The top markets for residential assisted living in Nebraska, ranked by demand versus supply — plus the cities where the homes are.
RAL Market Scout's opportunity score blends 75+ demand and projected senior growth against current bed supply — a saturated market is scored down even when demand is high. Higher means more room for a new small home.
| County | Pop 75+ | Demand | Homes | Market | Band |
|---|---|---|---|---|---|
| Douglas | 31,740 | 5.4 | 53 | 5.5 | Moderate |
| Lancaster | 19,163 | 5.1 | 40 | 5.4 | Moderate |
| Sarpy | 9,652 | 5.8 | 15 | 5.3 | Moderate |
| Hall | 4,077 | 3.1 | 12 | 4.4 | Thin |
| Cass | 1,905 | 3.3 | 4 | 4.2 | Thin |
| Buffalo | 3,617 | 5.8 | 9 | 4.1 | Thin |
| Adams | 2,432 | 2.8 | 5 | 3.9 | Thin |
| Scotts Bluff | 3,198 | 3.4 | 1 | 3.9 | Thin |
| Lincoln | 2,967 | 2.8 | 4 | 3.8 | Thin |
| Dakota | 1,167 | 3.7 | 2 | 3.8 | Thin |
| Washington | 1,587 | 4.1 | 4 | 3.7 | Thin |
| Dodge | 3,059 | 2.8 | 5 | 3.7 | Thin |
| Platte | 2,751 | 3.6 | 5 | 3.4 | Thin |
| Seward | 1,355 | 3.2 | 3 | 3.2 | Thin |
| York | 1,297 | 4.1 | 1 | 3.2 | Thin |
| Otoe | 1,460 | 3.0 | 3 | 3.1 | Thin |
| Gage | 2,114 | 3.4 | 5 | 3.0 | Thin |
| Saunders | 1,729 | 3.4 | 3 | 3.0 | Thin |
| Dawson | 1,779 | 3.7 | 4 | 2.9 | Thin |
| Madison | 2,618 | 4.0 | 8 | 2.8 | Thin |
| Keith | 1,084 | 4.3 | 1 | 2.6 | Thin |
| Holt | 1,001 | 2.4 | 3 | 2.3 | Thin |
| Custer | 1,063 | 2.6 | 3 | 2.1 | Thin |
| Gosper | 183 | 2.6 | 1 | — | — |
| Sheridan | 616 | 2.6 | 2 | — | — |
| Cedar | 801 | 3.4 | 3 | — | — |
| Merrick | 718 | 4.1 | 3 | — | — |
| Webster | 302 | 3.8 | 2 | — | — |
| Hamilton | 867 | 4.1 | 1 | — | — |
| Howard | 654 | 4.6 | 1 | — | — |
| Kearney | 610 | 3.4 | 1 | — | — |
| Saline | 925 | 1.4 | 2 | — | — |
| Knox | 958 | 2.4 | 3 | — | — |
| Jefferson | 799 | 3.0 | 1 | — | — |
| Antelope | 703 | 3.0 | 2 | — | — |
| Red Willow | 970 | 2.6 | 3 | — | — |
| Cuming | 924 | 3.8 | 3 | — | — |
| Phelps | 917 | 4.3 | 2 | — | — |
| Butler | 729 | 3.1 | 1 | — | — |
| Richardson | 869 | 3.4 | 2 | — | — |
| Wayne | 755 | 4.0 | 2 | — | — |
| Box Butte | 879 | 4.1 | 2 | — | — |
| Kimball | 473 | 6.6 | 1 | — | — |
| Cheyenne | 833 | 3.8 | 1 | — | — |
| Fillmore | 594 | 4.0 | 2 | — | — |
| Thayer | 540 | 3.0 | 2 | — | — |
| Valley | 501 | 3.9 | 1 | — | — |
| Polk | 499 | 2.4 | 2 | — | — |
| Dawes | 765 | 2.6 | 2 | — | — |
| Chase | 441 | 3.9 | 1 | — | — |
| Nemaha | 567 | 3.5 | 1 | — | — |
| Boone | 591 | 3.6 | 1 | — | — |
| Garden | 251 | 4.3 | 0 | — | — |
| Franklin | 350 | 2.9 | 1 | — | — |
| Johnson | 421 | 3.5 | 0 | — | — |
| Morrill | 467 | 4.8 | 1 | — | — |
| Nuckolls | 546 | 3.4 | 2 | — | — |
| Pawnee | 352 | 2.4 | 1 | — | — |
| Harlan | 358 | 3.3 | 1 | — | — |
| Pierce | 649 | 2.7 | 1 | — | — |
| Brown | 357 | 2.6 | 1 | — | — |
| Perkins | 292 | 2.4 | 1 | — | — |
| Dundy | 169 | 2.2 | 0 | — | — |
| Nance | 260 | 2.4 | 4 | — | — |
| Boyd | 191 | 3.9 | 0 | — | — |
| Cherry | 554 | 2.9 | 1 | — | — |
| Frontier | 312 | 3.6 | 2 | — | — |
| Rock | 177 | 3.7 | 0 | — | — |
| Blaine | 68 | 4.4 | 0 | — | — |
| Sioux | 138 | 2.9 | 7 | — | — |
| Thurston | 338 | 1.4 | 1 | — | — |
| Clay | 489 | 2.4 | 2 | — | — |
| Colfax | 568 | 1.7 | 1 | — | — |
| Dixon | 500 | 3.1 | 1 | — | — |
| Stanton | 510 | 3.4 | 1 | — | — |
| Furnas | 523 | 3.4 | 0 | — | — |
| Burt | 711 | 3.4 | 1 | — | — |
| Garfield | 239 | 4.3 | 1 | — | — |
| Logan | 86 | 3.6 | 0 | — | — |
| McPherson | 51 | 2.2 | 0 | — | — |
| Wheeler | 112 | 5.5 | 0 | — | — |
| Greeley | 267 | 3.9 | 0 | — | — |
| Grant | 44 | 1.8 | 0 | — | — |
| Hayes | 99 | 7.2 | 0 | — | — |
| Loup | 43 | 1.8 | 0 | — | — |
| Hitchcock | 286 | 3.3 | 0 | — | — |
| Thomas | 58 | 4.3 | 0 | — | — |
| Sherman | 374 | 4.1 | 0 | — | — |
| Hooker | 66 | 2.2 | 0 | — | — |
| Arthur | 71 | 5.6 | 0 | — | — |
| Deuel | 199 | 2.9 | 0 | — | — |
| Banner | 34 | 1.1 | 0 | — | — |
| Keya Paha | 115 | 5.3 | 0 | — | — |
Where the homes actually are. Each linked city has its own page with local supply and market context.
| City | County | Homes | Beds | Avg size |
|---|---|---|---|---|
| Omaha | Sarpy | 46 | 0 | — |
| Lincoln | Lancaster | 39 | 0 | — |
| Grand Island | Hall | 11 | 0 | — |
| Kearney | Buffalo | 8 | 0 | — |
| Elkhorn | Douglas | 7 | 0 | — |
| Norfolk | Madison | 6 | 0 | — |
| Scottsbluff | Scotts Bluff | 6 | 0 | — |
| Hastings | Adams | 5 | 0 | — |
| Columbus | Platte | 5 | 0 | — |
| Papillion | Sarpy | 5 | 0 | — |
| Fremont | Dodge | 5 | 0 | — |
RAL Market Scout scores every county and ZIP in Nebraska on demand, supply gaps, and referral capacity — and builds a site-level report for any address you're evaluating.