Nebraska ›Nebraska City

The Ambassador Nebraska City, INC

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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★)

5/5
Health inspection rating (on-site)
inspected Apr 14, 2026
0
Serious findings on record
$0
Fines, last 3 years
4.70
Nurse hours/resident/day (adjusted)

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

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.

Inspection findings in the public record

Showing the latest 3 of 8 inspection findings. Open the full record below to read every finding.

  1. 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

  2. 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

  3. 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

View all 8 inspection findingsShow only the latest 3 findings

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.

DateSeverityWhat the facility was cited for
Apr 14, 2026D · Potential for more than minimal harm, isolatedThe 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, 2026D · Potential for more than minimal harm, isolatedThe 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, 2025D · Potential for more than minimal harm, isolatedThe 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, 2025D · Potential for more than minimal harm, isolatedThe 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, 2024E · Potential for more than minimal harm, patternThe 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, 2024D · Potential for more than minimal harm, isolatedThe 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, 2023D · Potential for more than minimal harm, isolatedThe 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, 2023D · Potential for more than minimal harm, isolatedThe 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

Inspection trend by year

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

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations: 2
Serious citations (G–L): 0
2024
All citations: 2
Serious citations (G–L): 0
2025
All citations: 2
Serious citations (G–L): 0
2026
All citations: 2
Serious citations (G–L): 0

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
202320D
202420E
202520D
202620D

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)

How to file a complaint about care →

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

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

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityNebraska averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 4.70
Nebraska average: 4.33
U.S. average: 3.95
Registered Nurse hours
This facility: 0.67
Nebraska average: 0.72
U.S. average: 0.69
Weekend total nurse staffing
This facility: 4.08
Nebraska average: 3.79
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityNebraska avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)4.704.333.95top 33% in Nebraska; top 18% in the U.S.
Registered Nurse hours0.670.720.69top 49% in Nebraska; top 39% in the U.S.
Weekend total nurse staffing4.083.793.50top 34% in Nebraska; top 21% in the U.S.
Weekend RN hours (not acuity-adjusted)0.440.470.48top 44% in Nebraska; top 41% in the U.S.
Total nursing staff turnover (%)44.948.745.8top 46% in Nebraska; top 50% in the U.S.
RN turnover (%)14.344.142.9top 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.

Quality measures: assessments & claims

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

Costs & payment

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.

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Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

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 / managerTypeRoleStakeSince
Ambassador Holding CompanyOrganizationDirect Ownership InterestNOT APPLICABLE06/05/1985
Juilfs, SallyIndividualIndirect Ownership InterestNOT APPLICABLE06/05/1985
Juilfs, TimothyIndividualIndirect Ownership InterestNOT APPLICABLE06/05/1985
Juilfs, TylerIndividualIndirect Ownership InterestNOT APPLICABLE12/30/2024
Ambassador Holding CompanyOrganizationADP of the SNFNOT APPLICABLE06/05/1985
First National Bank OmahaOrganization5% or Greater Mortgage InterestNOT APPLICABLE01/30/2018
First National Bank OmahaOrganizationADP of the SNFNOT APPLICABLE04/15/2025
Juilfs, SallyIndividualCorporate DirectorNOT APPLICABLE06/05/1985
Juilfs, SallyIndividualCorporate OfficerNOT APPLICABLE06/05/1985
Juilfs, SallyIndividualADP of the SNFNOT APPLICABLE01/03/1983
Juilfs, TimothyIndividualCorporate DirectorNOT APPLICABLE06/05/1985
Juilfs, TimothyIndividualCorporate OfficerNOT APPLICABLE06/05/1985
Juilfs, TimothyIndividualADP of the SNFNOT APPLICABLE06/05/1985
Juilfs, TylerIndividualCorporate DirectorNOT APPLICABLE07/01/2021
Juilfs, TylerIndividualCorporate OfficerNOT APPLICABLE07/01/2021
Juilfs, TylerIndividualADP of the SNFNOT APPLICABLE12/30/2024
Osborn, TamelaIndividualOperational/Managerial ControlNOT APPLICABLE07/25/2016
Paul Allen, LorettaIndividualOperational/Managerial ControlNOT APPLICABLE01/30/2023
Paul Allen, LorettaIndividualADP of the SNFNOT APPLICABLE01/30/2025
Shanholtz, BrentIndividualOperational/Managerial ControlNOT APPLICABLE01/01/2013

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.

Other facilities in the same chain

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.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

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?"

Also worth asking anywhere

  • "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 45% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 24 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Prestige Care Center of Nebraska City0.5 miNebraska City, NE★☆☆☆☆2/5
The Ambassador Sidney INC12.2 miSidney, IA★★★★☆4/5
Good Samaritan Society - Syracuse16.9 miSyracuse, NE★★★★☆4/5
Tabor Manor Care Center17.7 miTabor, 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.

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