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The Ambassador Nebraska City, Inc
1800 14th Avenue, Nebraska City, NE 68410 · Otoe County · (402) 873-6650
71 certified beds, about 45 residents a day · For profit - Corporation · Medicare and Medicaid since 1992
CMS Care Compare ratings, data as of September 1, 2026 · CCN 285126 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 14, 2026, inspectors cited 2 health deficiencies (the Nebraska average is 7.4, the national average 9.2).
None of its 8 health citations since September 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.39 hours per resident per day, against 3.98 across Nebraska and 3.86 nationally. Registered nurses accounted for 0.63 of those hours.
44.9% of nursing staff left within the year CMS measured (Nebraska average 48.7%).
CMS links it to Ambassador Health, an affiliated group of 4 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 8 health citations on file.
April 14, 2026Standard inspection, Complaint inspection · 2 citations
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on interview and record review the facility failed to notify the practitioner of significant weight loss for 1 (Resident 12) of 1 resident. The facility staff identified a census of 47.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on interview and record review the facility failed to complete a nutritional assessment prevent significant weight loss for 1 (Resident 12) of 1 resident. The facility staff identified a census of 47.
March 10, 2025Complaint inspection · 2 citations
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteLicensure reference: 175 NAC 12-006.02(H) Based on interview and record review, the facility failed to ensure an allegation of potential misappropriation of medication was reported for 2 [Resident 1 and 3] of 5 sampled residents. The facility had a total census of 46 residents.
- D Respond appropriately to all alleged violations.
Inspectors wroteLicensure reference: 175 NAC 12-006.02(H) Based on interview and record review, the facility failed to ensure a thorough investigation had completed regarding an allegation of potential misappropriation of medications from 1 [Resident 1] of 5 sampled residents. The facility had a total census of 46 residents.
October 31, 2024Standard inspection · 2 citations
- E Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteLicensure Reference Number 175 NAC 12.006.09(I) Based on interview and record review, the facility failed to ensure evaluations were completed for 5 (Residents 7, 12, 15, 47, and 205) of 8 sampled residents to ensure the safe use of a power lift chair recliner (lift chair)(a motorized chair that reclines and lift upward to assist the resident to stand up) to prevent accidents. The facility census was 52.
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on record review and interviews, the facility failed to ensure side effects for Adderall XR (a stimulant medication-a class of drugs that increase the activity of the brain) XR (extended release) were monitored for Resident 33. This affected 1 of 5 residents sampled for unnecessary medication use. The facility census was 52.
September 6, 2023Standard inspection · 2 citations
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on record review and interview, the facility failed to ensure a new PASARR (Pre-admission Screening and Resident Review, a screening to determine the presence of a mental illness or intellectual disability) review had been completed after a diagnosis of a mental disorder was identified for 1(Resident 40) out of 1 reviewed for PASARR. The facility census was 45.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.09C1c Based on record review and interviews; the facility failed to include the resident or the resident's representative when performing a comprehensive care plan (CCP-written instructions needed to provide effective and person-centered care of the resident that meet professional standards of quality care) review and revision for 2 (Resident 3 and Resident 41) of 2 sampled residents. The facility census was 45.
Fire safety inspections
12 fire safety citations on file: 3 on April 14, 2026, 4 on October 31, 2024, 5 on September 6, 2023.
Every fire safety citation12 citations
- F Provide properly protected cooking facilities.
- F Install corridor and hallway doors that block smoke.
- F Have proper medical gas storage and administration areas.
- F Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- F Have properly installed electrical wiring and gas equipment.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Meet requirements for the use and maintenance of medical gas equipment.
- F Install corridor and hallway doors that block smoke.
- E Properly select, install, inspect, or maintain portable fire extinguishes.
- E Meet other general requirements that are deficient.
- E Ensure proper usage of power strips and extension cords.
