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Nursing HomeMedicaid

Ambassador Health of Lincoln

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

4405 Normal Blvd, Lincoln, NE 68506122 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
3.1/5

based on 26 Google reviews

5
4
3
2
1
Ambassador Health of Lincoln Nursing Home in Lincoln, NE — Street View
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What this means for your family

While the facility is physically modern and has a capable rehab team, the recurring reports of medication errors and clinical neglect are extremely concerning. If you choose this facility, you must be prepared to be a constant, daily advocate for your loved one, specifically monitoring medication administration and hygiene standards.

Google Reviews

Google Reviews

26 reviews on Google
Ambassador Health of Lincoln receives highly polarized feedback, with some families praising the rehab therapy team and facility aesthetics, while others report severe, life-threatening lapses in medical care. Critical concerns include medication errors, neglect of hygiene, and understaffing, leading to multiple reports of residents requiring emergency hospitalizations. Prospective families should be aware of the significant disparity between the facility's appearance and the reported quality of clinical oversight.

Quality Themes

Tap a score for details
Food5.0Staff3.0Clean4.0Activities2.0Meds1.0MemoryN/AComms2.0ValueN/A

Strengths

  • Effective physical and occupational therapy
  • Modern, high-end facility aesthetics
  • Some highly compassionate individual staff members

Concerns

  • Medication management errors and over-medication (mentioned by 6 reviewers)
  • Neglect of basic hygiene and personal care (mentioned by 3 reviewers)
  • Understaffing and slow response to call lights (mentioned by 4 reviewers)
  • Inadequate communication and dismissive management (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'16(2)'19(1)'22(5)'24(5)'26(3)

Distribution · 32 analyzed

5
14
4
2
3
2
2
0
1
14

How They Respond to Reviews

69%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1I noticed the facility has a very modern, high-end aesthetic; how do you ensure that the same level of attention is applied to daily personal care and hygiene routines for residents?
  • 2Given that medication management is a critical part of care, could you walk me through your safety protocols for double-checking dosages and ensuring residents receive the correct medications on time?
  • 3I see that you are active in responding to feedback online; how does your management team use that input to improve daily communication with families regarding their loved one's health status?
  • 4With a 4-star staffing rating, how do you ensure that staff are consistently available to respond to call lights in a timely manner, especially during shift changes or busy periods?
  • 5Since the therapy department is highly regarded here, how do you integrate those rehabilitation services into the daily activity schedule to keep residents engaged and moving?
  • 6What specific steps are being taken to address the recent state inspection findings to ensure the highest standards of safety and care for everyone living here?

Personalized based on this facility's data


Key Review Excerpts

In less than two weeks their therapy staff had me from wheelchair bound to walking with a rollator and no longer needing assistance to stand, sit, lay down

Rehab patient · 2025★★★★★

They gave him blood thinners for 11 more days than prescribed. He was rushed to the hospital. Because they can’t read.

Family member · 2025☆☆☆☆

During the 3 weeks my mom was there she was not given 1 bath. When I called about it they told me they were short staffed.

Family member · 2021☆☆☆☆
Source: 26 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
1.15hrs
OK
Registered nurses for medical care
Total Nursing
5.57hrs
OK
All nurses + aides combined
Staff Turnover
39%
Lower is better (< 30% = good)
RN Turnover
33%
Lower is better (< 30% = good)

This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

11

measures

Worse Than Avg

4

measures

Mixed Results

2

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility37.4%
Worse than Avg
Here
37.4%
US
19.5%
NE
19.3%
Lancaster
20.0%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility11.8%
Better than Avg
Here
11.8%
US
15.3%
NE
19.1%
Lancaster
21.3%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility13.0%
Better than Avg
Here
13.0%
US
14.4%
NE
19.5%
Lancaster
20.6%
😔

Residents with depression symptoms

↓ Lower is better
This Facility4.9%
Mixed vs Avgs
Here
4.9%
US
12.1%
NE
4.3%
Lancaster
4.0%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility21.3%
Mixed vs Avgs
Here
21.3%
US
19.4%
NE
26.3%
Lancaster
27.6%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility97.0%
Better than Avg
Here
97.0%
US
93.4%
NE
92.9%
Lancaster
90.9%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility94.0%
Better than Avg
Here
94.0%
US
81.8%
NE
80.5%
Lancaster
75.8%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility91.2%
Better than Avg
Here
91.2%
US
79.8%
NE
75.9%
Lancaster
75.8%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.5%
Better than Avg
Here
1.5%
US
1.6%
NE
2.3%
Lancaster
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

7deficiencies
Above state avg (6.7)
3 complaint-triggered

This facility shows a concerning pattern of recurring deficiencies across multiple surveys, with families having filed at least one complaint that triggered an inspection for infection control issues. The most frequent problems involve fire safety systems, electrical equipment maintenance, and infection control protocols appearing repeatedly across all three surveys. While the facility reports correcting each issue, the persistence of similar deficiencies suggests ongoing operational challenges that families should carefully evaluate.

Mar 11, 2026Complaint
2
0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Nov 13, 2024Routine
11
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0500Potential for harm · WidespreadCorrected

Services Deficiencies

Meet other general requirements that are deficient.

0511Potential for harm · WidespreadCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0920Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0321Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0781Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have restrictions on the use of portable space heaters.

0919Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the use of electrical equipment.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Nov 13, 2024Complaint
1
0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Dec 21, 2023Routine
5
0921Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0637Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident when there is a significant change in condition

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jan 24, 2023Routine
9
0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0222Potential for harm · PatternCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0753Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have restrictions on the use of highly flammable decorations.

0623Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Ambassador Health of Lincoln

Organization Type

for profit

Chain Affiliation

Chain Name

Ambassador Health

Chain Size

4 facilities nationwide

Chain avg rating: 3.8/5 · Rank 4 of 4 (Worst)

Ownership & Management

Owners

Ambassador Holding Company

Owner · Organization

Juilfs, Sally

Owner (parent company)

Juilfs, Timothy

Owner (parent company)

Key personnel

First National Bank Omaha5% or Greater Mortgage InterestJuilfs, SallyOfficer / DirectorJuilfs, TimothyOfficer / DirectorJuilfs, TylerOfficer / DirectorJuilfs, SallyOfficer / Director
Source: Medicare provider data

Contact

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References & Resources

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