The Ambassador Nebraska City is a small nursing home in Nebraska City, Nebraska. With an A+ overall grade, we ranked this nursing home in the top five percent of all facilities in the United States. We can't find many bad things to say about this facility. Its scores are just impeccable. If you scroll down, you can see this place's category scores, which appear to be equally strong as its overall rating.

Additional Details:

Accepts Medicare 1 : TrueA checkmark indicating true.

Accepts Medicaid 1 : 71 Beds TrueA checkmark indicating true.

CCRC : FalseUsed to indicate false.

For profit - Corporation

Resident Council: TrueA checkmark indicating true.

Family Council: FalseUsed to indicate false.

Medical Staff Hours Per Patient (2019)

Less:
More:
January
January 1, 2019January 2, 2019January 3, 2019January 4, 2019January 5, 2019January 6, 2019January 7, 2019January 8, 2019January 9, 2019January 10, 2019January 11, 2019January 12, 2019January 13, 2019January 14, 2019January 15, 2019January 16, 2019January 17, 2019January 18, 2019January 19, 2019January 20, 2019January 21, 2019January 22, 2019January 23, 2019January 24, 2019January 25, 2019January 26, 2019January 27, 2019January 28, 2019January 29, 2019January 30, 2019January 31, 2019
February
February 1, 2019February 2, 2019February 3, 2019February 4, 2019February 5, 2019February 6, 2019February 7, 2019February 8, 2019February 9, 2019February 10, 2019February 11, 2019February 12, 2019February 13, 2019February 14, 2019February 15, 2019February 16, 2019February 17, 2019February 18, 2019February 19, 2019February 20, 2019February 21, 2019February 22, 2019February 23, 2019February 24, 2019February 25, 2019February 26, 2019February 27, 2019February 28, 2019
March
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April
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May
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June
June 1, 2019June 2, 2019June 3, 2019June 4, 2019June 5, 2019June 6, 2019June 7, 2019June 8, 2019June 9, 2019June 10, 2019June 11, 2019June 12, 2019June 13, 2019June 14, 2019June 15, 2019June 16, 2019June 17, 2019June 18, 2019June 19, 2019June 20, 2019June 21, 2019June 22, 2019June 23, 2019June 24, 2019June 25, 2019June 26, 2019June 27, 2019June 28, 2019June 29, 2019June 30, 2019
July
July 1, 2019July 2, 2019July 3, 2019July 4, 2019July 5, 2019July 6, 2019July 7, 2019July 8, 2019July 9, 2019July 10, 2019July 11, 2019July 12, 2019July 13, 2019July 14, 2019July 15, 2019July 16, 2019July 17, 2019July 18, 2019July 19, 2019July 20, 2019July 21, 2019July 22, 2019July 23, 2019July 24, 2019July 25, 2019July 26, 2019July 27, 2019July 28, 2019July 29, 2019July 30, 2019July 31, 2019
August
August 1, 2019August 2, 2019August 3, 2019August 4, 2019August 5, 2019August 6, 2019August 7, 2019August 8, 2019August 9, 2019August 10, 2019August 11, 2019August 12, 2019August 13, 2019August 14, 2019August 15, 2019August 16, 2019August 17, 2019August 18, 2019August 19, 2019August 20, 2019August 21, 2019August 22, 2019August 23, 2019August 24, 2019August 25, 2019August 26, 2019August 27, 2019August 28, 2019August 29, 2019August 30, 2019August 31, 2019
September
September 1, 2019September 2, 2019September 3, 2019September 4, 2019September 5, 2019September 6, 2019September 7, 2019September 8, 2019September 9, 2019September 10, 2019September 11, 2019September 12, 2019September 13, 2019September 14, 2019September 15, 2019September 16, 2019September 17, 2019September 18, 2019September 19, 2019September 20, 2019September 21, 2019September 22, 2019September 23, 2019September 24, 2019September 25, 2019September 26, 2019September 27, 2019September 28, 2019September 29, 2019September 30, 2019
October
October 1, 2019October 2, 2019October 3, 2019October 4, 2019October 5, 2019October 6, 2019October 7, 2019October 8, 2019October 9, 2019October 10, 2019October 11, 2019October 12, 2019October 13, 2019October 14, 2019October 15, 2019October 16, 2019October 17, 2019October 18, 2019October 19, 2019October 20, 2019October 21, 2019October 22, 2019October 23, 2019October 24, 2019October 25, 2019October 26, 2019October 27, 2019October 28, 2019October 29, 2019October 30, 2019October 31, 2019
November
November 1, 2019November 2, 2019November 3, 2019November 4, 2019November 5, 2019November 6, 2019November 7, 2019November 8, 2019November 9, 2019November 10, 2019November 11, 2019November 12, 2019November 13, 2019November 14, 2019November 15, 2019November 16, 2019November 17, 2019November 18, 2019November 19, 2019November 20, 2019November 21, 2019November 22, 2019November 23, 2019November 24, 2019November 25, 2019November 26, 2019November 27, 2019November 28, 2019November 29, 2019November 30, 2019
December
December 1, 2019December 2, 2019December 3, 2019December 4, 2019December 5, 2019December 6, 2019December 7, 2019December 8, 2019December 9, 2019December 10, 2019December 11, 2019December 12, 2019December 13, 2019December 14, 2019December 15, 2019December 16, 2019December 17, 2019December 18, 2019December 19, 2019December 20, 2019December 21, 2019December 22, 2019December 23, 2019December 24, 2019December 25, 2019December 26, 2019December 27, 2019December 28, 2019December 29, 2019December 30, 2019December 31, 2019

