CNA - Certified Nursing Assistant - PRN Good SamaritanCNA - Certified Nursing Assistant - PRNAlma, NE$17–$25.50Provides assistance with basic health care needs including daily living activities that may include, but are not limited to, bathing, toileting, grooming, dressing/undressing, obtaining and recording vital signs, and providing psychosocial support and other personal care to assigned resident. Required Certified Nursing Assistant (CNA) certification with the State Board of Nursing, or state certified CNA within four months of date into the position by being enrolled in a training program or in the process of obtaining certification through Endorsement.
NewCNA, Certified Nursing Assistant - FT Days Good SamaritanCNA, Certified Nursing Assistant - FT DaysBloomfield, NE$18.50–$25.50Provides assistance with basic health care needs including daily living activities that may include, but are not limited to, bathing, toileting, grooming, dressing/undressing, obtaining and recording vital signs, and providing psychosocial support and other personal care to assigned resident. Required Certified Nursing Assistant (CNA) certification with the State Board of Nursing, or state certified CNA within four months of date into the position by being enrolled in a training program or in the process of obtaining certification through Endorsement.
NewCNA - Certified Nursing Assistant - FT Days Good SamaritanCNA - Certified Nursing Assistant - FT DaysAlma, NE$17–$25.50Provides assistance with basic health care needs including daily living activities that may include, but are not limited to, bathing, toileting, grooming, dressing/undressing, obtaining and recording vital signs, and providing psychosocial support and other personal care to assigned resident. Required Certified Nursing Assistant (CNA) certification with the State Board of Nursing, or state certified CNA within four months of date into the position by being enrolled in a training program or in the process of obtaining certification through Endorsement.
NewCertified Nursing Assistant (CNA) Wind Crest by Erickson Senior LivingCertified Nursing Assistant (CNA)Cherry Creek, CO$21.50–$26.50 / hourSee Erickson Senior Living Privacy Policy at https://www.ericksonseniorliving.com/privacy-policy and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions. Implementing residents personal care plans, focusing on residents’ strengths, preferences, and preferred routines while providing a sense of comfort, companionship, and belonging.
NewAssistant Community Manager Asset LivingAssistant Community ManagerOmaha, NE$18–$23 / hourin all directions, lift and place objects up to 25 lbs, operate machinery or power tools, operate motor vehicles and/or golf carts, identify and inspect objects, be able to work overtime, weekends, night hours (emergencies) work in small and/or enclosed spaces, traverse flat and non-flat terrain, work in extremely low or high temperatures, work in outdoor environments such as precipitation and wind, be exposed to hazardous chemicals. The employee is occasionally required to ascend/descend ladders, stairs, scaffolding, ramps, step stools, and the like, move self into different positions to accomplish tasks in various environments including tight and confined spaces, work in an overhead position and reach, adjust or move objects of up to 25 lbs.
Travel Physical Therapy Assistant (PTA) - $1,696 to $1,747 per week in Scottsbluff, NE AMN Healthcare AlliedTravel Physical Therapy Assistant (PTA) - $1,696 to $1,747 per week in Scottsbluff, NEScottsbluff, NE$1,696–$1,747A typical day may include: Collaborating with the supervising PT to review and progress treatment plans Treating a steady flow of scheduled outpatients in a modern clinic setting Documenting visits and patient progress in an electronic medical record system Educating patients on injury prevention, safe body mechanics, and home exercises Communicating regularly with the care team to ensure coordinated, high-quality care The clinic environment emphasizes professional collaboration, clear communication, and patient-centered care. Residents benefit from a relaxed pace of life, modern community recreation options, and easy access to parks and open spaces, making it a great fit for professionals seeking both work-life balance and meaningful clinical experiences.
CNA - Certified Nursing Assistant - FT Evenings Good SamaritanCNA - Certified Nursing Assistant - FT EveningsPetersburg, NEProvides assistance with basic health care needs including daily living activities that may include, but are not limited to, bathing, toileting, grooming, dressing/undressing, obtaining and recording vital signs, and providing psychosocial support and other personal care to assigned resident. Required Certified Nursing Assistant (CNA) certification with the State Board of Nursing, or state certified CNA within four months of date into the position by being enrolled in a training program or in the process of obtaining certification through Endorsement.
NewTravel Physical Therapy Assistant (PTA) in Schuyler, NE Jackson Therapy PartnersTravel Physical Therapy Assistant (PTA) in Schuyler, NESchuyler, NEWe’re hiring a licensed PTA to work with one of our trusted clients where you’ll support patients recovering from injuries, illnesses, or surgeries—helping them manage pain and regain movement—under the guidance of a licensed Physical Therapist. Thanks to nationwide partnerships with clients from every setting, we help therapy professionals find the right job including competitive compensation, benefits, relocation assistance, and sign-on bonuses - all at no cost to you.
NewTravel Outpatient Physical Therapy Assistant - $1,722 per week AMN Healthcare AlliedTravel Outpatient Physical Therapy Assistant - $1,722 per weekScottsbluff, NE$1,696–$1,747A typical day may include: Collaborating with the supervising PT to review and progress treatment plans Treating a steady flow of scheduled outpatients in a modern clinic setting Documenting visits and patient progress in an electronic medical record system Educating patients on injury prevention, safe body mechanics, and home exercises Communicating regularly with the care team to ensure coordinated, high-quality care The clinic environment emphasizes professional collaboration, clear communication, and patient-centered care. Residents benefit from a relaxed pace of life, modern community recreation options, and easy access to parks and open spaces, making it a great fit for professionals seeking both work-life balance and meaningful clinical experiences.
Resident Assistant Cedarhurst Senior LivingResident AssistantOmaha, NEPosition Summary: The Resident Assistant, reporting directly to the Director of Nursing, supports residents in maintaining their dignity, independence, and overall quality of life by providing personal care assistance, companionship, and encouragement in daily activities. Demonstrated proficiency in common digital tools and applications, including Microsoft Office programs (Outlook, Excel, Word), web-based platforms, electronic health record systems, and any HR-related systems as applicable.
Resident Assistant PRN Remington Heights Retirement CommunityResident Assistant PRNOmaha, NebraskaAt Century Park Associates, we are dedicated to creating an enriching lifestyle for our residents and a rewarding work environment for our valued associates. Assists residents with activities of daily living as designated in care plan (i.e., dressing, toileting, hair care, bathing).
NewResident Assistant Remington Heights Retirement CommunityResident AssistantOmaha, NebraskaAt Century Park Associates, we are dedicated to creating an enriching lifestyle for our residents and a rewarding work environment for our valued associates. Assists residents with activities of daily living as designated in care plan (i.e., dressing, toileting, hair care, bathing).
Resident Assistant PRN Century Park Associates LLCResident Assistant PRNOmaha, NEAt Century Park Associates, we are dedicated to creating an enriching lifestyle for our residents and a rewarding work environment for our valued associates. Assists residents with activities of daily living as designated in care plan (i.e., dressing, toileting, hair care, bathing).
Resident Assistant Century Park Associates LLCResident AssistantOmaha, NEAt Century Park Associates, we are dedicated to creating an enriching lifestyle for our residents and a rewarding work environment for our valued associates. Assists residents with activities of daily living as designated in care plan (i.e., dressing, toileting, hair care, bathing).
NewResident Assistant/Food Service, Assisted Living - PT Varies Good SamaritanResident Assistant/Food Service, Assisted Living - PT VariesHastings, NE$15–$22.50 / hourJoin our not-for-profit organization that has provided over 100 years of housing and services to seniors with a commitment to quality care and service in a Christian environment.**. Dependent on the location, participates in structured training sessions to acquire skills to obtain certification to provide a higher level of resident care.
NewAssistant Community Director Bedrock Property ManagementAssistant Community DirectorOmaha, NebraskaOur next Assistant Community Director will ensure efficient operations by assisting in the management of vendor relations, ensuring timely property maintenance, providing data and information for reporting and financial oversight, while assisting to meet the leasing and financial goals and performance of your community. POSITION SUMMARY: Bedrock's Assistant Community Directors are essential to the property's overall success supporting the day to day operations while ensuring our residents' satisfaction.
