Dunklau Gardens – Fremont, NE

CMS Verified | 2026-03-01

Dunklau Gardens

450 East 23rd Street, Fremont, NE 68025
(402) 721-1610
106 beds
All Fremont facilities
5.0*
Overall
4.0*
Health Inspection
3.0*
Quality Care
5.0*
Staffing
79.57
Score /100
#3889
National Rank

#3889
of 14703 facilities
National
73.6% position
#43
of 179 in NE
State Rank
#1
of 3 in Dodge
County Rank
#1
of 3 in Fremont
City Rank
#1
of 3 in ZIP 68025
ZIP Rank






About Dunklau GardensDunklau Gardens is located at 450 East 23Rd Street, Fremont, NE, reachable at (402) 721-1610. This Non profit – Corporation facility operates 106.0 certified beds and serves an average of 80 residents per day. Medicare and Medicaid services have been provided since 1992-05-22. The facility currently holds a excellent (5-star) overall rating from the Centers for Medicare & Medicaid Services (CMS).
Facility

Dunklau Gardens

Address

450 East 23Rd Street, Fremont, NE 68025

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 106 Certified Beds
  • Ownership: Non profit – Corporation
  • Resident Council: Resident
  • Automatic Sprinklers: Yes

Quick Verdict

Overall Quality
✅ Excellent (5★) overall rating
Health Inspection
✅ Above Average (4★) health inspection
Staffing
✅ Excellent (5★) staffing rating
Quality of Care
⚠️ Average (3★) quality of care
Compliance
❌ 4 fine(s) over 5 years
5-Year Trend
Improving over 5 years
79.57
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#3889 of 14703 nationally – #43 of 179 in Nebraska

Who Is This Facility Best For?

Dunklau Gardens is a strong choice for families in the Fremont, NE area seeking a well-inspected, high-quality care environment. Above-average staffing levels make it a good option for residents needing intensive nursing care.

Overall Rating 2022-2026

Total Nurse Hours/Day 2022-2026

Current Ratings (2026)

Overall Rating

5 / 5
Health Inspection

4 / 5
Staffing Rating

5 / 5
Quality Measures (QM)

3 / 5
Long-Stay QM Rating

3 / 5
Short-Stay QM Rating

3 / 5

5-Year Rating Trends

Overall Rating

Health Inspection Rating

Quality of Care (QM)

Staffing Rating

Average Residents per Day

Occupancy % (Residents / Beds)

Staffing InsightDunklau Gardens currently provides 4 hours 43 minutes of total nurse staffing per resident per day, including 1 hour 6 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 5 out of 5 reflects strong nurse coverage. Total nursing staff turnover is 29.6%, near the national average.

Current Staffing Hours Per Resident Per Day (2026)

Total Nurse Staffing4 hours 43 minutes
Nurse Aide Hours3 hours 15 minutes
Licensed Practical Nurse (LPN) Hours21 minutes
Registered Nurse (RN) Hours1 hour 6 minutes
Physical Therapist Hours4 minutes

National average total nurse staffing is approximately 3.5 hours per day

Weekend Staffing Hours Per Resident Per Day (2026)

Weekend Total Nurse Hours3 hours 55 minutes
Weekend Registered Nurse (RN) Hours56 minutes

Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.

5-Year Staffing Trends

Total Nurse Hours/Day

Registered Nurse (RN) Hours/Day

Licensed Practical Nurse (LPN) Hours/Day

Nurse Aide Hours/Day

Total Staff Turnover %

Registered Nurse (RN) Turnover %

Compliance SummaryThe facility has received 4 fine(s) over the 5-year period, totaling $31,967. 8 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings.
Number of Fines (current period) 0
Total Fines Amount $0.0
Payment Denials 0
Total Penalties 0
Abuse Flag on Record N
Total Weighted Health Survey Score 22.0 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#3,889
of 14,703
National
Top 26%
#43
of 179
NE State
Top 24% in NE
#1
of 3
️ Dodge County
Best in county
#1
of 3
️ Fremont
Best in city
#1
of 3
ZIP 68025
Best in ZIP

Nationally, Dunklau Gardens ranks 3889th out of 14,703 facilities (composite score: 79.6/100), placing it in the above average nationwide. Within NE, it ranks 43rd out of 179 nursing homes. In Fremont, it ranks 1st out of 3 facilities. Among facilities sharing its ZIP code, it ranks 1st of 3. For 2026 staffing: total nurse hours rank #1,770 nationally and RN hours rank #1,496 nationally (#14 in NE).

