Nursing homeActive
Dunklau Gardens
450 East 23rd Street, Fremont, NE 680254027211610106 certified beds · 85 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
3
since 2023
Deficiencies
4
● 0● 4● 0
Penalties · 3 yrs
—
none on file
Last survey
2025-05-01
Standard
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 4
Staffing 5
Quality 3
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Nebraska DHHS · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-05-01 | Standard | 030 | CMS-2567 (Care Compare) | — |
| 2024-04-23 | Standard | 010 | CMS-2567 (Care Compare) | — |
| 2023-06-08 | Standard | 000 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Nebraska DHHS publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-24Record 285119-20250501-F684
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-05-24Record 285119-20250501-F804
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-24Record 285119-20250501-F880
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-05-17Record 285119-20240423-F812
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day1.04
Facility
Nebraska
National
Nebraska 0.67 · National 0.69
Total nurse hours per resident day4.43
Facility
Nebraska
National
Nebraska 3.98 · National 3.86
Weekend total nurse hours3.79
Facility
Nebraska
National
Nebraska 3.49 · National 3.42
Total nursing staff turnover25%
Facility
Nebraska
National
Nebraska 49% · National 46%
Registered nurse turnover19%
Facility
Nebraska
National
Nebraska 44% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Nebraska | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 3.1% | 4.0% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 7.5% | 4.5% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 20.0% | 20.7% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.8% | 2.8% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.3% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 21.7% | 19.0% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 4.9% | 5.1% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 14.3% | 19.3% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Brown, Jayma Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Deemer, Tammy Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Jirka, Tyler Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Nebraska Methodist Health System Inc Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Stanley, Kylee Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Vobejda, William Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Beebe, Kenneth Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Bixby, Jennifer Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Deemer, Tammy Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Emanuel, Linda Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Francis, Jeffrey Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Francis, Jeffrey Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Goeser, Stephen Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Goeser, Stephen Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Horner, Jody Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Lamprecht, Adam Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Navarrette, Steven Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Sellon, Monty Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Stanley, Kylee Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Vobejda, William Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Wagner Dix, Nicole Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Waring, Fred Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Nebraska.
No county cost figures on file for Dodge.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Nye Legacy Health & Rehabilitation Center Fremont | 0.5 mi | 2025-04-22 | 090 |
| Nye Pointe Health & Rehab Ctr Fremont | 1.1 mi | 2025-08-21 | 070 |
| Arbor Care Center-Valhaven, LLC Valley | 12.4 mi | 2025-08-12 | 1140 |
| South Haven Living Center Wahoo | 19.0 mi | 2025-07-10 | 060 |
| Life Care Center of Elkhorn Elkhorn | 17.6 mi | 2026-06-10 | 0352 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |