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Nursing HomeMedicaid Top Rated

Dunklau Gardens

Strong Medicare quality ratings; families often praise compassionate hospice care. Still worth an in-person visit.

450 East 23rd Street, Fremont, NE 68025106 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
3.0/5

based on 12 Google reviews

5
4
3
2
1
Dunklau Gardens Nursing Home in Fremont, NE — Street View
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What this means for your family

Dunklau Gardens appears to provide strong support for hospice and rehabilitation patients, but families must remain highly vigilant regarding medical advocacy. Given reports of missed diagnoses and dismissive nursing attitudes, we strongly recommend that family members be present to monitor medical care and ensure that physical symptoms are not dismissed as behavioral issues.

Google Reviews

Google Reviews

12 reviews on Google
Dunklau Gardens receives highly polarized feedback, with recent experiences ranging from excellent hospice and stroke rehabilitation care to serious concerns regarding medical oversight. While some families praise the communication and dedication of the therapy and hospice teams, others report significant failures in identifying post-surgical complications and dismissive nursing attitudes. Prospective families should be aware of inconsistent medical advocacy and potential communication gaps.

Quality Themes

Tap a score for details
FoodN/AStaff5.0Clean8.0ActivitiesN/AMeds6.0Memory2.0Comms5.0ValueN/A

Strengths

  • Compassionate hospice care
  • Effective physical and stroke rehabilitation
  • Proactive daily communication from staff
  • Clean and well-maintained environment

Concerns

  • Failure to identify or address medical complications (mentioned by 2 reviewers)
  • Inconsiderate or dismissive nursing staff (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'16(1)'18(1)'20(1)'23(1)'26(2)

Distribution · 12 analyzed

5
6
4
0
3
0
2
0
1
6

How They Respond to Reviews

42%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1Given the facility's strong reputation for physical and stroke rehabilitation, how do you integrate these therapy services into a resident's daily routine?
  • 2I noticed that memory care is an area you are currently working to improve; what specific enhancements or specialized training programs are in place for residents needing that level of support?
  • 3How does your nursing team ensure that subtle changes in a resident's health are identified and addressed quickly to prevent potential medical complications?
  • 4We appreciate that you actively engage with online feedback; how do you use that communication to address concerns about nursing staff interactions and ensure residents feel heard and respected?
  • 5With your high staffing rating, how do you ensure that the daily communication between staff and families remains consistent and proactive?
  • 6Could you walk us through the process for handling urgent medical needs, especially during evening or weekend hours when family members might not be present?

Personalized based on this facility's data


Key Review Excerpts

My Dad was admitted into hospice at Dunklau, the care was wonderful for my dad and even family. They explained everything. Staff turned him often, meds were given on time, he was kept clean and dry.

Hospice family member · 2026★★★★★

The staff is great, helpful and knowledgeable. They are very thorough and keep me informed almost daily of how my mother is doing. The therapist’s are great and mom is improving greatly!

Stroke patient's family · 2024★★★★★

She had a dropped foot after surgery and no-one caught the problem until a family member said she needed a brace. A wasted month and then they still didn't get the brace for another week.

Rehab patient's family · 2023☆☆☆☆
Source: 12 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
1.16hrs
OK
Registered nurses for medical care
Total Nursing
4.57hrs
OK
All nurses + aides combined
Staff Turnover
20%
Lower is better (< 30% = good)
RN Turnover
5%
Lower is better (< 30% = good)

This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
3/ 5
Better Than Avg

11

measures

Worse Than Avg

3

measures

Mixed Results

3

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.4%
Better than Avg
Here
0.4%
US
12.1%
NE
4.3%
Dodge
6.5%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
NE
92.9%
Dodge
93.9%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility21.5%
Worse than Avg
Here
21.5%
US
14.4%
NE
19.5%
Dodge
15.6%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility19.4%
Better than Avg
Here
19.4%
US
19.4%
NE
26.3%
Dodge
25.5%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility13.0%
Better than Avg
Here
13.0%
US
15.3%
NE
19.1%
Dodge
19.7%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility20.5%
Mixed vs Avgs
Here
20.5%
US
15.5%
NE
20.8%
Dodge
14.7%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
79.8%
NE
75.9%
Dodge
84.3%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
NE
80.5%
Dodge
85.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.6%
Better than Avg
Here
0.6%
US
1.6%
NE
2.3%
Dodge
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

3deficiencies
Well below state avg (6.7)

Dunklau Gardens has 33 deficiencies across three surveys, primarily involving building safety systems, electrical equipment, and fire safety measures. The facility has also had issues with food service and infection control in recent inspections. Most concerning is the pattern of recurring electrical and safety violations across multiple years, though all deficiencies show correction dates, suggesting the facility addresses identified problems.

May 1, 2025Routine
6
0804Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0351Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0711Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Provide a written emergency evacuation plan.

0511Potential for harm · PatternCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Apr 23, 2024Routine
8
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0354Potential for harm · WidespreadCorrected

Smoke Deficiencies

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0222Potential for harm · PatternCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0511Potential for harm · PatternCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0781Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have restrictions on the use of portable space heaters.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0923Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

Jun 8, 2023Routine
19
0371Potential for harm · Widespread

Smoke Deficiencies

Have properly sized and located compartments to protect residents from smoke.

0041Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Implement emergency and standby power systems.

0131Potential for harm · WidespreadCorrected

Construction Deficiencies

Meet requirements for sections of health care facilities separated by fire resistive construction.

0222Potential for harm · WidespreadCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0251Potential for harm · WidespreadCorrected

Egress Deficiencies

Conform to length requirements for dead end corridors.

0281Potential for harm · WidespreadCorrected

Egress Deficiencies

Install proper backup exit lighting.

0291Potential for harm · WidespreadCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0300Potential for harm · WidespreadCorrected

Egress Deficiencies

Meet other general requirements that are deficient.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0363Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0372Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0374Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0511Potential for harm · WidespreadCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0912Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have power receptacles that are properly grounded.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0161Potential for harm · PatternCorrected

Construction Deficiencies

Use approved construction type or materials.

0200Potential for harm · PatternCorrected

Egress Deficiencies

Meet other general requirements.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0919Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the use of electrical equipment.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Dunklau Gardens

Organization Type

nonprofit

Ownership & Management

Key personnel

Vobejda, WilliamManaging Control - Governing BodyBeebe, KennethOfficer / DirectorBixby, JenniferOfficer / DirectorEmanuel, LindaOfficer / DirectorFrancis, JeffreyOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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