Claru Deville Nursing Center
Nursing Home · Fredericktown, MO
CMS certification number265514
Contact & location
105 Spruce StreetFredericktown, MO 63645
Madison County
- Phone
- (573) 783-3993
- ZIP code
- 63645 – all care providers
Facility details
- Certified beds
- 90
- Residents per day
- 67.5 (75% occupied)
- Ownership
- For profit - Corporation
- Legal name
- N & R of Fredericktown, INC.
- Chain
- James & Judy Lincoln (56 facilities, avg 2.4★)
- Medicare certified since
- November 16, 1992
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.36 (state 3.43 · U.S. 3.86)
- Registered nurses (RN)
- 0.24 (state 0.46 · U.S. 0.69)
- Licensed practical nurses
- 0.53 (state 0.68 · U.S. 0.86)
- Nurse aides
- 2.59 (state 2.29 · U.S. 2.32)
- Weekend total
- 3.04 (state 3.02 · U.S. 3.42)
- Nursing staff turnover
- 79.1 (state 56.0 · U.S. 45.8)%
- RN turnover
- 66.7 (state 47.8 · U.S. 42.9)%
- Administrators who left
- 2 in the last year
Inspections
- Last standard inspection
- April 24, 2026
- Health deficiencies (last cycle)
- 13.0 (state 11.5 · U.S. 9.3)
- From complaints
- 0
- Citations on record (3 years)
- 33 health · 10 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-04-24 | Have a plan that describes the process for conducting QAPI and QAA activities. F0865 · Administration Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2026-06-03 |
| 2026-04-24 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly F0868 · Administration Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2026-06-03 |
| 2026-04-24 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2026-06-03 |
| 2026-04-24 | Ensure that residents are fully informed and understand their health status, care and treatments. F0552 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-03 |
| 2026-04-24 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-03 |
| 2026-04-24 | 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. F0584 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-03 |
| 2026-04-24 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. F0628 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-03 |
| 2026-04-24 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-03 |
| 2026-04-24 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-03 |
| 2026-04-24 | Provide care or services that was trauma informed and/or culturally competent. F0699 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-03 |
| 2026-04-24 | Observe each nurse aide's job performance and give regular training. F0730 · Nursing and Physician Services Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-03 |
| 2026-04-24 | 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. F0909 · Environmental Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-03 |
| 2026-04-24 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. F0947 · Nursing and Physician Services Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-03 |
| 2025-02-28 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2025-04-14 |
| 2025-01-17 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
K Immediate jeopardy to resident health or safety |
Corrected 2025-03-03 |
| 2025-01-17 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies |
G Actual harm |
Corrected 2025-03-03 |
| 2025-01-17 | 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. F0742 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2025-03-03 |
| 2025-01-17 | Have a plan that describes the process for conducting QAPI and QAA activities. F0865 · Administration Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2025-03-03 |
| 2025-01-17 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. F0867 · Administration Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2025-03-03 |
| 2025-01-17 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly F0868 · Administration Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2025-03-03 |
| 2025-01-17 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2025-03-03 |
| 2025-01-17 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. F0741 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-03-03 |
| 2025-01-17 | PASARR screening for Mental disorders or Intellectual Disabilities F0645 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-03-03 |
| 2025-01-17 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-03-03 |
| 2025-01-17 | Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-03-03 |
| 2024-10-31 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-10-10 |
| 2024-05-01 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-11 |
| 2024-05-01 | 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. F0625 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-11 |
| 2024-05-01 | 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. F0727 · Nursing and Physician Services Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-11 |
| 2023-10-05 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-01 |
| 2023-10-05 | 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. F0625 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-01 |
| 2023-10-05 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-01 |
| 2023-10-05 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921 · Environmental Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-01 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
2 penalties in the last three years, including $81,964 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-01-17 | Payment Denial | 48 days payment denial |
| 2025-01-17 | Fine | $81,964 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Lincoln, James (individual) | 5%+ Direct Ownership Interest · 50% | |
| Lincoln, Judy (individual) | 5%+ Direct Ownership Interest · 50% | |
| Bysor, Brandon (individual) | Corporate Director · NOT APPLICABLE | |
| Drake, Timothy (individual) | Corporate Officer · NOT APPLICABLE | |
| Stutts, Charlotte (individual) | Corporate Officer · NOT APPLICABLE | |
| Lincoln, James (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Lincoln, Judy (individual) | Operational/managerial Control · NOT APPLICABLE | |
| N & R of Fredericktown, INC. (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Stotler, Daniele (individual) | W-2 Managing Employee · NOT APPLICABLE |
Frequently asked questions
What is the rating of Claru Deville Nursing Center?
Claru Deville Nursing Center has a 3-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.5-star average in Missouri.
How many beds does Claru Deville Nursing Center have?
It has 90 certified beds and cares for about 68 residents per day.
Has Claru Deville Nursing Center been fined?
Yes. CMS lists 2 penalties totaling $81,964 in the last three years.
Who owns Claru Deville Nursing Center?
It is part of James & Judy Lincoln and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Claru Deville Nursing Center?
(573) 783-3993. The facility is located at 105 Spruce Street, Fredericktown, MO 63645.
Other nursing homes in Fredericktown
-
Madison Medical Center
Nursing Home · Fredericktown, MO · 99 beds
★★★★★
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.