Claru Deville Nursing Center

105 Spruce Street, Fredericktown, MO 63645 · (573) 783-3993
For profit - Corporation · 90 certified beds

Claru Deville Nursing Center has a 3-star overall rating from Medicare, out of 5. Its last standard inspection, in April 2026, found 13 citations (the Missouri average is 11.4). It was fined 1 time in the last three years, $81,964 in all.

Medicare ratings

How to read a nursing home's star ratings

Most recent health inspection

The standard health inspection on April 24, 2026 found 13 citations. What an inspection citation means

• Have a plan that describes the process for conducting QAPI and QAA activities.April 24, 2026 · F0865 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyApril 24, 2026 · F0868 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Provide and implement an infection prevention and control program.April 24, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Ensure that residents are fully informed and understand their health status, care and treatments.April 24, 2026 · F0552 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.April 24, 2026 · F0582 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.April 24, 2026 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.April 24, 2026 · F0628 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.April 24, 2026 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure services provided by the nursing facility meet professional standards of quality.April 24, 2026 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide care or services that was trauma informed and/or culturally competent.April 24, 2026 · F0699 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Observe each nurse aide's job performance and give regular training.April 24, 2026 · F0730 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.April 24, 2026 · F0909 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.April 24, 2026 · F0947 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Complaint inspections, last three years

Inspections after complaints found 8 citations.

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.February 28, 2025 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.January 17, 2025 · F0600 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
• Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.January 17, 2025 · F0741 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.January 17, 2025 · F0742 · Level of harm: Actual harm · Residents affected: Few
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.October 31, 2024 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.May 1, 2024 · F0623 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.May 1, 2024 · F0625 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.May 1, 2024 · F0727 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Fines and payment denials

• Fine of $81,964January 17, 2025
• Medicare payment denial for 48 daysStarting February 25, 2025

Nurse staffing

Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.

About this home