- D Meet other general requirements.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Nebraska | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.39 | 3.98 | 3.86 |
| Registered nurses | 0.63 | 0.67 | 0.69 |
| All nursing staff on weekends | 3.81 | 3.48 | 3.42 |
| Nurse aides | 3.19 | ||
| Licensed practical nurses | 0.56 | ||
| Nursing staff turnover (share who left in a year) | 44.9% | 48.7% | 45.8% |
| Registered nurse turnover | 14.3% | 44.1% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.58 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.62 on weekdays and 3.81 on weekends, 18% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 11.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.35 in April to June 2025 to 4.39 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.39 | 0.63 | 4.62 | 3.81 | 11.8% | 0 of 90 | 45 |
| Oct to Dec 2025 | 4.31 | 0.66 | 4.59 | 3.58 | 9.6% | 0 of 92 | 46 |
| Jul to Sep 2025 | 4.40 | 0.70 | 4.64 | 3.81 | 5.1% | 0 of 92 | 46 |
| Apr to Jun 2025 | 4.35 | 0.82 | 4.64 | 3.63 | 4.2% | 0 of 91 | 48 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Nebraska, Jan to Mar 2026 | 4.01 | 0.66 | 4.21 | 3.53 | 7.1% | 1.6% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for Nebraska
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Nebraska, all employers | |||
| CNAs (nursing assistants) | $19.23 | $18.29 to $22.31 | 16,450 |
| LPNs and LVNs | $30.13 | $28.41 to $34.55 | 4,580 |
| Registered nurses | $40.74 | $38.09 to $47.90 | 24,720 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Nebraska | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 20.0 | 19.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.5 | 2.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 7.5 | 4.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 7.3 | 2.0 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 15.3 | 18.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.8 | 4.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 16.0 | 20.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 15.0 | 20.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 17.0 | 11.4 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.8 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.2 | 1.9 | 1.8 |
Owners and operators
Legal business name: THE AMBASSADOR NEBRASKA CITY INC. CMS links this home to Ambassador Health, a group of 4 nursing homes averaging 4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ambassador Holding Company | Direct ownership interest | Organization | 06/05/1985 | |
| Juilfs, Sally | Indirect ownership interest | Individual | 06/05/1985 | |
| Juilfs, Timothy | Indirect ownership interest | Individual | 06/05/1985 | |
| Juilfs, Tyler | Indirect ownership interest | Individual | 12/30/2024 | |
| First National Bank Omaha | 5% or greater mortgage interest | Organization | 01/30/2018 | |
| Juilfs, Sally | Corporate director | Individual | 06/05/1985 | |
| Juilfs, Timothy | Corporate director | Individual | 06/05/1985 | |
| Juilfs, Tyler | Corporate director | Individual | 07/01/2021 | |
| Juilfs, Sally | Corporate officer | Individual | 06/05/1985 | |
| Juilfs, Timothy | Corporate officer | Individual | 06/05/1985 | |
| Juilfs, Tyler | Corporate officer | Individual | 07/01/2021 | |
| The Ambassador Group Inc | Operational/managerial control | Organization | 02/09/1981 | |
| Osborn, Tamela | Operational/managerial control | Individual | 07/25/2016 | |
| Paul Allen, Loretta | Operational/managerial control | Individual | 01/30/2023 | |
| Shanholtz, Brent | Operational/managerial control | Individual | 01/01/2013 | |
| Thomson, Dean | Operational/managerial control | Individual | 01/01/2024 | |
| Ambassador Holding Company | Adp of the SNF | Organization | 06/05/1985 | |
| First National Bank Omaha | Adp of the SNF | Organization | 04/15/2025 | |
| The Ambassador Group Inc | Adp of the SNF | Organization | 02/09/1981 | |
| Juilfs, Sally | Adp of the SNF | Individual | 01/03/1983 | |
| Juilfs, Timothy | Adp of the SNF | Individual | 06/05/1985 | |
| Juilfs, Tyler | Adp of the SNF | Individual | 12/30/2024 | |
| Paul Allen, Loretta | Adp of the SNF | Individual | 01/30/2025 | |
| Thomson, Dean | Adp of the SNF | Individual | 01/30/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on April 14, 2026: "Provide enough food/fluids to maintain a resident's health."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on March 10, 2025: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on September 6, 2023: "Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on April 14, 2026: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
Other nursing homes nearby
- Prestige Care Center of Nebraska City Nebraska City, 0.5 mi · 1 of 5 stars · 49 citations
- The Ambassador Sidney Inc Sidney, 12.2 mi · 4 of 5 stars · 12 citations
- Good Samaritan Society - Syracuse Syracuse, 16.9 mi · 4 of 5 stars · 9 citations
- Tabor Manor Care Center Tabor, 17.7 mi · 1 of 5 stars · 64 citations
- Good Samaritan Society - Auburn Auburn, 20.8 mi · 3 of 5 stars · 9 citations
- Prestige Care Center of Plattsmouth Plattsmouth, 21.8 mi · 1 of 5 stars · 25 citations
Nebraska contacts for a concern about a nursing home
These are the official offices in Nebraska. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Nebraska Department of Health and Human Services, Licensure Unit, Long Term Care Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Nebraska Long-Term Care Ombudsman Program, (800) 942-7830. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
Common questions
- What is The Ambassador Nebraska City, Inc's Medicare star rating?
- CMS rates The Ambassador Nebraska City, Inc 5 out of 5 stars overall, with 5 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did The Ambassador Nebraska City, Inc get at its last inspection?
- 2 health deficiencies at the standard inspection on April 14, 2026. The Nebraska average is 7.4.
- Has The Ambassador Nebraska City, Inc been fined?
- CMS lists no fines in the last three years.
- Does The Ambassador Nebraska City, Inc accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns The Ambassador Nebraska City, Inc?
- CMS lists 24 owners and managers, and links the home to Ambassador Health. Legal business name: THE AMBASSADOR NEBRASKA CITY INC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.