Madison County, Missouri · Nursing home
Claru Deville Nursing Center
3 of 5 overall from CMS
105 Spruce Street, Fredericktown, MO 63645
At a glance
- Overall rating 3 of 5 Above the state average of 2.5
- Nurse time per resident, per day 3.36 hours Below the state average of 3.43
- Nursing staff who left in a year 79.1% Above the state average of 56.0%
- Health citations, last 3 inspection cycles 33 4 at the harm level or above
- Fines in 3 years $81,964 1 fine
- Certified beds in use 75.0% of 90 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Claru Deville Nursing Center is a 90-bed nursing home in Fredericktown, Missouri (Madison County). CMS rates it 3 of 5 stars overall as of Sep 2026. It reports 3.36 nurse staffing hours per resident per day, below the Missouri average of 3.43. CMS lists 1 fine totaling $81,964 in the past three years.
- Certified beds
- 90
- Residents per day (average)
- 67.5
- Certified since
- 1992 (34 yrs)
For profit - Corporation Participates in Medicare and MedicaidPart of James & Judy Lincoln (56 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Claru Deville Nursing Center
Chosen from this home's public data.
- CMS lists 1 fine totaling $81,964 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 13 health deficiencies in the latest inspection cycle (the standard inspection on Apr 24, 2026 plus complaint and infection-control inspections); the Missouri average is 11.4. Which have been corrected?Inspection results in CMS data
- Nursing staff turnover is 79.1%, above the Missouri average of 56.0%. How often would the same aides care for my relative?Turnover in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 3 of 5 Missouri average 2.5
- Health inspections 2 of 5 Missouri average 2.8
- Staffing 2 of 5 Missouri average 2.2
- Quality measures 5 of 5 Missouri average 2.7
The vertical line marks the Missouri average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.36 h Missouri average 3.43
- Nurse aides 2.59 h Missouri average 2.29
- Licensed practical nurses 0.53 h Missouri average 0.68
- Registered nurses 0.24 h Missouri average 0.46
- All staff, weekends 3.04 h Missouri average 3.01
How much nurse staffing is enough? All bars share one scale, 0 to 10 hours. The vertical line marks the Missouri average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover79.1%
- Missouri average56.0%
- Registered nurse turnover66.7%
- Missouri average47.8%
- Administrators who left2
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Missouri and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Missouri | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 3.6% | 18.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 2.0% | 5.3% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.7% | 1.1% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 1.8% | 2.3% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 0.9% | 18.5% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.0% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 0.4% | 4.1% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 57.6% | 84.1% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 4.4% | 17.4% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 48.0% | 25.6% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 71.8% | 90.9% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 2.2% | 4.5% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 4.1% | 17.8% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 57.1% | 23.5% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | Too few residents or stays to report | 2.11 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | Too few residents or stays to report | 2.33 | 1.78 |
Short-stay residents
| Measure | This home | Missouri | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 10.2% | 65.7% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | Too few residents or stays to report | 2.2% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Too few residents or stays to report | 63.5% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | Too few residents or stays to report | 26.0% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | Too few residents or stays to report | 13.7% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 33 health deficiencies in the three most recent inspection cycles. Of these, 2 were at the immediate jeopardy level and 2 involved actual harm; the rest were graded as no actual harm. 8 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Feb 28, 2025: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Apr 24, 2026 | 13 | 6 |
| Jan 17, 2025 | 13 | 3 |
| Oct 5, 2023 | 7 | 1 |
Missouri homes averaged 11.4 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (33)
-
FPotential for more than minimal harm, widespread
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration · Deficient, Provider has date of correction (Jun 3, 2026)
-
FPotential for more than minimal harm, widespread
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration · Deficient, Provider has date of correction (Jun 3, 2026)
-
FPotential for more than minimal harm, widespread
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Jun 3, 2026)
-
DPotential for more than minimal harm, isolated
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights · Deficient, Provider has date of correction (Jun 3, 2026)
-
DPotential for more than minimal harm, isolated
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights · Deficient, Provider has date of correction (Jun 3, 2026)
Show 25 more
-
DPotential for more than minimal harm, isolated
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights · Deficient, Provider has date of correction (Jun 3, 2026)
