Claru Deville Nursing Center

Nursing Home, Respite Care & Skilled Nursing · Fredericktown, MO

CMS overall rating

105 Spruce St, Fredericktown, MO 63645-1002 View map

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Claru Deville Nursing Center accepts Medicaid, Medicare, and private pay.

Calculator: See prices in your area

Claru Deville Nursing Center accepts Medicaid, Medicare, and private pay.

Overview of Claru Deville Nursing Center

Linda Shuh manages Claru Deville Nursing Center, a 90-bed facility on Spruce Street in Fredericktown, Missouri, owned by N & R Of Fredericktown, Inc. The main office keeps things simple by taking Medicare, Medicaid, and private pay. If you plan on visiting, the neighborhood has a walkability score of 55 out of 100, which means you can run a few quick errands on foot, but you’ll still want a car for most trips.

The center keeps about 82 percent of its beds full, and residents stay an average of 214 days. This timeline shows they handle a pretty even split between short-term therapy and permanent residential care. To keep up with daily medical needs, the nursing team provides just over 5 hours of care per resident each day. An on-staff doctor oversees these daily health plans, working alongside registered nurses, practical nurses, and aides.

Recent inspections noted a few routine procedural areas that needed attention, including nurse scheduling adjustments, paperwork timelines for resident transfers, and updated staff training protocols, meaning their overall citation rate is not zero.

Individuals looking at care options can check out the dedicated memory wing for Alzheimer’s care, along with on-site spaces for physical therapy, dialysis coordination, and specialized wound treatments. The kitchen team serves up multiple meal choices every day based on what residents prefer to eat. Daily life here combines these health services with standard laundry help, room cleaning, and regular social activities.

Facility Direct Line (573) 783-3993

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

5h 3m per day

vs avg

4 of 6 metrics below state avg

Standout metric Nurse Aide is +19% above state avg

Staff type	Hours / Day / Resident	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.	14m per day	▼ 52% 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
Weekend Total Nursing 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 7m per day	■ Avg State avg: 3h 3m per day · National avg: 3h 26m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	0m per day	▼ 87% State avg: 2m per day · National avg: 4m per day
Weekend RN 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	▼ 49% State avg: 20m per day · National avg: 28m per day

Capacity and availability

214 days

90-bed community

A larger shared setting that may offer more common spaces and organized community services.

Walk Score: 55 / 100

Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate

82%

Higher than the Missouri average: 66.6%

Occupied beds

74 / 90

Average occupied beds in Missouri homes 72 beds

Facility TypeSkilled Nursing Facility

StatusActive

IssuanceOctober 2, 2025

ExpirationOctober 1, 2027

CountyMadison

License Number053057

CMS Certification Number265514

Certification TypeMedicare / Medicaid

Claru Deville Nursing Center is legally operated by N & R Of Fredericktown, Inc, and administered by Linda Shuh.

Corporate EntityN & R OF FREDERICKTOWN, INC

Owner NameN & R Of Fredericktown, Inc

Skilled Nursing Facility

90 units

Total beds

90 units

Accept Medicaid

Accept Medicare

Rehabilitation Services

Respite Care

Short-Term Rehab

Doctor on Staff

24-Hour Staffing

Dedicated Alzheimer's Unit

Skilled Nursing Care

Alzheimer’s Care

Pets not allowed

Wound Care

Since 2018 · 8 years of data 92 deficiencies 18 inspections

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2018 vs. Missouri state average

Overall vs. MO average

Latest Inspection February 28, 2025 Abbreviated Survey

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	MO Average	vs. MO Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	92	35	This facility has 163% more total deficiencies than a typical Missouri assisted living residence (92 vs. MO avg 35).↑ 163% worse
Deficiencies per year Average deficiencies per year since 2018.	11.5	4.4	This facility has 161% more deficiencies per year than a typical Missouri assisted living residence (11.5 vs. MO avg 4.4).↑ 161% worse
Deficiencies per inspection Average deficiencies per inspection.	5.1	2.9	This facility has 76% more deficiencies per inspection than a typical Missouri assisted living residence (5.1 vs. MO avg 2.9).↑ 76% worse

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	MO Average	vs. MO Avg
Total inspections Combined count of all routine and focused inspections. Excludes complaint investigations.	18	12	This facility has had 50% more total inspections than the Missouri average (18 vs. MO avg 12). More inspections can mean more regulatory scrutiny rather than worse care.↑ 50% more

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

February 28, 2025 inspection found Immediate Jeopardy for failure to prevent two residents from swallowing batteries and unsafe environment on secured behavioral unit, removed after corrective actions.
January 2025 investigations documented multiple abuse incidents, behavioral health care failures, infection control lapses, medication errors, and lack of effective quality assurance program.
May 2024 and October 2023 inspections revealed repeated failures to notify residents or representatives in writing about hospital transfers and bed hold policies.

Show Inspection Reports

Inspections since 2021

Total health inspections 7

State average N/A

Last Health inspection on Feb 2025

Total health citations

State average N/A

Citations per inspection

State average N/A

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).

