ElderGrade
B

82/100

Above average

The Ambassador Sidney Inc

115 Main Street, Sidney, IA 51652

CMS 4/5 stars #1 of 2 in Fremont County (712) 374-2693
Certified beds
46
Occupancy
89%
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

18/30

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

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

Staff stability

15/15

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

  • 34% 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 3.54 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.51 hrs
National average 0.69 hrs Below average

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

Weekend nurse hours 3.08 hrs
National average 3.42 hrs Below average

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

Nursing staff turnover 34.10%
National average 45.80% Better than average

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

Recent inspection findings

All 12 citations

Last standard health inspection: March 12, 2026 (5 months ago).

D Mar 12, 2026 F0582

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

No actual harm, potential for more than minimal harm

D Mar 12, 2026 F0688

Quality of Life and Care Deficiencies

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.

No actual harm, potential for more than minimal harm

D Mar 12, 2026 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 Mar 12, 2026 F0698

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

No actual harm, potential for more than minimal harm

D Mar 12, 2026 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

E Mar 20, 2025 F0812

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

No actual harm, potential for more than minimal harm

D Mar 20, 2025 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 Mar 20, 2025 F0695

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

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
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
HARRAH, JADE Individual OPERATIONAL/MANAGERIAL CONTROL
LONG, DORA Individual OPERATIONAL/MANAGERIAL CONTROL
OURADA, MICHAEL Individual OPERATIONAL/MANAGERIAL CONTROL
SHANHOLTZ, BRENT Individual OPERATIONAL/MANAGERIAL CONTROL

What families say

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Common questions about The Ambassador Sidney Inc

What is the ElderGrade for The Ambassador Sidney Inc? +

The Ambassador Sidney Inc holds an ElderGrade of B (82 out of 100), which we describe as "above average". 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 Sidney Inc? +

Residents receive an average of 3.54 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has The Ambassador Sidney Inc been cited for harming residents? +

No. None of the 12 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does The Ambassador Sidney Inc accept Medicaid? +

Yes, The Ambassador Sidney 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.