Dunklau Gardens - 5-Star Rated Nursing Home in Fremont, NE (2026)

Last Updated: October 2026

View all nursing homes in Fremont, NE

Compare this facility with other nursing homes in Fremont

Composite Quality Score

Comprehensive rating based on CMS data, staffing, quality measures, and compliance

A+

Grade

Score

CMS Ratings

19.6/22

Staffing Quality

16.7/20

Quality Measures

0.0/22

Compliance

18.0/18

Safety

13.0/13

Availability

10.0/10

Quick Actions

Call Now Get Directions Compare

Current Availability Estimate

Occupancy Rate79.9%

106

Total Beds

Occupied

Available

Basic Information

Address:

450 East 23rd Street

Fremont, NE 68025

Phone:

(402)721-1610

Ownership Type:

Nonprofit

Learn how ownership type affects quality →

Number of Beds:

106

Estimated Occupancy:

80% (~21 available)

Quality Ratings

Overall Rating:5/5 Stars

Health Inspection:4/5 Stars

Staffing Rating:5/5 Stars

Quality Measures:3/5 Stars

Learn how CMS star ratings are calculated →

Safety Information

Abuse Issues:No Issues Reported

Special Focus:Not Under Special Focus

Additional Information

CMS Certification Number:

285119

Provider Type:

Medicare and Medicaid

Loading map...

Staffing Metrics

Higher staffing hours generally indicate better care quality. Lower turnover indicates more experienced, stable staff.

Registered Nurse (RN) Hours

Per resident per day

Above Average

This Facility

1.04

hours

National Avg

0.64

hours

Total Nursing Staff Hours

RN + LPN + Nurse Aides per resident per day

Above Average

This Facility

4.43

hours

National Avg

3.89

hours

Breakdown:

RN: 1.04hLPN: 0.26hAide: 3.13h

Staff Turnover Rate

Annual nursing staff turnover

Below Average

This Facility

24.7%

National Avg

46.6%

RN Turnover: 19.0%

Understanding Staffing Metrics

Staffing hours: Higher hours generally mean more staff attention per resident. Federal minimum is 3.5 total hours per resident per day, but quality facilities often exceed 4+ hours.

Turnover: High turnover (>50%) can indicate staffing issues and affect care continuity. Lower turnover means more experienced staff familiar with residents' needs.

Learn why staffing levels are the #1 quality indicator →

Detailed Quality Measures

Medicare Claims Quality Measures

Based on Medicare claims data showing rehospitalization and emergency department visit rates.

Rehospitalization

27.6%

Percentage of short-stay residents who were rehospitalized after a nursing home admission

Observed:22.0%

Expected:19.0%

ED Visits (Outpatient)

20.8%

Percentage of short-stay residents who had an outpatient emergency department visit

Observed:17.4%

Expected:9.4%

551

1.1%

Number of hospitalizations per 1000 long-stay resident days

Observed:0.8%

Expected:1.4%

552

2.1%

Number of outpatient emergency department visits per 1000 long-stay resident days

Observed:1.7%

Expected:1.3%

Long-Stay Resident Quality Measures

Based on resident assessments for individuals staying 100+ days. Lower percentages are generally better.

ADL Decline

21.5%

Percentage of long-stay residents whose need for help with daily activities has increased

Period: 2025Q1-2025Q4

ADL Decline

21.7%

Percentage of long-stay residents whose need for help with daily activities has increased

Period: 2025Q2-2026Q1

ADL Decline

25.2%

Percentage of long-stay residents whose need for help with daily activities has increased

Period: 2024Q2-2025Q1

ADL Decline

21.2%

Percentage of long-stay residents whose need for help with daily activities has increased

Period: 2024Q4-2025Q3

ADL Decline

25.2%

Percentage of long-stay residents whose need for help with daily activities has increased

Period: 2024Q2-2025Q1

ADL Decline

21.5%

Percentage of long-stay residents whose need for help with daily activities has increased

Period: 2025Q1-2025Q4

ADL Decline

21.7%

Percentage of long-stay residents whose need for help with daily activities has increased

Period: 2025Q2-2026Q1

ADL Decline

25.2%

Percentage of long-stay residents whose need for help with daily activities has increased

