Dunklau Gardens
450 East 23rd Street, Fremont NE 68025 · (402) 721-1610 · 89.71% estimated occupancy 1Updated: Aug 1, 2020 · By Nick Reese
Dunklau Gardens is a facility in Fremont, Nebraska, which has 30,376 people. This facility was awarded an A- overall, which is among the best scores we offer. A grade in this range requires superb marks across the board. In addition, this facility is also based in a hospital, which can often mean the nursing home offers more extensive medical services. This nursing home's impressive profile was highlighted by its inspection score, which we will address in the next section.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 106 Beds
CCRC :
Non profit - Corporation
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Facility Inspections
In addition to receiving a great overall rating, this facility excelled in our inspections category, which is based on its inspection reports. In fact, we awarded it a grade of A for this category. Perhaps the most important factor we look at in computing our inspection scores is deficiencies. Deficiencies can be found on a facility's inspection reports. Facilities with better grades in this category typically avoided the more severe deficiencies involving things like patient abuse. 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.
Nurse Quality
This facility also excelled in the area of nursing, where it received a grade of A. Few nursing homes performed better in this area. There are a host of criteria within this grade. Many of the factors relate to staffing levels. This nursing home provides 3.8 hours of nursing care per resident per day. Finally, we also looked at several nursing quality measures and this place excelled in some of these areas. With less than five percent of its residents sustaining pressure ulcers, it performed as well as any nursing home the nation in this category. This is generally a good indicator of quality nursing care. Pressure ulcers can often be prevented by providing better nursing care, such as employing a protocol of turning a patient even once per day.
Short-term Care Quality
Building on its first-rate resume, this facility also received an excellent short-term care grade, with a score of A-. Our short-term care grades are based on a nursing home's quantity of highly-skilled nursing services. This means a wide scope of nursing services, ranging from registered nurses to physical and speech therapists, not to mention other variations of therapy. One of this nursing home's strengths is registered nurse hours. We found that it offers more care from registered nurses to its residents than most facilities. Finally, we considered the percentage of residents who returned to the community from this nursing home. This place outperformed most facilities in the nation with 55 percent of its patients returning home.
Long-term Care Quality
The last area we analyzed is long-term care. In that category, we gave this facility a solid grade of B-. This proved to be this nursing home's worst category. If you are seeking anything other than short-term rehabilitation, you should take a close look at each nursing home's long-term care grades. After considering the quantity of care provided by nurses and other staff, we turned to the nursing home's vaccination records. We were pleased to learn that this nursing home vaccinated 99.346405 percent of its patients for pneumonia. Finally, this facility was able to limit hospitalizations. With only 1.06 hospitalizations per 1,000 long-term resident days, this facility has less hospitalizations than the majority of nursing homes.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Dunklau Gardens Quality Metrics
Minimizes Pressure Ulcers
This is the percentage of residents that sustained a pressure ulcer. Pressure ulcers are damage to the skin due to remaining in the same position for an excessive period of time.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This tells you the percent of patients who have had a major fall. Falls leading to serious injuries are routinely associated with poor nursing care. Closer supervision limits the number of major falls sustained by residents in a nursing home.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This is the percentage of residents that have had a urinary tract infection. UTI's are considered by many experts to be a measure of nursing care at a nursing home. UTI's are routinely associated with poor nursing care. Nevertheless, this metric could also be skewed for certain facilities due to varying reporting standards for UTI's.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This is the percentage of residents who were prescribed antipsychotic drugs. While antipsychotic medications may be helpful for many patients, it is important to confirm these drugs are being used appropriately. In limited cases, high levels of antipsychotic drug use may mean a facility is using these medications to control patient behavior.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This is an indication of the percentage of long-term patients who were given antianxiety medication. These medications are generally used to treat patients experiencing depression or anxiety.
Percent of Patients
Lower is Better
Managing Depression Among Residents
Measures the percentage of long-term stay patients showing depressive symptoms. Some experts believe this is a measure of patient quality of care.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This datapoint is a measure of the percentage of long-term patients who were vaccinated against pneumonia and flu.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This is the percentage of residents who required more assistance with activities of daily living over time.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This metric measures the percent of long-term residents who were able to retain mobility.
Percentage of Residents
Higher is Better
Hospitalizations
This indicates the number of times residents are hospitalized per thousand days of care.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This datapoint measures the number of times residents are rehospitalized per thousand days of short-term resident care.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
This indicates the number of times residents are sent to the emergency room per thousand days of short-term patient care. There is usually a correlation between having fewer emergency room visits and the overall quality of rehabilitation.
Percentage of Patients
Lower is Better
Short-term Care: Facilitates Functional Improvement
This indicates the percent of short-term care residents who experienced functional improvements, such as with activities of daily living. High levels of autonomy with ADL's typically correlates with successful rehabilitation.
Percentage of Resident
Higher is Better