Fredericktown · 63645
Claru Deville Nursing Center
105 Spruce Street
Fredericktown, MO 63645
Madison Medical Center
Inside a hospital. This nursing unit is part of a hospital. Units like this often care for that hospital’s patients for a short stay after an admission, and may have their own admission rules. Ask before you plan around it.
⌖ Fredericktown, MO · Madison County
No photos yet
Medicare overall rating 5 of 5 stars
Certified beds99
Medicare / MedicaidMedicaid only
OwnershipGovernment (city/county)
About Madison Medical Center
Madison Medical Center is a 99-bed government-run nursing home in Fredericktown, MO. Medicare rates it 5 out of 5 stars overall (much above average); the average in Missouri is 2.5. At its last full inspection (Nov 2025), inspectors found 4 problems, fewer than 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 4 hr 06 min a day with each resident, more than the Missouri average of 3 hr 26 min. About 38% of its nursing staff left in the past year. It has had no federal fines 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 nameMadison Medical Center
LocationMadison County, Missouri
Phone(573) 783-3341
Address611 West Main Street, Fredericktown, MO 63645 · Madison County
CMS provider number26E421
Ownership typeGovernment (city/county)
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceOctober 1, 2024 (1 year)
✗ 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
6 strengths 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 Nov 2025.Strength
- Fines and penaltiesNoneNo federal fines or payment denials in the last three years.Strength
- Health citations at last inspection4 (Nov 2025)Missouri average: 11.4. Most citations are minor and corrected within weeks.Strength
- Nurse staffing per resident4 hr 06 min a dayMissouri average: 3 hr 26 minStrength
- Registered nurse time per resident39 min a dayMissouri average: 28 minStrength
- Nursing staff turnover38% a yearMissouri average: 56%Strength
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.
Short-term rehab
For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.
- Newly given antipsychotic drugs0.0%State average: 2.2%Better than average
Physical therapist time: about 0 minutes per resident a day. That is less than the state average of 2 minutes. If rehab is the goal, ask how many therapy sessions a week to expect.
Long-term care
For residents who live at the home for months or years.
- Falls with a major injury5.8%State average: 4.1%Worse than average
- Pressure sores (bedsores)3.8%State average: 4.5%About average
- Given antipsychotic drugs13.5%State average: 23.5%Better than average
- Hospital stays per 1,000 resident days1.4State average: 2.1Better than average
Source: Medicare (CMS) quality measures, compared with the Missouri average. Lower is better for every rate shown.
Ratings over time
Its overall Medicare rating is 5 stars now, the same as 5 stars in March 2026. It has stayed at 5 stars the whole time.
Overall rating5★
Health inspections4★
Staffing5★
Quality of care4★
Nurse hours per resident per day4.1
2026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Mar 2026 | 5 | 4 | 4 | 5 | 4.0 |
| Sep 2026 | 5 | 4 | 5 | 4 | 4.1 |
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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