Operation First Step
2427 Spencer Street, Omaha, NE 68111
Summary
Operation First Step is a residential care home in Omaha, Nebraska, in Douglas County. It appears in Nebraska’s official licensing records as Assisted Living Facility, licensed for 5 residents. It is a small home where only a few people live together, which many families look for because it feels more like a home. The closest hospital with an emergency room is Omaha VA Medical Center (VA Nebraska Western Iowa Healthcare System), about 3.2 miles away in a straight line.
State license
- Type
- Assisted Living Facility (licensed by DHHS)
- License number
- ALF392
- License status
- Licensed (DHHS)
- Licensed capacity
- 5 residents
What this license means. This is a residence licensed by the Nebraska Department of Health and Human Services (DHHS) that provides assisted living services to 4 or more people who are not related to the owner; it may be a house, an apartment building, or another type of residence. Services include housing, three meals a day, access to staff 24 hours a day, help with daily activities (bathing, dressing, eating, moving around, using the bathroom, or taking their own medications), and simple nursing interventions. They also include an assessment of the person for admission and for continued stay at the residence.
Source: Revised Statutes of Nebraska §71-5903 (Assisted-Living Facility Act) and §71-406, checked on October 15, 2026.
Look up the license and its inspections on the state’s website
Services and features
Operation First Step hasn’t shared information about its services, prices, languages or availability yet. When you call, ask who they serve, what the rate includes, whether any staff speak Spanish and whether they have an opening now. Use our checklist.
Questions to ask when you call

Marisol’s tip: a ten-minute call clears up a lot. Keep these questions handy and write down the answers so you can compare with other places.
- How many people live in the home, and how many caregivers are there during the day and at night?
- What does the monthly price include (room, meals, laundry, medications)?
- Can you care for my relative if they need more help over time, for example with memory or walking?
- Do you accept any Medicaid program or SSI in this state?
- Does anyone on the team speak Spanish? What are the meals like?
- Can I see the room and spend some time with the residents before deciding?
Location and what’s nearby
The map loads as you scroll.
- Address
- 2427 Spencer Street, Omaha, NE 68111Douglas County
- Closest hospital with an emergency room
- Omaha VA Medical Center (VA Nebraska Western Iowa Healthcare System)4101 Woolworth Avenue, Omaha · 3.2 miles in a straight line · source: CMS Hospital General Information
Ask which hospital they send residents to and who goes with them.
Who to call in Nebraska
- Long-Term Care Ombudsman
- Nebraska Long-Term Care Ombudsman Program (DHHS, Division of Disability and Aging). A free, confidential service that advises residents and families of nursing homes and assisted living and helps resolve concerns with the facility.(800) 942-7830 · Official website
- Free Medicare counseling (SHIP)
- Nebraska Senior Health Insurance Information Program (SHIP) – Nebraska Department of Insurance. They explain what Medicare covers and how to compare plans, without selling insurance.(800) 234-7119 · Official website
- Medicaid
- Nebraska Department of Health and Human Services (DHHS) – Division of Medicaid & Long-Term Care. Long-term care programs: Aged and Disabled (AD) Waiver.(855) 632-7633 · Official website
- Licensing and inspections
- Nebraska DHHS – Division of Public Health, Licensure Unit.Look up a license
- Services for older adults
- Nebraska DHHS – Aging and Disability Resource Center (ADRC) and Area Agencies on Aging.(844) 843-6364 · Official website
- Eldercare Locator (nationwide)
- A free national line that connects you with your local Area Agency on Aging.(800) 677-1116 · Official website
Contact information checked against official sources on October 15, 2026. These are free public services; hogaresparamayores.com is not affiliated with them.
Official data and sources
- Nebraska DHHS — Division of Public Health, Licensure Unit: Rosters of Assisted Living Facilities and Adult Day Services, updated October 15, 2026
See a mistake? Let us know and we’ll fix it. Being listed in an official registry doesn’t mean hogaresparamayores.com knows or recommends the place.
Frequently asked questions
Does Operation First Step accept Medicaid?
Where is Operation First Step located?
What hospital is near Operation First Step?
How much does Operation First Step cost?
Other places nearby
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Ewk, Inc - Kelly House Supportive Housing
1720 North 40th Street, Omaha, NE 68111
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