Tax Credit Assistant Property Manager InterSolutionsTax Credit Assistant Property ManagerOmaha, NE$16–$19 / hourAs an Affordable Housing Leasing Professional, you ll play a key role in creating an outstanding living experience for both current and prospective residents. InterSolutions is a fast-growing, innovative multifamily staffing agency committed to connecting top talent with leading property management companies nationwide.
Part Time Assistant Director of Nursing (ADON) RN Vetter Senior LivingPart Time Assistant Director of Nursing (ADON) RNBroken Bow, NEThis position is Part Time (32 hrs per week) The Assistant Director of Nursing (ADON) plays a vital leadership role in supporting high-quality nursing care for residents while fostering dignity, compassion, and excellence in service. The Assistant Director of Nursing (ADON) plays a vital leadership role in supporting high-quality nursing care for residents while fostering dignity, compassion, and excellence in service.
Certified Nursing Assistant 3B Healthcare, IncCertified Nursing AssistantKimball, NEThis position focuses on supporting residents' daily needs, maintaining dignity, and ensuring a safe and comfortable environment during overnight hours. The CNA/CMA will play a critical role in delivering hands-on, compassionate care to residents in a long-term care setting.
Assistant Maintenance Technician/ Van Driver Hemingford Care CenterAssistant Maintenance Technician/ Van DriverHemingford, NEFull timeHemingford Care Center | Hemingford, NEFull-Time DaysHemingford Care Center is a skilled nursing and rehabilitation community where compassionate care and professional growth go hand in hand. Comfortable working in a healthcare environment with potential exposure to bodily fluids and communicable illnesses, with adequate vision and hearing to safely perform essential job duties.
Assistant Manager - Pine Tree Dominium Management Services, LLCAssistant Manager - Pine TreeOmaha, NEFull timeDominium’s values – EDGE: Entrepreneurial Innovation, Developing People, Growth Mindset and Execution – guide us in fulfilling our Purpose: to provide quality, affordable housing that builds Enduring Value for our residents, employees, communities and financial partners. We also provide a comprehensive benefits package for eligible employees, including Basic Life and AD&D; Employee, Spouse and Child Supplemental Life and AD&D; and Short and Long-Term Disability insurance.
NewDining Service Assistant Capital Senior Management 2, Inc.Dining Service AssistantOmaha, NEPart timeCrown Pointe, a premier retirement community in Omaha, NE, provides quality care to residents in an independent living, assisted living, and memory care community. Advanced EHR Technologies - automated care assessments eliminating busy work, helping you deliver better care.
NewAssistant Director Dismas CharitiesAssistant DirectorKearney, NEFull timeThe Assistant Director assists the Director with interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints, and resolving problems. In the event of a work stoppage, work the hours necessary to staff the center; Attends and participates in all required appointments/meetings on-site, within the community, the court system, or at other off-site business-related locations.
Dining Service Assistant Sonida Senior Living Inc.Dining Service AssistantOmaha, NECrown Pointe, a premier retirement community in Omaha, NE, provides quality care to residents in an independent living, assisted living, and memory care community. Advanced EHR Technologies - automated care assessments eliminating busy work, helping you deliver better care.
Assistant Property Manager - The Falgrove Mercy Housing IncAssistant Property Manager - The FalgroveOmaha, NE$20–$22 / hour15 days of earned PTO your first year, 12 company holidays + 2 floating holidays. Join a mission-driven team where mercy, justice, and respect guide everything we do, from empowering residents to supporting your personal and professional growth.
CMA, Certified Medication Assistant - FT Days - St. Luke's Village Good SamaritanCMA, Certified Medication Assistant - FT Days - St. Luke's VillageKearney, NE$18.50–$28 / hourProvides assistance with basic health care needs including daily living activities that may include, but are not limited to, bathing, toileting, grooming, dressing/undressing, obtaining and recording vital signs, and providing psycho-social support and other personal care to assigned resident. The long term care (LTC) Certified Medication Assistant (CMA) serves as caregiver who provides resident-centered nursing care and daily living assistance to assigned residents under the supervision of a charge nurse.
