nursing home in Fredericktown, MO
Claru Deville Nursing Center
105 Spruce Street, Fredericktown, MO 63645 · (573) 783-3993
★★★★★3
Average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★2
- Quality measures★★★★★5
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Claru Deville Nursing Center at a glance
Claru Deville Nursing Center is a 90-bed for-profit nursing home in Fredericktown, Missouri (Madison County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the Missouri average of 2.5.
Residents receive about 3.4 hours of nursing care per day (0.2 of them from registered nurses), close to the state average of 3.4 hours.
Its most recent standard health inspection (April 24, 2026) found 13 health citations. The Missouri average is 11.4.
Federal regulators fined it 1 time in the past three years, totaling $81,964.
Nursing staff turnover is 79.1% per year (state average 56%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 90
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- James & Judy Lincoln
- Medicare-certified since
- November 16, 1992
- Resident/family council
- Resident
- County
- Madison County
- CMS Certification Number
- 265514
Ratings
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 2.5 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 2.2 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 2.7 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 2.8 / 5 | 3.8 / 5 | Better |
Staffing
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.36 hrs | 3.43 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.24 hrs | 0.46 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.59 hrs | 2.29 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.04 hrs | 3.01 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 79.1% | 56% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 66.7% | 47.8% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 2 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 13 | 11 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 3 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 151 | 111.8 | 80.6 | Worse |
Penalties
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $81,964 | $37,425 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
Size
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 90 | 103 | 107 | |
| Average residents per day | 68 | 73 | 86 | |
| Occupancy | 75% | 72.4% | 80.9% |
Long-stay residents
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 0.4% | 4.1% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 2.2% | 4.5% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 57.1% | 23.5% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 1.8% | 2.3% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.7% | 1.1% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 3.6% | 18.1% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 4.4% | 17.4% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 2% | 5.3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0.9% | 18.5% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 48% | 25.6% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 4.1% | 17.8% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 71.8% | 90.9% | 95.5% | Worse |
| Long-stay residents given a pneumonia vaccine (higher is better) | 57.6% | 84.1% | 93.6% | Worse |
Short-stay residents
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents given a pneumonia vaccine (higher is better) | 10.2% | 65.7% | 82% | Worse |
Inspection citations
State inspectors cited this home for 33 health deficiencies and 10 fire safety deficiencies in the inspection records CMS currently publishes. 4 citations involved actual harm, including 2 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| April 24, 2026 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | F Potential harm, widespread | Corrected June 3, 2026 |
| April 24, 2026 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | F Potential harm, widespread | Corrected June 3, 2026 |
| April 24, 2026 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected June 3, 2026 |
| April 24, 2026 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | F Potential harm, widespread | Corrected June 3, 2026 |
| April 24, 2026 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected June 3, 2026 |
| April 24, 2026 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | D Potential harm, isolated | Corrected June 3, 2026 |
| April 24, 2026 Standard | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · Tag F0868 | F Potential harm, widespread | Corrected June 3, 2026 |
| April 24, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected June 3, 2026 |
| April 24, 2026 Standard | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Tag F0865 | F Potential harm, widespread | Corrected June 3, 2026 |
| April 24, 2026 Standard | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Tag F0552 | D Potential harm, isolated | Corrected June 3, 2026 |
| April 24, 2026 Standard | 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 Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected June 3, 2026 |
| April 24, 2026 Standard | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Tag F0628 | D Potential harm, isolated | Corrected June 3, 2026 |
| April 24, 2026 Standard | 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 Deficiencies · Tag F0947 | D Potential harm, isolated | Corrected June 3, 2026 |
| April 24, 2026 Standard | 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 Deficiencies · Tag F0909 | D Potential harm, isolated | Corrected June 3, 2026 |
| April 24, 2026 Standard | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Tag F0730 | D Potential harm, isolated | Corrected June 3, 2026 |
| April 24, 2026 Standard | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · Tag F0699 | D Potential harm, isolated | Corrected June 3, 2026 |
| April 24, 2026 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected June 3, 2026 |
| April 24, 2026 Standard | 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 Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected June 3, 2026 |
| April 24, 2026 Standard | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Tag F0582 | D Potential harm, isolated | Corrected June 3, 2026 |
| February 28, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected April 14, 2025 |