Facility Inspections

A+
Oct 18: ANov 18: ADec 18: AJan 19: AFeb 19: AMay 19: AJun 19: AJul 19: AAug 19: ASep 19: AJan 20: A+Mar 20: A+Apr 20: A+May 20: A+Jun 20: A+Jul 20: A+Aug 20: A+
Historical

To go along with a strong overall score, we gave this place an A+ for our inspection category. Inspection grades take several factors into consideration, including deficiencies, substantiated complaints and federal fines. You can learn more about each of these issues by obtaining copies of nursing homes' inspection reports. Fortunately, although this facility had a few minor dings on its government inspection report, it had zero severe deficiencies. Severe deficiencies are ones found in categories G through L. This tells you that the inspectors didn't consider any of the deficiencies on this facility's report to pose an imminent threat to patient health or safety. Finally, this facility had no substantiated complaints this year from residents, which is an excellent sign.

Long-term Care Quality

A+
Oct 18: B+Nov 18: BDec 18: BJan 19: BFeb 19: BMay 19: BJun 19: BJul 19: BAug 19: BSep 19: BJan 20: BMar 20: BApr 20: A+May 20: A+Jun 20: A+Jul 20: A+Aug 20: A+
Historical

This first-rate nursing home also fared very well in the area of long-term care, where it received a score of A+. Few nursing homes fared better in this area. Long-term care scores in this range generally require both 24/7 care from nurses and aids, as well as quality routine healthcare services. In addition to providing very favorable levels of nurse staffing, this facility administered the pneumonia vaccine to 98.17073 percent of its patients. Vaccines are vital to keeping patients out of the hospital. Finally, this nursing home was able to limit hospitalizations. Indeed, it had less than one hospitalization per one thousand long-term resident days, which is a remarkably low number.

Nurse Quality

A+
Oct 18: ANov 18: ADec 18: AJan 19: A-Feb 19: A-May 19: AJun 19: AJul 19: A-Aug 19: A-Sep 19: A-Jan 20: AMar 20: AApr 20: A+May 20: A+Jun 20: A+Jul 20: A+Aug 20: A+
Historical

This first-rate facility also excelled in the area of nursing, where it received a grade of A+. Few nursing homes performed better in this area. Nursing scores are heavily correlated with quality and quantity of nursing care. This particular nursing home provided 4.7 hours of nursing care per resident per day, which was among the highest totals we found. Lastly, this place was also above average in each of the major quality-based metrics we looked at in this category. It performed well in terms of avoiding major falls and pressure ulcers.

Short-term Care Quality

A
Oct 18: ANov 18: ADec 18: AJan 19: A-Feb 19: AMay 19: AJun 19: AJul 19: A-Aug 19: A-Sep 19: A-Jan 20: A-Mar 20: A-Apr 20: AMay 20: AJun 20: AJul 20: AAug 20: A
Historical

In the final category we looked at, this nursing home was awarded a very favorable grade of A in our short-term care category. With this score, the nursing home rounded out a straight A profile. Short-term care scores are based in part on a nursing home's quantity of highly-skilled nursing services. This means a broad scope of nursing services, spanning from registered nurses to physical and occupational therapists, as well as other variations of therapy. This nursing home employs both physical therapists and registered nurses. Not all facilities employ these skilled professionals. The last datapoint we considered in this area is the number of patients that returned home from the nursing home. We found that it performed as well as just about any nursing home in Nebraska in this area with 67.7 percent of its residents returning home. For most nursing homes, fewer than half of their short-term residents are able to return home.

Overall Rating Over Time

Compared to national and state averages across all facilities.

