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The Ambassador Sidney INC
115 Main Street, Sidney, IA 51652 (opens Google Maps) · Fremont County · (712) 374-2693· 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★)
4/5
Health inspection rating (on-site)
inspected Mar 12, 2026
0
Serious findings on record
$0
Fines, last 3 years
3.94
Nurse hours/resident/day (adjusted)
Every record stays on this page.
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: ★★★★☆4/5 · CMS overall rating: 4/5 · 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 12 inspection findings. Open the full record below to read every finding.
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. F-0582
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. F-0688
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. F-0689
View all 12 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.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 12, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0582 |
| Mar 12, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0688 |
| Mar 12, 2026 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Mar 12, 2026 | D · Potential for more than minimal harm, isolated | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · F-0698 |
| Mar 12, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
| Mar 20, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0812 |
| Mar 20, 2025 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Mar 20, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0695 |
| Mar 20, 2025 | D · Potential for more than minimal harm, isolated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842 |
| Mar 20, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
| May 30, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0686 |
| May 30, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0690 |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (5 → 5).
All citationsSerious citations (G–L)
2024
All citations: 2
Serious citations (G–L): 0
2025
All citations: 5
Serious citations (G–L): 0
2026
All citations: 5
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityIowa averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.94
Iowa average: 4.37
U.S. average: 3.95
Registered Nurse hours
This facility: 0.56
Iowa average: 0.85
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.43
Iowa average: 3.86
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| 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 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 3.54, RN 0.51, weekend 3.08.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.54 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.
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: —/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for The Ambassador Sidney INC. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
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.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
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 / 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 |
All 20 owning or managing parties CMS has on file are shown — none excluded.
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.
- Ambassador Health of Lincoln — Lincoln, NE · overall 2/5
- Ambassador Health of Omaha — Omaha, NE · overall 5/5
- The Ambassador Nebraska City, INC — Nebraska City, NE · overall 5/5
Listed by state, then facility name — not a ranking.
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?"
Also worth asking anywhere
- "Your weekend nurse staffing is reported below the Iowa midpoint — how does the weekend schedule differ from a weekday?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 34% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 20 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)
| 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 |
Facility data as of CMS processing date 2026-08-01. CCN 165474.