Located in Fremont, Nebraska, Dunklau Gardens is one of only three available facilities there. With an overall grade of B, this looks like a good option. You could definitely do much worse than this nursing home. This place was better in some categories than others, but it did not have any weak links in any of our four major categories. More information about these categories can be found below.
- Nursing Home
- Home Health Agency
Updated Jun 1, 2022 by Nick Lata
- 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
Registered Staff Hours
One of the reasons this place received a great overall grade is that it received a very impressive nursing score. In fact, nursing ended up being its best category. In that area, we gave this nursing home an A-. Our nursing score analyzes the facility's level of nurse staffing. We look at both the levels of licensure of those nurses and the amount of time spent with patients. This facility provided 0.4 hours of nursing care per resident per day. Finally, we also looked at several nursing quality-based metrics 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 many times be prevented by providing better nursing care, such as employing a protocol of turning residents at least once a day.
This facility also performed well in inspections. It received a nearly flawless government inspection report this year. As a result, it received one of our best scores in that category with a score of B+. Few nursing homes with an overall grade in this range performed this well in multiple categories. These inspection ratings take several factors into consideration, including deficiencies and federal fines. You can find more information about each of these items by reviewing copies of nursing homes' inspection reports. 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.
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Short-term Care Quality
In addition, this facility also was awarded favorable short-term care scores in our assessment. Indeed, we awarded them one of our stronger scores in that category, with a grade of B+. In determining our short-term care grades, we analyze the nursing home's skilled nursing services, such as those performed by registered nurses, respiratory therapists, physical therapists and other types of skilled professionals. Our goal is to formulate a barometer for sizing up the rehabilitation services of nursing homes. Fortunately, it appear that this facility has registered nurses on staff. Not every facility employs these types of nurses. However, according to the information they provided, they do not appear to employ physical therapists. The final metric we considered in this area is the percentage of patients who were able to leave the facility and return to the community. We discovered that 4.8 percent of this nursing home's patients were able to return home.
Long-term Care Quality
Moving on to our fourth category, this nursing home was given a decent long-term care grade of B-. Long-term care grades assess a facility's personal care rather than the skilled therapy or healthcare services that are critical to a skilled nursing facility. After we finished assessing the quantity of care provided by nurses, we then analyzed the facility's vaccination records. We were optimistic to learn that this facility vaccinated 98.859314 percent of its residents for pneumonia. Finally, this facility was also able to limit hospitalizations. 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, 5.63% of Patients had Pressure Ulcers
This indicates the percentage of residents who sustained a pressure ulcer. Pressure ulcers are skin damage resulting from remaining in the same position for an excessive period of time.
Minimizes Serious Falls
In Dunklau Gardens, 4.88% of Patients had Serious Falls
This indicates the percentage of residents who have had a major fall. Falls leading to major injury are considered to be a measure of the quality of nursing care at a nursing home. Major falls which result in injury are often the result of poor nursing care.
Minimizes Urinary Tract Infections
In Dunklau Gardens, 3.69% of Patients had UTIs
This metric indicates the percentage of long-term stay residents who have experienced UTI's. While more of these infections could reflect poorly on a nursing home's nursing care, it can be difficult to compare between facilities due to facilities having inconsistent reporting standards.
Appropriately Uses Anti-Psychotic Medication
In Dunklau Gardens, 18.23% of Patients use Anti-Psychotic Medication
This metric measures the percent of long-term patients who were given antipsychotic drugs. High levels of antipsychotic drug use may suggest that a nursing home is using these medications to control patient behavior in situations where such medications aren't medically required. Nevertheless, some nursing homes may need to rely more on these drugs due to having more residents suffering from dementia.
Appropriately Uses Anti-Anxiety Medication
In Dunklau Gardens, 19.85% of Patients use Anti-Anxiety Medication
This indicates the percent of residents prescribed antianxiety medications. These drugs are prescribed to residents suffering from depression and anxiety.
Managing Depression Among Residents
In Dunklau Gardens, 4.27% of Patients
This tells you the percent of patients who are showing signs of depression.
Appropriate Vaccine Usage
In Dunklau Gardens, 93.22% of Patients
Measures the percent of long-term stay patients who received the flu and pneumonia vaccines.
Residents Maintain Autonomy
In Dunklau Gardens, 15.08% Percentage of Patients
This tells you the percent of patients that required increased assistance with activities of daily living over time. Higher levels of dependence on staff for assistance with activities of daily living could be a sign of erosion of a patient's medical condition.
Ability to Keep Residents Mobile
In Dunklau Gardens, 21.04% Percentage of Residents
This datapoint measures the percent of long-term care patients that retained mobility levels.
In Dunklau Gardens, 1.25 Hospitalizations per 1,000 resident days
This datapoint is a measure of the number of hospitalizations per 1,000 days of patient care. Staying out of the hospital is critical to maintaining the physical health of patients.
Short-term Care: Rehospitalizations
In Dunklau Gardens, 21.04 Percentage of Residents Rehospitalized
This indicates the number of rehospitalizations per thousand days of short-term patient care.
Short-term Care: ER Visits
In Dunklau Gardens, 8.88 Percentage of Patients
This indicates the number of times residents are sent to the emergency room per thousand days of short-term care. There is usually a correlation between having fewer emergency room visits and the overall quality of rehabilitation.
Short-term Care: Facilitates Functional Improvement
In Dunklau Gardens, 77.94% Percentage of Resident
This is the percent of short-term stay residents that saw functional improvements, such as with activities of daily living.
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