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Ambassador Health at Home, Inc.

No longer in CMS list This agency is not in CMS's current list of Medicare-certified home health agencies (file dated 2026-09-21), but it has federal inspection records. It may have closed, changed ownership, or changed its certification number. Address shown is from its inspection records.
1240 N 19TH Street, Nebr City, NE 68410
CMS Certification Number 287153
5deficiencies since 2018
0serious
2inspections
n/aCMS quality stars
Data from CMS inspection reports (Form 2567), 2018-01-02 to 2026-10-15, downloaded 2026-10-21; CMS agency list file dated 2026-09-21. What the labels mean

Inspection 2024-06-13

· Recertification · 3 deficiencies · CMS source report (PDF)
Moderate Encoding And Transmitting Oasis

The agency failed to electronically transmit each completed Outcome Assessment Information Set (OASIS, a patient specific standardized assessment, used in Medicare home health care, to plan care, determine reimbursement, and measure quality) to the Center for Medicare and Medicaid Services (CMS)…

Source: CMS Form 2567, inspection 2024-06-13, tag G0372 · view on CMS
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Minor Revised Plan Of Care

The agency failed to include on the revised/updated plan of care, the patient’s progress towards the measurable outcomes and goals identified by the home health agency and the patient, for 5 of 5 patients (Patient 4, 5, 6, 7 and 8) who had a revised/updated plan of care.

Source: CMS Form 2567, inspection 2024-06-13, tag G0592 · view on CMS
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Minor Onsite Supervisory Visit Every 14 Days

The agency failed to ensure home health aide (HHA) supervision was conducted at least every 14 days for 2 of 4 patients (Patients 4 and 6) who received HHA services.

Source: CMS Form 2567, inspection 2024-06-13, tag G0808 · view on CMS
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Inspection 2021-07-19

· Recertification · 2 deficiencies · CMS source report (PDF)
Moderate 12 Hours Inservice Every 12 Months

The agency failed to follow its policy and procedure to ensure 1 of 2 Home Health Aides (HHA- J) received 12 hours of in-service training annually.

Source: CMS Form 2567, inspection 2021-07-19, tag G0774 · view on CMS
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Minor Revised Plan Of Care

The agency failed to include the progress towards the patient and agency identified measureable goals and outcomes on the plan of care for 5 of 5 patients who had a revised/updated plan of care (Patient 1, 2, 4, 5, and 6).

Source: CMS Form 2567, inspection 2021-07-19, tag G0592 · view on CMS
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