CMA - Certified Medication Assistant - FT Varying Good SamaritanCMA - Certified Medication Assistant - FT VaryingAlbion, NE$18.50–$28 / hourProvides assistance with basic health care needs including daily living activities that may include, but are not limited to, bathing, toileting, grooming, dressing/undressing, obtaining and recording vital signs, and providing psycho-social support and other personal care to assigned resident. The Medication Assistant (MA) serves as caregiver who provides resident-centered nursing care and daily living assistance to assigned residents under the supervision of a charge nurse.
CNA (Certified Nursing Assistant) - 6a-6p, every 3rd weekend rotation Tiffany SquareCNA (Certified Nursing Assistant) - 6a-6p, every 3rd weekend rotationGrand Island, NEWhy You'll Love Working Here : As a Nursing Assistant, you'll have the rewarding opportunity to positively impact the lives of residents, guests, family members, and fellow team members every day. Why You'll Love Working Here: As a Nursing Assistant, you'll have the rewarding opportunity to positively impact the lives of residents, guests, family members, and fellow team members every day.
Medication Assistant, Certified, Long Term Care (LTC) Good SamaritanMedication Assistant, Certified, Long Term Care (LTC)Osceola, NE$18.50–$28 / hourProvides assistance with basic health care needs including daily living activities that may include, but are not limited to, bathing, toileting, grooming, dressing/undressing, obtaining and recording vital signs, and providing psycho-social support and other personal care to assigned resident. The Medication Assistant (MA) serves as caregiver who provides resident-centered nursing care and daily living assistance to assigned residents under the supervision of a charge nurse.
CMA, Certified Medication Assistant - FT Evenings - St. Luke's Village Good SamaritanCMA, Certified Medication Assistant - FT Evenings - St. Luke's VillageKearney, NE$18.50–$28 / hourProvides assistance with basic health care needs including daily living activities that may include, but are not limited to, bathing, toileting, grooming, dressing/undressing, obtaining and recording vital signs, and providing psycho-social support and other personal care to assigned resident. The long term care (LTC) Certified Medication Assistant (CMA) serves as caregiver who provides resident-centered nursing care and daily living assistance to assigned residents under the supervision of a charge nurse.
NewCMA - Certified Medication Assistant - PRN Days Good SamaritanCMA - Certified Medication Assistant - PRN DaysAlbion, NE$18.50–$28 / hourProvides assistance with basic health care needs including daily living activities that may include, but are not limited to, bathing, toileting, grooming, dressing/undressing, obtaining and recording vital signs, and providing psycho-social support and other personal care to assigned resident. The Medication Assistant (MA) serves as caregiver who provides resident-centered nursing care and daily living assistance to assigned residents under the supervision of a charge nurse.
CMA, Medication Assistant, Certified, Assisted Living - PRN Good SamaritanCMA, Medication Assistant, Certified, Assisted Living - PRNHastings, NE$18.50–$28 / hourProvides assistance with basic health care needs including daily living activities that may include, but are not limited to, bathing, toileting, grooming, dressing/undressing, obtaining and recording vital signs, and providing psycho-social support and other personal care to assigned resident. The Medication Assistant (MA) serves as caregiver who provides resident-centered nursing care and daily living assistance to assigned residents under the supervision of a charge nurse.
CMA, Medication Assistant, Certified, (LTC) - FT Days Good SamaritanCMA, Medication Assistant, Certified, (LTC) - FT DaysGrand Island, NE$18.50–$28 / hourProvides assistance with basic health care needs including daily living activities that may include, but are not limited to, bathing, toileting, grooming, dressing/undressing, obtaining and recording vital signs, and providing psycho-social support and other personal care to assigned resident. Active participant of the Nebraska Rural Health Workforce Incentive Program that offers monetary incentives to select nursing professionals, including RNs, LPNs, and CNAs, in exchange for a service commitment to work in a rural county for a 5-year period.
NewCMA / Certified Medication Assistant - FT Days Good SamaritanCMA / Certified Medication Assistant - FT DaysAuburn, NE$19–$28 / hourProvides assistance with basic health care needs including daily living activities that may include, but are not limited to, bathing, toileting, grooming, dressing/undressing, obtaining and recording vital signs, and providing psycho-social support and other personal care to assigned resident. The Medication Assistant (MA) serves as caregiver who provides resident-centered nursing care and daily living assistance to assigned residents under the supervision of a charge nurse.
Certified Occupational Therapy Assistant (COTA) - PRN/On-Call - PRN Nye Health ServicesCertified Occupational Therapy Assistant (COTA) - PRN/On-Call - PRNFremont, NEJob Summary: The Certified Occupational Therapy Assistant (COTA) works under the supervision of a licensed Occupational Therapist (OT) to provide skilled occupational therapy services to our residents. A great culture where we live out our mission, ''To celebrate life in environments we create by delivering exceptional service and superior value through innovative leadership in personalized care.''.
Certified Occupational Therapy Assistant (COTA) - Full-time - Full-Time Nye Health ServicesCertified Occupational Therapy Assistant (COTA) - Full-time - Full-TimeLouisville, NEAt Nye Health Services, you'll build meaningful relationships with residents while working alongside experienced therapists in a supportive environment that values clinical excellence and teamwork. Job Summary: The Certified Occupational Therapy Assistant (COTA) works under the supervision of a licensed Occupational Therapist (OT) to provide skilled occupational therapy services to our residents.
NewCertified Nursing Assistant (CNA) | Long Term Care Avera HealthCertified Nursing Assistant (CNA) | Long Term CareCreighton, NE$19.75–$27.50 / hourThis may includes but not limited to assisting patients with bathing and dressing needs, shaving, oral hygiene, bed making, transfers into and out of bed, repositioning, toileting needs, serving and collecting food trays, encouraging and/or assisting with feeding, answering call lights, insuring a clean environment, transporting patients upon admission and dismissal, assisting with ambulation and orienting/reorienting of resident to the facility environment to insure resident safety. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds.
NewCertified Nursing Assistant (Cna) | Long Term Care Avera HealthCertified Nursing Assistant (Cna) | Long Term CareCreighton, NE$19.75–$27.50 / hourThis may includes but not limited to assisting patients with bathing and dressing needs, shaving, oral hygiene, bed making, transfers into and out of bed, repositioning, toileting needs, serving and collecting food trays, encouraging and/or assisting with feeding, answering call lights, insuring a clean environment, transporting patients upon admission and dismissal, assisting with ambulation and orienting/reorienting of resident to the facility environment to insure resident safety. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds.
Assistant Director of Nursing Cedarhurst Senior LivingAssistant Director of NursingOmaha, NE$75,000–$85,000 / yearParticipate as a member of the community's management team in planning, policy formation, and administrative decision-making, with particular emphasis on the community's care giver and nursing services. About Cedarhurst: Cedarhurst Senior Living is a leading provider of senior living communities, dedicated to enriching the lives of residents through exceptional care and personalized services.
(Work At Home) Data Entry - Remote Position- Administrative Assistant FocusGroupPanel(Work At Home) Data Entry - Remote Position- Administrative AssistantLincoln, NERemoteAll backgrounds welcome: Work from home, part time, Amazon, customer service representative, medical professional, remote work at home, drivers, administrative assistant, work from home customer service representative, registered nurse, web developer, assistant manager, pharmacy technician. We need folks who want to do tasks, micro tasks, work at home opinion panels, online focus groups, product testing, research trials and more.
Certified Nursing Assistants Wilber Care CenterCertified Nursing AssistantsWilber, NEFull timeWe offer competitive pay starting at $19.00 per hour (depending on experience), shift differentials, paid time off, health, dental and vision insurance for eligible employees, employer-paid life insurance, retirement benefits, referral bonuses, tuition assistance, flexible PRN scheduling, and a supportive leadership team that truly values its employees. As a CNA, you'll make a difference every day by assisting residents with personal care, mobility, meals, and activities of daily living while helping them maintain their dignity and independence.
Nursing Assistant, Certified, Long Term Care (LTC) - FT Days Good SamaritanNursing Assistant, Certified, Long Term Care (LTC) - FT DaysAtkinson, NE$22–$25.50 / hourProvides assistance with basic health care needs including daily living activities that may include, but are not limited to, bathing, toileting, grooming, dressing/undressing, obtaining and recording vital signs, and providing psychosocial support and other personal care to assigned resident. Required Certified Nursing Assistant (CNA) certification with the State Board of Nursing, or state certified CNA within four months of date into the position by being enrolled in a training program or in the process of obtaining certification through Endorsement.
Activities Assistant Tudor Oaks Senior Living CommunityActivities AssistantOmaha, NEWhat youll do: Help plan and lead daily recreational, social, and wellness programs for residents, working alongside the Director of Activities. Able to read, write, and speak English well enough to document care, coordinate with the care team, and communicate with residents and families.
Certified Nurse Assistant (CNA) Tudor Oaks Senior Living CommunityCertified Nurse Assistant (CNA)Omaha, NEBegin a rewarding career-join Maple Crest Health Center as a Certified Nursing Assistant(CNA), where your commitment and compassion will directly impact the lives of others! If requested, this organization will make every effort to provide reasonable accommodations to enable employees with disabilities to perform the position's essential job duties.
CNA, Certified Nursing Assistant - FT Days - St. Luke's Village Good SamaritanCNA, Certified Nursing Assistant - FT Days - St. Luke's VillageKearney, NE$18–$25.50 / hourProvides assistance with basic health care needs including daily living activities that may include, but are not limited to, bathing, toileting, grooming, dressing/undressing, obtaining and recording vital signs, and providing psychosocial support and other personal care to assigned resident. Required Certified Nursing Assistant (CNA) certification with the State Board of Nursing, or state certified CNA within four months of date into the position by being enrolled in a training program or in the process of obtaining certification through Endorsement.
CNA, Certified Nursing Assistant - FT Evenings - St. Luke's Village Good SamaritanCNA, Certified Nursing Assistant - FT Evenings - St. Luke's VillageKearney, NE$18–$25.50 / hourProvides assistance with basic health care needs including daily living activities that may include, but are not limited to, bathing, toileting, grooming, dressing/undressing, obtaining and recording vital signs, and providing psychosocial support and other personal care to assigned resident. Required Certified Nursing Assistant (CNA) certification with the State Board of Nursing, or state certified CNA within four months of date into the position by being enrolled in a training program or in the process of obtaining certification through Endorsement.
NewCNA - Certified Nursing Assistant - PT Days Good SamaritanCNA - Certified Nursing Assistant - PT DaysAlbion, NE$17–$25.50 / hourProvides assistance with basic health care needs including daily living activities that may include, but are not limited to, bathing, toileting, grooming, dressing/undressing, obtaining and recording vital signs, and providing psychosocial support and other personal care to assigned resident. Required Certified Nursing Assistant (CNA) certification with the State Board of Nursing, or state certified CNA within four months of date into the position by being enrolled in a training program or in the process of obtaining certification through Endorsement.
Certified Nursing Assistant (CNA/NAC) Good SamaritanCertified Nursing Assistant (CNA/NAC)Central City, NEDocuments resident cares and behaviors according to Society policy, procedure and regulations Handles and disposes of linens, soiled clothing or supplies properly; follows consistent hand washing and Personal Protective Equipment use. Provides resident centered personal care including bathing, toileting, grooming, dressing/undressing, obtaining vital signs, psychosocial support and other personal cares.
CNA, Nursing Assistant, Certified, (LTC) - FT Days Good SamaritanCNA, Nursing Assistant, Certified, (LTC) - FT DaysGrand Island, NE$18–$25.50 / hourProvides assistance with basic health care needs including daily living activities that may include, but are not limited to, bathing, toileting, grooming, dressing/undressing, obtaining and recording vital signs, and providing psychosocial support and other personal care to assigned resident. Required Certified Nursing Assistant (CNA) certification with the State Board of Nursing, or state certified CNA within four months of date into the position by being enrolled in a training program or in the process of obtaining certification through Endorsement.
CNA, Nursing Assistant, Certified, (LTC) - FT Night Good SamaritanCNA, Nursing Assistant, Certified, (LTC) - FT NightGrand Island, NE$18–$25.50 / hourProvides assistance with basic health care needs including daily living activities that may include, but are not limited to, bathing, toileting, grooming, dressing/undressing, obtaining and recording vital signs, and providing psychosocial support and other personal care to assigned resident. Active participant of the Nebraska Rural Health Workforce Incentive Program that offers monetary incentives to select nursing professionals, including RNs, LPNs, and CNAs, in exchange for a service commitment to work in a rural county for a 5-year period.