CLARU DEVILLE NURSING CENTER – FREDERICKTOWN, MO

CMS Verified | 2026-03-01

Claru Deville Nursing Center

105 SPRUCE STREET, Fredericktown, MO 63645
(573) 783-3993
90 beds
All Fredericktown facilities
2.0*
Overall
1.0*
Health Inspection
5.0*
Quality Care
1.0*
Staffing
70.18
Score /100
#8206
National Rank

#8206
of 14703 facilities
National
44.2% position
#122
of 487 in MO
State Rank
#2
of 2 in Madison
County Rank
#2
City Rank
#2
of 2 in ZIP 63645
ZIP Rank






About Claru Deville Nursing CenterClaru Deville Nursing Center is located at 105 Spruce Street, Fredericktown, MO, reachable at (573) 783-3993. This For profit – Corporation facility operates 90.0 certified beds and serves an average of 70 residents per day. It is part of the James & Judy Lincoln network (58 facilities nationwide). Medicare and Medicaid services have been provided since 1992-11-16. The facility currently holds a below average (2-star) overall CMS rating — families are encouraged to review inspection reports carefully before making a decision.
Facility

Claru Deville Nursing Center

Address

105 Spruce Street, Fredericktown, MO 63645

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 90 Certified Beds
  • Ownership: For profit – Corporation
  • Resident Council: Resident
  • Automatic Sprinklers: Yes
  • Network: JAMES & JUDY LINCOLN

Quick Verdict

Overall Quality
⚠️ Below Average (2★) overall rating
Health Inspection
❌ Poor (1★) health inspection
Staffing
❌ Poor (1★) staffing rating
Quality of Care
✅ Excellent (5★) quality of care
Compliance
❌ 4 fine(s) over 5 years
5-Year Trend
Declining over 5 years
70.18
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#8206 of 14703 nationally – #122 of 487 in Missouri

Who Is This Facility Best For?

Claru Deville Nursing Center may be considered for families with limited options in Fredericktown, MO, but its lower CMS ratings suggest careful due diligence is warranted. Families should inquire about nurse-to-resident ratios, as the CMS Staffing Rating is currently 1 out of 5.

Overall Rating 2022-2026

Total Nurse Hours/Day 2022-2026

Current Ratings (2026)

Overall Rating

2 / 5
Health Inspection

1 / 5
Staffing Rating

1 / 5
Quality Measures (QM)

5 / 5
Long-Stay QM Rating

5 / 5
Short-Stay QM Rating

N/A

5-Year Rating Trends

Overall Rating

Health Inspection Rating

Quality of Care (QM)

Staffing Rating

Average Residents per Day

Occupancy % (Residents / Beds)

Staffing InsightClaru Deville Nursing Center currently provides 3 hours 26 minutes of total nurse staffing per resident per day, including 13 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 1 out of 5 is below average — a point worth discussing with facility management before admission. Total nursing staff turnover is high at 86.2%, which can affect care continuity.

Current Staffing Hours Per Resident Per Day (2026)

Total Nurse Staffing3 hours 26 minutes
Nurse Aide Hours2 hours 46 minutes
Licensed Practical Nurse (LPN) Hours27 minutes
Registered Nurse (RN) Hours13 minutes
Physical Therapist Hours0 minutes

National average total nurse staffing is approximately 3.5 hours per day

Weekend Staffing Hours Per Resident Per Day (2026)

Weekend Total Nurse Hours3 hours 5 minutes
Weekend Registered Nurse (RN) Hours10 minutes

Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.

5-Year Staffing Trends

Total Nurse Hours/Day

Registered Nurse (RN) Hours/Day

Licensed Practical Nurse (LPN) Hours/Day

Nurse Aide Hours/Day

Total Staff Turnover %

Registered Nurse (RN) Turnover %

Compliance Summary⚠️ CMS has flagged Claru Deville Nursing Center with an abuse icon, indicating a history of reported abuse or neglect incidents. Families should review the detailed inspection reports on Medicare.gov before considering this facility. In the current reporting period, the facility received 2 fine(s) totaling $94,613. 5 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. There were 1 Medicare payment denial(s) in the current period.
Number of Fines (current period) 2
Total Fines Amount $94613.0
Payment Denials 1
Total Penalties 3
Abuse Flag on Record Y
Total Weighted Health Survey Score 219.5 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#8,206
of 14,703
National
Bottom 44%
#122
of 487
MO State
Top 25% in MO
#2
of 2
️ Madison County
#2 of 2
#2
of 2
️ Fredericktown
#2 of 2
#2
of 2
ZIP 63645
#2 of 2

Nationally, Claru Deville Nursing Center ranks 8206th out of 14,703 facilities (composite score: 70.2/100), placing it in the below average nationwide. Within MO, it ranks 122nd out of 487 nursing homes. In Fredericktown, it ranks 2nd out of 2 facilities. Among facilities sharing its ZIP code, it ranks 2nd of 2. For 2026 staffing: total nurse hours rank #9,763 nationally and RN hours rank #13,695 nationally (#408 in MO).

