Home›Nebraska›Dodge County›Dunklau Gardens
A
Very Good

Dunklau Gardens

450 East 23rd Street · Fremont, NE 68025

4027211610 · Non profit - Corporation

106 beds80.8 residents119 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A
Very Good
Total Staff
A+
Excellent
RN Staff
A
Very Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Dunklau Gardens receives an overall staffing grade of A (Very Good). With 4.7119 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has adequate registered nurse (RN) coverage. It is 0.82 HPRD above the national average.

Weekend staffing decreases noticeably — dropping 22.21% compared to weekdays. The facility uses a moderate level of agency staff (9.97% of hours), suggesting some reliance on temporary workers.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (0)

No significant concerns identified for this quarter.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
4.7119hrs/resident/day▲ 0.82
CMS benchmark: 3.48
RN HPRD
1.1001hrs/resident/day▲ 0.42
Recommended: 0.75
Weekend Drop-off
22.21%
5.0275 weekday → 3.9108 weekend
⚠ Significant weekend reduction
Agency Staff
9.97%
16.8% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
0.4741hrs/resident/day
Direct care aides
LPN HPRD
0.3533hrs/resident/day
Licensed practical nurses
Consistency
0.5767std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Dodge County Average+0.39 HPRD
4.32
04.71 HPRD
vs. Nebraska State Average+0.58 HPRD
4.14
04.71 HPRD
vs. National Average+0.82 HPRD
3.90
04.71 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Dunklau Gardens ★
Fremont · This facility
—
A
4.71191.1001★★★★★
Nye Legacy Health & Rehabilitation Center
Fremont
0.5 mi
A
4.6181.0978★★★★☆
Nye Pointe Health & Rehab Ctr
Fremont
1.1 mi
B
3.62760.7146★★★☆☆
Arbor Care Center-Valhaven, LLC
Valley
12.4 mi
C
3.24180.5493★★★☆☆
Life Care Center of Elkhorn
Elkhorn
17.5 mi
B
3.64320.5528★★☆☆☆
Crowell Memorial Home
Blair
19 mi
B
4.55110.5595★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

2
Inspections
4
Total Deficiencies
$0
Fines Assessed
May 1, 2025Health
3 deficiencies cited
▼
Apr 23, 2024Health
1 deficiency cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.