Hillcrest Highlands of Gretna in Gretna, Nebraska, offers three levels of residence—Assisted Living, Independent Living, and Memory Care—so residents can remain on the same campus even as needs change. The clinical team supports residents who wander in the morning or evening, individuals at risk for elopement, those who stay up through the night, and people requiring oxygen therapy. Diabetic management covers oral medications, insulin injections, and sliding-scale dosing. The Memory Care neighborhood is equipped to serve residents living with advanced dementia and related behaviors.

Licensed nurses are on site, with additional RN or LPN support on call around the clock. Staff members undergo background checks, remain awake for overnight coverage, and respond to pull-cord alerts in resident rooms. Secured, alarmed exits and a fenced courtyard help protect residents who may attempt to leave unsupervised. On-site podiatry minimizes outside trips for foot care. Caregivers can provide full assistance with bathing, dressing, and toileting, while encouraging residents to handle their own meals when possible. Transfers are accommodated for walker and wheelchair users, as well as for residents needing standby help or a one-person lift. An activity director plans daily programming across all care levels.

Apartment layouts vary. Some units feature private bathrooms, kitchenettes, independent temperature controls, in-unit laundry equipment, cable service, and routine housekeeping, while others offer a more simplified setup; not every residence includes every feature, so it is best to confirm specifics during a visit. Scheduled laundry services are available for anyone who prefers staff to handle linens and clothing.

Meals follow a set menu with consistent scheduling, and snacks are available throughout the day. In-room dining can be arranged for those recovering from illness or simply wanting privacy. A private dining room is set aside for family gatherings and celebrations.

Independent Living residents receive weekly housekeeping that covers vacuuming, dusting, and light bathroom and kitchen cleaning; additional services can be arranged for an extra fee. This approach lets residents maintain autonomy while ensuring a comfortable living environment.

Amenities on the campus include resident parking, wheelchair-accessible common areas, a barber and beauty shop, exercise room, movie room, wellness center, library, concierge desk, high-speed internet access, and on-site religious services. Scheduled transportation is provided for shopping, medical appointments, and community outings. Pets are allowed in designated apartments; it's a good idea to check with the community during your visit to see if your pet will be allowed.