CCN 285119
Dunklau Gardens
450 East 23rd Street, Fremont, NE 68025 · Dodge County
- Ownership
- Non profit - Corporation
- Certified beds
- 106
- Residents per day
- 84.7
- Health citations
- 5
- Penalties
- 0
- Fines
- 0 · $0
Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections
CMS has marked this home with the high-performing icon. The September 2026 Technical Users' Guide describes that icon for homes with fewer citations, higher staffing, and other quality indicators, shown in addition to the five-star rating. Selection criteria are in CMS memorandum QSO-26-14-NH.
Staffing hours
Reported hours per resident per day come from the Payroll-Based Journal figures in the Provider Information file. Case-mix and adjusted hours account for how much care CMS expects given the residents’ needs. State and U.S. figures are averages from the same release.
- Measure
- This home
- State
- U.S.
- Nurse aide
- 3.13
- 2.64
- 2.32
- LPN/LVN
- 0.26
- 0.67
- 0.86
- Registered nurse
- 1.04
- 0.67
- 0.69
- Total nurse staff
- 4.43
- 3.98
- 3.86
- Weekend total
- 3.79
- 3.48
- 3.42
- Weekend RN
- 0.90
- 0.47
- 0.48
Adjusted total nurse hours: 4.92. Adjusted RN hours: 1.16. Case-mix total: 3.46. Case-mix index: 1.263.
Total nursing staff turnover: 24.7%. RN turnover: 19.0%. Administrators who left: 0.
How to read staffing hours
Payroll-Based Journal figures in Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections
Fines and penalties
CMS reports 0 fines totaling $0, and 0 payment denials.
The Penalties file has no individual penalty rows for this CCN.
Cycle 1 standard survey: June 25, 2026. Health deficiencies counted in cycle 1: 1. Cycle 1 total health score: 4. This was a Risk-Based Survey. Unlike a standard inspection, a risk-based inspection is a shorter visit with a smaller team and is used for higher-performing facilities.
Cycle 2 standard survey: May 1, 2025. Cycle 2/3 health deficiencies: 3. Total weighted health survey score: 9.
Penalties file and Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections
Health inspection citations
The Health Deficiencies file lists 5 citations for this home, including 0 at immediate jeopardy and 0 at actual harm. CMS may display some citations here that are not used in the health inspection rating, including citations under dispute.
June 25, 2026
1 citation. This was a Risk-Based Survey. Unlike a standard inspection, a risk-based inspection is a shorter visit with a smaller team and is used for higher-performing facilities.
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Standard survey · Cycle 1 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · July 24, 2026 |
May 1, 2025
3 citations
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Standard survey · Cycle 2 | F: widespread, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · May 24, 2025 |
| F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Standard survey · Cycle 2 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · May 24, 2025 |
| F880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Standard survey · Cycle 2 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · May 24, 2025 |
April 23, 2024
1 citation
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Standard survey · Cycle 3 | F: widespread, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · May 17, 2024 |
Health Deficiencies. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections