450 East 23rd Street, Fremont, NE 68025 · Dodge County · (402) 721-1610
106 certified beds, about 85 residents a day · Non profit - Corporation · Medicare and Medicaid since 1992
CMS Care Compare ratings, data as of September 1, 2026 · CCN 285119 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on June 25, 2026, inspectors cited 1 health deficiency (the Nebraska average is 7.4, the national average 9.2).
None of its 5 health citations since April 2024 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.43 hours per resident per day, against 3.98 across Nebraska and 3.86 nationally. Registered nurses accounted for 1.04 of those hours.
24.7% of nursing staff left within the year CMS measured (Nebraska average 48.7%).
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 5 health citations on file.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure staff followed provider's order related to 1 (Resident 5) of 1 sampled resident's flutter valve and oxygen. The facility census was 84.
Inspectors wroteLicensure reference: 175 NAC12-006.11D Based on observation, interview and record review, the facility failed to ensure food was prepared according to the recipe to conserve the nutritive value. This had the potential to affect all residents in the facility. The facility census was 84.
Inspectors wroteLicensure Reference Number 175 NAC 12.006.09(H)(iii)(3) Licensure Reference Number 175 NAC 12.006.09(A)(ii) Based on observation, interview, and record review, the facility failed to implement pressure reducing devices for skin breakdown prevention on 2 (Residents 60 and 68) of 4 sampled residents, and failed to ensure Insulin pens were dated when opened for 2 (Residents 31 and 37) of 2 sampled residents. The facility census was 84.
Inspectors wroteLicensure Reference Number 175 NAC 12.006.18(B) Based on observation, interview and record review the facility failed to ensure staff performed hand hygiene (cleaning) with glove changing when going from a contaminated area to a clean area for 2 residents (Resident 47 and 62) of 4 residents sampled during cares and treatments to prevent the potential for cross contamination. The facility census was 84 at the time of the survey.
Inspectors wroteLicensure Reference Number 175 NAC 12.006.11E Licensure Reference Number 175 NAC 12.006.11D Based on observation, interview, and record review; the facility failed to ensure recipes were followed during food preparation (prep) and clean ceiling tiles, ventilation covers, and equipment surfaces in the kitchen to prevent the potential for cross-contamination. This had the potential to affect all 72 residents that consumed food from the kitchen.
11 fire safety citations on file: 1 on June 25, 2026, 3 on May 1, 2025, 7 on April 23, 2024.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Nebraska | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.43 | 3.98 | 3.86 |
| Registered nurses | 1.04 | 0.67 | 0.69 |
| All nursing staff on weekends | 3.79 | 3.48 | 3.42 |
| Nurse aides | 3.13 | ||
| Licensed practical nurses | 0.26 | ||
| Nursing staff turnover (share who left in a year) | 24.7% | 48.7% | 45.8% |
| Registered nurse turnover | 19.0% | 44.1% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.46 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.69 on weekdays and 3.79 on weekends, 19% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 5.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.79 in April to June 2025 to 4.43 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.43 | 1.04 | 4.69 | 3.79 | 5.0% | 0 of 90 | 85 |
| Oct to Dec 2025 | 4.57 | 1.16 | 4.86 | 3.83 | 6.6% | 0 of 92 | 86 |
| Jul to Sep 2025 | 4.71 | 1.10 | 5.03 | 3.91 | 10.0% | 0 of 92 | 81 |
| Apr to Jun 2025 | 4.79 | 1.14 | 5.10 | 3.99 | 13.4% | 0 of 91 | 82 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Nebraska, Jan to Mar 2026 | 4.01 | 0.66 | 4.21 | 3.53 | 7.1% | 1.6% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Nebraska, all employers | |||
| CNAs (nursing assistants) | $19.23 | $18.29 to $22.31 | 16,450 |
| LPNs and LVNs | $30.13 | $28.41 to $34.55 | 4,580 |
| Registered nurses | $40.74 | $38.09 to $47.90 | 24,720 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Nebraska | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 21.7 | 19.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.4 | 1.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.8 | 2.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 7.5 | 4.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.6 | 2.0 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 9.8 | 18.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.1 | 4.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 20.0 | 20.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 27.6 | 20.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 20.8 | 11.4 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.1 | 1.9 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Dunklau Gardens's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (58.5% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
58.5% this home
Better than the national rate
US median of homes 51.5% · Nebraska: 17 better, 24 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 148 eligible stays.
8.0% this home
No different from the national rate
US median of homes 10.7% · Nebraska: 2 better, 0 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 161 eligible stays.
5.6% this home
No different from the national rate
US median of homes 7.1% · Nebraska: 2 better, 0 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 107 eligible stays.
38.2% this home
Median of homes: Nebraska50.0% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 89 residents counted.
0.8% this home
Median of homes: Nebraska0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 134 residents counted.
0.0% this home
Median of homes: Nebraska2.2% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 134 residents counted.
98.7% this home
Median of homes: Nebraska100.0% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 78 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: METHODIST FREMONT HEALTH.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Vobejda, William | Managing control - governing body | Individual | 09/01/2024 | |
| Beebe, Kenneth | Corporate director | Individual | 10/01/2018 | |
| Bixby, Jennifer | Corporate director | Individual | 01/01/2024 | |
| Emanuel, Linda | Corporate director | Individual | 01/01/2024 | |
| Francis, Jeffrey | Corporate director | Individual | 06/29/2018 | |
| Goeser, Stephen | Corporate director | Individual | 06/29/2018 | |
| Horner, Jody | Corporate director | Individual | 10/01/2018 | |
| Lamprecht, Adam | Corporate director | Individual | 10/01/2018 | |
| Navarrette, Steven | Corporate director | Individual | 10/01/2018 | |
| Sellon, Monty | Corporate director | Individual | 10/01/2018 | |
| Wagner Dix, Nicole | Corporate director | Individual | 10/01/2018 | |
| Waring, Fred | Corporate director | Individual | 10/01/2018 | |
| Francis, Jeffrey | Corporate officer | Individual | 06/29/2018 | |
| Goeser, Stephen | Corporate officer | Individual | 06/29/2018 | |
| Nebraska Methodist Health System Inc | Operational/managerial control | Organization | 06/29/2018 | |
| Brown, Jayma | Operational/managerial control | Individual | 10/01/2018 | |
| Deemer, Tammy | Operational/managerial control | Individual | 11/07/2022 | |
| Jirka, Tyler | Operational/managerial control | Individual | 10/01/2018 | |
| Stanley, Kylee | Operational/managerial control | Individual | 10/01/2018 | |
| Vobejda, William | Operational/managerial control | Individual | 09/01/2024 | |
| Deemer, Tammy | Adp of the SNF | Individual | 05/20/2025 | |
| Stanley, Kylee | Adp of the SNF | Individual | 05/20/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
These are the official offices in Nebraska. NursingHomeClear cannot take or act on complaints.