Nursing home · Fredericktown, MO
Claru Deville Nursing Center
105 Spruce Street, Fredericktown, MO 63645 · 90 certified beds · for profit ownership · part of James & Judy Lincoln
Source: CMS Provider Data, processed Sep 1, 2026.
The latest inspection, in plain English
Inspectors' most recent visit in the CMS data was on Apr 24, 2026, when they cited 13 problems. The most common area was resident rights (4 citations). None rose to the level of actual harm; the most serious was severity code F, on a scale from A to L. 0 of 13 are marked corrected in the CMS data. At its most recent standard inspection (Apr 24, 2026) it had 13 citations, compared with an average of 7.6 for Farmington-area homes, 11.4 in Missouri and 9.2 nationally.
Staffing and turnover
Nursing staff spend 3.36 hours per resident per day here, about the same as the Missouri average (3.43) and 13% less than the U.S. average (3.86). Registered nurses account for 0.24 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 79% over the past year, 23 points higher than Missouri (56%) and 33 points higher than the U.S. (46%).
How Claru Deville Nursing Center compares
This home's latest CMS figures next to the averages for Farmington-area homes (15), Missouri (487) and the U.S. (14,680).
| This home | Farmington area | Missouri | U.S. | |
|---|---|---|---|---|
| Total nurse hours per resident per day | 3.36 | 3.23 | 3.43 | 3.86 |
| Registered nurse hours per resident per day | 0.24 | 0.44 | 0.46 | 0.68 |
| Weekend nurse hours per resident per day | 3.04 | 2.79 | 3.01 | 3.42 |
| Nursing staff turnover (past year) | 79% | 59% | 56% | 46% |
| Registered nurse turnover (past year) | 67% | 47% | 48% | 43% |
| Citations at the most recent standard inspection | 13 | 7.6 | 11.4 | 9.2 |
Inspection history
Citations by inspection date in the current CMS data. Red bars include a citation rated actual harm or worse.
Medicare does not publish past star ratings in its current data, so we show inspection history instead.
Most recent 33 of 33 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).
Show all citations
| Date | Deficiency | Severity | Status |
|---|---|---|---|
| Apr 24, 2026 | Have a plan that describes the process for conducting QAPI and QAA activities. Administration | F | Deficient, Provider has date of correction |
| Apr 24, 2026 | 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 | D | Deficient, Provider has date of correction |
| Apr 24, 2026 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration | F | Deficient, Provider has date of correction |
| Apr 24, 2026 | 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 | D | Deficient, Provider has date of correction |
| Apr 24, 2026 | 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 | D | Deficient, Provider has date of correction |
| Apr 24, 2026 | Observe each nurse aide's job performance and give regular training. Nursing and physician services | D | Deficient, Provider has date of correction |
| Apr 24, 2026 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Apr 24, 2026 | Provide care or services that was trauma informed and/or culturally competent. Quality of life and care | D | Deficient, Provider has date of correction |
| Apr 24, 2026 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident rights | D | Deficient, Provider has date of correction |
| Apr 24, 2026 | 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 | D | Deficient, Provider has date of correction |
| Apr 24, 2026 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident rights | D | Deficient, Provider has date of correction |
| Apr 24, 2026 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident rights | D | Deficient, Provider has date of correction |
| Apr 24, 2026 | Provide and implement an infection prevention and control program. Infection control | F | Deficient, Provider has date of correction |
| Feb 28, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care · complaint | J immediate jeopardy | Deficient, Provider has date of correction |
| Jan 17, 2025 | Provide and implement an infection prevention and control program. Infection control | F | Deficient, Provider has date of correction |
| Jan 17, 2025 | Ensure medication error rates are not 5 percent or greater. Pharmacy service | D | Deficient, Provider has date of correction |
| Jan 17, 2025 | Provide safe and appropriate respiratory care for a resident when needed. Quality of life and care | D | Deficient, Provider has date of correction |
| Jan 17, 2025 | PASARR screening for Mental disorders or Intellectual Disabilities Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Jan 17, 2025 | 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 · complaint | E | Deficient, Provider has date of correction |
| Jan 17, 2025 | 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 · complaint | G actual harm | Deficient, Provider has date of correction |
| Jan 17, 2025 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration | F | Deficient, Provider has date of correction |
| Jan 17, 2025 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration | F | Deficient, Provider has date of correction |
| Jan 17, 2025 | Have a plan that describes the process for conducting QAPI and QAA activities. Administration | F | Deficient, Provider has date of correction |
| Jan 17, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident rights | G actual harm | Deficient, Provider has date of correction |
| Jan 17, 2025 | 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 · complaint | K immediate jeopardy | Deficient, Provider has date of correction |
| Oct 31, 2024 | 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 · complaint | D | Past Non-Compliance |
| May 1, 2024 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident rights · complaint | D | Deficient, Provider has date of correction |
| May 1, 2024 | Notify the resident or the residentâs representative in writing how long the nursing home will hold the residentâs bed in cases of transfer to a hospital or therapeutic leave. Resident rights · complaint | D | Deficient, Provider has date of correction |
| May 1, 2024 | 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 · complaint | D | Deficient, Provider has date of correction |
| Oct 5, 2023 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident rights | D | Deficient, Provider has date of correction |
| Oct 5, 2023 | Notify the resident or the residentâs representative in writing how long the nursing home will hold the residentâs bed in cases of transfer to a hospital or therapeutic leave. Resident rights | D | Deficient, Provider has date of correction |
| Oct 5, 2023 | 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 | D | Deficient, Provider has date of correction |
| Oct 5, 2023 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental | D | Deficient, Provider has date of correction |
Fines and penalties
| Date | Type | Amount |
|---|---|---|
| Jan 17, 2025 | Fine | $81,964 |
| Jan 17, 2025 | Payment Denial | 48 days |
Location
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Reviews
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Questions about Claru Deville Nursing Center
Answers computed from CMS data for this facility.
What is Claru Deville Nursing Center's Medicare rating?
Medicare rates Claru Deville Nursing Center 3 out of 5 stars overall (average). The average for Farmington-area nursing homes is 3.5, for Missouri 2.51 and for the U.S. 2.99.
How did Claru Deville Nursing Center do on its last inspection?
Inspectors' most recent visit in the CMS data was on Apr 24, 2026, when they cited 13 problems. The most common area was resident rights (4 citations). None rose to the level of actual harm; the most serious was severity code F, on a scale from A to L. 0 of 13 are marked corrected in the CMS data. At its most recent standard inspection (Apr 24, 2026) it had 13 citations, compared with an average of 7.6 for Farmington-area homes, 11.4 in Missouri and 9.2 nationally.
Has Claru Deville Nursing Center been fined?
Yes. CMS reports 1 fine totaling $81,964 in the past three years.
Does Claru Deville Nursing Center accept Medicaid?
Claru Deville Nursing Center is certified for both Medicare and Medicaid. Call (573) 783-3993 to ask whether a Medicaid bed is open.
Other nursing homes near Fredericktown
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- 5/5Camelot Nursing and Rehabilitation CenterFarmington · 97 beds
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- 5/5Farmington Presbyterian ManorFarmington · 90 beds
- 5/5Southbrook Nursing CenterFarmington · 104 beds
- 4/5Nhc Healthcare, DeslogeDesloge · 120 beds
Compare all 15 Farmington-area nursing homes · · Farmington guide
Source: CMS Provider Data, processed 2026-09-01. Inspection findings reflect conditions on the survey date and may since have been corrected. Verify on Medicare Care Compare.