Cycle 1
Health 2024-10-31 · Fire 2024-10-31
4 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
4 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Nebraska City, NE
The Ambassador Nebraska City, Inc
4-star overall rating with 4-star inspections with 4 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
1800 14th Avenue, Nebraska City, NE
(402) 873-6650
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
71
Certified beds
Average residents
46
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Ambassador Health
Operator or chain grouping
Approved since
1992-11-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
4 facilities
Chain averages 4 overall / 4 health / 4 staffing / 3 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.70
Registered nurse staffing · state 0.71 · national 0.68
LPN hours / resident day
0.54
Licensed practical nurse staffing · state 0.71 · national 0.87
Aide hours / resident day
3.16
Nurse aide staffing · state 2.76 · national 2.35
Total nurse hours
4.40
All reported nurse hours · state 4.17 · national 3.89
Licensed hours
1.25
RN + LPN hours · state 1.41 · national 1.54
Weekend hours
3.81
Weekend nurse staffing · state 3.61 · national 3.43
Weekend RN hours
0.50
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.09
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.78
CMS adjusted RN staffing hours
Adjusted total hours
4.88
CMS adjusted total nurse staffing hours
Case-mix index
1.23
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF VBP
Value-based purchasing
Program rank
3,292
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
45.02
Composite VBP score used to determine payment impact.
Payment multiplier
0.9982
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
4.43
Performance 19.38% · Measure score 4.43 · Achievement 4.43 · This facility did not have sufficient data to calculate a baseline period measure result.
Healthcare-associated infections
4.66
Baseline 7.79% · Performance 6.44% · Measure score 4.66 · Achievement 4.66 · Improvement 4.33
Total nurse turnover
1.14
Baseline 36.00% · Performance 59.02% · Measure score 1.14 · Achievement 1.14 · Improvement 0
Adjusted total nurse staffing
7.78
Baseline 5.50 hours · Performance 5.29 hours · Measure score 7.78 · Achievement 7.78 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.35% |
10.72%
1.6 pts worse
|
No Different than the National Rate · Eligible stays 79 · Observed rate 15.19% · Lower 95% interval 8.05% |
| Discharge to community | 52.58% |
50.57%
2 pts better
|
No Different than the National Rate · Eligible stays 62 · Observed rate 50% · Lower 95% interval 42.2% |
| Medicare spending per beneficiary | 1.27 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 25 · Denominator 25 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 25 |
| Discharge self-care score | 71.43% |
53.69%
17.7 pts better
|
Numerator 15 · Denominator 21 |
| Discharge mobility score | 71.43% |
50.94%
20.5 pts better
|
Numerator 15 · Denominator 21 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 25 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 6.44% |
7.12%
0.7 pts better
|
No Different than the National Rate · Eligible stays 38 · Observed rate 2.63% · Lower 95% interval 3.29% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 90 |
| Staff flu vaccination coverage | 11.54% |
42%
30.5 pts worse
|
Numerator 12 · Denominator 104 |
| Discharge function score | 85.71% |
56.45%
29.3 pts better
|
Numerator 18 · Denominator 21 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly. |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.4 |
1.8
0.4 pts better
|
1.9
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.2 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.2 |
2.0
0.2 pts worse
|
1.8
0.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 2.0 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 87.1% |
92.8%
5.7 pts worse
|
93.4%
6.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 87.5% · Q3 74.4% · Q4 84.2% · 4Q avg 87.1% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
96.1%
3.9 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.5% |
4.5%
About the same
|
3.3%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 4.2% · Q3 7.0% · Q4 5.3% · 4Q avg 4.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.6% |
4.4%
3.8 pts better
|
11.4%
10.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% |
| Percentage of long-stay residents who lose too much weight | 0.7% |
5.3%
4.6 pts better
|
5.4%
4.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.6% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 5.8% |
19.5%
13.7 pts better
|
19.6%
13.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 5.0% · Q3 8.1% · Q4 8.8% · 4Q avg 5.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 11.5% |
21.6%
10.1 pts better
|
16.7%
5.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.8% · Q2 9.4% · Q3 12.1% · Q4 14.3% · 4Q avg 11.5% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.3%
0.3 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 16.9% |
20.4%
3.5 pts better
|
16.3%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.1% · 4Q avg 16.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 21.4% |
19.9%
1.5 pts worse
|
14.9%
6.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.3% · Q2 17.5% · Q3 18.9% · Q4 26.5% · 4Q avg 21.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
1.6%
1.6 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.9% |
