Nursing home · Top rated by CMS
Dunklau Gardens
450 East 23Rd Street, Fremont, NE 68025 · Map
Non profit - Corporation · 106 certified beds
Dunklau Gardens is a Medicare-certified nursing home in Fremont, Nebraska. CMS rates it 5 out of 5 stars overall (5/5 for staffing, 4/5 for health inspections). Nurse staffing is 4.71 hours per resident per day, above the Nebraska average of 4.17. Its most recent inspection on May 1, 2025 cited 3 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Dunklau Gardens compares
This facility vs. the Nebraska and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Nebraska avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 4.71 | 4.17 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 1.10 | 0.71 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 3.26 | 2.76 | 2.34 | above avg |
| Nursing staff turnover | 29.6% | 49.3% | 46.4% | below avg |
| Deficiencies cited, last inspection | 3.0 | 6.7 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
What inspectors found at Dunklau Gardens
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · May 1, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · May 1, 2025 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · May 1, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Apr 23, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 450 East 23Rd Street
Fremont, NE 68025 - CMS certification #
- 285119
- Ownership
- Non profit - Corporation
- Certified beds
- 106
- Avg residents/day
- 80.8
- Provider type
- Medicare and Medicaid
- First certified
- 1992-05-22
- Setting
- Rural
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Dunklau Gardens using Google Maps.
Other public records
- Programs Medicare-certified hospice at this address; Medicare-certified home health agency at this address
Full public records, with dates and sources
Care and services
Medicare agencies at this address
- Medicare-certified hospice at this address. Medicare-certified hospice METHODIST FREMONT HEALTH HOSPICE (Medicare CCN 281511) lists this same street address. Ownership type: Non-Profit. Medicare certified since 01/12/1994. (CMS Hospice - General Information, as of Aug 19, 2026)
- Medicare-certified home health agency at this address. Medicare-certified home health agency METHODIST FREMONT HEALTH HOME CARE (Medicare CCN 287016) lists this same street address. Ownership type: GOVERNMENT OPERATED. Medicare certified since 01/19/2002. (CMS Home Health Care Agencies, as of May 27, 2026)
A shared street address is a fact about location. CMS does not say whether the agency is run by the community.
Location and nearby care
- Nearest hospital with an emergency room
- Methodist Fremont Health, Fremont. 0.0 miles away, straight line. CMS overall hospital rating: 2 of 5 stars.
- Nearest Medicare nursing home
- Nye Legacy Health & Rehabilitation Center, Fremont. 0.5 miles away, straight line.
- Nearest home health agency office
- Methodist Fremont Health Home Care, Fremont. 0.0 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 0.7 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 68025 as micropolitan (micropolitan core).
- Dialysis within 15 miles
- Davita Dodge County Dialysis, Fremont, 1.0 mile away, straight line (CMS rating 2 of 5 stars)
- Hospice
- 16 Medicare hospices tell CMS they serve ZIP code 68025.
Methodist Fremont Health Hospice, office in Fremont, 0.0 miles away, straight line (CMS family survey rating 3 of 5 stars)
Peaceful Hearts Hospice, LLC, office in Elkhorn, 17.4 miles away, straight line (CMS family survey rating 5 of 5 stars)
Oncare Hospice, LLC, office in Omaha, 21.8 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Unmc Physicians, Omaha. 21.4 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Zone X: 0.2% annual chance (500-year) flood area (moderate risk). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: inland flooding relatively low, tornado relatively high, heat wave relatively moderate, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: no FEMA wildfire rating of moderate or higher here |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | See above |
| CMS Home Health Care Agencies | May 27, 2026 | See above |
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Frequently asked questions
Is Dunklau Gardens a good nursing home?
CMS gives Dunklau Gardens an overall rating of 5 out of 5 stars, including 5/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Dunklau Gardens staffed?
Dunklau Gardens reports 4.71 total nurse hours per resident per day, compared with the Nebraska average of 4.17.
Has Dunklau Gardens had inspection problems?
Its most recent CMS inspection cited 3 deficiencies.
How many beds does Dunklau Gardens have?
Dunklau Gardens is certified for 106 beds.