Nursing homes › Missouri › Claru Deville Nursing Center
105 Spruce Street, Fredericktown, MO 63645 · (573) 783-3993 · 90 certified beds
Per CMS filings, this facility is affiliated with James & Judy Lincoln, a group operating 56 facilities in 2 states. Group record: average rating 2.4/5, 8 abuse citation icons, 2 facilities on the Special Focus list, $1,782,878 in federal fines. This facility rates above its group average (2.4/5).
Total nurse staffing: 3.36 (Missouri median: 3.36). RN hours: 0.24. Weekend total: 3.04. Nursing staff turnover: 79%.
All-time on record: 33 deficiency citations, including 2 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-04-24 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Health | corrected 2026-06-03 |
| 2026-04-24 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | Health | corrected 2026-06-03 |
| 2026-04-24 | Provide and implement an infection prevention and control program. | F | Health | corrected 2026-06-03 |
| 2026-04-24 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Health | corrected 2026-06-03 |
| 2026-04-24 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Health | corrected 2026-06-03 |
| 2026-04-24 | 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. | D | Health | corrected 2026-06-03 |
| 2026-04-24 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Health | corrected 2026-06-03 |
| 2026-04-24 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2026-06-03 |
| 2026-04-24 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Health | corrected 2026-06-03 |
| 2026-04-24 | Provide care or services that was trauma informed and/or culturally competent. | D | Health | corrected 2026-06-03 |
| 2026-04-24 | Observe each nurse aide's job performance and give regular training. | D | Health | corrected 2026-06-03 |
| 2026-04-24 | 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. | D | Health | corrected 2026-06-03 |
| 2026-04-24 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | Health | corrected 2026-06-03 |
| 2025-02-28 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | corrected 2025-04-14 |
| 2025-01-17 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | complaint | corrected 2025-03-03 |
| 2025-01-17 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | G | Health | corrected 2025-03-03 |
| 2025-01-17 | 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. | G | complaint | corrected 2025-03-03 |
| 2025-01-17 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Health | corrected 2025-03-03 |
| 2025-01-17 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Health | corrected 2025-03-03 |
| 2025-01-17 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | Health | corrected 2025-03-03 |
| 2025-01-17 | Provide and implement an infection prevention and control program. | F | Health | corrected 2025-03-03 |
| 2025-01-17 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | E | complaint | corrected 2025-03-03 |
| 2025-01-17 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Health | corrected 2025-03-03 |
| 2025-01-17 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2025-03-03 |
| 2025-01-17 | Ensure medication error rates are not 5 percent or greater. | D | Health | corrected 2025-03-03 |
| 2024-10-31 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2024-10-10 |
| 2024-05-01 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | complaint | corrected 2024-06-11 |
| 2024-05-01 | 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. | D | complaint | corrected 2024-06-11 |
| 2024-05-01 | 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. | D | complaint | corrected 2024-06-11 |
| 2023-10-05 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Health | corrected 2023-12-01 |
| 2023-10-05 | 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. | D | Health | corrected 2023-12-01 |
| 2023-10-05 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2023-12-01 |
| 2023-10-05 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Health | corrected 2023-12-01 |
| Date | Type | Amount |
|---|---|---|
| 2025-01-17 | Fine | $81,964 |
| 2025-01-17 | Payment Denial | 48 days payment denial |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| LINCOLN, JAMES | 5% Or Greater Direct Ownership Interest | Individual | 50% | since 08/01/1998 |
| LINCOLN, JUDY | 5% Or Greater Direct Ownership Interest | Individual | 50% | since 08/01/1998 |
| BYSOR, BRANDON | Corporate Director | Individual | NOT APPLICABLE | since 04/25/2022 |
| DRAKE, TIMOTHY | Corporate Officer | Individual | NOT APPLICABLE | since 04/25/2022 |
| STUTTS, CHARLOTTE | Corporate Officer | Individual | NOT APPLICABLE | since 08/01/1998 |
| N & R OF FREDERICKTOWN, INC. | Operational/Managerial Control | Organization | NOT APPLICABLE | since 08/01/1998 |
| LINCOLN, JAMES | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/27/2016 |
| LINCOLN, JUDY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/27/2016 |
How to cite this page: CareRecords, “Claru Deville Nursing Center — compliance, penalty and ownership record” (CCN 265514), compiled from the CMS Provider Data Catalog, July 2026 release. https://carerecords.org/nursing-home/claru-deville-nursing-center-fredericktown-mo/
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 265514. Corrections: data@carerecords.org.