ElderGrade
A

85/100

Excellent

The Ambassador Nebraska City, Inc

1800 14Th Avenue, Nebraska City, NE 68410

CMS 4/5 stars #1 of 3 in Otoe County (402) 873-6650
Certified beds
71
Occupancy
63%
Ownership
For-profit
Accepts
Medicare + Medicaid

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

30/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

Staffing

24/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 4.7 total nurse hours per resident per day (national median 3.77)
  • 0.63 RN hours per resident per day
  • Weekend staffing drops 13% against weekdays

Staff stability

12/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 45% of nursing staff left in the last year

Resident outcomes

9/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 3 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 4.39 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 0.63 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.81 hrs
National average 3.42 hrs Better than average

The shift most families visit, and the one thinned first.

Nursing staff turnover 44.90%
National average 45.80% Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

Last standard health inspection: October 31, 2024 (1 year ago).

D Apr 14, 2026 F0692 From a complaint

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

No actual harm, potential for more than minimal harm

D Mar 10, 2025 F0609 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

No actual harm, potential for more than minimal harm

D Mar 10, 2025 F0610 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

No actual harm, potential for more than minimal harm

E Oct 31, 2024 F0689

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

No actual harm, potential for more than minimal harm

D Oct 31, 2024 F0757

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

No actual harm, potential for more than minimal harm

D Sep 6, 2023 F0644

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

No actual harm, potential for more than minimal harm

D Sep 6, 2023 F0657

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of AMBASSADOR HEALTH, which operates 4 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
AMBASSADOR HOLDING COMPANY Organization DIRECT OWNERSHIP INTEREST
JUILFS, SALLY Individual INDIRECT OWNERSHIP INTEREST
JUILFS, TIMOTHY Individual INDIRECT OWNERSHIP INTEREST
JUILFS, TYLER Individual INDIRECT OWNERSHIP INTEREST
FIRST NATIONAL BANK OMAHA Organization 5% OR GREATER MORTGAGE INTEREST
JUILFS, SALLY Individual CORPORATE DIRECTOR
JUILFS, TIMOTHY Individual CORPORATE DIRECTOR
JUILFS, TYLER Individual CORPORATE DIRECTOR
JUILFS, SALLY Individual CORPORATE OFFICER
JUILFS, TIMOTHY Individual CORPORATE OFFICER
JUILFS, TYLER Individual CORPORATE OFFICER
THE AMBASSADOR GROUP INC Organization OPERATIONAL/MANAGERIAL CONTROL

What families say

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Common questions about The Ambassador Nebraska City, Inc

What is the ElderGrade for The Ambassador Nebraska City, Inc? +

The Ambassador Nebraska City, Inc holds an ElderGrade of A (85 out of 100), which we describe as "excellent". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at The Ambassador Nebraska City, Inc? +

Residents receive an average of 4.39 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has The Ambassador Nebraska City, Inc been cited for harming residents? +

No. None of the 7 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does The Ambassador Nebraska City, Inc accept Medicaid? +

Yes, The Ambassador Nebraska City, Inc is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.