Aug 20
Provider:
A+
State:
B+
National:
B
FDCB-BB+A-AA+Oct 18Nov 18Dec 18Jan 19Feb 19Mar 19Apr 19May 19Jun 19Jul 19Aug 19Sep 19Oct 19Dec 19Jan 20Mar 20Apr 20May 20Jun 20Jul 20Aug 20
Overall Rating
Nurse Rating
Long-Term Rating
Short-Term Rating
Inspection Rating

The Ambassador Nebraska City Quality Metrics

Minimizes Pressure Ulcers

This is the percent of residents who have had a pressure ulcer. Pressure ulcers are skin damage caused by staying in the same position for an excessive period of time.

Provider
A+
0%
State
B+
5.81%
National
B
7.33%

Percent of Patients with Pressure Ulcers
Lower is Better

Minimizes Serious Falls

This datapoint is a measure of the percent of long-term stay residents who have experienced a fall resulting in severe injury. We use this statistic in computing our nursing ratings.

Provider
B
3.05%
State
B-
4.73%
National
B
3.36%

Percent of Patients with Serious Falls
Lower is Better

Minimizes Urinary Tract Infections

This figure gauges the percent of long-term stay residents who had a urinary tract infection. While a higher rate of these infections could reflect poorly on a facility's hygiene protocols, it can be problematic to compare between nursing homes due to nursing homes having reporting standards.

Provider
C
4.35%
State
B-
3.93%
National
B
2.65%

Percent of Patients with UTIs
Lower is Better

Appropriately Uses Anti-Psychotic Medication

This is the percent of patients given antipsychotic drugs. Antipsychotic drugs are given to residents for many conditions, including dementia. Tragically, in some situations, excessive reliance on these medications may suggest a facility is using these medications to control patient behavior.

Provider
C
18.29%
State
B-
16.76%
National
B
14.17%

Percent of Patients
Lower is Better

Appropriately Uses Anti-Anxiety Medication

This indicates the percent of patients who were given antianxiety drugs. These medications are prescribed to residents experiencing depression or anxiety.

Provider
B
18.8%
State
B+
18.39%
National
B
19.67%

Percent of Patients
Lower is Better

Managing Depression Among Residents

This is the percentage of residents showing signs of depression. High levels of depression could reveal a less hospitable environment.

Provider
B+
0.63%
State
B
3.86%
National
B+
5.09%

Percent of Patients
Lower is Better

Appropriate Vaccine Usage

This tells you the percent of residents who were administered the flu and pneumonia vaccines. High vaccination rates should be the norm at this point.

Provider
B
97.92%
State
B
93.69%
National
B
92.04%

Percent of Patients
Higher is Better

Residents Maintain Autonomy

This datapoint is a measure of the percent of long-term residents that needed additional assistance with activities of daily living over time. ADL's include activities such as dressing and eating. Some would argue that this is a reasonable measure of a resident's well-being.

Provider
B-
17.29%
State
B
15.01%
National
B
14.47%

Percentage of Patients
Lower is Better

Ability to Keep Residents Mobile

This metric is a measure of the percent of long-term residents who maintained mobility. Many in the industry would argue that mobility is important for residents' physical and mental health.

Provider
A
23.26%
State
B+
18.83%
National
B
17.10%

Percentage of Residents
Higher is Better

Hospitalizations

This metric is a measure of the number of hospitalizations per thousand days of patient care. Staying out of the hospital is critical to the physical health of nursing home residents.

Provider
A-
1.26
State
B
1.64
National
B
1.70

Hospitalizations per 1,000 resident days
Lower is Better

Short-term Care: Rehospitalizations

This datapoint is a measure of the number of rehospitalizations per thousand days of short-term care.

Provider
D
23.26
State
B-
18.83
National
B
17.10

Percentage of Residents Rehospitalized
Lower is Better

Short-term Care: ER Visits

This tells you the number of times residents are sent to the emergency room per thousand days of short-term care.

Provider
B-
10.53
State
B+
7.95
National
B
10.27

Percentage of Patients
Lower is Better

Short-term Care: Facilitates Functional Improvement

This metric is a measure of the percentage of short-term care residents who experienced functional improvements, such as with activities of daily living. Some experts would argue this is a reliable measure of a facility's rehabilitation services.

Provider
A-
75.93%
State
B+
76.14%
National
B
68.03%

Percentage of Resident
Higher is Better

Nearby Hospitals

Chi Health St Mary's 2.17 mi
1301 Grundman Blvd Nebraska City Nebraska 68410
(402) 873-3321
Critical Access Hospitals
Voluntary non-profit - Church
George C Grape Community Hospital 12.35 mi
2959 Us Highway 275 Hamburg Iowa 51640
(712) 382-1515
Critical Access Hospitals
Proprietary