01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-07-10 | 3 | 2025-07-10 | 3 |
| Cycle 2 | 2024-05-14 | 2 | 2024-05-14 | 7 |
| Cycle 3 | 2023-04-20 | 0 | 2023-04-20 | 6 |
CMS CCN 2851272026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Ambassador Health Of Omaha
1540 North 72Ndstreet · Omaha, NE 68114 · Douglas County
Certified beds146CMS provider file
Recent citation rows21current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
21 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 1 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-07-10 · HEALTHF0693Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Correction field: Deficient, Provider has date of correction · 2025-08-222025-07-10 · HEALTHF0757Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Correction field: Deficient, Provider has date of correction · 2025-08-222025-07-10 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2025-08-222025-07-10 · FIREK0324Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2025-08-312025-07-10 · FIREK0374Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Correction field: Deficient, Provider has date of correction · 2025-08-312025-07-10 · FIREK0761Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Correction field: Deficient, Provider has date of correction · 2025-08-312024-05-14 · HEALTHF0756Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Correction field: Deficient, Provider has date of correction · 2024-06-212024-05-14 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2024-06-212024-05-14 · FIREK0211Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Correction field: Deficient, Provider has date of correction · 2024-06-212024-05-14 · FIREK0354Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Correction field: Deficient, Provider has date of correction · 2024-06-212024-05-14 · FIREK0711Severity E · pattern; potential for more than minimal harm
Miscellaneous Deficiencies
Provide a written emergency evacuation plan.
Correction field: Deficient, Provider has date of correction · 2024-06-212024-05-14 · FIREK0712Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2024-06-212024-05-14 · FIREK0781Severity E · pattern; potential for more than minimal harm
Miscellaneous Deficiencies
Have restrictions on the use of portable space heaters.
Correction field: Deficient, Provider has date of correction · 2024-06-212024-05-14 · FIREK0920Severity E · pattern; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Correction field: Deficient, Provider has date of correction · 2024-06-212024-05-14 · FIREK0922Severity E · pattern; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the use and maintenance of medical gas equipment.
Correction field: Deficient, Provider has date of correction · 2024-06-212023-04-20 · FIREE0041Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Implement emergency and standby power systems.
Correction field: Deficient, Provider has date of correction · 2023-05-312023-04-20 · FIREK0341Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Correction field: Deficient, Provider has date of correction · 2023-05-312023-04-20 · FIREK0345Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2023-05-312023-04-20 · FIREK0353Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2023-05-312023-04-20 · FIREK0781Severity E · pattern; potential for more than minimal harm
Miscellaneous Deficiencies
Have restrictions on the use of portable space heaters.
Correction field: Deficient, Provider has date of correction · 2023-05-312023-04-20 · FIREK0918Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2023-05-3103 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- AMBASSADOR HOLDING COMPANYOrganization · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 06/05/1985
- JUILFS, SALLYIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 06/05/1985
- FIRST NATIONAL BANK OMAHAOrganization · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 01/30/2018
- JUILFS, SALLYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 06/05/1985
- JUILFS, TIMOTHYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 06/05/1985
- JUILFS, TYLERIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2021
- JUILFS, SALLYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 06/05/1985
- JUILFS, TIMOTHYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 06/05/1985
- JUILFS, TYLERIndividual · CORPORATE OFFICERNOT APPLICABLE · since 07/01/2021
- THE AMBASSADOR GROUP INCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 02/09/1981
- BLEACH, JAKEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 03/05/2018
- RHOADS, ELIIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2024
- SHANHOLTZ, BRENTIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2013
- SHEHAN, JOHNIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2024
- STERN, POLLYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2016
- WESTER, REBECCAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2024
- JUILFS, TIMOTHYIndividual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE · since 07/31/2025
- AMBASSADOR HOLDING COMPANYOrganization · ADP OF THE SNFNOT APPLICABLE · since 06/05/1985
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours6.66per resident day
RN hours2.19per resident day
Weekend nurse hours6.03per resident day
Staff turnover28.3%CMS reported field
06 / LOCAL RECORDS
Open the Omaha ledger →Other published facilities nearby
Brookestone Village140 beds · CMS overall 5/527 citation rowsDouglas County Health Center254 beds · CMS overall 3/556 citation rowsEmerald Nursing & Rehab Legacy Pointe Llc108 beds · CMS overall 1/543 citation rowsEmerald Nursing & Rehab Omaha155 beds · CMS overall 1/584 citation rowsEmerald Nursing & Rehabilitation Mercy174 beds · CMS overall 1/5132 citation rowsFlorence Home126 beds · CMS overall 4/524 citation rowsGood Samaritan Society - Millard106 beds · CMS overall 4/534 citation rowsHillcrest Millard Llc76 beds · CMS overall 1/537 citation rows