The Ambassador Sidney INC
115 Main Street, Sidney, IA 51652 · Fremont County · 46 certified beds · avg 41 residents/day · certified since Nov 11, 2002 · 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★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
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 (12)
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 |
|---|---|---|
| Mar 12, 2026 | D · Potential for harm, one-off | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. |
| Mar 12, 2026 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Mar 12, 2026 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Mar 12, 2026 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Mar 12, 2026 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Mar 20, 2025 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Mar 20, 2025 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Mar 20, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Mar 20, 2025 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Mar 20, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| May 30, 2024 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| May 30, 2024 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (5 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 2 | 0 | D |
| 2025 | 5 | 0 | E |
| 2026 | 5 | 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.
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 | Iowa avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.94 | 4.37 | 3.95 | bottom 33% in Iowa; top 42% in the U.S. |
| Registered Nurse hours | 0.56 | 0.85 | 0.69 | bottom 18% in Iowa; bottom 47% in the U.S. |
| Weekend total nurse staffing | 3.43 | 3.86 | 3.50 | bottom 31% in Iowa; top 46% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.29 | 0.51 | 0.48 | bottom 14% in Iowa; bottom 30% in the U.S. |
| Total nursing staff turnover (%) | 34.1 | 44.0 | 45.8 | top 26% in Iowa; top 22% in the U.S. |
| RN turnover (%) | 50.0 | 42.1 | 42.9 | bottom 41% in Iowa; bottom 39% 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 3.54, RN 0.51, weekend 3.08. Staffing rating: 3/5.
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: —/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| 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 | 04/16/2025 |
| Harrah, Jade | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/10/2022 |
| Harrah, Jade | Individual | ADP of the SNF | NOT APPLICABLE | 01/30/2025 |
| 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 | 06/05/1985 |
| Juilfs, Timothy | Individual | Corporate Director | NOT APPLICABLE | 05/01/2004 |
| 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 |
| Long, Dora | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/16/2021 |
| Ourada, Michael | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2024 |
| Ourada, Michael | Individual | ADP of the SNF | NOT APPLICABLE | 01/30/2025 |
| Shanholtz, Brent | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2013 |
| The Ambassador Group INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 02/09/1981 |
| The Ambassador Group INC | Organization | ADP of the SNF | NOT APPLICABLE | 02/09/1981 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
- "What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you coordinate and monitor care for residents who receive dialysis?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "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 | Flags |
|---|---|---|---|---|---|
| Tabor Manor Care Center | 10.7 mi | Tabor, IA | ★☆☆☆☆ | 1/5 | |
| Prestige Care Center of Nebraska City | 11.7 mi | Nebraska City, NE | ★☆☆☆☆ | 2/5 | |
| The Ambassador Nebraska City, INC | 12.2 mi | Nebraska City, NE | ★★★★★ | 5/5 | |
| Garden View Care Center | 13.9 mi | Shenandoah, IA | —/5 | abuseSFF | |
| Accura Healthcare of Shenandoah | 14.3 mi | Shenandoah, IA | ★☆☆☆☆ | 1/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 165474.