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Data / Nursing homes / Missouri / Claru Deville Nursing Center

Claru Deville Nursing Center, Fredericktown, MO: 3 star rating, fined $81,964 across 1 fine and had 1 payment denial

Updated November 7, 2026. Source: CMS Provider Data Catalog, nursing homes.

Claru Deville Nursing Center in Fredericktown, MO is owned by 2 individuals whom CMS lists (names not shown), is rated 3 of 5 stars by Medicare, and was fined $81,964 across 1 fine and had 1 payment denial in the three years to October 1, 2026. CMS lists 33 health citations from inspections in that time, the latest survey on April 24, 2026, and 4 of them found actual harm or immediate jeopardy.

The request: Watch Claru Deville Nursing Center (CMS Certification Number 265514) at 105 Spruce Street, Fredericktown, MO: each new inspection citation and fine, with the date, the tag and the amount. $10 of work on sign-up, no card.

Watch this facility's inspections and finesGet nursing homes in Missouri

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

Address
105 Spruce Street, Fredericktown, MO 63645
Overall rating
3 of 5 stars
Health inspection rating
2 of 5
Staffing rating
2 of 5
Quality measure rating
5 of 5
Certified beds
90
Residents per day
67 on average
Ownership type
For profit, corporation
Legal business name
N & R of Fredericktown, Inc.
Chain
James & Judy Lincoln, 55 facilities
Fines
$81,964 across 1 fine, three years to October 1, 2026
Payment denials
1
Health citations
33, of which 4 with actual harm or immediate jeopardy
Latest survey
April 24, 2026
CMS Certification Number
265514
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
January 17, 2025Fine$81,964Not listeddata.cms.gov
January 17, 2025Payment denialNot listedFebruary 25, 202548data.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
April 24, 2026F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 3, 2026data.cms.gov
April 24, 2026F909Regularly 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 3, 2026data.cms.gov
April 24, 2026F880Provide and implement an infection prevention and control program.F: widespread, no actual harm, potential for more than minimal harmCorrectedJune 3, 2026data.cms.gov
April 24, 2026F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyF: widespread, no actual harm, potential for more than minimal harmCorrectedJune 3, 2026data.cms.gov
April 24, 2026F865Have a plan that describes the process for conducting QAPI and QAA activities.F: widespread, no actual harm, potential for more than minimal harmCorrectedJune 3, 2026data.cms.gov
April 24, 2026F730Observe each nurse aide's job performance and give regular training.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 3, 2026data.cms.gov
April 24, 2026F699Provide care or services that was trauma informed and/or culturally competent.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 3, 2026data.cms.gov
April 24, 2026F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 3, 2026data.cms.gov
April 24, 2026F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 3, 2026data.cms.gov
April 24, 2026F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 3, 2026data.cms.gov
April 24, 2026F584Honor 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 3, 2026data.cms.gov
April 24, 2026F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 3, 2026data.cms.gov
April 24, 2026F552Ensure that residents are fully informed and understand their health status, care and treatments.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 3, 2026data.cms.gov
February 28, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J: isolated, immediate jeopardyCorrectedApril 14, 2025data.cms.gov
January 17, 2025F742Provide 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.G: isolated, actual harmCorrectedMarch 3, 2025data.cms.gov
January 17, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.K: pattern, immediate jeopardyCorrectedMarch 3, 2025data.cms.gov
January 17, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.G: isolated, actual harmCorrectedMarch 3, 2025data.cms.gov
January 17, 2025F880Provide and implement an infection prevention and control program.F: widespread, no actual harm, potential for more than minimal harmCorrectedMarch 3, 2025data.cms.gov
January 17, 2025F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyF: widespread, no actual harm, potential for more than minimal harmCorrectedMarch 3, 2025data.cms.gov
January 17, 2025F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.F: widespread, no actual harm, potential for more than minimal harmCorrectedMarch 3, 2025data.cms.gov
January 17, 2025F865Have a plan that describes the process for conducting QAPI and QAA activities.F: widespread, no actual harm, potential for more than minimal harmCorrectedMarch 3, 2025data.cms.gov
January 17, 2025F759Ensure medication error rates are not 5 percent or greater.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 3, 2025data.cms.gov
January 17, 2025F741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 3, 2025data.cms.gov
January 17, 2025F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 3, 2025data.cms.gov
January 17, 2025F645PASARR screening for Mental disorders or Intellectual DisabilitiesD: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 3, 2025data.cms.gov
October 31, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D: isolated, no actual harm, potential for more than minimal harmPast noncomplianceOctober 10, 2024data.cms.gov
May 1, 2024F727Have 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 11, 2024data.cms.gov
May 1, 2024F625Notify 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 11, 2024data.cms.gov
May 1, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 11, 2024data.cms.gov
October 5, 2023F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 1, 2023data.cms.gov
October 5, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 1, 2023data.cms.gov
October 5, 2023F625Notify 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 1, 2023data.cms.gov
October 5, 2023F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 1, 2023data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 8 individual or personal trusts (2 owners, 3 managers, 3 officers, directors or trustees). Their names are not shown on this page.

OrganizationRoleShareSinceSource
N & R of Fredericktown, Inc.Operational or managerial controlNot listedAugust 1, 1998data.cms.gov

Also on SpecStream

Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.