Period: 2024Q2-2025Q1

ADL Decline

25.2%

Percentage of long-stay residents whose need for help with daily activities has increased

Period: 2024Q2-2025Q1

ADL Decline

21.2%

Percentage of long-stay residents whose need for help with daily activities has increased

Period: 2024Q4-2025Q3

ADL Decline

26.0%

Percentage of long-stay residents whose need for help with daily activities has increased

Period: 2024Q3-2025Q2

ADL Decline

21.5%

Percentage of long-stay residents whose need for help with daily activities has increased

Period: 2025Q1-2025Q4

ADL Decline

26.0%

Percentage of long-stay residents whose need for help with daily activities has increased

Period: 2024Q3-2025Q2

ADL Decline

21.7%

Percentage of long-stay residents whose need for help with daily activities has increased

Period: 2025Q2-2026Q1

Self-Report Pain

2.1%

Percentage of long-stay residents with a catheter inserted and left in their bladder

Period: 2024Q3-2025Q2

Self-Report Pain

1.8%

Percentage of long-stay residents with a catheter inserted and left in their bladder

Period: 2024Q4-2025Q3

Self-Report Pain

1.8%

Percentage of long-stay residents with a catheter inserted and left in their bladder

Period: 2024Q4-2025Q3

Self-Report Pain

2.4%

Percentage of long-stay residents with a catheter inserted and left in their bladder

Period: 2024Q2-2025Q1

Self-Report Pain

1.4%

Percentage of long-stay residents with a catheter inserted and left in their bladder

Period: 2025Q2-2026Q1

Self-Report Pain

1.4%

Percentage of long-stay residents with a catheter inserted and left in their bladder

Period: 2025Q2-2026Q1

Self-Report Pain

2.4%

Percentage of long-stay residents with a catheter inserted and left in their bladder

Period: 2024Q2-2025Q1

Self-Report Pain

2.4%

Percentage of long-stay residents with a catheter inserted and left in their bladder

Period: 2024Q2-2025Q1

Self-Report Pain

1.4%

Percentage of long-stay residents with a catheter inserted and left in their bladder

Period: 2025Q1-2025Q4

Self-Report Pain

2.4%

Percentage of long-stay residents with a catheter inserted and left in their bladder

Period: 2024Q2-2025Q1

Self-Report Pain

1.4%

Percentage of long-stay residents with a catheter inserted and left in their bladder

Period: 2025Q1-2025Q4

Self-Report Pain

2.1%

Percentage of long-stay residents with a catheter inserted and left in their bladder

Period: 2024Q3-2025Q2

Self-Report Pain

1.4%

Percentage of long-stay residents with a catheter inserted and left in their bladder

Period: 2025Q2-2026Q1

Self-Report Pain

1.4%

Percentage of long-stay residents with a catheter inserted and left in their bladder

Period: 2025Q1-2025Q4

Antipsychotic Use

0.8%

Percentage of long-stay residents with a urinary tract infection

Period: 2025Q2-2026Q1

Antipsychotic Use

0.4%

Percentage of long-stay residents with a urinary tract infection

Period: 2025Q1-2025Q4

Antipsychotic Use

0.8%

Percentage of long-stay residents with a urinary tract infection

Period: 2025Q2-2026Q1

Antipsychotic Use

0.4%

Percentage of long-stay residents with a urinary tract infection

Period: 2024Q2-2025Q1

Antipsychotic Use

0.4%

Percentage of long-stay residents with a urinary tract infection

Period: 2024Q2-2025Q1

Antipsychotic Use

0.7%

Percentage of long-stay residents with a urinary tract infection

Period: 2024Q4-2025Q3

Antipsychotic Use

0.7%

Percentage of long-stay residents with a urinary tract infection

Period: 2024Q3-2025Q2

Antipsychotic Use

0.7%

Percentage of long-stay residents with a urinary tract infection

Period: 2024Q4-2025Q3

Antipsychotic Use

0.4%

Percentage of long-stay residents with a urinary tract infection

Period: 2025Q1-2025Q4

Antipsychotic Use

0.4%

Percentage of long-stay residents with a urinary tract infection

Period: 2025Q1-2025Q4

Antipsychotic Use

0.4%

Percentage of long-stay residents with a urinary tract infection

Period: 2024Q2-2025Q1

Antipsychotic Use

0.7%

Percentage of long-stay residents with a urinary tract infection

Period: 2024Q3-2025Q2

Antipsychotic Use

0.4%

Percentage of long-stay residents with a urinary tract infection

Period: 2024Q2-2025Q1

Antipsychotic Use

0.8%

Percentage of long-stay residents with a urinary tract infection

Period: 2025Q2-2026Q1

Falls with Injury

8.0%

Percentage of long-stay residents experiencing one or more falls with major injury

Period: 2025Q1-2025Q4

Falls with Injury

5.0%

Percentage of long-stay residents experiencing one or more falls with major injury

Period: 2024Q2-2025Q1

Falls with Injury

5.0%

Percentage of long-stay residents experiencing one or more falls with major injury

Period: 2024Q2-2025Q1

Falls with Injury

5.0%

Percentage of long-stay residents experiencing one or more falls with major injury

Period: 2024Q2-2025Q1

Falls with Injury

5.0%

Percentage of long-stay residents experiencing one or more falls with major injury

Period: 2024Q2-2025Q1

Falls with Injury

6.2%

Percentage of long-stay residents experiencing one or more falls with major injury

Period: 2024Q3-2025Q2

Falls with Injury

6.2%

Percentage of long-stay residents experiencing one or more falls with major injury

Period: 2024Q3-2025Q2

Falls with Injury

7.6%

Percentage of long-stay residents experiencing one or more falls with major injury

Period: 2024Q4-2025Q3

Falls with Injury

7.6%

Percentage of long-stay residents experiencing one or more falls with major injury

Period: 2024Q4-2025Q3

Falls with Injury

8.0%

Percentage of long-stay residents experiencing one or more falls with major injury

Period: 2025Q1-2025Q4

Falls with Injury

8.0%

Percentage of long-stay residents experiencing one or more falls with major injury

Period: 2025Q1-2025Q4

Falls with Injury

7.5%

Percentage of long-stay residents experiencing one or more falls with major injury

Period: 2025Q2-2026Q1

Falls with Injury

7.5%

Percentage of long-stay residents experiencing one or more falls with major injury

Period: 2025Q2-2026Q1

Falls with Injury

7.5%

Percentage of long-stay residents experiencing one or more falls with major injury

Period: 2025Q2-2026Q1

Functional Improvement

16.3%

Percentage of long-stay residents who received an antipsychotic medication

Period: 2024Q2-2025Q1

Functional Improvement

18.6%

Percentage of long-stay residents who received an antipsychotic medication

Period: 2024Q3-2025Q2

Functional Improvement

18.6%

Percentage of long-stay residents who received an antipsychotic medication

Period: 2024Q3-2025Q2

Functional Improvement

16.3%

Percentage of long-stay residents who received an antipsychotic medication

Period: 2024Q2-2025Q1

Functional Improvement

16.3%

Percentage of long-stay residents who received an antipsychotic medication

Period: 2024Q2-2025Q1

Functional Improvement

16.3%

Percentage of long-stay residents who received an antipsychotic medication

Period: 2024Q2-2025Q1

Short Stay ADL Improvement

30.1%

Percentage of long-stay residents whose ability to walk independently worsened

Period: 2024Q2-2025Q1

Short Stay ADL Improvement

17.2%

Percentage of long-stay residents whose ability to walk independently worsened

Period: 2024Q4-2025Q3

Short Stay ADL Improvement

24.5%

Percentage of long-stay residents whose ability to walk independently worsened

Period: 2024Q3-2025Q2

Short Stay ADL Improvement

13.0%

Percentage of long-stay residents whose ability to walk independently worsened

Period: 2025Q1-2025Q4

Short Stay ADL Improvement

30.1%

Percentage of long-stay residents whose ability to walk independently worsened

Period: 2024Q2-2025Q1

Short Stay ADL Improvement

13.0%

Percentage of long-stay residents whose ability to walk independently worsened

Period: 2025Q1-2025Q4

Short Stay ADL Improvement

30.1%

Percentage of long-stay residents whose ability to walk independently worsened

Period: 2024Q2-2025Q1

Short Stay ADL Improvement

13.0%

Percentage of long-stay residents whose ability to walk independently worsened

Period: 2025Q1-2025Q4

Short Stay ADL Improvement

30.1%

Percentage of long-stay residents whose ability to walk independently worsened

Period: 2024Q2-2025Q1

Short Stay ADL Improvement

9.8%

Percentage of long-stay residents whose ability to walk independently worsened

Period: 2025Q2-2026Q1

Short Stay ADL Improvement

9.8%

Percentage of long-stay residents whose ability to walk independently worsened

Period: 2025Q2-2026Q1

Short Stay ADL Improvement

9.8%

Percentage of long-stay residents whose ability to walk independently worsened

Period: 2025Q2-2026Q1

Short Stay ADL Improvement

24.5%

Percentage of long-stay residents whose ability to walk independently worsened

Period: 2024Q3-2025Q2

Short Stay ADL Improvement

17.2%

Percentage of long-stay residents whose ability to walk independently worsened

Period: 2024Q4-2025Q3

479

3.8%

Percentage of long-stay residents with pressure ulcers

Period: 2024Q4-2025Q3

479

3.8%

Percentage of long-stay residents with pressure ulcers

Period: 2024Q4-2025Q3

479

4.4%

Percentage of long-stay residents with pressure ulcers

Period: 2024Q2-2025Q1

479

3.9%

Percentage of long-stay residents with pressure ulcers

Period: 2024Q3-2025Q2

479

3.1%

Percentage of long-stay residents with pressure ulcers

Period: 2025Q2-2026Q1

479

4.4%

Percentage of long-stay residents with pressure ulcers

Period: 2024Q2-2025Q1

479

3.1%

Percentage of long-stay residents with pressure ulcers

Period: 2025Q2-2026Q1

479

3.1%

Percentage of long-stay residents with pressure ulcers

Period: 2025Q2-2026Q1

479

4.4%

Percentage of long-stay residents with pressure ulcers

Period: 2024Q2-2025Q1

479

3.9%

Percentage of long-stay residents with pressure ulcers

Period: 2024Q3-2025Q2

479

3.4%

Percentage of long-stay residents with pressure ulcers

Period: 2025Q1-2025Q4

479

3.4%

Percentage of long-stay residents with pressure ulcers

Period: 2025Q1-2025Q4

479

4.4%

Percentage of long-stay residents with pressure ulcers

Period: 2024Q2-2025Q1

479

3.4%

Percentage of long-stay residents with pressure ulcers

Period: 2025Q1-2025Q4

481

20.0%

Percentage of long-stay residents who received an antipsychotic medication

Period: 2025Q2-2026Q1

481

20.5%

Percentage of long-stay residents who received an antipsychotic medication

Period: 2025Q1-2025Q4

481

20.0%

Percentage of long-stay residents who received an antipsychotic medication

Period: 2025Q2-2026Q1

481

22.0%

Percentage of long-stay residents who received an antipsychotic medication

Period: 2024Q4-2025Q3

481

20.5%

Percentage of long-stay residents who received an antipsychotic medication

Period: 2025Q1-2025Q4

481

20.0%

Percentage of long-stay residents who received an antipsychotic medication

Period: 2025Q2-2026Q1

481

22.0%

Percentage of long-stay residents who received an antipsychotic medication

Period: 2024Q4-2025Q3

481

20.5%

Percentage of long-stay residents who received an antipsychotic medication

Period: 2025Q1-2025Q4

Short-Stay Resident Quality Measures

Based on resident assessments for individuals staying less than 100 days (typically post-hospital rehabilitation).

