The nursing home failed to protect residents from abuse and neglect by others. Cited January 2025 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: K
Nursing home report
CLARU DEVILLE NURSING CENTER
FREDERICKTOWN, MO · Medicare-certified · 90 beds
Needs attention
Abuse citationFor-profitChain member
Data as of July 1, 2026
2 of 5 overall
CLARU DEVILLE NURSING CENTER in Fredericktown, MO has a 2-star overall rating, with a 1-star health inspection rating and 2-star staffing rating despite a 5-star quality measures rating. It also has a recent abuse citation, $81,964 in fines over the last 24 months, and reported nurse staffing of 3.36 hours per resident day, below the federal benchmark of 4.1.
Facility ratings
Health inspections
Staffing
3.3557 hrs/resident/day
Quality measures
Last inspection: February 28, 2025Penalties, last 24 months: $81,964recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3557.
Staffing detail
- Registered nurses
- 0.24
- Licensed practical nurses
- 0.53
- Nurse aides
- 2.59
- Weekend nursing
- 3.04
Hours per resident per day.
Total staff turnover: 79%
Registered nurse turnover: 67%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
—57.1%—
Residents with a fall causing major injury
0%1.5%Worsening
Residents with pressure ulcers (bedsores)
2.1%0%Improving
Residents with a urinary tract infection
0%3%Worsening
Residents who lost too much weight
1.6%3.2%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
1.6%6.5%Worsening
Residents whose ability to walk got worse
5.9%5.4%Improving
Long-stay residents on antianxiety or sleep medication
48.4%46.8%Improving
Residents with a long-term catheter
0%1.4%Worsening
Residents with new or worsening incontinence
6.9%3.9%Improving
Residents with depressive symptoms
0%4.1%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—71.8%—
Long-stay residents given the pneumonia vaccine
62.2%54.5%Worsening
Short-stay residents given the pneumonia vaccine
—10.2%—
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited February 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited January 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 550 — 42 CFR §483.10(a) — S/S: G
The home failed to provide appropriate treatment and support for a resident with mental health, adjustment, or trauma-related needs. Cited January 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 742 — 42 CFR §483.40 — S/S: G
The home failed to have a plan for how it would carry out quality improvement and oversight activities. Cited January 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 865 — 42 CFR §483.75 — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $81,964 was recorded.
- INSPECTION
Health inspection found 11 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $81,964 in total fines · 1 payment denial.
- 48 days
Medicare/Medicaid payment denial
Jan 17, 2025
- $81,964
Federal fine
Jan 17, 2025
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of JAMES & JUDY LINCOLN · 56 homes · 2.4 stars avg
- Occupancy
- 67.5 residents on an average day (75% of 90 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 33 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.