The Ambassador Nebraska City, Inc

Nursing Home, Assisted Living, Independent Living & Skilled Nursing · Nebraska City, NE

CMS overall rating

1800 14Th Avenue, Nebraska City, NE 68410 View map

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The Ambassador Nebraska City, Inc accepts Medicaid, Medicare, and private pay.

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The Ambassador Nebraska City, Inc accepts Medicaid, Medicare, and private pay.

Overview of The Ambassador Nebraska City

The Ambassador Nebraska City is a 71-bed skilled nursing facility in Nebraska City, Nebraska, providing skilled nursing, rehabilitation, extended care, and assisted living services. It is owned and operated by Loretta Paul Allen and accepts both Medicare and Medicaid.

Across its recent inspection record, the facility holds a 5-star overall CMS rating — with 5 stars in health inspection, staffing, and quality measures, each ranking 44 to 47% above the Nebraska average. Over the past three years, three health inspections resulted in 6 citations, well below the Nebraska average of 18.2, ranking the facility 8th out of 122 Nebraska skilled nursing homes. No civil money penalties have been issued during that period.

Nurse staffing averages 4 hours and 53 minutes per resident per day — 13% above the Nebraska average — and physical therapist staffing is double the state average, a meaningful signal for facilities with a strong post-acute caseload.

On-site services include wound care and hemodialysis, both important for residents with medically complex admissions. The resident council meets regularly, and the facility’s short-stay quality measures show that 71% of residents meet or exceed expected self-care ability at discharge, compared to the Nebraska average of 54%. The facility’s occupancy rate is 61%, roughly 9 points below the Nebraska average, indicating current availability.

The facility is best suited for residents in Otoe County recovering from illness, injury, or surgery who need short-term post-acute rehabilitation. Its rehabilitation services, stronger therapy staffing, and admission mix — with 49% of new admissions covered by Medicare and typical stays lasting one to two months — point toward a stronger focus on short-term recovery care.

Facility Direct Line (402) 873-6650

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

4h 53m per day

vs avg

4 of 6 metrics below state avg

Standout metric Nurse Aide is +13% above state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.	39m per day	▼ 8% State avg: 43m per day · National avg: 41m per day
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.	31m per day	▼ 28% State avg: 43m per day · National avg: 52m per day
Nurse Aide Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.	3h 8m per day	▲ 13% State avg: 2h 46m per day · National avg: 2h 20m per day
Weekend Total Nursing Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.	3h 35m per day	■ Avg State avg: 3h 37m per day · National avg: 3h 26m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	2m per day	▼ 35% State avg: 3m per day · National avg: 4m per day
Weekend RN Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.	24m per day	▼ 18% State avg: 29m per day · National avg: 28m per day

Capacity and availability

210 days

71-bed community

A moderately sized community that may balance personal attention with shared amenities and social activities.

Walk Score: 83 / 100

Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

About this community

Occupancy

Occupancy rate

61%

Lower than the Nebraska average: 70.3%

Occupied beds

43 / 71

Average occupied beds in Nebraska homes 54 beds

Facility TypeNursing Home

CountyOtoe

CMS Certification Number285126

Certification TypeCertification

The Ambassador Nebraska City, Inc is administered by Administrator Loretta Paul-Allen.

Owner NameThe Ambassador Nebraska City, Inc

Accept Medicaid

Accept Medicare

Rehabilitation Services

Extended Care

Pediatric Specialty Care

Fax(402) 873-6621

Since 2011 · 15 years of data 76 deficiencies

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Nebraska state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2011 vs. Nebraska state average

Overall vs. NE average

Latest Inspection February 14, 2023 Renewal

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	NE Average	vs. NE Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	76	52	This facility has 46% more total deficiencies than a typical Nebraska assisted living residence (76 vs. NE avg 52).↑ 46% worse
Deficiencies per year Average deficiencies per year since 2011.	5.1	3.5	This facility has 46% more deficiencies per year than a typical Nebraska assisted living residence (5.1 vs. NE avg 3.5).↑ 46% worse

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

The most recent inspection on February 14, 2023, reported no deficiencies and confirmed licensure renewal with all statutory requirements met.
The July 22, 2019 complaint investigation found nine deficiencies mainly involving fire safety code violations and failure to implement a toileting program.
The facility showed recurring fire safety and care planning deficiencies from 2013 through 2019, with some improvements but persistent issues in smoke door latching and fire system maintenance.

Show Inspection Reports

Inspections since 2023

Total health inspections 3

State average N/A

Last Health inspection on Mar 2025

Total health citations

State average N/A

Citations per inspection

State average N/A

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

4 of 6 citations resulted from standard inspections; and 2 of 6 resulted from complaint investigations.

Breakdown of citation severity (last 3 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

0 critical citations State average: N/A

0 serious citations State average: N/A

6 moderate citations State average: N/A

0 minor citations State average: N/A

Citations history (last 3 years)

Abuse/Neglect moderate citation Mar 10, 2025

Corrected

Abuse/Neglect moderate citation Mar 10, 2025

Corrected

Pharmacy moderate citation Oct 31, 2024

Corrected

Quality of Care moderate citation Oct 31, 2024

Corrected

Total staff 88

Employees 57

Contractors 31

Staff to resident ratio 1.69 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 29

Average shift 7.9 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 20,998

Nursing staff breakdown

10.8 hours

10.2 hours

7.3 hours

Contractor staffing

2,549 contractor hours this quarter

Certified Nursing Assistant: 19 Speech Language Pathologist: 4 Respiratory Therapy Technician: 2 Qualified Social Worker: 2 Licensed Practical Nurse: 1 Physical Therapy Aide: 1 Physical Therapy Assistant: 1 Medical Director: 1

Staff by category


Medication Aide/Technician	21	0	21	7,091	92	100%	8.1
Certified Nursing Assistant	19	19	38	6,096	92	100%	7.3
Licensed Practical Nurse	5	1	6	2,187	92	100%	10.2
Registered Nurse	5	0	5	1,871	90	98%	10.8
Dietitian	1	0	1	537	67	73%	8
Administrator	1	0	1	512	64	70%	8
Other Dietary Services Staff	2	0	2	512	69	75%	5
Dental Services Staff	1	0	1	488	61	66%	8
Clinical Nurse Specialist	1	0	1	459	59	64%	7.8
Nurse Practitioner	1	0	1	436	55	60%	7.9
Speech Language Pathologist	0	4	4	244	26	28%	5.8
Physical Therapy Aide	0	1	1	156	21	23%	7.4
Respiratory Therapy Technician	0	2	2	138	23	25%	5.5
Qualified Social Worker	0	2	2	110	18	20%	5.2
Physical Therapy Assistant	0	1	1	109	20	22%	5.5
Medical Director	0	1	1	52	13	14%	4

