Hoffmeister Homes

How Medicaid pays for care in Nebraska

• Medicaid HCBS Aged and Disabled (AD) Waiver: Supported Residential Living (formerly Assisted Living). Nebraska Medicaid's Aged and Disabled Waiver pays for a service called Supported Residential Living, which used to be called Assisted Living, in licensed assisted living facilities. You must get Nebraska Medicaid and need a nursing-home level of care, and you pay the room and board yourself. (state page)
• Waitlist. Nebraska's draft 2026 waiver renewal says there is no waiting list for the Aged and Disabled waiver. (source)

Ask the community whether it accepts Medicaid.

Federal records about how the employer here treats its staff.

Federal wage and hour cases

The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.

• Findings for Jan 11, 2005 to Jan 10, 2007. Violations found: Fair Labor Standards Act (pay and hours). Employer as DOL recorded it: Hoffmeister Homes Inc. (Hoffmeister Homes, Inc.). Case 1466031.

Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.

Nearest hospital with an emergency room

Genoa Community Hospital, Genoa. 0.6 miles away, straight line.

Nearest Medicare nursing home

Genoa Community Hospital/LTC, Genoa. 0.6 miles away, straight line.

Nearest home health agency office

Home Health Of Columbus Community Hospital, Columbus. 19.1 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.

Nearest pharmacy

Walgreens. 19.5 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.

Area

USDA classes ZIP code 68640 as rural (rural area).

Hospice

4 Medicare hospices tell CMS they serve ZIP code 68640.

Nearest geriatric medicine practice

Unmc Physicians, Omaha. 81.0 miles away, straight line. 1 geriatric medicine doctor listed there.

Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.

Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.

Flood zone

Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)

Wildfire risk to homes

In Genoa, NE, risk to homes is greater than 41% of communities in Nebraska and 54% of communities nationwide. USDA rates the whole town or city, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)

FEMA National Risk Index

Overall: very high. By hazard: inland flooding relatively high, wildfire relatively moderate, tornado very high, heat wave relatively low, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)

A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.

Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.