CNA Home Care in Lexington, NE: Nursing Assistants

Local figures

Nursing Assistants in Lexington, NE: the local picture

4

Medicare-certified nursing homes within 25 miles

200

certified beds in the 4 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 Lexington are Emerald Nursing & Rehab Cozad in Cozad (14 mi), Elwood Care Center in Elwood (14 mi), Bertrand Nursing Home in Bertrand (19 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).

Lexington has about 176 residents aged 85 or older, the group most likely to need hands-on help with bathing, transfers and toileting.

Lexington compared with Dawson County and Nebraska

Census figure	Lexington	Dawson County	Nebraska
Residents 85 or older	1.6%	1.8%	2.0%
Residents 65+ with a disability	49%	40%	32%
Residents 65 or older	9.3%	17%	17%
Residents 65+ in households who live alone	35%	31%	31%
Residents 65+ below the poverty line (approx.)	14%	13%	9.2%
Households with no vehicle	4.8%	5.2%	5.4%
Median income, households headed by someone 65+	$43,065	$46,850	—

Older residents in towns around Lexington

Town	Distance	Residents 65+	Residents 85+
Cozad, NE	14 mi	1,015	94
Gothenburg, NE	24 mi	736	126
Holdrege, NE	30 mi	1,208	240
Kearney, NE	35 mi	5,546	737
Broken Bow, NE	44 mi	675	144
Minden, NE	45 mi	681	129

Nursing homes near Lexington

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Emerald Nursing & Rehab Cozad	Cozad, NE	14 mi	1 of 5	67	(308) 784-3715
Elwood Care Center	Elwood, NE	14 mi	5 of 5	43	(308) 785-3302
Bertrand Nursing Home	Bertrand, NE	19 mi	5 of 5	26	(308) 472-3341
Hilltop Estates	Gothenburg, NE	24 mi	2 of 5	64	(308) 537-7138

Home health agencies serving Lexington

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Angels Care Progressive Home Health	Grand Island, NE	74 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	(308) 589-0170
Evangelical Lutheran Gss Home Care Of Central Nebraska	Kearney, NE	35 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(308) 698-5080
Brookestone Home Health & Hospice	Kearney, NE	32 mi	3 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(308) 995-4375
Nye Home Health Care	Fremont, NE	175 mi	3 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	(402) 753-1401

Straight-line miles from the center of Lexington. 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 Lexington

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 42% of the $3,589 monthly median income of Lexington 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 Lexington: common questions

What nursing homes are near Lexington?

The closest Medicare-certified nursing homes are Emerald Nursing & Rehab Cozad in Cozad (14 mi, 1 of 5 overall); Elwood Care Center in Elwood (14 mi, 5 of 5 overall); Bertrand Nursing Home in Bertrand (19 mi, 5 of 5 overall). Ratings are from Medicare Care Compare.

How much does CNAs cost in Lexington?

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 42% of the $3,589 monthly median income of Lexington 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.

More near Lexington

More senior care near Lexington

Nursing Assistants in nearby cities

Other care in Lexington

More for Lexington 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.

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