How do we calculate these rankings?

Total Nurse Staffing – Year-by-Year National and State Ranks

Year Hours/Day National Rank MO State Rank Note
2022 2.36 #13,702 / 14,703 #398 / 487 ⚠️ Bottom 10%
2023 3.41 #8,629 / 14,703 #164 / 487 Below average
2024 3.32 #9,958 / 14,703 #207 / 487 Below average
2025 3.23 #11,397 / 14,703 #249 / 487 ⚠️ Bottom 25%
2026 3.43 #9,763 / 14,703 #217 / 487 Below average

Registered Nurse (RN) Hours – Year-by-Year National and State Ranks

Year Hours/Day National Rank MO State Rank Note
2022 0.19 #13,627 / 14,703 #398 / 487 ⚠️ Bottom 10%
2023 0.24 #13,114 / 14,703 #385 / 487 ⚠️ Bottom 25%
2024 0.20 #13,707 / 14,703 #419 / 487 ⚠️ Bottom 10%
2025 0.21 #13,717 / 14,703 #400 / 487 ⚠️ Bottom 10%
2026 0.22 #13,695 / 14,703 #408 / 487 ⚠️ Bottom 10%

Total Nurse Rank – National (lower number = better)

Registered Nurse Rank – National (lower number = better)

Frequently Asked Questions

Claru Deville Nursing Center is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1992-11-16. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (573) 783-3993 or your local Medicaid office to verify current eligibility.

Claru Deville Nursing Center holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 2 out of 5 stars. This is made up of three components: Health Inspection (1★), Staffing (1★), and Quality of Resident Care (5★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 70.2/100, placing it #8206 of 14703 facilities nationally and #122 of 487 in Missouri. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Claru Deville Nursing Center receives a reported average of 3 hours 26 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 13 minutes; Licensed Practical Nurse (LPN) — 27 minutes; Nurse Aide — 2 hours 46 minutes. On weekends, total nurse staffing is 3 hours 5 minutes per resident per day. The CMS Staffing Rating for this facility is 1 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 86.2%. Families are encouraged to ask about current staffing schedules during their facility visit.

⚠️ CMS has flagged Claru Deville Nursing Center with an abuse icon, indicating a history of reported abuse or neglect incidents. Families should review the detailed inspection reports on Medicare.gov before considering this facility. In the current reporting period, the facility received 2 fine(s) totaling $94,613. 5 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. There were 1 Medicare payment denial(s) in the current period. In the most recent CMS reporting period, the facility received 2 fine(s) totaling $94,613, and 1 Medicare payment denial(s). Total penalties: 3. The Total Weighted Health Survey Score is 219.5 (lower scores are better). IMPORTANT: CMS has flagged this facility with an abuse icon — indicating a reported history of abuse or neglect. Families should review the full inspection report on medicare.gov/care-compare before deciding. Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Claru Deville Nursing Center ranks 8206th out of 14,703 facilities (composite score: 70.2/100), placing it in the below average nationwide. Within MO, it ranks 122nd out of 487 nursing homes. In Fredericktown, it ranks 2nd out of 2 facilities. Among facilities sharing its ZIP code, it ranks 2nd of 2. For 2026 staffing: total nurse hours rank #9,763 nationally and RN hours rank #13,695 nationally (#408 in MO). Our composite quality score of 70.2/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Fredericktown, visit: https://nursinghomesnearme.org/missouri/fredericktown/

Contact and Location

ADR
Address

105 SPRUCE STREET, Fredericktown, MO 63645
Get directions on Google Maps

TEL
LLC
Legal Name

N & R OF FREDERICKTOWN, INC.

MAP
Browse by Location

All Missouri ·
Madison County ·
Fredericktown ·
ZIP 63645

Facility Details

Number of Certified Beds 90
Average Residents / Day 70 (79% occupancy)
Ownership Type For profit – Corporation
Provider Type Medicare and Medicaid
County Madison County, MO
City Fredericktown, MO
ZIP Code 63645
Approved Since November 16, 1992
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 265514
Data Processing Date March 1, 2026
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org

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