Skilled nursing · Fremont, NE

Dunklau Gardens

450 East 23rd Street, Fremont, NE 68025

106 bedsNon profit - Corporation
7.3Clarity
Score history
Aug 20267.3 flagged
May 20267.3 flagged

Rescored monthly from the federal and state record.

The Palmelle ReadUpdated 29 May 2026

The record on Dunklau Gardens cuts both ways. On one side, nurses here log 1.5 times the national average of registered-nurse time with each resident, and staff turnover is roughly half the U.S. rate. On the other, antipsychotic use runs 1.6 times the national median, and falls with major injury far outpace the national rate. The sections below show exactly where each number comes from — read them before you tour.

palmelle

Written by Palmelle from federal and state records. Last updated 29 May 2026. Not paid for or edited by the facility.

In their own words

No description from the operator yet. If you manage this facility, claim this listing to tell families your side — and respond to the record below. Claimed pages also stop showing nearby alternatives: the page becomes yours alone.

The record

CMS Care Compare · Apr 2026
Federal ratings
Overall★★★★★ 5 of 5
Health inspection★★★★☆ 4 of 5
Staffing★★★★★ 5 of 5
Quality measures★★★☆☆ 3 of 5

Staffing · hours per resident per day

Registered-nurse time with each resident, dailyhigher is better

This home
1 hr 10 min
National
47 min

All nursing time with each resident, dailyhigher is better

This home
4 hr 34 min
National
3 hr 37 min

Nurses who quit each yearlower is better

This home
20.2%
National
53%

Medication & safety · share of long-stay residents

On antipsychotic medicationlower is bettersee why ↓

This home
22%
National
14%

On sedatives / sleep medicationlower is better

This home
15.4%
National
15%

Falls causing major injurylower is bettersee why ↓

This home
7.6%
National
1.6%

Physically restrainedlower is better

This home
0%
National
1.1%
Penalties & citations · last 36 months
Federal fines$0 · zero penalties
Abuse iconNone
Conflict flags in latest reconcile4

NE does not publish a state inspection feed Palmelle can verify. This record is built from federal data only.

What the pattern says

Palmelle pattern checks · v1

Mixed — a strong record with one number that needs an answer.

  • No sedation pattern. Sleep-medication use is below national norms. Antipsychotic use is elevated, but paired with high staffing this reads clinical, not custodial — ask the medical director about their reduction program.
  • The falls number is the outlier: 5× the national rate. 7.6% of long-stay residents had a fall with major injury vs 1.6% nationally. High staffing makes this surprising, which is exactly why it needs asking about: one bad cluster, a reporting artifact, or a real problem.
  • Clean accountability record. Non-profit operated — and there are no fines, flags, or abuse findings on the federal record.

These checks are computed the same way for every facility. Good patterns and bad ones both print.

Nearby & comparable

Same records, same rules

Questions families ask

What is the CMS rating for Dunklau Gardens?
Dunklau Gardens has an overall CMS Care Compare rating of 5 out of 5 stars.
Has Dunklau Gardens been cited for resident harm?
Dunklau Gardens has no abuse icon and no federal fines on record in the last 36 months.
What should I ask on a tour?
Ask about staff-to-resident ratios by shift, weekend coverage, and any measure flagged red in the record above — those are the places this facility's numbers leave open questions.