GoodStanding

Nursing home report

Dunklau Gardens

Fremont, NE · Medicare-certified · 106 beds

In good standing
Non-profit
5 of 5 overall

Dunklau Gardens has a 5-star overall rating, with 4 stars for health inspections, 5 stars for staffing, and 3 stars for quality measures. It reports 4.57 nurse staffing hours per resident per day versus the 4.1 federal benchmark, with no fines in the last 24 months.

Facility ratings

Health inspections

Staffing

4.5723 hrs/resident/day

Quality measures

Last inspection: May 1, 2025Penalties, last 24 months: $0

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.5723.

Staffing detail

Registered nurses
1.16
Licensed practical nurses
0.24
Nurse aides
3.17
Weekend nursing
3.83

Hours per resident per day.

Total staff turnover: 20%
Registered nurse turnover: 5%

Resident outcomes

How often residents experience these outcomes, with the direction over the past year.

Long-stay residents on antipsychotic medication

20.5%Improving

Residents with a fall causing major injury

8%Worsening

Residents with pressure ulcers (bedsores)

3.4%Improving

Residents with a urinary tract infection

0.4%Steady

Residents who lost too much weight

6.1%Improving

Residents who were physically restrained

0%Steady

Residents needing more help with daily activities

21.5%Worsening

Residents whose ability to walk got worse

13%Improving
Show all measures

Long-stay residents on antianxiety or sleep medication

14.5%Improving

Short-stay residents newly given an antipsychotic

0.6%Steady

Residents with a long-term catheter

1.4%Steady

Residents with new or worsening incontinence

19.4%Improving

Residents with depressive symptoms

0.4%Steady

Long-stay residents given the seasonal flu vaccine

98.8%Steady

Long-stay residents given the pneumonia vaccine

100%Steady

Short-stay residents given the seasonal flu vaccine

100%Steady

Short-stay residents given the pneumonia vaccine

100%Steady

What the inspectors found

The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited May 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 804 — 42 CFR §483.60 — S/S: F

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited April 2024 — widespread issue, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: F

The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited May 2025 — isolated incident, potential for harm.

View the original federal record

F-Tag 684 — 42 CFR §483.25 — S/S: D

The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited May 2025 — isolated incident, potential for harm.

View the original federal record

F-Tag 880 — 42 CFR §483.80(a) — S/S: D

Recent history

  1. STAFFING

    Reported nurse staffing met or exceeded the federal recommendation.

  2. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found

Operator & ownership

Ownership
Non profit - Corporation
Occupancy
86.1 residents on an average day (81% of 106 beds)
Resident voice
Resident council
Medicare history
Certified for 34 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.