Located in Fremont, Nebraska, Dunklau Gardens is the only facility we found there. We awarded this nursing home an A- overall grade, ranking it in the top third of all nursing homes in the country. You simply can't do much better than this place. This place's impressive profile was highlighted by its inspection reports, which is addressed in the next section.
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- Nursing Home
- Home Health Agency
Updated Apr 1, 2023 by Nick Lata
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- Accepts Medicare 1
- Accepts Medicaid 1
- No CCRC
- Has Resident Council
- Has Family Council
- Non profit - Corporation
- Offers Hospice
- Offers Inpatient Rehab
- Speech Therapy
- IV Antibiotic Therapy
- Wound Care
- Occupational Therapy
- Cardiac Therapy
- Physical Therapy
- Respiratory Therapy
- Nutritional Counseling
- Pain Management
- Orthopedic Rehabilitation
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Registered Staff Hours
One of the reasons this turned out to be a quality nursing home is it earned an impressive inspection grade. In fact, inspections turned out to be its best category. In that area, we awarded this nursing home an A. Our inspection grades weigh several factors included in a facility's inspection report. One of the most important criteria we look at is the quantity and severity of deficiencies. Places with higher scores in this area typically have very few of these severe deficiencies. This particular nursing home had just a single deficiency on its inspection report and it was not one deemed to pose a threat to patient health or safety. Even some of the best nursing homes receive an occasional ding on their inspection report.
To complement its strong performance in other areas, we awarded this nursing home a grade of A for our inspections rating. Nursing scores are tied to nurse staffing levels. This facility provided 0.3 hours of nursing care per resident per day. Lastly, we also assessed some nursing quality measures in determining our nursing grades. This nursing home performed very well when it comes to avoiding major falls and pressure ulcers. We consider these areas to be good indicators of the quality of nursing care.
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Short-term Care Quality
The third category we looked at is short-term care. Contributing to its impressive profile, this facility also performed well in that area. In fact, we gave it a grade of of A- in the area. In the area of short-term care, we try to evaluate measures of a facility's rehabilitation services. We look at the nursing home's skilled nursing services, including the ones performed by registered nurses and various therapists. Fortunately, it appear that this facility has registered nurses on staff. Not every facility employs these types of nurses. On the other hand, based on the information they provided, it does not look like the facility employs physical therapists. The final statistic we looked at in this area is the percentage of patients who were able to leave the facility and return home. We found that 5.2 percent of this facility's residents returned home.
Long-term Care Quality
The next category we scored was long-term care, where this nursing home received a grade of B-. This actually is this nursing home's least impressive category. This is still not the end of the world. Long-term care grades are based in part on a nursing home's quantity of nursing care. This includes a broad scope of personal care services, ranging from assistance with activities of daily living to routine healthcare services. On top of assessing the quantity of care provided by aids and other staff, we looked at the number of residents vaccinated for pneumonia. This facility provided the vaccine to 99.63504 percent of its residents, which is higher than the majority of nursing homes. Finally, this place was also able to limit hospitalizations. In fact, it had only 0.01 hospitalizations per 1,000 long-term resident days, which is an impressively low number.
Rating Over Time
Compared to national and state averages across all facilities.
Dunklau Gardens Quality Metrics
Minimizes Pressure Ulcers
In Dunklau Gardens, 6.58% of Patients had Pressure Ulcers
This figure measures the percent of long-term care patients that developed pressure ulcers . We bake this statistic into both nursing and long-term care grades.
Minimizes Serious Falls
In Dunklau Gardens, 4.56% of Patients had Serious Falls
This is the percentage of patients that sustained a major fall. Falls resulting in severe injury are considered by many experts to be a measure of the quality of nursing care at a nursing home. Major falls resulting in injury are often caused by poor nursing care.
Minimizes Urinary Tract Infections
In Dunklau Gardens, 3.53% of Patients had UTIs
This tells you the percentage of patients who sustained a urinary tract infection. UTI's are routinely associated with nursing homes with worse hygiene protocols. Better nursing care limits the percentage of residents in a nursing home who suffer from UTI's. Keep in mind that this metric is affected by by the fact that nursing homes have incongruent reporting standards for these infections.
Appropriately Uses Anti-Psychotic Medication
In Dunklau Gardens, 19.48% of Patients use Anti-Psychotic Medication
This metric measures the percent of long-term stay residents taking antipsychotic medications. While antipsychotic drugs play an important role in caring for many residents, it is important to ensure these drugs are being used appropriately. In some cases, increased usage of these drugs may indicate that a facility is using these medications to subdue residents.
Appropriately Uses Anti-Anxiety Medication
In Dunklau Gardens, 20.32% of Patients use Anti-Anxiety Medication
This is the percentage of residents given antianxiety drugs. These medications are generally given to patients experiencing anxiety or depression.
Managing Depression Among Residents
In Dunklau Gardens, 3.91% of Patients
This is the percent of residents showing signs of depression. Higher rates of depression could be an indicator worse patient care.
Appropriate Vaccine Usage
In Dunklau Gardens, 92.75% of Patients
This is the percent of patients who have received the pneumonia and flu vaccines. High vaccination rates should be the norm at this point.
Residents Maintain Autonomy
In Dunklau Gardens, 15.57% Percentage of Patients
This tells you the percent of patients that needed additional assistance with activities of daily living over time.
Ability to Keep Residents Mobile
In Dunklau Gardens, 16.66% Percentage of Residents
This tells you the percentage of residents who remained mobile levels over time. Optimizing mobility is usually a good sign for residents' health.
In Dunklau Gardens, 1.62 Hospitalizations per 1,000 resident days
This indicates the number of hospitalizations per 1,000 days of care. There is usually a correlation between staying out of the hospital and the quality of care.
Short-term Care: Rehospitalizations
In Dunklau Gardens, 16.66 Percentage of Residents Rehospitalized
This indicates the number of rehospitalizations per thousand days of short-term care. There is generally a correlation between reduced hospitalizations and a nursing home's quality of short-term rehabilitation.
Short-term Care: ER Visits
In Dunklau Gardens, 10.43 Percentage of Patients
This metric tracks the number of emergency room visits per thousand days of short-term care. Staying out of the emergency room is one way to gauge short-term care.
Short-term Care: Facilitates Functional Improvement
In Dunklau Gardens, 76.12% Percentage of Resident
This metric measures the percentage of short-term patients who experienced functional improvements, such as with activities of daily living. Many in the industry believe that this is a reasonable measure of a nursing home's rehabilitation performance.
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