-
DPotential for more than minimal harm, isolated
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights · Deficient, Provider has date of correction (Jun 3, 2026)
-
DPotential for more than minimal harm, isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 3, 2026)
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 3, 2026)
-
DPotential for more than minimal harm, isolated
Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care · Deficient, Provider has date of correction (Jun 3, 2026)
-
DPotential for more than minimal harm, isolated
Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services · Deficient, Provider has date of correction (Jun 3, 2026)
-
DPotential for more than minimal harm, isolated
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Environmental · Deficient, Provider has date of correction (Jun 3, 2026)
-
DPotential for more than minimal harm, isolated
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Nursing and Physician Services · Deficient, Provider has date of correction (Jun 3, 2026)
-
JImmediate jeopardy, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Apr 14, 2025)
-
KImmediate jeopardy, pattern
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Mar 3, 2025)
-
GActual harm, isolated
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · Deficient, Provider has date of correction (Mar 3, 2025)
-
GActual harm, isolated
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Mar 3, 2025)
-
FPotential for more than minimal harm, widespread
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration · Deficient, Provider has date of correction (Mar 3, 2025)
-
FPotential for more than minimal harm, widespread
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration · Deficient, Provider has date of correction (Mar 3, 2025)
-
FPotential for more than minimal harm, widespread
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration · Deficient, Provider has date of correction (Mar 3, 2025)
-
FPotential for more than minimal harm, widespread
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Mar 3, 2025)
-
EPotential for more than minimal harm, pattern
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Mar 3, 2025)
-
DPotential for more than minimal harm, isolated
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Mar 3, 2025)
-
DPotential for more than minimal harm, isolated
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (Mar 3, 2025)
-
DPotential for more than minimal harm, isolated
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service · Deficient, Provider has date of correction (Mar 3, 2025)
-
DPotential for more than minimal harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Past Non-Compliance (Oct 10, 2024)
-
DPotential for more than minimal harm, isolated
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Jun 11, 2024)
-
DPotential for more than minimal harm, isolated
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Jun 11, 2024)
-
DPotential for more than minimal harm, isolated
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Jun 11, 2024)
-
DPotential for more than minimal harm, isolated
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights · Deficient, Provider has date of correction (Dec 1, 2023)
Showing the 30 most recent of 33.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Jan 17, 2025 | Fine | $81,964 |
| Jan 17, 2025 | Payment Denial | 48 days |
Missouri homes averaged 0.8 fines and $37,425 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Missouri
- Size279 of 487 by certified beds
- Missouri average residents per day73.0
- ChainJames & Judy Lincoln
- Chain average overall rating2.5 of 5
- Resident or family councilResident
- Homes in Madison County2
Common questions
What is the CMS star rating for Claru Deville Nursing Center?
Claru Deville Nursing Center has an overall rating of 3 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 2, staffing is 2 and quality measures is 5.
How many beds does Claru Deville Nursing Center have?
Claru Deville Nursing Center has 90 certified beds. It averages 67.5 residents per day, about 75.0% of its certified beds.
How much nursing care do residents get at Claru Deville Nursing Center?
The home reports 3.36 hours of nurse staffing per resident per day, including 0.24 hours from registered nurses. The Missouri average is 3.43 hours and 0.46 hours from registered nurses.
Has Claru Deville Nursing Center been fined?
Yes. CMS lists 1 fine totaling $81,964 in the past three years. It also lists 1 payment denial.
Does Claru Deville Nursing Center accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 5 of 5 Madison Medical Center 99beds 60.7%in use 4.10nurse hours a day
- 4 of 5 St Francois Manor 118beds 73.3%in use 2.95nurse hours a day
- 5 of 5 Farmington Presbyterian Manor 90beds 74.0%in use 4.04nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Madison County
Who to call in Missouri
These offices serve residents of every nursing home in Missouri.
- Long-term care ombudsman Missouri Long-Term Care Ombudsman Program 800-309-3282 (Email: LTCOmbudsman@health.mo.gov) An advocate for residents and their families.
- File a complaint about a nursing home Adult Abuse and Neglect Hotline (long-term care facility complaints) 1-800-392-0210 (7 days a week, 7 a.m. to 8 p.m. Relay Missouri 1-800-735-2966. Reports can also be made online (moapss.health.mo.gov, linked from Health.Mo.Gov/abuse).) The state agency that inspects nursing homes.
Missouri staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 265514. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.