434

0.3%

Percentage of short-stay residents who newly received an antipsychotic medication

Period: 2024Q3-2025Q2

434

0.6%

Percentage of short-stay residents who newly received an antipsychotic medication

Period: 2025Q2-2026Q1

434

0.6%

Percentage of short-stay residents who newly received an antipsychotic medication

Period: 2025Q1-2025Q4

434

0.0%

Percentage of short-stay residents who newly received an antipsychotic medication

Period: 2024Q2-2025Q1

434

0.6%

Percentage of short-stay residents who newly received an antipsychotic medication

Period: 2025Q2-2026Q1

434

0.7%

Percentage of short-stay residents who newly received an antipsychotic medication

Period: 2024Q4-2025Q3

434

0.0%

Percentage of short-stay residents who newly received an antipsychotic medication

Period: 2024Q2-2025Q1

434

0.6%

Percentage of short-stay residents who newly received an antipsychotic medication

Period: 2025Q1-2025Q4

434

0.6%

Percentage of short-stay residents who newly received an antipsychotic medication

Period: 2025Q2-2026Q1

434

0.6%

Percentage of short-stay residents who newly received an antipsychotic medication

Period: 2025Q1-2025Q4

434

0.0%

Percentage of short-stay residents who newly received an antipsychotic medication

Period: 2024Q2-2025Q1

434

0.0%

Percentage of short-stay residents who newly received an antipsychotic medication

Period: 2024Q2-2025Q1

434

0.3%

Percentage of short-stay residents who newly received an antipsychotic medication

Period: 2024Q3-2025Q2

434

0.7%

Percentage of short-stay residents who newly received an antipsychotic medication

Period: 2024Q4-2025Q3

Loading quality measures...

Quality Trends Over Time

Deficiencies by Severity Level

Track how health inspection findings have changed over time. Lower numbers indicate improvement.

How to read these charts: Trends show patterns over time. An upward trend in deficiencies may indicate declining quality. A positive trend suggests the facility is improving its care standards.

Loading charts...

Health Inspections & Deficiencies

Total Deficiencies

Inspections

May 1, 2025 - Health Survey

6 deficiencies cited

Medium - PatternTag F0684

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected: May 24, 2025

Medium - PatternTag F0804

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected: May 24, 2025

Medium - PatternTag F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Corrected: May 24, 2025

Medium - PatternTag F0804

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected: May 24, 2025

Medium - PatternTag F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Corrected: May 24, 2025

Medium - PatternTag F0684

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected: May 24, 2025

Apr 23, 2024 - Health Survey

2 deficiencies cited

Medium - PatternTag F0812

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected: May 17, 2024

Medium - PatternTag F0812

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected: May 17, 2024

Understanding Deficiencies

Deficiencies are violations of federal health and safety standards identified during CMS inspections. They are categorized by scope (isolated, pattern, or widespread) and severity (potential for harm vs. actual harm).

Critical deficiencies involve actual harm to residents and should be carefully considered. Facilities typically have opportunities to correct deficiencies and implement preventive measures.

Understanding deficiencies: Not all deficiencies indicate poor care. Learn how to interpret health inspection results and identify serious warning signs. Read our guide on warning signs →

Penalties & Enforcement

No penalties or payment denials in the past 3 years

Key Highlights

High CMS Rating

5 out of 5 stars from Medicare

👨‍⚕

Above Average RN Staffing

1.04 RN hours per resident/day (national avg: 0.64)

Low Staff Turnover

24.7% (national avg: 46.6%)

🛏

Beds Available

Approximately 21 beds potentially available

🏆

Clean Safety Record

No recent penalties or high-severity deficiencies

Frequently Asked Questions

What is the quality rating for Dunklau Gardens?

Dunklau Gardens has an overall CMS rating of 5 out of 5 stars. This rating is based on health inspections, staffing levels, and quality measures reported by Medicare.

How many beds does this facility have?

Dunklau Gardens has 106 certified beds. The facility averages 85 residents per day, with an occupancy rate of approximately 80%.

What type of ownership does this facility have?

This facility is non profit - corporation owned.

How can I contact Dunklau Gardens?

You can call Dunklau Gardens at (402)721-1610. The facility is located at 450 East 23rd Street, Fremont, NE 68025.

What should I look for when choosing a nursing home?

When selecting a nursing home, consider: CMS star ratings (overall, health inspection, staffing, and quality measures), nurse staffing levels, staff turnover rates, recent health inspection results, complaint history, proximity to family, and available services. We recommend visiting facilities in person, talking to current residents and staff, and checking multiple sources of information before making your decision. Use our comprehensive tour checklist when visiting facilities.