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Nursing HomeMedicaid Investigative

Claru Deville Nursing Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

105 Spruce Street, Fredericktown, MO 6364590 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
2.9/5

based on 19 Google reviews

5
4
3
2
1
Claru Deville Nursing Center Nursing Home in Fredericktown, MO — Street View
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8/ 10
critical Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Abuse citation on record
  • Low overall rating (2/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (11 vs median 10)
  • High staff turnover (86%)
  • High RN turnover (80%)

Below average in MO · Critically understaffed (RN) · Very high staff turnover · $94,613 in fines · Abuse citation

Source: Medicare data

What this means for your family

While recent reviews suggest an improvement in rehabilitation services and social engagement, the history of serious concerns regarding medication management and facility hygiene remains a red flag. We strongly recommend that you conduct an unannounced visit to inspect the cleanliness of the facility and speak directly with the nursing director about their current medication administration protocols.

Google Reviews

Google Reviews

19 reviews on Google
Claru DeVille Nursing Center presents a highly polarized experience, with recent reviews highlighting successful rehabilitation outcomes and attentive care, while older reviews and some critical reports raise serious concerns about facility hygiene and staff conduct. Families should be aware of a significant divide between positive experiences regarding rehab success and negative reports involving medication management and facility maintenance.

Quality Themes

Tap a score for details
Food8.0Staff4.0Clean3.0Activities9.0Meds2.0MemoryN/AComms3.0ValueN/A

Strengths

  • Effective short-term rehabilitation
  • Engaging social activities and holiday events
  • Accommodating and friendly nursing staff in specific units

Concerns

  • Poor facility hygiene and pest issues (mentioned by 2 reviewers)
  • Inadequate medication management and communication (mentioned by 2 reviewers)
  • Aggressive or unprofessional staff behavior (mentioned by 4 reviewers)

Rating Trends

Tap a year to see what changed

2343.42019(5)1.52021(2)1.02023(3)3.02024(2)3.72025(7)5.02026(2)

Distribution · 21 analyzed

5
10
4
1
3
0
2
1
1
9

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1I noticed the facility has a very active social calendar; could you walk me through what a typical week of activities looks like for residents?
  • 2Given that medication management is a top priority for our family, what specific protocols do you have in place to ensure accuracy and timely administration?
  • 3We understand that maintaining a clean and pest-free environment is a challenge in facilities of this size; what is your current daily cleaning schedule and pest control strategy?
  • 4How do you approach ongoing training and conflict resolution to ensure that all staff members maintain a professional and supportive demeanor with residents?
  • 5What is your standard procedure for communicating changes in a resident's health status or care plan to family members?
  • 6With the current staffing levels, how does your team ensure that residents receive consistent, personalized attention throughout the day and night?

Personalized based on this facility's data


Key Review Excerpts

The staff is amazing and always go out of their way to accommodate and make the residents feel safe and comfortable. It is clean and the food is yummy!

Family member · 2024★★★★★

Our Mom stayed here for rehabilitation they worked very well with her. They got her strong and she is coming home.

Family member · 2025★★★★

My granddaughter is staying here and she loves the staff in unit 5. They order in Pizza, McDonalds, BBQ during the week. They have parties on holidays that makes it a lot of fun.

Family member · 2025★★★★★
Source: 19 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.23hrs
30%
Registered nurses for medical care
Total Nursing
3.44hrs
84%
All nurses + aides combined
Staff Turnover
89%
Lower is better (< 30% = good)
RN Turnover
80%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 15 measures

Medicare Rating
5/ 5
Better Than Avg

10

measures

Worse Than Avg

5

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility60.0%
Worse than Avg
Here
60.0%
US
15.5%
MO
23.6%
Madison
17.2%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility59.4%
Worse than Avg
Here
59.4%
US
93.4%
MO
84.4%
Madison
92.2%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility48.4%
Worse than Avg
Here
48.4%
US
19.5%
MO
25.4%
Madison
24.1%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility71.8%
Worse than Avg
Here
71.8%
US
95.5%
MO
90.9%
Madison
91.7%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.4%
Better than Avg
Here
0.4%
US
12.1%
MO
16.7%
Madison
19.6%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility2.4%
Better than Avg
Here
2.4%
US
14.4%
MO
19.1%
Madison
15.4%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility9.5%
Worse than Avg
Here
9.5%
US
81.8%
MO
65.9%
Madison
79.7%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

11deficiencies
2penalties
Near state avg (12.0)
8 complaint-triggered
$94,613 in fines

This facility has a concerning pattern with 10 complaint-triggered deficiencies, indicating families have repeatedly reported problems. The most recurring issues involve resident protection from abuse and neglect (cited across multiple years through 2025), resident rights violations around transfers and bed holds, and safety hazards. While the facility corrects deficiencies when cited, the persistent complaints about abuse protection and repeated violations in resident rights suggest ongoing systemic problems that families should carefully consider.

Feb 28, 2025Complaint
1
0689Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Jan 17, 2025Routine
11
0550Actual harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0865Potential for harm · WidespreadCorrected

Administration Deficiencies

Have a plan that describes the process for conducting QAPI and QAA activities.

0867Potential for harm · WidespreadCorrected

Administration Deficiencies

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

0868Potential for harm · WidespreadCorrected

Administration Deficiencies

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0355Potential for harm · WidespreadCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0781Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have restrictions on the use of portable space heaters.

0932Potential for harm · WidespreadCorrected

Smoke Deficiencies

Meet other general requirements.

0645Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

Jan 17, 2025Complaint
3
0600Immediate jeopardy · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0742Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

0741Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

Oct 31, 2024Complaint
1
0600Potential for harm · IsolatedResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

May 1, 2024Complaint
3
0623Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

0625Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0727Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

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.

Oct 5, 2023Routine
5
0920Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0623Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

0625Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0921Potential for harm · IsolatedCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Federal Penalties

Fine

Jan 17, 2025

$81,964

Payment Denial

Jan 17, 2025

48-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Claru Deville Nursing Center

Organization Type

for profit

Chain Affiliation

Chain Name

James & Judy Lincoln

Chain Size

56 facilities nationwide

Chain avg rating: 2.5/5 · Rank 31 of 56

Ownership & Management

Owners

Lincoln, James

Owner

50%

Lincoln, Judy

Owner

50%

Key personnel

Stotler, DanieleW-2 Managing EmployeeBysor, BrandonOfficer / DirectorCrane, GaryOfficer / DirectorDrake, TimothyOfficer / DirectorStutts, CharlotteOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 1 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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