The Ambassador Sidney Inc

115 Main Street
Sidney, IA, 51652
7123742693
CCN: 165474
4
Overall
4
Health
4
Staffing
2
Quality
ChainAMBASSADOR HEALTH
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
AMBASSADOR HOLDING COMPANY5% OR GREATER DIRECT OWNERSHIP INTEREST100%
JUILFS, SALLY5% OR GREATER INDIRECT OWNERSHIP INTEREST44%
JUILFS, TIMOTHY5% OR GREATER INDIRECT OWNERSHIP INTEREST44%
JUILFS, TYLER5% OR GREATER INDIRECT OWNERSHIP INTEREST5%
FIRST NATIONAL BANK OMAHA5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE
JUILFS, TYLERCORPORATE DIRECTORNOT APPLICABLE
JUILFS, SALLYCORPORATE DIRECTORNOT APPLICABLE
JUILFS, TIMOTHYCORPORATE DIRECTORNOT APPLICABLE
JUILFS, SALLYCORPORATE OFFICERNOT APPLICABLE
JUILFS, TIMOTHYCORPORATE OFFICERNOT APPLICABLE
JUILFS, TYLERCORPORATE OFFICERNOT APPLICABLE
THE AMBASSADOR GROUP INCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
LONG, DORAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
OURADA, MICHAELOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
SHANHOLTZ, BRENTOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
HARRAH, JADEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Health Deficiencies (14)
2025-03-20 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F842 · Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
E
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-05-30 · Health
D
F690 · Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
D
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2023-02-24 · Health
D
F883 · Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
E
F813 · Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
E
F803 · Nutrition and Dietary Deficiencies
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
D
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
D
F559 · Resident Rights Deficiencies
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
D
F554 · Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
3.79
3.68
RN Hrs/Resident/Day
0.60
0.54
LPN Hrs/Resident/Day
0.65
0.81
CNA Hrs/Resident/Day
2.54
2.33
PT Hrs/Resident/Day
0.02
0.12
Data as of 2026-03-01