| Claru Deville Nursing Center | |
| 105 Spruce Street, Fredericktown, Missouri 63645 | |
| (573) 783-3993 | |
| Name | Claru Deville Nursing Center |
|---|---|
| Location | 105 Spruce Street, Fredericktown, Missouri |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 90 |
| Occupancy Rate | 75% |
| Medicare ID (CCN) | 265514 |
| Legal Business Name | N & R of Fredericktown, Inc. |
| Ownership Type | For Profit - Corporation |
| Chain | James & Judy Lincoln (56 nursing homes) |
| Chain Average Overall Rating | 2.4 out of 5 |
| NPI Number | 1366438731 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | N & R of Fredericktown, Inc. |
| Doing Business As | Claru Deville Nursing Center |
| Address | 105 Spruce St, Fredericktown, MO 63645 |
| Phone Number | 573-783-3993 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.36 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.24 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.53 | 0.86 |
| Nurse aide hours per resident per day | 2.59 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.04 | 3.42 |
| RN hours per resident per day on the weekend | 0.18 | 0.48 |
| Physical therapist hours per resident per day | 0.02 | 0.07 |
| Total nursing staff turnover | 79.1% | 45.8% |
| Registered nurse turnover | 66.7% | 42.9% |
| Number of administrators who have left the nursing home | 2 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 1 |
| Total Amount of Fines in Dollars | $81,964 |
| Number of Payment Denials | 1 |
| Total Number of Penalties | 2 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Apr 24, 2026 | Have a plan that describes the process for conducting QAPI and QAA activities. F0865, Administration, Standard inspection | Potential for harm, widespread | Corrected by Jun 3, 2026 |
| Apr 24, 2026 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly F0868, Administration, Standard inspection | Potential for harm, widespread | Corrected by Jun 3, 2026 |
| Apr 24, 2026 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, widespread | Corrected by Jun 3, 2026 |
| Apr 24, 2026 | Ensure that residents are fully informed and understand their health status, care and treatments. F0552, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jun 3, 2026 |
| Apr 24, 2026 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jun 3, 2026 |
| Apr 24, 2026 | 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. F0584, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jun 3, 2026 |
| Apr 24, 2026 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. F0628, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jun 3, 2026 |
| Apr 24, 2026 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jun 3, 2026 |
| Apr 24, 2026 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jun 3, 2026 |
| Apr 24, 2026 | Provide care or services that was trauma informed and/or culturally competent. F0699, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jun 3, 2026 |
| Apr 24, 2026 | Observe each nurse aide's job performance and give regular training. F0730, Nursing and Physician Services, Standard inspection | Potential for harm, isolated | Corrected by Jun 3, 2026 |
| Apr 24, 2026 | 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. F0909, Environmental, Standard inspection | Potential for harm, isolated | Corrected by Jun 3, 2026 |
| Apr 24, 2026 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. F0947, Nursing and Physician Services, Standard inspection | Potential for harm, isolated | Corrected by Jun 3, 2026 |
| Feb 28, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Immediate jeopardy, isolated | Corrected by Apr 14, 2025 |
| Jan 17, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Standard inspection, Complaint inspection | Immediate jeopardy, pattern | Corrected by Mar 3, 2025 |
| Jan 17, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Actual harm, isolated | Corrected by Mar 3, 2025 |
| Jan 17, 2025 | 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. F0742, Quality of Life and Care, Standard inspection, Complaint inspection | Actual harm, isolated | Corrected by Mar 3, 2025 |
| Jan 17, 2025 | Have a plan that describes the process for conducting QAPI and QAA activities. F0865, Administration, Standard inspection | Potential for harm, widespread | Corrected by Mar 3, 2025 |
| Jan 17, 2025 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. F0867, Administration, Standard inspection | Potential for harm, widespread | Corrected by Mar 3, 2025 |
| Jan 17, 2025 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly F0868, Administration, Standard inspection | Potential for harm, widespread | Corrected by Mar 3, 2025 |
| Jan 17, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, widespread | Corrected by Mar 3, 2025 |
| Jan 17, 2025 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. F0741, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Mar 3, 2025 |
| Jan 17, 2025 | PASARR screening for Mental disorders or Intellectual Disabilities F0645, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Mar 3, 2025 |
| Jan 17, 2025 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Mar 3, 2025 |
| Jan 17, 2025 | Ensure medication error rates are not 5 percent or greater. F0759, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Mar 3, 2025 |
| Oct 31, 2024 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Past non-compliance (already corrected) |
| May 1, 2024 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Jun 11, 2024 |
| May 1, 2024 | 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. F0625, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Jun 11, 2024 |
| May 1, 2024 | 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. F0727, Nursing and Physician Services, Complaint inspection | Potential for harm, isolated | Corrected by Jun 11, 2024 |
| Oct 5, 2023 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Dec 1, 2023 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 3.64 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 2.02 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.66 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 1.81 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 0.92 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.36 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 57.61 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 10.2 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | Not Available | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 4.4 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 47.98 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 71.79 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Not Available | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 2.23 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 4.05 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 57.14 | 15.38 |
Madison Medical Center Location: 611 West Main Street, Fredericktown, Missouri 63645 Phone: (573) 783-3341 |