How do we calculate these rankings?

Total Nurse Staffing – Year-by-Year National and State Ranks

Year Hours/Day National Rank NE State Rank Note
2022 3.71 #6,238 / 14,703 #97 / 179 Above average
2023 3.00 #11,947 / 14,703 #160 / 179 ⚠️ Bottom 25%
2024 #14,260 / 14,703 #173 / 179 ⚠️ Bottom 5%
2025 4.49 #2,356 / 14,703 #40 / 179 Top 25%
2026 4.71 #1,770 / 14,703 #33 / 179 Top 25%

Registered Nurse (RN) Hours – Year-by-Year National and State Ranks

Year Hours/Day National Rank NE State Rank Note
2022 0.92 #2,647 / 14,703 #38 / 179 Top 25%
2023 0.77 #3,684 / 14,703 #58 / 179 Above average
2024 #14,260 / 14,703 #173 / 179 ⚠️ Bottom 5%
2025 1.21 #1,047 / 14,703 #14 / 179 Top 10%
2026 1.10 #1,496 / 14,703 #14 / 179 Top 25%

Total Nurse Rank – National (lower number = better)

Registered Nurse Rank – National (lower number = better)

Frequently Asked Questions

Dunklau Gardens is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1992-05-22. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (402) 721-1610 or your local Medicaid office to verify current eligibility.

Dunklau Gardens holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 5 out of 5 stars. This is made up of three components: Health Inspection (4★), Staffing (5★), and Quality of Resident Care (3★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 79.6/100, placing it #3889 of 14703 facilities nationally and #43 of 179 in Nebraska. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Dunklau Gardens receives a reported average of 4 hours 43 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 1 hour 6 minutes; Licensed Practical Nurse (LPN) — 21 minutes; Nurse Aide — 3 hours 15 minutes. On weekends, total nurse staffing is 3 hours 55 minutes per resident per day. The CMS Staffing Rating for this facility is 5 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 29.6%. Families are encouraged to ask about current staffing schedules during their facility visit.

The facility has received 4 fine(s) over the 5-year period, totaling $31,967. 8 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 0 fine(s) totaling $0, and 0 Medicare payment denial(s). Total penalties: 0. The Total Weighted Health Survey Score is 22.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Dunklau Gardens ranks 3889th out of 14,703 facilities (composite score: 79.6/100), placing it in the above average nationwide. Within NE, it ranks 43rd out of 179 nursing homes. In Fremont, it ranks 1st out of 3 facilities. Among facilities sharing its ZIP code, it ranks 1st of 3. For 2026 staffing: total nurse hours rank #1,770 nationally and RN hours rank #1,496 nationally (#14 in NE). Our composite quality score of 79.6/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Fremont, visit: https://nursinghomesnearme.org/nebraska/fremont/

Contact and Location

ADR
Address

450 East 23rd Street, Fremont, NE 68025
Get directions on Google Maps

TEL
LLC
Legal Name

METHODIST FREMONT HEALTH

MAP
Browse by Location

All Nebraska ·
Dodge County ·
Fremont ·
ZIP 68025

Facility Details

Number of Certified Beds 106
Average Residents / Day 80 (76% occupancy)
Ownership Type Non profit – Corporation
Provider Type Medicare and Medicaid
County Dodge County, NE
City Fremont, NE
ZIP Code 68025
Approved Since May 22, 1992
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 285119
Data Processing Date March 1, 2026
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org