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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D12 | E3 | F4 |
| Minimal | A· | B· | C· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Mar 12, 2026 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Mar 12, 2026 | Health | Health Standard | 5 | Potential harm | — | Open → |
| Mar 20, 2025 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Mar 20, 2025 | Health | Health Standard | 5 | Potential harm | — | Open → |
| May 30, 2024 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| May 30, 2024 | Health | Health Standard | 2 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D12 | E3 | F4 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Mar 12, 2026 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 3, 2026 | |
| Mar 12, 2026 | F-0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Past non-compliance Jan 1, 2026 | |
| Mar 12, 2026 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
4 facilities in 2 states. CMS chain ID 28.
Chain average overall rating (CMS): 4.3
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| The Ambassador Group Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 9, 1981 |
| Jade Harrah | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 10, 2022 |
| Dora Long | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 16, 2021 |
| Michael Ourada | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2024 |
| Brent Shanholtz | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2013 |
| Sally Juilfs | Individual |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Tabor Manor Care Center 209 Main Street, Tabor, IA 51653 CCN 165546 | 17.2 km | 46 | Jun 23, 2026 | 921 harm | — | |
| Prestige Care Center of Nebraska City 1420 North 10th Street, Nebraska City, NE 68410 CCN 285109 | 18.8 km | 64 | Aug 19, 2026 | 961 harm | $16k | |
| The Ambassador Nebraska City, Inc 1800 14th Avenue, Nebraska City, NE 68410 CCN 285126 | 19.6 km | 71 | Apr 14, 2026 | 20 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 165474 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 165474 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| D · Potential harm Isolated |
| Corrected Apr 7, 2026 |
| Mar 12, 2026 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 7, 2026 |
| Mar 12, 2026 | F-0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 7, 2026 |
| Mar 12, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Apr 7, 2026 |
| Mar 20, 2025 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 25, 2025 |
| Mar 20, 2025 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 17, 2025 |
| Mar 20, 2025 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 17, 2025 |
| Mar 20, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 16, 2025 |
| Mar 20, 2025 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 16, 2025 |
| Mar 20, 2025 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Apr 16, 2025 |
| Mar 20, 2025 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 16, 2025 |
| Mar 20, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Apr 16, 2025 |
| May 30, 2024 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 4, 2024 |
| May 30, 2024 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 4, 2024 |
| May 30, 2024 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 4, 2024 |
| May 30, 2024 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 25, 2024 |
| May 30, 2024 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 25, 2024 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.34 (case-mix index 1.20).
| Corporate officer / director |
| CORPORATE DIRECTOR |
| not provided |
| Jun 5, 1985 |
| Timothy Juilfs | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 1, 2004 |
| Tyler Juilfs | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2021 |
| Sally Juilfs | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jun 5, 1985 |
| Timothy Juilfs | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jun 5, 1985 |
| Tyler Juilfs | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jul 1, 2021 |
| First National Bank Omaha | Organization | Mortgage / security interest | 5% OR GREATER MORTGAGE INTEREST | not provided | Jan 30, 2018 |
| Ambassador Holding Company | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 5, 1985 |
| First National Bank Omaha | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 16, 2025 |
| The Ambassador Group Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 9, 1981 |
| Jade Harrah | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 30, 2025 |
| Sally Juilfs | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 5, 1985 |
| Timothy Juilfs | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 5, 1985 |
| Tyler Juilfs | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 30, 2024 |
| Michael Ourada | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 30, 2025 |