ElderGrade
A

90/100

Excellent

Dunklau Gardens

450 East 23Rd Street, Fremont, NE 68025

CMS 5/5 stars #1 of 3 in Dodge County (402) 721-1610
Certified beds
106
Occupancy
80%
Ownership
Non-profit
Accepts
Medicare + Medicaid

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

30/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

Staffing

26/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 4.92 total nurse hours per resident per day (national median 3.77)
  • 1.04 RN hours per resident per day
  • Weekend staffing drops 15% against weekdays

Staff stability

15/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 25% of nursing staff left in the last year

Resident outcomes

9/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 3 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 4.43 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 1.04 hrs
National average 0.69 hrs Better than average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.79 hrs
National average 3.42 hrs Better than average

The shift most families visit, and the one thinned first.

Nursing staff turnover 24.70%
National average 45.80% Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

Last standard health inspection: May 1, 2025 (1 year ago).

F May 1, 2025 F0804

Nutrition and Dietary Deficiencies

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

No actual harm, potential for more than minimal harm

D May 1, 2025 F0684

Quality of Life and Care Deficiencies

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

No actual harm, potential for more than minimal harm

D May 1, 2025 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

F Apr 23, 2024 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.

No actual harm, potential for more than minimal harm

Who owns this home

Full record
Owner Type Role Since
VOBEJDA, WILLIAM Individual MANAGING CONTROL - GOVERNING BODY
BEEBE, KENNETH Individual CORPORATE DIRECTOR
BIXBY, JENNIFER Individual CORPORATE DIRECTOR
EMANUEL, LINDA Individual CORPORATE DIRECTOR
FRANCIS, JEFFREY Individual CORPORATE DIRECTOR
GOESER, STEPHEN Individual CORPORATE DIRECTOR
HORNER, JODY Individual CORPORATE DIRECTOR
LAMPRECHT, ADAM Individual CORPORATE DIRECTOR
NAVARRETTE, STEVEN Individual CORPORATE DIRECTOR
SELLON, MONTY Individual CORPORATE DIRECTOR
WAGNER DIX, NICOLE Individual CORPORATE DIRECTOR
WARING, FRED Individual CORPORATE DIRECTOR

What families say

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Common questions about Dunklau Gardens

What is the ElderGrade for Dunklau Gardens? +

Dunklau Gardens holds an ElderGrade of A (90 out of 100), which we describe as "excellent". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Dunklau Gardens? +

Residents receive an average of 4.43 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Dunklau Gardens been cited for harming residents? +

No. None of the 4 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Dunklau Gardens accept Medicaid? +

Yes, Dunklau Gardens is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.