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Nursing HomeMedicaid

The Ambassador Nebraska City, INC

Strong Medicare quality ratings; families often praise compassionate and caring nursing staff. Still worth an in-person visit.

1800 14th Avenue, Nebraska City, NE 6841071 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
4.3/5

based on 9 Google reviews

5
4
3
2
1
The Ambassador Nebraska City, INC Nursing Home in Nebraska City, NE — Street View
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What this means for your family

While the facility has a long-standing reputation for compassionate care, the recent negative reports regarding staff errors are concerning. We recommend scheduling a tour to observe staff interactions firsthand and asking management specifically how they address recent concerns regarding clinical oversight and accountability.

Google Reviews

Google Reviews

9 reviews on Google
The Ambassador Nebraska City receives high praise for its compassionate care and community engagement, particularly from families of long-term residents. However, recent feedback from 2025 highlights serious concerns regarding staff professionalism and the quality of care provided to residents. Families should weigh the facility's history of dedicated service against these more recent reports of potential negligence.

Quality Themes

Tap a score for details
FoodN/AStaff6.0CleanN/AActivities10.0MedsN/AMemoryN/ACommsN/AValueN/A

Strengths

  • Compassionate and caring nursing staff
  • Active community engagement and events
  • Strong reputation for long-term care

Concerns

  • Staff negligence and lack of care (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2345.02018(2)5.02019(2)5.02024(1)2.32025(3)4.02026(2)

Distribution · 10 analyzed

5
7
4
0
3
1
2
0
1
2

How They Respond to Reviews

56%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1I noticed you have a very active calendar of events; could you share some examples of how residents typically engage with the Nebraska City community?
  • 2With a 3-star staffing rating from CMS, how do you ensure that your team maintains consistent, personalized attention for all 71 residents throughout the day?
  • 3I appreciate that your team is active in responding to feedback online; how do you handle internal communication when a family member has a concern about a loved one's care?
  • 4Given that there have been a few recent state violations, what specific steps or training programs have you implemented to improve your oversight and quality of care?
  • 5How does your nursing team coordinate with local medical providers to ensure seamless care during an emergency or an unexpected change in a resident's health?
  • 6What measures are in place to ensure that every resident receives attentive care and supervision during the busier shifts?

Personalized based on this facility's data


Key Review Excerpts

Both my grandma and mother-in-law have stayed at Ambassador Health of Nebraska City. We were so impressed with the staff - how they cared for both of them under really trying circumstances.

Family member of two residents · 2019★★★★★

Really enjoyed bringing our kids to trick or treat. The residents all seemed so joyful. The staff all participated and were enjoying themselves!

Community member · 2025★★★★★

Place is a joke. Employees are making errors and they don't seem to care. Seeing how they handle some of the people that live there... I wouldn't trust them

Visitor/Observer · 2025☆☆☆☆
Source: 9 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.66hrs
88%
Registered nurses for medical care
Total Nursing
4.31hrs
OK
All nurses + aides combined
Staff Turnover
52%
Lower is better (< 30% = good)
RN Turnover
0%
Lower is better (< 30% = good)

RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.

Quality Measures

Quality Measures

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

Medicare Rating
4/ 5
Better Than Avg

10

measures

Worse Than Avg

6

measures

Mixed Results

1

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility33.8%
Worse than Avg
Here
33.8%
US
19.4%
NE
26.3%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility6.8%
Better than Avg
Here
6.8%
US
19.5%
NE
19.3%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
NE
4.3%

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

💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility85.2%
Worse than Avg
Here
85.2%
US
93.4%
NE
92.9%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility14.2%
Better than Avg
Here
14.2%
US
15.5%
NE
20.8%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility20.5%
Worse than Avg
Here
20.5%
US
14.4%
NE
19.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility95.2%
Better than Avg
Here
95.2%
US
79.8%
NE
75.9%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility86.0%
Better than Avg
Here
86.0%
US
81.8%
NE
80.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility6.6%
Worse than Avg
Here
6.6%
US
1.6%
NE
2.3%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

3deficiencies
Well below state avg (6.7)
3 complaint-triggered

This facility shows a concerning pattern with families filing complaint reports that led to findings about abuse and neglect reporting failures in March 2025. The most recurring issues involve fire safety systems (smoke detection, fire extinguishers), building safety (exit doors, electrical systems), and care planning processes. While the facility has provided correction dates for all 19 deficiencies across recent surveys, the serious nature of the complaint-triggered violations regarding abuse reporting warrants careful consideration during your visit.

Apr 14, 2026Complaint
1
0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Mar 10, 2025Complaint
2
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.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Oct 31, 2024Routine
6
0222Potential for harm · WidespreadCorrected

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.

0511Potential for harm · WidespreadCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

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.

0922Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the use and maintenance of medical gas equipment.

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

Sep 6, 2023Routine
7
0363Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0355Potential for harm · PatternCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0500Potential for harm · PatternCorrected

Services Deficiencies

Meet other general requirements that are deficient.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0644Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0657Potential for harm · IsolatedCorrected

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.

0200Potential for harm · IsolatedCorrected

Egress Deficiencies

Meet other general requirements.

Jul 26, 2022Routine
4
0211Potential for harm · WidespreadCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0300Potential for harm · WidespreadCorrected

Egress Deficiencies

Meet other general requirements that are deficient.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0363Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

Ownership & Operations

Who Operates This Facility

Owner / Operator

The Ambassador Nebraska City, INC

Organization Type

for profit

Chain Affiliation

Chain Name

Ambassador Health

Chain Size

4 facilities nationwide

Chain avg rating: 3.8/5 · Rank 1 of 4 (Best)

Ownership & Management

Owners

Ambassador Holding Company

Owner · Organization

Juilfs, Sally

Owner (parent company)

Juilfs, Timothy

Owner (parent company)

Juilfs, Tyler

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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