A

Dunklau Gardens

450 East 23rd Street, Fremont, NE 68025
Score: 89 / 100

Dunklau Gardens is one of the top-rated nursing facilities in Fremont, Nebraska, earning an A grade based on CMS data. With a score of 89/100, it ranks in the top 14% of facilities statewide — a strong indicator of quality care.

Staffing levels at Dunklau Gardens exceed national averages, with 4.71 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 1.10 hours per resident per day also exceeds the national average of 0.7 hours.

Dunklau Gardens shows a strong inspection record, with just 4 deficiencies noted in recent CMS surveys, none of which were classified as serious.

Score Breakdown

Overall CMS Rating 40 / 40 pts
5 ★ CMS rating
Health Inspections 20 / 25 pts
4 ★ inspection rating
Staffing 20 / 20 pts
5 ★ staffing rating
Quality Measures 9 / 15 pts
3 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 4.71 3.8 Above Average
Registered Nurses (RN) 1.10 0.7 Above Average
Licensed Practical Nurses (LPN) 0.35 0.7 Below Average
Certified Nursing Assistants (CNA) 3.26 2.4 Above Average
Weekend Total Nursing 3.91 3.8 Average
Weekend RN Hours 0.93 0.7 Above Average

🔍 Inspection & Deficiency History

4
Total Deficiencies
Apr 30, 2025
Most Recent Inspection
🟠 4 Moderate
View recent deficiencies (4 shown)
  • Tag 0804 Severity F
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    Apr 30, 2025 · Nutrition and Dietary Deficiencies
  • Tag 0684 Severity D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    Apr 30, 2025 · Quality of Life and Care Deficiencies
  • Tag 0880 Severity D
    Provide and implement an infection prevention and control program.
    Apr 30, 2025 · Infection Control Deficiencies
  • Tag 0812 Severity F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    Apr 22, 2024 · Nutrition and Dietary Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 3.8% 4.5% Better
Falls with major injury 7.6% 3.0% Worse
On antipsychotic medication 22.0% 14.5% Worse
Urinary tract infections 0.7% 2.5% Better
ADL decline (daily activities) 21.2% 14.0% Worse
Excessive weight loss 6.5% 7.5% Better
New/worsened incontinence 17.9% 45.0% Better

How This Grade Was Calculated

This facility's grade of A is based on a score of 89 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 5★ → 40 pts (max 40)
  • Health Inspection Rating: 4★ → 20 pts (max 25)
  • Staffing Rating: 5★ → 20 pts (max 20)
  • Quality Measures Rating: 3★ → 9 pts (max 15)

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
Non profit - Corporation
Certified Beds
106
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Apr 30, 2025
Deficiencies (Cycle 1)
3