21 Medication Aide/Technician

% of Days 100%

38 Certified Nursing Assistant

% of Days 100%

6 Licensed Practical Nurse

% of Days 100%

5 Registered Nurse

% of Days 98%

1 Dietitian

% of Days 73%

1 Administrator

% of Days 70%

2 Other Dietary Services Staff

% of Days 75%

1 Dental Services Staff

% of Days 66%

1 Clinical Nurse Specialist

% of Days 64%

1 Nurse Practitioner

% of Days 60%

4 Speech Language Pathologist

% of Days 28%

1 Physical Therapy Aide

% of Days 23%

2 Respiratory Therapy Technician

% of Days 25%

2 Qualified Social Worker

% of Days 20%

1 Physical Therapy Assistant

% of Days 22%

1 Medical Director

% of Days 14%

View All Staffing Data

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

High-risk clinical events score 8.6

24% better than State average

State average: 11.3

Functional decline score 24.1

In line with State average

State average: 23.3

Long-stay resident measures

Above average State avg: 2.8

Need for Help with Daily Activities Increased 18.8%

10% better than State average

State average: 20.8%

Walking Ability Worsened 19.0%

14% better than State average

State average: 22.1%

Low Risk Residents with Bowel/Bladder Incontinence 34.7%

29% worse than State average

State average: 26.9%

Falls with Major Injury 3.2%

28% better than State average

State average: 4.5%

High Risk Residents with Pressure Ulcers 1.2%

72% better than State average

State average: 4.3%

Urinary Tract Infection 2.2%

29% better than State average

State average: 3.1%

Lost Too Much Weight 0.6%

88% better than State average

State average: 5.4%

Depressive Symptoms 0.6%

87% better than State average

State average: 4.4%

Antipsychotic Use 10.8%

46% better than State average

State average: 19.8%

Pneumococcal Vaccine 90.3%

In line with State average

State average: 93.2%

Influenza Vaccine 100.0%

In line with State average

State average: 96.1%

Hospitalizations per 1,000 days 1.42

21% better than State average

State average: 1.80

ED visits per 1,000 days 2.20

13% worse than State average

State average: 1.95

Short-stay resident measures

Average State avg: 2.2

Pneumococcal Vaccine 88.9%

10% better than State average

State average: 80.7%

Antipsychotic medication increase 3.6%

51% worse than State average

State average: 2.4%

Influenza Vaccine 95.2%

25% better than State average

State average: 75.9%

Re-hospitalized after SNF stay 26.1%

25% worse than State average

State average: 20.9%

Emergency department visits 19.9%

72% worse than State average

State average: 11.6%

Falls with major injury 0.0%

100% better than State average

State average: 0.8%

Ability to care for self at discharge 71.4%

33% better than State average

State average: 53.7%

Successful return to home or community 52.6%

In line with State average

State average: 50.6%

Breakdown by payment type

Medicare

49% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

44% of new residents, often for short stays.

Typical stay 8 - 9 months

Medicaid

8% of new residents, often for long-term daily care.

Typical stay 2 - 3 years

Total residents 52

Medicare

5.8% of residents

Medicaid

32.7% of residents

Private pay or other

61.5% of residents

Programs & Services

Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Financial Trends

Historical financial and operational data for The Ambassador Nebraska City, Inc from 2012–2024, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 06/2024.

Occupancy Rate 63.0% ↓ 2.0pp vs 2023

Net Patient Income $108.6K ↑ ~$295.2K vs 2023

Payroll Costs $3.4M ↑ ~$145.5K vs 2023

Operating Margin 1.7% ↑ 4.9pp vs 2023

Metric	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023	2024
Occupancy %	88.2%	81.9%	92.0%	88.2%	89.8%	69.8%	68.5%	65.9%	63.3%	60.9%	63.4%	65.0%	63.0%
Beds	55	55	55	55	55	71	71	71	71	71	71	71	71
Net Income	$341,117	$178,192	$348,809	$192,791	$135,794	$183,124	$115,351	-$74,078	$293,486	$1,023,054	$351,566	-$1,245	$326,002
Gross Revenue	$5,535,156	$5,103,460	$5,771,086	$5,653,984	$5,572,607	$5,740,825	$6,326,281	$5,798,556	$6,439,765	$6,506,605	$6,525,876	$7,049,894	$7,538,584
Operating Expenses	$4,308,098	$4,168,340	$4,471,328	$4,613,572	$4,650,355	$4,795,229	$5,132,943	$4,895,501	$5,335,555	$5,388,364	$5,259,087	$6,104,087	$6,236,917
Net Patient Income	$170,921	$23,513	$195,406	$15,787	-$22,036	$60,924	$42,030	-$136,750	-$37,629	$29,363	$182,841	-$186,536	$108,648
Net Patient Revenue	$4,479,019	$4,191,853	$4,666,734	$4,629,359	$4,628,319	$4,856,153	$5,174,973	$4,758,751	$5,297,926	$5,417,727	$5,441,928	$5,917,551	$6,345,565
Payroll Costs	$2,192,154	$2,178,349	$2,346,541	$2,443,230	$2,412,378	$2,570,061	$2,707,000	$2,620,489	$2,654,864	$2,656,153	$2,939,372	$3,210,671	$3,356,147
Operating Margin %	3.8%	0.6%	4.2%	0.3%	-0.5%	1.3%	0.8%	-2.9%	-0.7%	0.5%	3.4%	-3.2%	1.7%
Medicare %	11.6%	12.8%	12.8%	12.1%	11.1%	10.2%	10.6%	8.6%	10.9%	13.4%	10.7%	12.3%	12.7%
Medicaid %	41.4%	40.1%	40.5%	44.9%	39.7%	42.9%	43.3%	42.6%	34.1%	27.8%	25.9%	27.9%	31.6%
Private %	47.0%	47.0%	46.6%	43.0%	49.3%	46.8%	46.1%	48.8%	55.0%	58.8%	63.4%	59.7%	55.7%
Net Patient Revenue/Day	$252	$255	$253	$261	$256	$269	$291	$279	$322	$343	$331	$352	$388
Cost/Day	$243	$254	$242	$260	$257	$265	$289	$287	$324	$341	$320	$363	$381
Avg Length of Stay	236.8 days	153.6 days	228.1 days	173.6 days	188.3 days	217.9 days	286.4 days	221.8 days	261.2 days	281.8 days	309.9 days	210.4 days	209.8 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 06/2024.

