Nursing homeActive
The Ambassador Sidney Inc
115 Main Street, Sidney, IA 51652712374269346 certified beds · 41 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
3
since 2024
Deficiencies
12
● 0● 12● 0
Penalties · 3 yrs
—
none on file
Last survey
2026-03-12
Standard
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 4
Staffing 3
Quality 3
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Iowa Department of Inspections, Appeals & Licensing · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-03-12 | Standard | 050 | CMS-2567 (Care Compare) | — |
| 2025-03-20 | Standard | 050 | CMS-2567 (Care Compare) | — |
| 2024-05-30 | Standard | 020 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Iowa Department of Inspections, Appeals & Licensing publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-01Record 165474-20260312-F582
F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-07Record 165474-20260312-F688
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-07Record 165474-20260312-F689
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-07Record 165474-20260312-F698
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-07Record 165474-20260312-F880
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-16Record 165474-20250320-F689
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-16Record 165474-20250320-F695
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-04-16Record 165474-20250320-F812
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-16Record 165474-20250320-F842
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-16Record 165474-20250320-F880
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-25Record 165474-20240530-F686
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-25Record 165474-20240530-F690
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.51
Facility
Iowa
National
Iowa 0.74 · National 0.69
Total nurse hours per resident day3.54
Facility
Iowa
National
Iowa 3.82 · National 3.86
Weekend total nurse hours3.08
Facility
Iowa
National
Iowa 3.37 · National 3.42
Total nursing staff turnover34%
Facility
Iowa
National
Iowa 44% · National 46%
Registered nurse turnover50%
Facility
Iowa
National
Iowa 42% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Iowa | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 0.7% | 4.2% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 6.5% | 3.8% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 19.5% | 19.5% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 2.0% | 2.4% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 2.6% | 0.2% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 13.3% | 17.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 2.7% | 4.6% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 16.0% | 20.8% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Harrah, Jade Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Long, Dora Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Ourada, Michael Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Shanholtz, Brent Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| The Ambassador Group Inc Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Ambassador Holding Company Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| First National Bank Omaha Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| First National Bank Omaha Organization | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| Harrah, Jade Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Juilfs, Sally Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Juilfs, Sally Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Juilfs, Sally Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Juilfs, Timothy Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Juilfs, Timothy Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Juilfs, Timothy Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Juilfs, Tyler Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Juilfs, Tyler Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Juilfs, Tyler Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ourada, Michael Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| The Ambassador Group Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Ambassador Health — 4 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Iowa.
No county cost figures on file for Fremont.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Tabor Manor Care Center Tabor | 10.7 mi | 2026-06-23 | 0631 |
| Prestige Care Center of Nebraska City Nebraska City | 11.7 mi | 2026-06-23 | 0221 |
| The Ambassador Nebraska City, Inc Nebraska City | 12.2 mi | 2026-04-14 | 080 |
| Garden View Care Center Shenandoah | 13.9 mi | 2026-06-02 | 1979 |
| Accura Healthcare of Shenandoah Shenandoah | 14.3 mi | 2025-09-18 | 0202 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |