Dunklau Gardens - Fremont Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
285119
Provider Name
DUNKLAU GARDENS
Provider Address
450 EAST 23RD STREET
FREMONT, NE 68025
FREMONT, NE 68025
Provider Phone Number
(402) 721-1610
Provider SSA County
260
Provider County Name
Dodge
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
112
Number of Residents in Certified Beds
86
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
FREMONT HEALTH
Date First Approved to Provide Medicare and Medicaid services
1992-05-22
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.56047
Reported LPN Staffing Hours per Resident per Day
0.38140
Reported RN Staffing Hours per Resident per Day
1.12442
Reported Licensed Staffing Hours per Resident per Day
1.50581
Reported Total Nurse Staffing Hours per Resident per Day
4.06629
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05233
Expected CNA Staffing Hours per Resident per Day
2.54054
Expected LPN Staffing Hours per Resident per Day
0.67933
Expected RN Staffing Hours per Resident per Day
1.04227
Expected Total Nurse Staffing Hours per Resident per Day
4.26214
Adjusted CNA Staffing Hours per Resident per Day
2.47294
Adjusted LPN Staffing Hours per Resident per Day
0.46599
Adjusted RN Staffing Hours per Resident per Day
0.80610
Adjusted Total Nurse Staffing Hours per Resident per Day
3.84568
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-10-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-08-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-06-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
22.00000
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
1
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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