Claru Deville Nursing Center: Staffing, Turnover, and Inspection Record
Claru Deville Nursing Center is a 90-bed for-profit nursing home in Fredericktown, Missouri, part of James & Judy Lincoln. In the CMS August 2026 release it reported 2.59 nurse aide hours per resident per day, 13% above the Missouri average of 2.29, and 79.1% nursing staff turnover (Missouri average 56.0%).
Claru Deville Nursing Center
105 Spruce StreetFredericktown, MO 63645
Madison County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Claru Deville Nursing Center, nurse aides logged 2.59 hours per resident per day, 13% above the Missouri average. With about 68 residents a day, that works out to roughly 175 aide hours a day, or about 22 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 9% below the all-days figure.
| Hours per resident per day | This home | Missouri avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.59 | 2.29 | 2.32 |
| Licensed practical nurses | 0.53 | 0.68 | 0.86 |
| Registered nurses | 0.24 | 0.46 | 0.69 |
| All nursing staff | 3.36 | 3.43 | 3.86 |
| All nursing staff, weekends | 3.04 | 3.02 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
79.1% of nursing staff at Claru Deville Nursing Center left over the year CMS measured, against a Missouri average of 56.0% and a US average of 45.8%. Registered nurse turnover was 66.7%. 2 administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Apr 24, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 13 health deficiencies (Missouri average 11.5). CMS lists 1 fine totaling $81,964 and 1 payment denial in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Jan 17, 2025 | Fine | $81,964 |
| Jan 17, 2025 | Payment Denial | 48 days from Feb 25, 2025 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Claru Deville Nursing Center holds 3 of 5 overall; the Missouri average is 2.5.
About Claru Deville Nursing Center
- Ownership: For profit - Corporation
- Chain: James & Judy Lincoln, 56 homes
- Legal name: N & R of Fredericktown, Inc.
- Medicare and Medicaid certified since: Nov 16, 1992
- Councils: resident council
- Area: rural
Nursing homes near Claru Deville Nursing Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Madison Medical Center Fredericktown | 1.0 | 99 | 2.97 | 4.10 | 38.3% | 5 | None |
| St Francois Manor Farmington | 15.7 | 118 | 2.33 | 2.95 | 62.8% | 4 | None |
| Farmington Presbyterian Manor Farmington | 17.0 | 90 | 2.46 | 4.04 | 64.4% | 5 | None |
| Southbrook Nursing Center Farmington | 17.5 | 104 | 2.40 | 3.66 | 45.4% | 5 | None |
| Baptist Homes of Arcadia Valley Ironton | 17.6 | 36 | — | — | — | — | None |
| Camelot Nursing and Rehabilitation Center Farmington | 17.8 | 97 | 2.83 | 4.12 | 66.3% | 5 | None |
| Community Manor Farmington | 18.1 | 99 | 2.03 | 2.91 | 58.3% | 3 | None |
| Country Meadows Park Hills | 23.9 | 72 | 2.57 | 3.38 | 43.6% | 5 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.