Missouri › Madison County › Fredericktown
Claru Deville Nursing Center
105 Spruce Street, Fredericktown, MO 63645
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 90 beds, Claru Deville Nursing Center serves Fredericktown in Madison County, Missouri and has taken Medicare and Medicaid residents since 1992.
CMS gives it 3 of 5 stars overall, above the Missouri median of 2; the health inspection rating is 2, staffing 2 and quality measures 5.
Inspectors recorded 33 health deficiencies across the three most recent survey cycles (13, 13, 7 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is 36.7 per 100 beds, about the same as the state median of 32.1.
CMS lists 2 penalties in the period covered: fines totalling $82K and 1 payment denial.
Reported nurse staffing is 3.4 hours per resident per day (0.2 RN), close to the Missouri median of 3.4; nursing staff turnover is 79.1%.
Compared with county, state and nation
| Measure | This facility | Madison Co. median | Missouri median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 5 | 2 | 3.0 |
| Health citations, 3 cycles | 33 | 33 | 31 | 28.7 |
| Citations per 100 beds | 36.7 | 36.7 | 32.1 | 26.8 |
| Total nurse hours per resident day | 3.4 | 4.1 | 3.4 | 3.9 |
| RN hours per resident day | 0.2 | 0.6 | 0.4 | 0.7 |
| Nursing staff turnover | 79.1% | 79.1% | 56.1% | 45.8% |
| Fines listed | $81,964 | $81,964 | $0 | — |
County and state figures are medians across facilities (2 in the county, 487 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Missouri average per facility for the same cycle, as published by CMS. Standard health survey dates: 24 Apr 2026, 17 Jan 2025.
Severity mix: J ×1 K ×1 G ×2 D ×21 E ×1 F ×7
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 24 Apr 2026 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Standard survey | 3 Jun 2026 |
| 24 Apr 2026 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | Standard survey | 3 Jun 2026 |
| 24 Apr 2026 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 3 Jun 2026 |
| 24 Apr 2026 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 3 Jun 2026 |
| 24 Apr 2026 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 3 Jun 2026 |
| 24 Apr 2026 | F0584 | 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. | D | Standard survey | 3 Jun 2026 |
| 24 Apr 2026 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard survey | 3 Jun 2026 |
| 24 Apr 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 3 Jun 2026 |
| 24 Apr 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 3 Jun 2026 |
| 24 Apr 2026 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 3 Jun 2026 |
| 24 Apr 2026 | F0730 | Observe each nurse aide's job performance and give regular training. | D | Standard survey | 3 Jun 2026 |
| 24 Apr 2026 | F0909 | 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. | D | Standard survey | 3 Jun 2026 |
| 24 Apr 2026 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | Standard survey | 3 Jun 2026 |
| 28 Feb 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 14 Apr 2025 |
| 17 Jan 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | Complaint investigation | 3 Mar 2025 |
| 17 Jan 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | G | Standard survey | 3 Mar 2025 |
| 17 Jan 2025 | F0742 | 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. | G | Complaint investigation | 3 Mar 2025 |
| 17 Jan 2025 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Standard survey | 3 Mar 2025 |
| 17 Jan 2025 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Standard survey | 3 Mar 2025 |
| 17 Jan 2025 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | Standard survey | 3 Mar 2025 |
| 17 Jan 2025 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 3 Mar 2025 |
| 17 Jan 2025 | F0741 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | E | Complaint investigation | 3 Mar 2025 |
| 17 Jan 2025 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 3 Mar 2025 |
| 17 Jan 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 3 Mar 2025 |
| 17 Jan 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 3 Mar 2025 |
| 31 Oct 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 10 Oct 2024 |
| 1 May 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Complaint investigation | 11 Jun 2024 |
| 1 May 2024 | F0625 | 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. | D | Complaint investigation | 11 Jun 2024 |
| 1 May 2024 | F0727 | 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. | D | Complaint investigation | 11 Jun 2024 |
| 5 Oct 2023 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 1 Dec 2023 |
| 5 Oct 2023 | F0625 | 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. | D | Standard survey | 1 Dec 2023 |
| 5 Oct 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 1 Dec 2023 |
| 5 Oct 2023 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Standard survey | 1 Dec 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 17 Jan 2025 | Payment denial | — | 48 days |
| 17 Jan 2025 | Fine | $81,964 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff 79.1%, RNs 66.7%; 2 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Missouri median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 3.6% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.7% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.8% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.4% | 3.6% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 4.4% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.2% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 57.1% | 21.0% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. CMS groups this facility with 56 facilities under an individual owner's name; this site does not publish people's names, so no chain page is linked. Legal business name: N & R Of Fredericktown, Inc..
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| N & R of Fredericktown, Inc. | Operational/managerial control | NOT APPLICABLE | 08/01/1998 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Madison County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Madison Medical Center | Fredericktown | 99 | 5 | 4 | 5 | 5 | 5.1 | — | 17 Nov 2025 |
All 2 facilities in Madison County
Questions and answers
How many deficiencies has Claru Deville Nursing Center been cited for?
33 health deficiencies across the three most recent survey cycles, 4 at the actual-harm or immediate-jeopardy level. The Missouri median is 31 per facility.
Has Claru Deville Nursing Center been fined?
Yes. CMS lists fines totalling $82K in the period covered, plus 1 payment denial.
How does staffing at Claru Deville Nursing Center compare?
Reported total nurse staffing is 3.4 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.
Who operates Claru Deville Nursing Center?
CMS groups it with other facilities under an individual owner, whose name this site does not publish. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include N & R of Fredericktown, Inc.. Individual owners and managers are not listed on this site.
When was Claru Deville Nursing Center last inspected?
The most recent survey or investigation in the CMS record is dated 24 Apr 2026; the most recent standard health survey was 24 Apr 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.