Federal inspection record · CMS data as of October 1, 2026
The Ambassador Sidney Inc
115 Main Street, Sidney, IA · (712) 374-2693
- Certified beds
- 46
- Residents per day
- 41
- Ownership
- For-Profit
- Chain
- Ambassador Health
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- November 11, 2002
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Iowa.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Iowa homes
The Ambassador Sidney Inc carries 21 inspection points. That is fewer than 65% of Iowa's 385 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Iowa: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–7 pts
- 4★ 7–21 pts
- 3★ 21–41 pts
- 2★ 41–86.5 pts
- 1★ over 86.5 pts
Bars show every rated home in Iowa by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
12 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care7D
- D
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.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Infection Control2D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Resident Rights1D
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Nutrition and Dietary1E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Assessment and Care Planning1D
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspection history
2026-03-12
5 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2025-03-20
5 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2024-05-30
2 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 43 min of nursing staff time a day, 34 min of it from a registered nurse.
This home
3 h 43 min
Iowa average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 44% of nursing staff and 38% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.7 pts worse | 2.1 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.5 pts worse | 2.4 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccineAbout the same | 94.2% | 94.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.2 pts better | 100.0% | 95.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.9 pts worse | 5.8% | 3.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptomsAbout the same | 4.2% | 4.2% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.8 pts better | 2.6% | 4.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4.6 pts better | 16.4% | 21.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.4 pts better | 18.4% | 19.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained2.4 pts worse | 2.6% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened9.6 pts better | 5.6% | 15.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased5.5 pts better | 11.1% | 16.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.4 pts better | 0.0% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.8 pts worse | 3.2% | 2.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.5 pts better | 22.5% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.4 pts better | 0.7% | 4.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine3.9 pts better | 87.9% | 84.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3.6 pts better | 9.4% | 13.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.1 pts better | 0.0% | 2.1% | 1.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.9 pts better | 19.8% | 20.7% | 23.4% |
·
Who owns and runs it
20 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Ambassador Holding Company | Adp Of The SNF · Organization | 0% | 4 facilities |
| First National Bank Omaha | 5% Or Greater Mortgage Interest · Organization | 0% | 4 facilities |
| First National Bank Omaha | Adp Of The SNF · Organization | 0% | 4 facilities |
| Harrah, Jade | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Harrah, Jade | Adp Of The SNF · Individual | 0% | 1 facilities |
| Juilfs, Sally | Corporate Director · Individual | 0% | 4 facilities |
| Juilfs, Sally | Corporate Officer · Individual | 0% | 4 facilities |
| Juilfs, Sally | Adp Of The SNF · Individual | 0% | 4 facilities |
| Juilfs, Timothy | Corporate Director · Individual | 0% | 4 facilities |
| Juilfs, Timothy | Corporate Officer · Individual | 0% | 4 facilities |
| Juilfs, Timothy | Adp Of The SNF · Individual | 0% | 4 facilities |
| Juilfs, Tyler | Corporate Director · Individual | 0% | 4 facilities |
| Juilfs, Tyler | Corporate Officer · Individual | 0% | 4 facilities |
| Juilfs, Tyler | Adp Of The SNF · Individual | 0% | 4 facilities |
| Long, Dora | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Ourada, Michael | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Ourada, Michael | Adp Of The SNF · Individual | 0% | 2 facilities |
| Shanholtz, Brent | Operational/Managerial Control · Individual | 0% | 4 facilities |
| The Ambassador Group Inc | Operational/Managerial Control · Organization | 0% | 4 facilities |
| The Ambassador Group Inc | Adp Of The SNF · Organization | 0% | 4 facilities |
·
Fire safety
7 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Miscellaneous3F
- F
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Smoke1F
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Egress1E
- E
Have properly located and lighted "Exit" signs.
Services1E
- E
Have properly installed electrical wiring and gas equipment.
Gas, Vacuum, and Electrical Systems1D
- D
Have proper medical gas storage and administration areas.
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Other homes nearby
-
Tabor Manor Care Center
Tabor, IA
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 16 min
- Fines
- $0
-
Prestige Care Center of Nebraska City
Nebraska City, NE · Prestige Care Center
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 15 min
- Fines
- $15,625
-
The Ambassador Nebraska City, Inc
Nebraska City, NE · Ambassador Health
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 41 min
- Fines
- $0