Quick answers
- Where is Claru Deville Nursing Center?
- 105 Spruce Street, Fredericktown, MO 63645, in Madison County, Missouri.
- What is the phone number of Claru Deville Nursing Center?
- (573) 783-3993, as listed by Medicare (CMS).
- What is the Medicare star rating of Claru Deville Nursing Center?
- Medicare overall rating: 3 out of 5 stars (CMS data updated 2026-10-01).
- Has Claru Deville Nursing Center been fined?
- Medicare lists 1 fine totaling $81,964 and 1 payment denial.
- What did inspectors find at Claru Deville Nursing Center?
- In its last three inspection cycles (October 5, 2023 to April 24, 2026), Medicare lists 33 health citations; the most serious was level K. 4 were level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (October 5, 2023 to April 24, 2026), Claru Deville Nursing Center had 33 health citations; the most serious was level K (immediate jeopardy to resident health or safety). 4 of them were level G or higher (actual harm or immediate jeopardy). It was fined $81,964 in total (1 fine, the latest on January 17, 2025) and had 1 Medicare payment denial. Nurse staffing is 3.36 hours per resident per day; the Missouri average is 3.40 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: April 24, 2026 — 13 health citations
Inspections in this cycle: April 24, 2026 (standard health inspection).
Show 13 citations (levels A to F, no actual harm)
F0865 Level F
“Have a plan that describes the process for conducting QAPI and QAA activities.”
F0868 Level F
“Have the Quality Assessment and Assurance group have the required members and meet at least quarterly”
F0880 Level F
“Provide and implement an infection prevention and control program.”
F0552 Level D
“Ensure that residents are fully informed and understand their health status, care and treatments.”
F0582 Level D
“Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.”
F0584 Level D
“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.”
F0628 Level D
“Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0699 Level D
“Provide care or services that was trauma informed and/or culturally competent.”
F0730 Level D
“Observe each nurse aide's job performance and give regular training.”
F0909 Level D
“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.”
F0947 Level D
“Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.”
Previous cycle: January 17, 2025 — 13 health citations
Inspections in this cycle: October 31, 2024 (complaint investigation); January 17, 2025 (complaint investigation); January 17, 2025 (standard health inspection); February 28, 2025 (complaint investigation).
F0600 Level K
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
immediate jeopardy to resident health or safety; pattern (some residents) · Freedom from Abuse, Neglect, and Exploitation Deficiencies
F0689 Level J
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Quality of Life and Care Deficiencies
F0550 Level G
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
actual harm to residents; isolated (a few residents) · Resident Rights Deficiencies
F0742 Level G
“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.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 9 less serious citations (levels A to F)
F0865 Level F
“Have a plan that describes the process for conducting QAPI and QAA activities.”
F0867 Level F
“Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.”
F0868 Level F
“Have the Quality Assessment and Assurance group have the required members and meet at least quarterly”
F0880 Level F
“Provide and implement an infection prevention and control program.”
F0741 Level E
“Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.”
F0645 Level D
“PASARR screening for Mental disorders or Intellectual Disabilities”
F0695 Level D
“Provide safe and appropriate respiratory care for a resident when needed.”
F0759 Level D
“Ensure medication error rates are not 5 percent or greater.”
F0600 Level D
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
Earlier cycle: October 5, 2023 — 7 health citations
Inspections in this cycle: October 5, 2023 (standard health inspection); May 1, 2024 (complaint investigation).
Show 7 citations (levels A to F, no actual harm)
F0623 Level D
“Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.”
F0625 Level D
“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.”
F0727 Level D
“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.”
F0623 Level D
“Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.”
F0625 Level D
“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.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0921 Level D
“Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (10)
K0345 Level F
“Have approved installation, maintenance and testing program for fire alarm systems.”
K0351 Level F
“Install an approved automatic sprinkler system.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0355 Level F
“Properly select, install, inspect, or maintain portable fire extinguishes.”
K0741 Level F
“Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.”
K0920 Level D
“Ensure proper usage of power strips and extension cords.”
K0355 Level F
“Properly select, install, inspect, or maintain portable fire extinguishes.”
K0781 Level F
“Have restrictions on the use of portable space heaters.”
K0932 Level F
“Meet other general requirements.”
K0920 Level F
“Ensure proper usage of power strips and extension cords.”
Fines and payment denials
Total fines over about the last three years: $81,964 (1 fine). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| January 17, 2025 | Fine | $81,964 |
| January 17, 2025 | Payment denial | from February 25, 2025, 48 days |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Missouri | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.30 | 0.46 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.44 | 0.68 | 0.86 |
| Nurse aide hours per resident per day | 2.62 | 2.26 | 2.35 |
| Total nurse staff hours per resident per day | 3.36 | 3.40 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 2.99 | 2.96 | 3.43 |
| RN hours per resident per day on the weekend | 0.24 | 0.32 | 0.48 |
| Nursing staff turnover (per year) | 72.7% | 56.9% | 45.3% |
| RN turnover (per year) | 71.4% | 50.0% | 42.5% |
| Administrators who left in the last year | 3.0 | 0.7 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 55 nursing homes: James & Judy Lincoln.
Legal business name: N & R of Fredericktown, Inc..
Owners and managers Medicare lists (3)
| Name | Role | Share | Since |
|---|---|---|---|
| Lincoln, James | Direct owner | 50% | August 1, 1998 |
| Lincoln, Judy | Direct owner | 50% | August 1, 1998 |
| N & R of Fredericktown, Inc. | Management company (operational or managerial control) | NOT APPLICABLE | August 1, 1998 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 90 |
| Average residents per day | 66.7 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – corporation |
| Group or chain (affiliated entity) | James & Judy Lincoln |
| Legal business name | N & R of Fredericktown, Inc. |
| First approved by Medicare/Medicaid | 1992-11-16 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 105 Spruce Street, Fredericktown, MO 63645 |
| County | Madison County |
| State | Missouri |
| Phone | (573) 783‑3993 |
| CMS Certification Number | 265514 |
| Name in Medicare records | CLARU DEVILLE NURSING CENTER |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Madison Medical Center1.0 mi · Fredericktown, MO · 5 of 5 stars
- St Francois Manor16 mi · Farmington, MO · 4 of 5 stars
- Farmington Presbyterian Manor17 mi · Farmington, MO · 5 of 5 stars
- Southbrook Nursing Center18 mi · Farmington, MO · 5 of 5 stars
- Baptist Homes of Arcadia Valley18 mi · Ironton, MO · 3 of 5 stars
Nearest hospital emergency rooms
- Madison Medical Center1.0 mi · Fredericktown, MO · Critical Access Hospital
- Parkland Health Center17 mi · Farmington, MO · Acute Care Hospital
- Iron County Medical Center20 mi · Pilot Knob, MO · Critical Access Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13