Nursing Care Index

The Ambassador Nebraska City, Inc.

Nebraska City, Otoe County, Nebraska · CCN 285126 · For-profit (Corporation) · part of Ambassador Health (4 facilities, chain average 4 stars)

CMS rates The Ambassador Nebraska City, Inc. 5 of 5 overall as of August 2026. 71 certified beds, 45 residents a day on average. 8 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★★★★★ 5 of 5
Health inspections★★★★★ 5 of 5
Staffing★★★★☆ 4 of 5
Quality measures★★★☆☆ 3 of 5
Quality: long-stay / short-stay3 / 4 of 5

Staffing

Total nurse staffing4.38822 hours per resident per day
Registered nurses0.63048 hours per resident per day
Weekend total3.81152 hours per resident per day
Nursing staff turnover44.9% (registered nurses 14.3%)
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
2026-04-14 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · tag F0580
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-05-13
2026-04-14
complaint survey
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · tag F0692
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-05-13
2025-03-10
complaint survey
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-03-27
2025-03-10
complaint survey
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-03-27
2024-10-31 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
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-12-12
2024-10-31 Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · tag F0757
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-12-12
2023-09-06 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · tag F0644
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-09-14
2023-09-06 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · tag F0657
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-09-14

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 snf2025-04-15
The Ambassador Group Inc.
Organization
adp of the snf1981-02-09
Ambassador Holding Company
Organization
direct ownership interest1985-06-05
The Ambassador Group Inc.
Organization
operational/managerial control1981-02-09
Juilfs, Sally
Individual
adp of the snf1983-01-03
Juilfs, Timothy
Individual
adp of the snf1985-06-05
Juilfs, Tyler
Individual
adp of the snf2024-12-30
Paul Allen, Loretta
Individual
adp of the snf2025-01-30
Thomson, Dean
Individual
adp of the snf2025-01-30
Juilfs, Sally
Individual
corporate director1985-06-05
Juilfs, Timothy
Individual
corporate director1985-06-05
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
Juilfs, Sally
Individual
indirect ownership interest1985-06-05
Juilfs, Timothy
Individual
indirect ownership interest1985-06-05
Juilfs, Tyler
Individual
indirect ownership interest2024-12-30
Osborn, Tamela
Individual
operational/managerial control2016-07-25
Paul Allen, Loretta
Individual
operational/managerial control2023-01-30
Shanholtz, Brent
Individual
operational/managerial control2013-01-01
Thomson, Dean
Individual
operational/managerial control2024-01-01

What changed

Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.

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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 Otoe County.