Nursing homeActive
The Ambassador Nebraska City, Inc
1800 14th Avenue, Nebraska City, NE 68410402873665071 certified beds · 45 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
4
since 2023
Deficiencies
8
● 0● 8● 0
Penalties · 3 yrs
—
none on file
Last survey
2026-04-14
Standard
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 5
Staffing 4
Quality 3
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Nebraska DHHS · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-04-14 | Standard | 020 | CMS-2567 (Care Compare) | — |
| 2025-03-10 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2024-10-31 | Standard | 020 | CMS-2567 (Care Compare) | — |
| 2023-09-06 | Standard | 020 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Nebraska DHHS 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.
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-13Record 285126-20260414-F580
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-13Record 285126-20260414-F692
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-27Record 285126-20250310-F609
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-27Record 285126-20250310-F610
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity EStandard
Care planningFalls
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-12-12Record 285126-20241031-F689
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-12Record 285126-20241031-F757
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-14Record 285126-20230906-F644
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-14Record 285126-20230906-F657
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.63
Facility
Nebraska
National
Nebraska 0.67 · National 0.69
Total nurse hours per resident day4.39
Facility
Nebraska
National
Nebraska 3.98 · National 3.86
Weekend total nurse hours3.81
Facility
Nebraska
National
Nebraska 3.49 · National 3.42
Total nursing staff turnover45%
Facility
Nebraska
National
Nebraska 49% · National 46%
Registered nurse turnover14%
Facility
Nebraska
National
Nebraska 44% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Nebraska | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 2.8% | 4.0% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 7.5% | 4.5% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 16.0% | 20.7% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 2.5% | 2.8% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.3% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 20.0% | 19.0% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 0.7% | 5.1% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 6.4% | 19.3% | 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 |
|---|---|---|---|---|
| Osborn, Tamela Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Paul Allen, Loretta Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Shanholtz, Brent Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| The Ambassador Group Inc Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Thomson, Dean Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Ambassador Holding Company Organization | DIRECT OWNERSHIP INTEREST | 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 | — | — |
| Juilfs, Sally Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Juilfs, Sally Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Juilfs, Sally Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Juilfs, Sally Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Juilfs, Timothy Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Juilfs, Timothy Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Juilfs, Timothy Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Juilfs, Timothy Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Juilfs, Tyler Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Juilfs, Tyler Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Juilfs, Tyler Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Juilfs, Tyler Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Paul Allen, Loretta Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| The Ambassador Group Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Thomson, Dean Individual | 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 Nebraska.
No county cost figures on file for Otoe.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Prestige Care Center of Nebraska City Nebraska City | 0.5 mi | 2026-06-23 | 0221 |
| The Ambassador Sidney Inc Sidney | 12.2 mi | 2026-03-12 | 0120 |
| Tabor Manor Care Center Tabor | 17.7 mi | 2026-06-23 | 0631 |
| Good Samaritan Society - Auburn Auburn | 20.8 mi | 2026-02-11 | 090 |
| Prestige Care Center of Plattsmouth Plattsmouth | 21.8 mi | 2026-04-02 | 1240 |
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 |