Assisted Living Facilities


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What you need to know


In Nebraska, anyone who provides Assisted Living services for four or more residents must be licensed as an ALF. An ALF is a facility where shelter, food and assistance with care activities are provided continuously for 24 or more hours. 

An ALF is not a nursing home and cannot provide routine care by licensed nurses (RN/LPN).

Click here for Assisted Living Facilities Initial Administrator training information.

Click here for Assisted Living Facilities FAQs.

Applications, Requirements & Fees


An applicant for an ALF license must meet requirements in:

An applicant must:

  • Submit a written application
  • Submit the required fee
  • Pass an on-site inspection, when required.



Notice of renewal is sent to the facility no later than 30 days prior to the license expiration date. A renewal must include a renewal application and the required fee. You may renew online here.


Title 175 Chapter 4 Regulations Governing Licensure of Assisted Living Facilities
4-004.09 Fees: The licensee must pay fees for licensure as set forth below:

  1. Initial and Renewal Licensure fees:
    a. 1 to 10 Beds $950
    b. 11 to 20 Beds $1,450
    c. 21 to 50 Beds $1,650
    d. 51 or more Beds $1,950
  2. Duplicate original license: $10
  3. Refunds for denied applications:
      • If the Department did not perform an inspection, the license fee is refunded except for an administrative fee of $25.
      • If the Department performed an inspection, the license fee is not refunded.

Change Notification

The Department must be notified in writing of the following changes:


The department inspects Assisted Living Facilities (ALFs) prior to licensure and routinely thereafter to determine whether a facility meets the requirements outlined in the regulations. An inspection can also occur any time the department determines is it needed.

Types of inspections:

  • Initial
  • Compliance
  • Focused

Results of all ALF inspections can be viewed here.

Health Care Facilities Licensing - Assisted Living Facilities
Department of Health & Human Services/Division of Public Health/Licensure Unit
Phone Number
(402) 471-3324
Fax Number
(402) 742-2398
Mailing Address

DHHS Licensure Unit
Attn: ALF Licensing

PO Box 94669
Lincoln NE 68509-4669


Nebraska State Office Building
301 Centennial Mall South

14th & M Streets, 3rd Floor
Lincoln NE 68508

Hours: Monday - Friday 8:00 a.m. - 5:00 p.m. Closed federal holidays.