Fredericktown · 63645
Madison Medical Center
611 West Main Street
Fredericktown, MO 63645
Claru Deville Nursing Center
⌖ Fredericktown, MO · Madison County
No photos yet
Medicare overall rating 3 of 5 stars
Certified beds90
Medicare / MedicaidMedicare & Medicaid
OwnershipFor-profit (corporation)
About Claru Deville Nursing Center
Claru Deville Nursing Center is a 90-bed for-profit nursing home in Fredericktown, MO. Medicare rates it 3 out of 5 stars overall (average); the average in Missouri is 2.5. At its last full inspection (Apr 2026), inspectors found 13 problems, close to the Missouri average of 11.4. None of the problems in its recent inspections were found to have harmed residents. Nurses and aides spend about 3 hr 21 min a day with each resident, about the same as the Missouri average of 3 hr 26 min. About 79% of its nursing staff left in the past year. Medicare fined it $81,964 in the last three years.
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
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Key details
Facility nameClaru Deville Nursing Center
LocationMadison County, Missouri
Phone(573) 783-3993
Address105 Spruce Street, Fredericktown, MO 63645 · Madison County
CMS provider number265514
Ownership typeFor-profit (corporation)
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceNovember 16, 1992 (33 years)
✓ Medicare✓ Medicaid
Certified for Medicaid; ask whether a Medicaid bed is available.
Quality & inspections
Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.
What Medicare found
1 strength and 3 things to ask about in Medicare's inspection, fine and staffing records for this home. 1 care-quality measure is worse than the state average in the rehab and long-term care section below.
Strengths
- Serious health citationsNone on recordNo citations for actual harm or immediate jeopardy since Apr 2026.Strength
About average
- Health citations at last inspection13 (Apr 2026)Missouri average: 11.4. Most citations are minor and corrected within weeks.About average
- Nurse staffing per resident3 hr 21 min a dayMissouri average: 3 hr 26 minAbout average
Things to ask about
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- Fines and penalties1 fine totaling $81,964; 1 Medicare payment denialFederal penalties from the last three years, most recently in Jan 2025 (about 1 year ago). The national average is $30,972 per home.Ask about this
- Registered nurse time per resident14 min a dayMissouri average: 28 minWorse than state average
- Nursing staff turnover79% a yearMissouri average: 56%Worse than state average
Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Missouri average. Problems may have been corrected since; ask the home about anything listed here. How we choose these
Short-term rehab or long-term care?
Medicare rates these separately, and many homes are better at one than the other.
Long-term care
For residents who live at the home for months or years.
- Falls with a major injury0.4%State average: 4.1%Better than average
- Pressure sores (bedsores)2.2%State average: 4.5%Better than average
- Given antipsychotic drugs57.1%State average: 23.5%Worse than average
Source: Medicare (CMS) quality measures, compared with the Missouri average. Lower is better for every rate shown.
Who pays, and how full it is
Most residents here have their care paid by Medicaid. In Missouri, Medicaid pays for 65% of resident days at a typical home.
- 91% Medicaid
- 0% Medicare
- 8% Private pay, insurance and other
Beds in use, on average79%Missouri typical: 71%
Cost of care per resident day$221Missouri typical: $254
Shares of resident days, from the home’s Medicare cost report for the year ending December 2024. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.
Ratings over time
Its overall Medicare rating is 3 stars now, the same as 3 stars in January 2019. It has ranged from 2 to 5 stars and changed 12 times.
Overall rating3★
Health inspections2★
Staffing2★
Quality of care5★
Nurse hours per resident per day3.4
20192020202120222023202420252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 3 | 2 | 3 | 5 | 2.8 |
| Jan 2020 | 4 | 4 | 3 | 2 | 3.0 |
| Jan 2021 | 5 | 5 | 2 | 4 | 2.6 |
| Jan 2022 | 3 | 4 | 1 | 3 | 2.4 |
| Jan 2023 | 4 | 4 | 2 | 2 | 3.4 |
| Jan 2024 | 2 | 2 | 3 | 4 | 3.3 |
| Feb 2025 | 3 | 2 | 3 | 5 | 3.2 |
| Feb 2026 | 2 | 1 | 1 | 5 | 3.4 |
| Sep 2026 | 3 | 2 | 2 | 5 | 3.4 |
Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology
See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home
From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.
Inspection summary
How this facility compares to state and national averages on CMS-reported problems.
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Three-survey history
Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.
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