2.9%
About the same
|
1.7%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 2.1% · Q3 4.7% · Q4 2.7% · 4Q avg 2.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 35.8% |
26.6%
9.2 pts worse
|
19.8%
16 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 37.8% · Q2 50.6% · Q3 17.5% · Q4 36.2% · 4Q avg 35.8% |
| Percentage of long-stay residents with pressure ulcers | 2.3% |
4.3%
2 pts better
|
5.1%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 1.4% · Q3 1.8% · Q4 4.9% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 89.4% |
80.5%
8.9 pts better
|
81.7%
7.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q2 100.0% · Q3 84.0% · Q4 89.7% · 4Q avg 89.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 19.9% |
11.6%
8.3 pts worse
|
12.0%
7.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 19.9% · Observed 17.4% · Expected 9.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.6% |
2.4%
1.2 pts worse
|
1.6%
2 pts worse
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 3.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 95.2% |
75.9%
19.3 pts better
|
79.7%
15.5 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 95.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.1% |
20.9%
5.2 pts worse
|
23.9%
2.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 26.1% · Observed 21.7% · Expected 19.9% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-09-06 · Fire 2023-09-06
2 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cycle 3
Health 2022-07-26 · Fire 2022-07-26
0 health deficiencies
No concentrated health issue counts in this cycle.
4 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-10-31
K222 · Egress Deficiencies
Fire Safety
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.
Corrected 2024-11-22
F · Potential for more than minimal harm
2024-10-31
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-11-22
E · Potential for more than minimal harm
2024-10-31
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-11-22
E · Potential for more than minimal harm
2024-10-31
K922 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the use and maintenance of medical gas equipment.
Corrected 2024-11-22
F · Potential for more than minimal harm
2023-09-06
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-09-13
E · Potential for more than minimal harm
2023-09-06
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-09-13
E · Potential for more than minimal harm
2023-09-06
K500 · Services Deficiencies
Fire Safety
Meet other general requirements that are deficient.
Corrected 2023-09-13
E · Potential for more than minimal harm
2023-09-06
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-09-13
D · Potential for more than minimal harm
2023-09-06
K200 · Egress Deficiencies
Fire Safety
Meet other general requirements.
Corrected 2023-09-13
F · Potential for more than minimal harm
2022-07-26
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2022-07-31
F · Potential for more than minimal harm
2022-07-26
K300 · Egress Deficiencies
Fire Safety
Meet other general requirements that are deficient.
Corrected 2022-07-31
F · Potential for more than minimal harm
2022-07-26
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-08-22
F · Potential for more than minimal harm
2022-07-26
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-07-31
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-03-10
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-03-27
D · Potential for more than minimal harm
2025-03-10
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2025-03-27
E · Potential for more than minimal harm
2024-10-31
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-12-12
D · Potential for more than minimal harm
2024-10-31
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-12-12
D · Potential for more than minimal harm
2023-09-06
F644 · Resident Assessment and Care Planning Deficiencies
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2023-09-14
D · Potential for more than minimal harm
2023-09-06
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-09-14
Penalties and ownership
What sits behind the stars
Ownership
First National Bank Omaha
5% Or Greater Mortgage Interest · Organization
Juilfs, Sally
Corporate Director · Individual
Juilfs, Sally
Corporate Officer · Individual
Juilfs, Timothy
Corporate Director · Individual
Juilfs, Timothy
Corporate Officer · Individual
Juilfs, Tyler
Corporate Director · Individual
Juilfs, Tyler
Corporate Officer · Individual
Osborn, Tamela
Operational/Managerial Control · Individual
Paul Allen, Loretta
Operational/Managerial Control · Individual
Shanholtz, Brent
Operational/Managerial Control · Individual
The Ambassador Group Inc
Operational/Managerial Control · Organization
Thomson, Dean
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Prestige Care Center of Nebraska City
Nebraska City, NE
1-star overall rating with 2-star inspections with $15,625 in total fines with 12 recent health deficiencies with 13 fire-safety deficiencies in the latest cycle
#2
The Ambassador Sidney Inc
Sidney, IA
4-star overall rating with 4-star inspections with 5 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#3
Good Samaritan Society - Syracuse
Syracuse, NE
3-star overall rating with 4-star inspections with 5 recent health deficiencies with 13 fire-safety deficiencies in the latest cycle
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