| January 17, 2025 Fire safety | Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Tag K0781 | F Potential harm, widespread | Corrected March 3, 2025 |
| January 17, 2025 Fire safety | Meet other general requirements. Smoke Deficiencies · Tag K0932 | F Potential harm, widespread | Corrected March 3, 2025 |
| January 17, 2025 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | F Potential harm, widespread | Corrected March 3, 2025 |
| January 17, 2025 Complaint | 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 · Tag F0600 | K Immediate jeopardy, pattern | Corrected March 3, 2025 |
| January 17, 2025 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | G Actual harm, isolated | Corrected March 3, 2025 |
| January 17, 2025 Complaint | 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 · Tag F0742 | G Actual harm, isolated | Corrected March 3, 2025 |
| January 17, 2025 Standard | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Tag F0865 | F Potential harm, widespread | Corrected March 3, 2025 |
| January 17, 2025 Standard | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Tag F0867 | F Potential harm, widespread | Corrected March 3, 2025 |
| January 17, 2025 Standard | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · Tag F0868 | F Potential harm, widespread | Corrected March 3, 2025 |
| January 17, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected March 3, 2025 |
| January 17, 2025 Complaint | 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 · Tag F0741 | E Potential harm, pattern | Corrected March 3, 2025 |
| January 17, 2025 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected March 3, 2025 |
| January 17, 2025 Standard | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Tag F0645 | D Potential harm, isolated | Corrected March 3, 2025 |
| January 17, 2025 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected March 3, 2025 |
| October 31, 2024 Complaint | 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 · Tag F0600 | D Potential harm, isolated | Corrected October 10, 2024 |
| May 1, 2024 Complaint | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Tag F0623 | D Potential harm, isolated | Corrected June 11, 2024 |
| May 1, 2024 Complaint | 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. Nursing and Physician Services Deficiencies · Tag F0727 | D Potential harm, isolated | Corrected June 11, 2024 |
| May 1, 2024 Complaint | 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. Resident Rights Deficiencies · Tag F0625 | D Potential harm, isolated | Corrected June 11, 2024 |
| October 5, 2023 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | F Potential harm, widespread | Corrected November 14, 2023 |
| October 5, 2023 Standard | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | D Potential harm, isolated | Corrected December 1, 2023 |
| October 5, 2023 Standard | 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 Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected December 1, 2023 |
| October 5, 2023 Standard | 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. Resident Rights Deficiencies · Tag F0625 | D Potential harm, isolated | Corrected December 1, 2023 |
| October 5, 2023 Standard | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Tag F0623 | D Potential harm, isolated | Corrected December 1, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 2 federal penalties in the past three years, including $81,964 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| January 17, 2025 | Payment Denial | 48 days from February 25, 2025 |
| January 17, 2025 | Fine | $81,964 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| LINCOLN, JAMES Individual | 5% or greater direct ownership interest | 50% | 08/01/1998 |
| LINCOLN, JUDY Individual | 5% or greater direct ownership interest | 50% | 08/01/1998 |
| BYSOR, BRANDON Individual | corporate director | NOT APPLICABLE | 04/25/2022 |
| DRAKE, TIMOTHY Individual | corporate officer | NOT APPLICABLE | 04/25/2022 |
| STUTTS, CHARLOTTE Individual | corporate officer | NOT APPLICABLE | 08/01/1998 |
| LINCOLN, JAMES Individual | operational/managerial control | NOT APPLICABLE | 06/27/2016 |
| LINCOLN, JUDY Individual | operational/managerial control | NOT APPLICABLE | 06/27/2016 |
| N & R OF FREDERICKTOWN, INC. Organization | operational/managerial control | NOT APPLICABLE | 08/01/1998 |
| STOTLER, DANIELE Individual | w-2 managing employee | NOT APPLICABLE | 04/25/2022 |
Other nursing homes near Claru Deville Nursing Center
Madison Medical Center
611 West Main Street, Fredericktown, MO 63645 · under 1 mi
Government · 99 beds
- CMS high performer
★★★★★5Much above averageSt Francois Manor
1180 Old Jackson Road, Farmington, MO 63640 · 15.7 mi
For-profit · 118 beds · Part of James & Judy Lincoln
★★★★★4Above averageFarmington Presbyterian Manor
500 Cayce Street, Farmington, MO 63640 · 17 mi
Non-profit · 90 beds · Part of Presbyterian Manors of Mid-America
- CMS high performer
★★★★★5Much above averageSouthbrook Nursing Center
1101 Hazel Lane, Farmington, MO 63640 · 17.5 mi
For-profit · 104 beds · Part of Americare Senior Living
★★★★★5Much above averageBaptist Homes of Arcadia Valley
101 Riggs-Scott Lane, Ironton, MO 63650 · 17.6 mi
Non-profit · 36 beds
★★★★★3AverageCamelot Nursing and Rehabilitation Center
705 Grand Canyon Drive, Farmington, MO 63640 · 17.8 mi
For-profit · 97 beds · Part of Mgm Healthcare
★★★★★5Much above average
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Frequently asked questions
What is Claru Deville Nursing Center's rating?
Claru Deville Nursing Center has 3 out of 5 stars on the CMS overall star rating. The average for Missouri nursing homes is 2.5 stars.
How many inspection citations did Claru Deville Nursing Center receive?
Its most recent standard health inspection found 13 citations, compared with a Missouri average of 11.4. Every citation is listed on this page with its severity.
Does Claru Deville Nursing Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Claru Deville Nursing Center?
It is for profit - corporation and part of James & Judy Lincoln. The ownership section on this page lists the owners and managers reported to CMS.
Where is Claru Deville Nursing Center and how do I contact it?
Claru Deville Nursing Center is at 105 Spruce Street, Fredericktown, MO 63645. Phone: (573) 783-3993.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.