Nursing HomeInspections

Claru Deville Nursing Center

Nursing home in Fredericktown, MO

Medicare & Medicaid certified3★ overall (CMS)

Call (573) 783-3993Send a messageMap ↗

Public-record details

Address
105 Spruce Street, Fredericktown, MO 63645
Phone
(573) 783-3993
Listed under
For-profit
Medicare CCN
265514
Overall star rating
3 of 5 ★★★☆☆
Health inspection rating
2 of 5
Staffing rating
2 of 5
Quality measures rating
5 of 5
Certified beds
90
Average residents per day
68
Ownership
For-profit, corporation
Legal business name
N & R of Fredericktown, INC.
Chain
James & Judy Lincoln (56 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Nov 16, 1992
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 265514. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Apr 24, 2026. CMS lists 33 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 5, 2023 to Apr 24, 2026): 8 from complaint inspections, 4 at the “actual harm” level or higher, including 2 at “immediate jeopardy”.

InspectionCitationSeverity
Apr 24, 2026Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights		D
Potential for more than minimal harm, isolated
Apr 24, 2026Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights		D
Potential for more than minimal harm, isolated
Apr 24, 2026Honor 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		D
Potential for more than minimal harm, isolated
Apr 24, 2026Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights		D
Potential for more than minimal harm, isolated
Apr 24, 2026Develop 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		D
Potential for more than minimal harm, isolated
Apr 24, 2026Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Apr 24, 2026Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Apr 24, 2026Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services		D
Potential for more than minimal harm, isolated
Apr 24, 2026Regularly 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		D
Potential for more than minimal harm, isolated
Apr 24, 2026Ensure 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		D
Potential for more than minimal harm, isolated
Apr 24, 2026Have a plan that describes the process for conducting QAPI and QAA activities.
Administration		F
Potential for more than minimal harm, widespread
Apr 24, 2026Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration		F
Potential for more than minimal harm, widespread

Showing the 12 most recent of 33. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $81,964 and 1 denial of Medicare payment for new admissions in the last three years.

Jan 17, 2025Fine: $81,964
Jan 17, 2025Payment denial for 48 days from Feb 25, 2025

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.36 hours
Registered nurse (RN) time per resident per day
0.24 hours
Nurse aide time per resident per day
2.59 hours
Total nurse staffing on weekends
3.04 hours
Nursing staff turnover (yearly)
79%
RN turnover (yearly)
67%
Administrators who left in the past year
2

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Fredericktown

Madison Medical Center611 West Main Street · Fredericktown, MO 63645 · (573) 783-3341 · Government-owned5 health citations in 3 inspection cycles · last standard inspection Nov 17, 2025 · no CMS fines in 3 yrsMedicaid-certified5★ overall (CMS)

All 2 in Fredericktown →