How to file a complaint about care →
No fines or payment denials in the published 3-year window.
1800 14th Avenue, Nebraska City, NE 68410 (opens Google Maps) · Otoe County · (402) 873-6650· 71 certified beds · avg 45 residents/day · certified since Nov 1, 1992 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: AMBASSADOR HEALTH (4 facilities, chain avg rating 4.0★)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5 · how star ratings work →
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.
Showing the latest 3 of 8 inspection findings. Open the full record below to read every finding.
The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. F-0580
The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · from a complaint F-0692
The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint F-0609
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 14, 2026 | D · Potential for more than minimal harm, isolated | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · F-0580 |
| Apr 14, 2026 | D · Potential for more than minimal harm, isolated | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · from a complaint · F-0692 |
| Mar 10, 2025 | D · Potential for more than minimal harm, isolated | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint · F-0609 |
| Mar 10, 2025 | D · Potential for more than minimal harm, isolated | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint · F-0610 |
| Oct 31, 2024 | E · Potential for more than minimal harm, pattern | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Oct 31, 2024 | D · Potential for more than minimal harm, isolated | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. · F-0757 |
| Sep 6, 2023 | D · Potential for more than minimal harm, isolated | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. · F-0644 |
| Sep 6, 2023 | D · Potential for more than minimal harm, isolated | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · F-0657 |
Citations from standard inspections stayed about the same across the last two inspection cycles (2 → 2).
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 2 | 0 | D |
| 2024 | 2 | 0 | E |
| 2025 | 2 | 0 | D |
| 2026 | 2 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
How to file a complaint about care →
No fines or payment denials in the published 3-year window.
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Nebraska avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.70 | 4.33 | 3.95 | top 33% in Nebraska; top 18% in the U.S. |
| Registered Nurse hours | 0.67 | 0.72 | 0.69 | top 49% in Nebraska; top 39% in the U.S. |
| Weekend total nurse staffing | 4.08 | 3.79 | 3.50 | top 34% in Nebraska; top 21% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.44 | 0.47 | 0.48 | top 44% in Nebraska; top 41% in the U.S. |
| Total nursing staff turnover (%) | 44.9 | 48.7 | 45.8 | top 46% in Nebraska; top 50% in the U.S. |
| RN turnover (%) | 14.3 | 44.1 | 42.9 | top 8% in Nebraska; top 7% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.39, RN 0.63, weekend 3.81.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.39 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: 4/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for The Ambassador Nebraska City, INC. CMS inspection and staffing records do not tell us what this home will charge you.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Ambassador Holding Company | Organization | Direct Ownership Interest | NOT APPLICABLE | 06/05/1985 |
| Juilfs, Sally | Individual | Indirect Ownership Interest | NOT APPLICABLE | 06/05/1985 |
| Juilfs, Timothy | Individual | Indirect Ownership Interest | NOT APPLICABLE | 06/05/1985 |
| Juilfs, Tyler | Individual | Indirect Ownership Interest | NOT APPLICABLE | 12/30/2024 |
| Ambassador Holding Company | Organization | ADP of the SNF | NOT APPLICABLE | 06/05/1985 |
| First National Bank Omaha | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 01/30/2018 |
| First National Bank Omaha | Organization | ADP of the SNF | NOT APPLICABLE | 04/15/2025 |
| Juilfs, Sally | Individual | Corporate Director | NOT APPLICABLE | 06/05/1985 |
| Juilfs, Sally | Individual | Corporate Officer | NOT APPLICABLE | 06/05/1985 |
| Juilfs, Sally | Individual | ADP of the SNF | NOT APPLICABLE | 01/03/1983 |
| Juilfs, Timothy | Individual | Corporate Director | NOT APPLICABLE | 06/05/1985 |
| Juilfs, Timothy | Individual | Corporate Officer | NOT APPLICABLE | 06/05/1985 |
| Juilfs, Timothy | Individual | ADP of the SNF | NOT APPLICABLE | 06/05/1985 |
| Juilfs, Tyler | Individual | Corporate Director | NOT APPLICABLE | 07/01/2021 |
| Juilfs, Tyler | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2021 |
| Juilfs, Tyler | Individual | ADP of the SNF | NOT APPLICABLE | 12/30/2024 |
| Osborn, Tamela | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/25/2016 |
| Paul Allen, Loretta | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/30/2023 |
| Paul Allen, Loretta | Individual | ADP of the SNF | NOT APPLICABLE | 01/30/2025 |
| Shanholtz, Brent | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2013 |
Showing 20 of 24 parties CMS has on file for this facility; 4 are not displayed. The full list is in the CMS Ownership dataset.
CMS lists this facility under the chain Ambassador Health — 4 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
Listed by state, then facility name — not a ranking.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Prestige Care Center of Nebraska City | 0.5 mi | Nebraska City, NE | ★☆☆☆☆ | 2/5 | |
| The Ambassador Sidney INC | 12.2 mi | Sidney, IA | ★★★★☆ | 4/5 | |
| Good Samaritan Society - Syracuse | 16.9 mi | Syracuse, NE | ★★★★☆ | 4/5 | |
| Tabor Manor Care Center | 17.7 mi | Tabor, IA | ★☆☆☆☆ | 1/5 |
Facility data as of CMS processing date 2026-08-01. CCN 285126.
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