Net patient revenue

$6.3M

Net patient income

$108.6K

For-profit Corporation

Net patient revenue

$6.3M

Net patient income

$108.6K

Other income

$217.4K

Payroll costs

$3.4M 52.9% of net patient revenue

Other operating costs

$2.9M

Total costs

$6.2M

What does this home offer?

Pets Allowed

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

New residents most often arrive under Medicare (49% of admissions), and a typical Medicare stay runs around 1 - 2 months.

Coverage residents most often arrive under.

Medicare 49%

Private pay 44%

Medicaid 8%

Coverage residents most often leave under.

Medicare 36%

Private pay 53%

Medicaid 12%

0.0 miles from city center Estimated distance in miles from Nebraska City's city center to The Ambassador Nebraska City, Inc's address, calculated via Google Maps.

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The information below is reported by the Nebraska Department of Health and Human Services, Division of Public Health.


Brookestone of Papillion	NH SNF	Papillion	-	110	-	35	-
Brookestone Acres	NH SNF	Columbus	-	80	-	70	-
Brookestone Meadows Rehabilitation and	NH HC HOS IL SNF	Plaza Elkhorn (Elkhorn)	-	140	-	6	-
St Joseph’s Hillside Villa	NH AL HOS RC SNF	West Point	-	54	-	66	-
The Ambassador Nebraska City, Inc	NH AL IL SNF	Nebraska City	-	71	-	83	-

Nursing Home Explorer

Is The Ambassador Nebraska City, Inc in a walkable area?

The Ambassador Nebraska City, Inc has a walk score of 83. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

What is the occupancy rate at The Ambassador Nebraska City, Inc?

The Ambassador Nebraska City, Inc's occupancy is 61%.

Are pets allowed at The Ambassador Nebraska City, Inc?

Yes, The Ambassador Nebraska City, Inc allows residents to bring their pets.

Does The Ambassador Nebraska City, Inc operate as a for-profit or non-profit?

The Ambassador Nebraska City, Inc is registered as a for-profit in NE.

Who is the administrator of The Ambassador Nebraska City, Inc?

Administrator Loretta Paul-Allen is the administrator of The Ambassador Nebraska City, Inc.

How many beds does The Ambassador Nebraska City, Inc have?

The Ambassador Nebraska City, Inc has 71 beds.

Are there photos of The Ambassador Nebraska City, Inc?

Yes — there are 9 photos of The Ambassador Nebraska City, Inc in the photo gallery on this page.

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The Ambassador Nebraska City, Inc

Overview of The Ambassador Nebraska City

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Payment & Insurance

Therapy & Rehabilitation

Additional Services

Contact Information

Amenities & Lifestyle

Contact The Ambassador Nebraska City, Inc

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Nebraska state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2023

Breakdown of citation severity (last 3 years)

Citations history (last 3 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

21 Medication Aide/Technician

38 Certified Nursing Assistant

6 Licensed Practical Nurse

5 Registered Nurse

1 Dietitian

1 Administrator

2 Other Dietary Services Staff

1 Dental Services Staff

1 Clinical Nurse Specialist

1 Nurse Practitioner

4 Speech Language Pathologist

1 Physical Therapy Aide

2 Respiratory Therapy Technician

2 Qualified Social Worker

1 Physical Therapy Assistant

1 Medical Director

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

What does this home offer?

Who this home usually serves

Mostly short-term rehab stays

Admissions

Discharges

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