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Claru Deville Nursing Center

Nursing Home Facility

105 Spruce Street, Fredericktown, MO 63645

Nursing Home Care Senior Living
Claru Deville Nursing Center

Claru Deville Nursing Center is a senior care community located in Fredericktown, MO. It provides nursing home care and senior living for older adults in the Fredericktown area. To learn more or schedule a tour, call (573) 783-3993.

Operated by James & Judy Lincoln, which runs 44 communities in our directory.

Claru Deville Nursing Center is licensed for 90 beds.

Federal reporting puts occupancy at about 75% of its licensed beds.

Medicare rates this community 3 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Its most recent standard health inspection was in April 2026 and recorded 13 deficiencies.

Residents receive about 3.4 hours of nursing care per day on average, including 0.2 hours from a registered nurse. Nursing staff turnover over the past year was about 79%, which is high and can affect continuity of care.

The community is located in Madison County, MO.

Medicare five-star ratings

  • Overall ★★★★★ 3/5
  • Health inspections ★★★★★ 2/5
  • Staffing ★★★★★ 2/5
  • Quality measures ★★★★★ 5/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 33 problems at Claru Deville Nursing Center. 4 findings involved harm to a resident, including 2 that put residents in immediate danger. 8 came from investigating complaints by residents or families.

In the last three years Medicare fined this home once, a total of $81,964. Medicare also stopped paying for new admissions once in that period.

Findings from the most recent inspection cycle

  • Could cause more than minimal harm, widespread Administration

    Have a plan that describes the process for conducting QAPI and QAA activities.

    Inspected April 2026. Corrected by June 3, 2026.

  • Could cause more than minimal harm, widespread Administration

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    Inspected April 2026. Corrected by June 3, 2026.

  • Could cause more than minimal harm, widespread Infection Control

    Provide and implement an infection prevention and control program.

    Inspected April 2026. Corrected by June 3, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Inspected April 2026. Corrected by June 3, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Inspected April 2026. Corrected by June 3, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    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.

    Inspected April 2026. Corrected by June 3, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Inspected April 2026. Corrected by June 3, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Inspected April 2026. Corrected by June 3, 2026.

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  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Ensure services provided by the nursing facility meet professional standards of quality.

    Inspected April 2026. Corrected by June 3, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide care or services that was trauma informed and/or culturally competent.

    Inspected April 2026. Corrected by June 3, 2026.

  • Could cause more than minimal harm, one or a few residents Nursing and Physician Services

    Observe each nurse aide's job performance and give regular training.

    Inspected April 2026. Corrected by June 3, 2026.

  • Could cause more than minimal harm, one or a few residents Environmental

    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.

    Inspected April 2026. Corrected by June 3, 2026.

  • Could cause more than minimal harm, one or a few residents Nursing and Physician Services

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Inspected April 2026. Corrected by June 3, 2026.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Claru Deville Nursing Center offers nursing home care and senior living.

Facility details

  • Organization type for-profit corporation
  • Beds / units 90
  • Occupancy 75%
  • Nursing hours per resident/day 3.4
  • Annual staff turnover 79%
  • Last health inspection April 2026

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