical training, and passes a competency exam (42 CFR 483.152). The state then lists them on its nurse aide registry, which you can search online in most states.

Questions worth asking: Which state certified you, and is it current? Where have you worked as a CNA? Are you comfortable with lifts, catheters and incontinence care? More in our nursing assistants guide.

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

Questions

Nursing Assistants in Alliance: common questions

What nursing homes are near Alliance?

The closest Medicare-certified nursing homes are Highland Park Care Center in Alliance (0.7 mi, 5 of 5 overall); Hemingford Care Center in Hemingford (18 mi, 1 of 5 overall). Ratings are from Medicare Care Compare.

How much does CNAs cost in Alliance?

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 50% of the $3,017 monthly median income of Alliance 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 a CNA give medication?

Generally no. A CNA can remind someone to take medication. Giving medication is usually reserved for licensed nurses, or for aides with a separate state medication certification.

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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