Nursing home
Claru Deville Nursing Center
105 Spruce Street, Fredericktown, MO 63645 · Map
For profit - Corporation · Part of James & Judy Lincoln (58 facilities) · 90 certified beds
Claru Deville Nursing Center is a Medicare-certified nursing home in Fredericktown, Missouri. CMS rates it 2 out of 5 stars overall (1/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.43 hours per resident per day, below the Missouri average of 3.47. Its most recent inspection on Jan 17, 2025 cited 11 deficiencies. Note: it carries a CMS abuse icon.
- CMS abuse iconThis facility has an active abuse icon on its CMS record.
- 2 fines totaling $94,613In CMS records: 3 total penalties, 1 Medicare payment denial.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Claru Deville Nursing Center compares
This facility vs. the Missouri and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Missouri avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.43 | 3.47 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.22 | 0.46 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.76 | 2.32 | 2.34 | above avg |
| Nursing staff turnover | 86.2% | 57.0% | 46.4% | above avg |
| Deficiencies cited, last inspection | 11.0 | 12.0 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 2 fines totaling $94,613, 3 total penalties, 1 Medicare payment denial.
What inspectors found at Claru Deville Nursing Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Feb 28, 2025 · Full report (PDF) - Immediate jeopardy
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jan 17, 2025 · Full report (PDF) - Actual harm
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.
Quality of Life and Care Deficiencies · Jan 17, 2025 · Full report (PDF) - Actual harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Jan 17, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jan 17, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration Deficiencies · Jan 17, 2025 · Full report (PDF) - Potential for harm
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · Jan 17, 2025 · Full report (PDF) - Potential for harm
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration Deficiencies · Jan 17, 2025 · Full report (PDF) - Potential for harm
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Quality of Life and Care Deficiencies · Jan 17, 2025 · Full report (PDF) - Potential for harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Jan 17, 2025 · Full report (PDF) - Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Jan 17, 2025 · Full report (PDF) - Potential for harm
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Jan 17, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 105 Spruce Street
Fredericktown, MO 63645 - CMS certification #
- 265514
- Ownership
- For profit - Corporation
- Certified beds
- 90
- Avg residents/day
- 70.9
- Provider type
- Medicare and Medicaid
- First certified
- 1992-11-16
- Chain
- James & Judy Lincoln (58 facilities)
- Setting
- Rural
Part of James & Judy Lincoln
James & Judy Lincoln operates 58 nursing facilities across the United States. View all James & Judy Lincoln facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Claru Deville Nursing Center using Google Maps.
Other public records
- Website says Respite stays, works with hospice, transportation, secured outdoor area
Full public records, with dates and sources
Care and services
From the community’s website
What Claru Deville Nursing Center says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers respite or short-term stays.
Respite Care
(page, checked Oct 15, 2026) - Offers hospice care on site or works with hospice providers.
We have registered nurses and certified nursing assistants as well as visits from psychiatrists, podiatrists, dentists and hospice.
(page, checked Oct 15, 2026) - Provides transportation.
Setup Transportation for Dialysis Residents
(page, checked Oct 15, 2026) - Has a secured outdoor area.
Resident safety is something we strive for which is why our Alzheimer’s Unit has door alarms, door locks, an enclosed courtyard, a covered pavilion, shadow boxes and an activity center.
(page, checked Oct 15, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Madison Medical Center, Fredericktown. 1.0 mile away, straight line.
- Nearest Medicare nursing home
- Madison Medical Center, Fredericktown. 1.0 mile away, straight line.
- Nearest home health agency office
- Americare Home Health Solutions, Farmington. 17.1 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walmart Pharmacy. 23.5 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 63645 as small town (small town core).
- Hospice
- 9 Medicare hospices tell CMS they serve ZIP code 63645.
Legacy Hospice, office in Fredericktown, 1.2 miles away, straight line (CMS family survey rating 4 of 5 stars)
Preferred Hospice Of Missouri, office in Farmington, 16.9 miles away, straight line (CMS family survey rating 3 of 5 stars)
Heart & Soul Hospice, office in Farmington, 17.0 miles away, straight line - Nearest geriatric medicine practice
- Red Bud Illinois Hospital Company LLC, Red Bud. 47.4 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively high. By hazard: hurricane very low, inland flooding very high, wildfire very low, tornado relatively high, heat wave very high, earthquake relatively high. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Claru Deville Nursing Center a good nursing home?
CMS gives Claru Deville Nursing Center an overall rating of 2 out of 5 stars, including 1/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Claru Deville Nursing Center staffed?
Claru Deville Nursing Center reports 3.43 total nurse hours per resident per day, compared with the Missouri average of 3.47.
Has Claru Deville Nursing Center had inspection problems?
Its most recent CMS inspection cited 11 deficiencies.
How many beds does Claru Deville Nursing Center have?
Claru Deville Nursing Center is certified for 90 beds.