All states › Nebraska › Fremont › Dunklau Gardens
450 East 23rd Street Fremont, NE 68025 · Dodge County
All 3 nursing homes in Fremont, NE (3 take Medicaid)
CMS certification number 285119 · See this home on Medicare Care Compare
Is Dunklau Gardens a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Dunklau Gardens as of October 2026.
CMS rates it 5 out of 5 stars overall, above the Nebraska average of 2.9.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 4.23 hours per resident per day at Dunklau Gardens, above the Nebraska median of 3.99 (US median: 3.72). About 1.21 of those hours are from registered nurses. On weekends it falls to 3.36 hours, 20% below its all-week average. Ask how weekends are staffed. 30.6% of nursing staff left within a year (Nebraska median 47.6%). That is lower than most homes in Nebraska, a sign of a steadier team.
About this nursing home
Paying for care at Dunklau Gardens: Medicare and Medicaid
Dunklau Gardens is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Nebraska's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
This home is located in a hospital.
Health inspections
The most recent standard inspection was on June 25, 2026 and found 1 deficiency. In total, inspectors issued 5 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 5 citations at Dunklau Gardens across 3 inspection dates. None were at the actual-harm or immediate-jeopardy levels; 5 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were nutrition and dietary (2) and quality of life and care (2). The most serious was cited under the CMS rule to "ensure food and drink is palatable, attractive, and at a safe and appetizing temperature" (tag F0804, level F, May 1, 2025).
June 25, 2026 · 1 citation
DProvide safe and appropriate respiratory care for a resident when needed.
May 1, 2025 · 3 citations
FEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide and implement an infection prevention and control program.
April 23, 2024 · 1 citation
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Questions to ask on a tour of Dunklau Gardens
- Weekend staffing is 20% below the all-week average. Who is on duty on Saturday nights?
- CMS rates short-stay quality 2 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 5/5 | 5/5 | 5/5 | 3/5 |
| August 2026 | 5/5 | 4/5 | 5/5 | 3/5 |
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Location
Hospitals near Dunklau Gardens
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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0.1 mi
Fremont Area Medical Center FremontEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 2h 6m for patients treated and sent home
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19.3 mi
Memorial Community Hospital BlairEmergency roomMedian ER visit 2h 8m for patients treated and sent home
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19.3 mi
Saunders Medical Center WahooEmergency roomMedian ER visit 1h 34m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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Compare Dunklau Gardens with the 3 closest homes side by side ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.