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    Nursing home · Fremont, NE

    Dunklau Gardens

    450 East 23rd Street, Fremont, NE 68025

    CMS certification number: 285119 · Updated October 1, 2026

    Request care assistance4027211610Directions

    At a glance

    Official CMS profile

    CMS overall rating

    5 / 5

    Certified beds

    106

    Residents / day

    81.4

    Ownership

    Non profit - Corporation

    Facility information

    Certification
    Medicare and Medicaid
    Ownership
    Non profit - Corporation
    County
    Dodge
    Certified beds
    106
    Average residents per day
    81.4
    First certified
    May 22, 1992

    CMS quality ratings

    Overall
    5 / 5
    Health inspections
    5 / 5
    Staffing
    5 / 5
    Quality measures
    3 / 5

    These are CMS quality ratings, not customer reviews.

    How this home compares locally

    Other homes in Dodge, Nebraska. Missing values are excluded; this home is excluded from peer averages.

    CMS overall rating / 5

    This home
    5.00
    County peers
    4.00
    n=2
    State peers
    2.90

    Nurse hours / resident / day

    This home
    4.23
    County peers
    3.97
    n=2
    State peers
    4.12
    n=170

    Weekend nurse hours / resident / day

    This home
    3.36
    County peers
    3.46
    n=2
    State peers
    3.57
    n=170

    Nursing staff turnover (%)

    This home
    30.60
    County peers
    57.05
    n=2
    State peers
    48.64
    n=160

    Reported staffing is not adjusted for resident needs. These are descriptive averages, not a quality ranking or prediction of care. Sources and methodology

    Questions for your visit

    • Reported weekend staffing is 20.4% below the all-days average. How is weekend coverage maintained?
    • What has changed since your latest health inspection?
    • CMS reports 30.6% total nursing staff turnover. How do you retain staff and maintain continuity of care?
    • Which services are included, what costs extra, and can you provide a written care and payment plan?

    Published record coverage

    Hospital measures
    4
    Fire safety citations
    11
    Health citations
    5
    Resident measures
    17
    Ownership records
    22
    Penalties
    0
    SNF rehabilitation measures
    57
    Inspection summaries
    3
    Medicare performance records
    1

    Counts reflect the imported CMS publication, not a complete lifetime history. Zero records does not establish zero historical events.

    Full CMS profile

    Staffing & operations

    1 source records · CMS source date 2026-10-01CMS source

    Staffing hours are per resident per day; turnover figures are percentages. Blank values are not zero.

    Reported Total Nurse Staffing Hours per Resident per Day
    4.22742
    Reported RN Staffing Hours per Resident per Day
    1.21250
    Reported LPN Staffing Hours per Resident per Day
    0.27248
    Reported Nurse Aide Staffing Hours per Resident per Day
    2.74244
    Total number of nurse staff hours per resident per day on the weekend
    3.36392
    Registered Nurse hours per resident per day on the weekend
    0.78718
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.05600
    Total nursing staff turnover
    30.6
    Registered Nurse turnover
    22.7
    Number of administrators who have left the nursing home
    0
    Chain Name
    Not reported
    Number of Facilities in Chain
    Not reported
    Chain Average Overall 5-star Rating
    Not reported
    Special Focus Status
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    With a Resident and Family Council
    Resident
    Automatic Sprinkler Systems in All Required Areas
    Yes
    All provider source fields
    State
    NE
    Urban
    N
    Chain ID
    Not reported
    Latitude
    41.4514
    Location
    450 East 23rd Street,Fremont,NE,68025
    ZIP Code
    68025
    City/Town
    Fremont
    Longitude
    -96.492
    QM Rating
    3
    Abuse Icon
    N
    Chain Name
    Not reported
    County/Parish
    Dodge
    Provider Name
    Dunklau Gardens
    Provider Type
    Medicare and Medicaid
    Overall Rating
    5
    Ownership Type
    Non profit - Corporation
    Number of Fines
    0
    Processing Date
    2026-10-01
    Staffing Rating
    5
    Provider Address
    450 East 23rd Street
    Telephone Number
    4027211610
    Geocoding Footnote
    Not reported
    QM Rating Footnote
    Not reported
    Legal Business Name
    METHODIST FREMONT HEALTH
    Long-Stay QM Rating
    4
    High Performing Icon
    Y
    Short-Stay QM Rating
    2
    Special Focus Status
    Not reported
    Nursing Case-Mix Index
    1.23208
    Chain Average QM Rating
    Not reported
    Overall Rating Footnote
    Not reported
    Health Inspection Rating
    5
    Number of Certified Beds
    106
    Provider SSA County Code
    260
    Staffing Rating Footnote
    Not reported
    Number of Payment Denials
    0
    Registered Nurse turnover
    22.7
    Total Number of Penalties
    0
    Reported Staffing Footnote
    Not reported
    Long-Stay QM Rating Footnote
    Not reported
    Nursing Case-Mix Index Ratio
    0.87366
    Provider Resides in Hospital
    Y
    Total nursing staff turnover
    30.6
    Chain Average Staffing Rating
    Not reported
    Number of Facilities in Chain
    Not reported
    Short-Stay QM Rating Footnote
    Not reported
    CMS Certification Number (CCN)
    285119
    Administrator turnover footnote
    Not reported
    Total Amount of Fines in Dollars
    0.00
    Health Inspection Rating Footnote
    Not reported
    Rating Cycle 1 Total Health Score
    4
    Registered Nurse turnover footnote
    Not reported
    Total Weighted Health Survey Score
    9.000
    With a Resident and Family Council
    Resident
    Average Number of Residents per Day
    81.4
    Chain Average Overall 5-star Rating
    Not reported
    Rating Cycle 1 Health Revisit Score
    0
    Rating Cycle 2/3 Total Health Score
    24
    Continuing Care Retirement Community
    N
    Physical Therapist Staffing Footnote
    Not reported
    Rating Cycle 2/3 Health Revisit Score
    0
    Total nursing staff turnover footnote
    Not reported
    Chain Average Health Inspection Rating
    Not reported
    Rating Cycle 1 Health Deficiency Score
    4
    Rating Cycle 1 Standard Survey Footnote
    29
    Rating Cycle 2 Standard Survey Footnote
    Not reported
    Rating Cycle 1 Number of Health Revisits
    1
    Rating Cycle 2/3 Health Deficiency Score
    24
    Rating Cycle 1 Standard Survey Health Date
    2026-06-25
    Rating Cycle 2 Standard Health Survey Date
    2025-05-01
    Rating Cycle 2/3 Number of Health Revisits
    1
    Average Number of Residents per Day Footnote
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    Adjusted RN Staffing Hours per Resident per Day
    1.37695
    Case-Mix RN Staffing Hours per Resident per Day
    0.60425
    Reported RN Staffing Hours per Resident per Day
    1.21250
    Adjusted LPN Staffing Hours per Resident per Day
    0.30944
    Case-Mix LPN Staffing Hours per Resident per Day
    0.75297
    Reported LPN Staffing Hours per Resident per Day
    0.27248
    Automatic Sprinkler Systems in All Required Areas
    Yes
    Rating Cycle 1 Total Number of Health Deficiencies
    1
    Most Recent Health Inspection More Than 2 Years Ago
    N
    Rating Cycle 2/3 Total Number of Health Deficiencies
    3
    Rating Cycle 1 Number of Standard Health Deficiencies
    1
    Rating Cycle 2 Number of Standard Health Deficiencies
    3
    Reported Licensed Staffing Hours per Resident per Day
    1.48498
    Number of Citations from Infection Control Inspections
    Not reported
    Rating Cycle 1 Number of Complaint Health Deficiencies
    0
    Adjusted Nurse Aide Staffing Hours per Resident per Day
    3.11440
    Case-Mix Nurse Aide Staffing Hours per Resident per Day
    2.05078
    Number of administrators who have left the nursing home
    0
    Reported Nurse Aide Staffing Hours per Resident per Day
    2.74244
    Adjusted Total Nurse Staffing Hours per Resident per Day
    4.80079
    Case-Mix Total Nurse Staffing Hours per Resident per Day
    3.40801
    Rating Cycle 2/3 Number of Complaint Health Deficiencies
    0
    Reported Total Nurse Staffing Hours per Resident per Day
    4.22742
    Registered Nurse hours per resident per day on the weekend
    0.78718
    Date First Approved to Provide Medicare and Medicaid Services
    1992-05-22
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.05600
    Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
    3.82018
    Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
    2.99929
    Total number of nurse staff hours per resident per day on the weekend
    3.36392

    COMMUNITY EXPERIENCE

    Reviews of Dunklau Gardens

    Consumer experiences, separate from CMS ratings. Accounts are verified; care experiences are not independently verified.

    No published community reviews yet.

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    Source: Centers for Medicare & Medicaid Services · Data processed October 1, 2026