Claru Deville Nursing Center
105 Spruce Street · Fredericktown, MO · 63645 · 5737833993
90 certified beds For profit - Corporation Chain: James & Judy Lincoln
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $81,964 in fines in the last 24 months.
The complete Safety Report — $19
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Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$81,964 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
RN staffing in the bottom 10% nationally
0.23 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
89% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.44 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.23 | 0.55–0.75 |
| Weekend hours / resident-day | 3.12 | ≈ weekday level |
| Nursing turnover / year | 89% | median 45% |
| Fines (3-yr window) | 1 · $81,964 |
Inspection citations (26 in the current record)
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Immediate jeopardy · J February 28, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 14, 2025 · Quality of Life and Care
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Immediate jeopardy · K January 17, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 3, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G January 17, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 3, 2025 · Resident Rights
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Actual harm · G January 17, 2025 · found via complaint
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.
Corrected March 3, 2025 · Quality of Life and Care
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Potential for harm · D January 17, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected March 3, 2025 · Resident Assessment and Care Planning
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Potential for harm · D January 17, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected March 3, 2025 · Quality of Life and Care
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Potential for harm · D January 17, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected March 3, 2025 · Pharmacy Service
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Potential for harm · F January 17, 2025
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected March 3, 2025 · Administration
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Potential for harm · F January 17, 2025
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected March 3, 2025 · Administration
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Potential for harm · F January 17, 2025
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected March 3, 2025 · Administration
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Potential for harm · F January 17, 2025
Provide and implement an infection prevention and control program.
Corrected March 3, 2025 · Infection Control
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Potential for harm · E January 17, 2025 · found via complaint
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Corrected March 3, 2025 · Quality of Life and Care
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Potential for harm · D October 31, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected October 10, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 1, 2024 · found via complaint
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected June 11, 2024 · Resident Rights
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Potential for harm · D May 1, 2024 · found via complaint
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.
Corrected June 11, 2024 · Resident Rights
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Potential for harm · D May 1, 2024 · found via complaint
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.
Corrected June 11, 2024 · Nursing and Physician Services
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Potential for harm · D October 5, 2023
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected December 1, 2023 · Resident Rights
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Potential for harm · D October 5, 2023
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.
Corrected December 1, 2023 · Resident Rights
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Potential for harm · D October 5, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected December 1, 2023 · Resident Assessment and Care Planning
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Potential for harm · D October 5, 2023
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected December 1, 2023 · Environmental
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Potential for harm · D June 11, 2021
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected July 23, 2021 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 11, 2021
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected July 23, 2021 · Resident Rights
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Potential for harm · D June 11, 2021
Prepare residents for a safe transfer or discharge from the nursing home.
Corrected July 25, 2021 · Resident Rights
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Potential for harm · D June 11, 2021
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.
Corrected July 23, 2021 · Resident Rights
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Potential for harm · D June 11, 2021
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 23, 2021 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 17, 2025 | Fine | $81,964 |
| January 17, 2025 | Payment Denial | 48 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265514 · certified since November 16, 1992. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.