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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 19th out of 239 homes in Missouri.| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 13m per day | ▼ 54% State avg: 28m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 27m per day | ▼ 34% State avg: 41m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 46m per day | ▲ 19% State avg: 2h 19m per day · National avg: 2h 20m per day |
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 2m per day | ■ Avg State avg: 3h 3m per day · National avg: 3h 26m per day |
|
RN (Weekend)
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 10m per day | ▼ 50% State avg: 20m per day · National avg: 28m per day |
Most residents stay for extended periods and receive ongoing daily care.
11% of new residents, usually for short-term rehab.
12% of new residents, often for short stays.
77% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #215 / 245Payroll — state benchmarkedThis home is ranked 215th out of 245 homes in Missouri.Shows total annual staff payroll benchmarked to the Missouri average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Higher than the Missouri average: 66.6%Claru Deville Nursing Center is legally operated by N & R Of Fredericktown, Inc, and administrated by Melinda Smits.
Ways to qualify for care at this community, including accepted programs.
This facility is certified for eligible Medicaid services.
This facility is certified for eligible Medicare services.
In Missouri, the Department of Health and Senior Services, Division of Regulation and Licensure performs the inspections and unannounced surveys required for all long-term care providers.
The data displayed corresponds to the last 6 years.
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Missouri average: 35 deficiencies
Missouri average 6.6
Last Health inspection on Feb 2025
Missouri average 36.5
Missouri average 5.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
18 of 28 citations resulted from standard inspections; 7 of 28 resulted from complaint investigations; and 3 of 28 came from combined inspections (standard and complaint).
329% worse than Missouri averageMissouri average: 0.7
2
100% worse than Missouri averageMissouri average: 1
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Feb 28, 2025
Corrected
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jan 17, 2025
Corrected
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Jan 17, 2025
Corrected
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Jan 17, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Claru Deville Nursing Center is located in FREDERICKTOWN, Missouri.
Here are the financial assistance programs available to residents in Missouri.
0.0 miles from city center
Estimated distance in miles from FREDERICKTOWN's city center to Claru Deville Nursing Center's address, calculated via Google Maps.
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
19% better than Missouri averageMissouri average ratio: 1.71:1
10% better than Missouri averageMissouri average: 8.1 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hoursThis role is partially covered by contractors.
Total hours from contractors
7,111 contractor hours this quarter
| Certified Nursing Assistant | 20 | 67 | 87 | 12,113 | 91 | 100% | 9.3 |
| Medication Aide/Technician | 9 | 5 | 14 | 4,517 | 91 | 100% | 11.1 |
| Licensed Practical Nurse | 4 | 19 | 23 | 2,153 | 91 | 100% | 9.3 |
| Nurse Aide in Training | 8 | 0 | 8 | 1,754 | 86 | 95% | 9.7 |
| Registered Nurse | 2 | 3 | 5 | 772 | 69 | 76% | 8.3 |
| RN Director of Nursing | 3 | 0 | 3 | 732 | 71 | 78% | 7.3 |
| Dental Services Staff | 1 | 0 | 1 | 562 | 69 | 76% | 8.1 |
| Nurse Practitioner | 1 | 0 | 1 | 469 | 61 | 67% | 7.7 |
| Administrator | 2 | 0 | 2 | 417 | 58 | 64% | 7.2 |
| Dietitian | 1 | 0 | 1 | 381 | 65 | 71% | 5.9 |
| Physical Therapy Assistant | 0 | 1 | 1 | 229 | 63 | 69% | 3.6 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 122 | 61 | 67% | 2 |
| Occupational Therapy Aide | 0 | 1 | 1 | 61 | 7 | 8% | 8.8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 21 | 3 | 3% | 7.1 |
| Qualified Social Worker | 0 | 1 | 1 | 14 | 11 | 12% | 1.3 |
| Speech Language Pathologist | 0 | 1 | 1 | 3 | 3 | 3% | 0.9 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
74Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
2.7
76% better than Missouri averageMissouri average: 10.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
4.0
79% better than Missouri averageMissouri average: 19.5
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
3.4%
83% better than Missouri averageMissouri average: 19.8%
Percent of long-stay residents whose ability to move independently worsened
4.7%
77% better than Missouri averageMissouri average: 20.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
3.9%
78% better than Missouri averageMissouri average: 18.1%
Percent of long-stay residents experiencing one or more falls with major injury
1.0%
75% better than Missouri averageMissouri average: 4.0%
Percent of long-stay high risk residents with pressure ulcers
1.2%
77% better than Missouri averageMissouri average: 5.0%
Percent of long-stay residents with a urinary tract infection
2.1%
24% better than Missouri averageMissouri average: 2.7%
Percent of long-stay residents who lose too much weight
3.0%
46% better than Missouri averageMissouri average: 5.6%
Percent of long-stay residents who have depressive symptoms
5.1%
60% better than Missouri averageMissouri average: 12.8%
Percent of long-stay residents who received an antipsychotic medication
52.8%
140% worse than Missouri averageMissouri average: 22.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
60.0%
30% worse than Missouri averageMissouri average: 85.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
71.8%
21% worse than Missouri averageMissouri average: 90.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
10.8%
84% worse than Missouri averageMissouri average: 66.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
30% higher than Missouri averageMissouri average: $73K
18% fewer fines than Missouri averageMissouri average: 2.4
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
45% more payment denials than Missouri averageMissouri average: 0.7
Penalties are imposed by CMS for violations of federal nursing home regulations.
3 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 17, 2025
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Jan 17, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 11, 2023Last updated: Jan 2026
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Historical financial and operational data for Claru Deville Nursing Center based on CMS SNF Cost Reports.
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The legal owner and operator of Claru Deville Nursing Center is N & R Of Fredericktown, Inc.
Claru Deville Nursing Center has a walk score of 55. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Melinda Smits is the administrator of Claru Deville Nursing Center.
Claru Deville Nursing Center has 90 beds.
Yes — there are 7 photos of Claru Deville Nursing Center in the photo gallery on this page.
Claru Deville Nursing Center is located at 105 SPRUCE ST.
(573) 783-3993 will put you in contact with the team at Claru Deville Nursing Center.
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