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Nursing homeFAID #7175

Claru Deville Nursing Center

105 SPRUCE STREET, FREDERICKTOWN, MO, 63645
(573) 783-3993
90 licensed beds
★★★★★3/5CMS Five-Star overall2/5 health inspections2/5 staffing5/5 quality measuresSource: CMS Care Compare

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Public record summary

What we can show you for free.
Bed capacity
90
State license
053057
CMS facility ID
265514
Care type
Nursing home
Facility name
Claru Deville Nursing Center
Street address
105 SPRUCE STREET
City / state / ZIP
Fredericktown, MO 63645
Phone
(573) 783-3993
State license #
053057

About this facility — Claru Deville Nursing Center

Claru Deville Nursing Center is a Medicare/Medicaid-certified skilled nursing facility in Fredericktown, Missouri. It is licensed for 90 beds — close to the median for skilled nursing facilities in Missouri (97 beds).

It is one of 6 senior care facilities in Fredericktown and 487 skilled nursing facilities across Missouri. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Claru Deville Nursing Center 43 times across 10 inspections in the last three years, and CMS has imposed $81,964 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Operator / owner
N & R of Fredericktown, Inc
Parent company
James & Judy Lincoln
Ownership type
For profit - Corporation
Administrator
Linda Shuh

Registered owners & officers

Lincoln, James
Direct owner · Operational control — 50% stake — since 1998
Lincoln, Judy
Direct owner · Operational control — 50% stake — since 1998
Bysor, Brandon
Director — since 2022
Drake, Timothy
Officer — since 2022
N & R of Fredericktown, Inc.
Operational control — since 1998
Stotler, Daniele
Managing employee — since 2022
Stutts, Charlotte
Officer — since 1998

Regulatory standing

Licensed / certified since
1992-11-16
License expires
2027-10-01
CMS overall rating
3 of 5 stars
Health deficiencies
13 at the last standard inspection
Federal fines
$81,964 total
Last standard inspection
2026-04-24
Nurse staffing
3.4 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$181 per day (≈ $5,500/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
90% Medicaid · 1% Medicare · 9% private/other
Occupancy
74% (fiscal year 2023)
Vs. state median
30% below the MO median of $257/day — full state cost breakdown

Services & coverage

Licensed beds
90
Licensed as
SNF
Memory care
Yes — dedicated memory care
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

CleanNo food-safety or dietary citations in the last three years of federal inspections.
2026-04-24Health inspection13 citations
F-0552
D · No harm found
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2026-06-03
F-0582
D · No harm found
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2026-06-03
F-0584
D · No harm found
Honor 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.
Corrected 2026-06-03
F-0628
D · No harm found
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2026-06-03
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-06-03
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2026-06-03
F-0699
D · No harm found
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2026-06-03
F-0730
D · No harm found
Observe each nurse aide's job performance and give regular training.
Corrected 2026-06-03
F-0865
F · No harm found
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected 2026-06-03
F-0868
F · No harm found
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2026-06-03
F-0880
F · No harm found
Provide and implement an infection prevention and control program.
Corrected 2026-06-03
F-0909
D · No harm found
Regularly 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.
Corrected 2026-06-03
F-0947
D · No harm found
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2026-06-03
2025-02-28Health inspectionComplaint-triggered1 citation
F-0689
J · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-04-14
7 earlier / fire-safety inspections (29 citations)
2025-01-17Health inspectionComplaint-triggered11 citations
F-0550
G · Actual harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-03-03
F-0600
K · Immediate jeopardyFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-03-03
F-0645
D · No harm found
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2025-03-03
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-03-03
F-0741
E · No harm foundFrom a complaint
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Corrected 2025-03-03
F-0742
G · Actual harmFrom a complaint
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.
Corrected 2025-03-03
F-0759
D · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-03-03
F-0865
F · No harm found
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected 2025-03-03
F-0867
F · No harm found
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2025-03-03
F-0868
F · No harm found
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2025-03-03
F-0880
F · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-03-03
2024-10-31Health inspectionComplaint-triggered1 citation
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-10-10
2024-05-01Health inspectionComplaint-triggered3 citations
F-0623
D · No harm foundFrom a complaint
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-06-11
F-0625
D · No harm foundFrom a complaint
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.
Corrected 2024-06-11
F-0727
D · No harm foundFrom a complaint
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.
Corrected 2024-06-11
2023-10-05Health inspection4 citations
F-0623
D · No harm found
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-12-01
F-0625
D · No harm found
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.
Corrected 2023-12-01
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-12-01
F-0921
D · No harm found
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2023-12-01
2026-04-24Fire-safety inspection6 citations
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2026-06-03
K-0351
F · No harm found
Install an approved automatic sprinkler system.
Corrected 2026-06-03
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2026-06-03
K-0355
F · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2026-06-03
K-0741
F · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2026-06-03
K-0920
D · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2026-06-03
2025-01-17Fire-safety inspection3 citations
K-0355
F · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-03-03
K-0781
F · No harm found
Have restrictions on the use of portable space heaters.
Corrected 2025-03-03
K-0932
F · No harm found
Meet other general requirements.
Corrected 2025-03-03
2023-10-05Fire-safety inspection1 citation
K-0920
F · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2023-11-14

Federal penalties

2025-01-17Fine$81,964
2025-01-17Medicare payment denial — 48 days
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 265514.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 43 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered