An older woman, her adult daughter and a care professional talking together at home

Private-pay home care · Omaha

When home care can’t wait, start with a clear plan.

Dependable, non-medical support for families navigating a fall, rehab discharge, dementia progression, or caregiver burnout.

Private pay, Nebraska Medicaid AD Waiver and VA-funded care inquiries accepted · Omaha

The Safe-at-Home Start

From uncertainty to a workable care plan.

  1. 1
    Talk today

    A same-day phone consultation about what changed and what help is needed.

  2. 2
    Assess the fit

    An in-home assessment within 24 hours to confirm scope, safety and schedule.

  3. 3
    Begin with clarity

    Care can begin in 24–48 hours when the assessment and staffing align.

Start times depend on client needs, the requested schedule, location and caregiver availability. Immediate medical or safety emergencies should be directed to 911.

Familiar facesA small, consistent care team
Clear updatesFamilies stay informed
Backup coverageSupport when schedules change

Ways to access care

Private pay, Medicaid and VA-funded care.

Private pay

Published hourly pricing with a clear minimum schedule and assessment before care begins.

Nebraska Medicaid AD Waiver

For eligible participants with authorized in-home services. Nebraska DHHS determines eligibility and authorization.

Explore the AD Waiver pathway →
VA-funded care

Veterans and families may ask about authorized non-medical home care. Eligibility and authorization depend on the applicable VA program.

A change at home changes everything

You do not have to solve it alone.

Maybe a parent has fallen. A spouse is coming home from rehab. Memory-related needs are increasing. Or caregiving has become more than one person can safely sustain.

We help families put practical support in place so daily life at home becomes safer, steadier and more manageable.

Support for everyday life

Non-medical help that protects the daily routine.

01

Personal care

Bathing, dressing, grooming, toileting, mobility support, meal assistance and medication reminders.

02

Homemaker support

Meal preparation, light housekeeping, laundry, errands and practical help with daily routines.

03

Respite care

Dependable relief so family caregivers can work, rest and handle the rest of life.

Promising Tomorrows provides non-medical support only. We do not provide skilled nursing, medical treatment, therapy or emergency response.

What families are really buying

Reliability you can see, not another vague promise of compassion.

A small caregiver team reduces unfamiliar faces. Family updates reduce uncertainty. Coordinated backup coverage means one call-off does not automatically become the family's emergency.

Talk through your care needs →

Nebraska Medicaid

If you receive Medicaid or would like to see if you qualify for the AD Waiver, click here.

Explore Nebraska AD Waiver support

Straightforward private-pay pricing

Know the cost before the assessment.

We explain the schedule, price and next step before your family commits. The minimum standard schedule is 12 hours per week, or $396 at the standard rate.

Standard care$33/hour
Weekends & urgent starts$37/hour
  • 4-hour minimum per visit
  • 12-hour minimum per week
  • Private pay only for this offer
Check care availability

Questions families ask first

Clear answers before you make a decision.

How quickly can care begin?

We offer a same-day consultation and aim to complete the in-home assessment within 24 hours. Care may begin within 24–48 hours when the assessment confirms a safe fit and a qualified caregiver is available for the requested schedule.

Do you accept Medicare?

No. This offer is private-pay, non-medical home care. We do not bill Medicare and do not provide skilled home-health services.

Can you help after a hospital or rehab discharge?

Yes. We can support personal care, meals, mobility, light housekeeping, errands and daily routines. We do not provide nursing, therapy, medication administration or other skilled medical care.

Do you support people living with dementia?

We provide non-medical personal care, homemaker support, companionship and family respite. The assessment confirms whether the person's needs can be supported safely within our scope.

Will we have the same caregiver?

We build a small, consistent caregiver team around the agreed schedule. When a regular caregiver is unavailable, we coordinate backup coverage when staffing permits.

Is there a minimum schedule?

Yes. Care requires a 4-hour minimum per visit and at least 12 hours per week.

Check Omaha availability

Tell us what care would make life easier.

Complete the short form and our Omaha care team will follow up. Prefer to talk now? Call (402) 955-9500.

Your information is used to respond to this care request. See our Privacy Policy. Do not submit emergency or highly sensitive medical information here.

Let’s make home feel more manageable

Tell us what changed. We'll explain the next step clearly.

Call (402) 955-9500