Nursing Care Index

The Ambassador Sidney Inc.

Sidney, Fremont County, Iowa · CCN 165474 · For-profit (Corporation) · part of Ambassador Health (4 facilities, chain average 4 stars)

CMS rates The Ambassador Sidney Inc. 4 of 5 overall as of August 2026. 46 certified beds, 41 residents a day on average. 12 citations on record from the current inspection cycles; no fines on record.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★★★☆ 4 of 5
Health inspections★★★★☆ 4 of 5
Staffing★★★☆☆ 3 of 5
Quality measures★★★☆☆ 3 of 5
Quality: long-stay / short-stay3 / — of 5

Staffing

Total nurse staffing3.54046 hours per resident per day
Registered nurses0.50631 hours per resident per day
Weekend total3.08069 hours per resident per day
Nursing staff turnover34.1% (registered nurses 50%)
Administrators who left0

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2026-03-12 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · tag F0582
D No actual harm, with potential for more than minimal harm; isolated Past Non-Compliance
2026-01-01
2026-03-12 Provide 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.
Quality of Life and Care Deficiencies · tag F0688
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-04-07
2026-03-12 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-04-07
2026-03-12 Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · tag F0698
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-04-07
2026-03-12 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-04-07
2025-03-20 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-04-16
2025-03-20 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-04-16
2025-03-20 Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · tag F0695
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-04-16
2025-03-20 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · tag F0842
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-04-16
2025-03-20 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-04-16
2024-05-30 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · tag F0686
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-06-25
2024-05-30 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · tag F0690
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-06-25

Fines and payment denials

No fines or payment denials on record since 2023.

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
First National Bank Omaha
Organization
5% or greater mortgage interest2018-01-30
Ambassador Holding Company
Organization
adp of the snf1985-06-05
First National Bank Omaha
Organization
adp of the snf2025-04-16
The Ambassador Group Inc.
Organization
adp of the snf1981-02-09
The Ambassador Group Inc.
Organization
operational/managerial control1981-02-09
Harrah, Jade
Individual
adp of the snf2025-01-30
Juilfs, Sally
Individual
adp of the snf1985-06-05
Juilfs, Timothy
Individual
adp of the snf1985-06-05
Juilfs, Tyler
Individual
adp of the snf2024-12-30
Ourada, Michael
Individual
adp of the snf2025-01-30
Juilfs, Sally
Individual
corporate director1985-06-05
Juilfs, Timothy
Individual
corporate director2004-05-01
Juilfs, Tyler
Individual
corporate director2021-07-01
Juilfs, Sally
Individual
corporate officer1985-06-05
Juilfs, Timothy
Individual
corporate officer1985-06-05
Juilfs, Tyler
Individual
corporate officer2021-07-01
Harrah, Jade
Individual
operational/managerial control2022-10-10
Long, Dora
Individual
operational/managerial control2021-07-16
Ourada, Michael
Individual
operational/managerial control2024-01-01
Shanholtz, Brent
Individual
operational/managerial control2013-01-01

What changed

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Fremont County.