The Ambassador Nebraska City, INC

Name: The Ambassador Nebraska City, INC
Address: 1800 14th Avenue, Nebraska City, NE, 68410, US
Telephone: 4028736650

1800 14th Avenue, Nebraska City, NE 68410 · Otoe County · 71 certified beds · avg 45 residents/day · certified since Nov 1, 1992

Part of chain: AMBASSADOR HEALTH (4 facilities, chain avg rating 4.0★)

5/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.70

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5

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 self-reported quality measures.

All citations in the current public record (8)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Apr 14, 2026	D · Potential for harm, one-off	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.
Apr 14, 2026	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · from a complaint
Mar 10, 2025	D · Potential for harm, one-off	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
Mar 10, 2025	D · Potential for harm, one-off	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
Oct 31, 2024	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Oct 31, 2024	D · Potential for harm, one-off	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.
Sep 6, 2023	D · Potential for harm, one-off	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.
Sep 6, 2023	D · Potential for harm, one-off	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.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (2 → 2).

Year	Citations	Worst severity that year
2023	2	D
2024	2	E
2025	2	D
2026	2	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.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

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, 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. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: 4/5

Who owns this facility

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

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"If my family member falls or their condition changes, exactly when and how will I be notified?"
"How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
"How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
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

Compare this facility with the 3 closest →

All facilities in Nebraska City →

Facility data as of CMS processing date 2026-08-01. CCN 285126.

The Care File

Visit checklist — The Ambassador Nebraska City, INC

1800 14th Avenue, Nebraska City, NE 68410 · 4028736650

Health inspection rating 5/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
☐ "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 285126 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)