Breakdown of citation severity (last 5 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

3 critical citations State average: N/A

2 serious citations State average: N/A

23 moderate citations State average: N/A

0 minor citations State average: N/A

Citations history (last 5 years)

Quality of Care critical citation Feb 28, 2025

Corrected

Abuse/Neglect critical citation Jan 17, 2025

Corrected

Administration moderate citation Jan 17, 2025

Corrected

Administration moderate citation Jan 17, 2025

Corrected

Total staff 101

Employees 66

Contractors 35

Staff to resident ratio 1.36 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 30

Average shift 8.9 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 24,465

Nursing staff breakdown

9.3 hours

9 hours

Contractor staffing

1,745 contractor hours this quarter

Licensed Practical Nurse: 19 Certified Nursing Assistant: 4 Medication Aide/Technician: 3 Registered Nurse: 2 Respiratory Therapy Technician: 2 Physical Therapy Assistant: 1 Occupational Therapy Assistant: 1 Qualified Social Worker: 1 Occupational Therapy Aide: 1 Speech Language Pathologist: 1

Staff by category


Certified Nursing Assistant	29	4	33	10,345	92	100%	9
Nurse Aide in Training	16	0	16	4,283	92	100%	9.3
Medication Aide/Technician	8	3	11	3,027	92	100%	11.2
Licensed Practical Nurse	2	19	21	2,018	92	100%	9
Registered Nurse	3	2	5	1,265	90	98%	9.3
Dental Services Staff	3	0	3	1,144	75	82%	8.7
RN Director of Nursing	2	0	2	863	67	73%	8
Administrator	1	0	1	523	65	71%	8.1
Dietitian	1	0	1	519	70	76%	7.4
Nurse Practitioner	1	0	1	175	22	24%	7.9
Physical Therapy Assistant	0	1	1	164	65	71%	2.5
Occupational Therapy Aide	0	1	1	55	8	9%	6.9
Qualified Social Worker	0	1	1	29	23	25%	1.2
Respiratory Therapy Technician	0	2	2	28	16	17%	1.8
Occupational Therapy Assistant	0	1	1	20	5	5%	4
Speech Language Pathologist	0	1	1	7	12	13%	0.6

33 Certified Nursing Assistant

% of Days 100%

16 Nurse Aide in Training

% of Days 100%

11 Medication Aide/Technician

% of Days 100%

21 Licensed Practical Nurse

% of Days 100%

5 Registered Nurse

% of Days 98%

3 Dental Services Staff

% of Days 82%

2 RN Director of Nursing

% of Days 73%

1 Administrator

% of Days 71%

1 Dietitian

% of Days 76%

1 Nurse Practitioner

% of Days 24%

1 Physical Therapy Assistant

% of Days 71%

1 Occupational Therapy Aide

% of Days 9%

1 Qualified Social Worker

% of Days 25%

2 Respiratory Therapy Technician

% of Days 17%

1 Occupational Therapy Assistant

% of Days 5%

1 Speech Language Pathologist

% of Days 13%

View All Staffing Data

Total fines amount $95K

30% higher than State average

State average: $73K

Number of fines 2

18% fewer fines than State average

State average: 2.4

Payment Denials 1

45% more payment denials than State average

State average: 0.7

Fines amount comparison

This facility $95K

State average $73K

Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

2 penalties in the past 3 years

Multiple penalties were reported in the last 3 years.

Civil Money Penalty Jan 17, 2025

$82K

Payment Denial Jan 17, 2025

48 days

Last updated: Jan 2026

High-risk clinical events score 2.7

76% better than State average

State average: 10.9

Functional decline score 4.0

79% better than State average

State average: 19.5

Long-stay resident measures

Significantly above average State avg: 2.7

Need for Help with Daily Activities Increased 3.4%

83% better than State average

State average: 19.8%

Walking Ability Worsened 4.7%

77% better than State average

State average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence 3.9%

78% better than State average

State average: 18.1%

Falls with Major Injury 1.0%

75% better than State average

State average: 4.0%

High Risk Residents with Pressure Ulcers 1.2%

77% better than State average

State average: 5.0%

Urinary Tract Infection 2.1%

24% better than State average

State average: 2.7%

Lost Too Much Weight 3.0%

46% better than State average

State average: 5.6%

Depressive Symptoms 5.1%

60% better than State average

State average: 12.8%

Antipsychotic Use 52.8%

140% worse than State average

State average: 22.0%

Pneumococcal Vaccine 60.0%

30% worse than State average

State average: 85.2%

Influenza Vaccine 71.8%

21% worse than State average

State average: 90.9%

Short-stay resident measures

Pneumococcal Vaccine 10.8%

84% worse than State average

State average: 66.6%

Breakdown by payment type

Medicare

11% of new residents, usually for short-term rehab.

Typical stay 23 days

Private pay

12% of new residents, often for short stays.

Typical stay 7 - 8 months

Medicaid

77% of new residents, often for long-term daily care.

Typical stay 11 - 12 months

Total residents 74

Medicaid

91.9% of residents

Private pay or other

8.1% of residents

Programs & Services

Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Financial Trends

Historical financial and operational data for Claru Deville Nursing Center from 2011–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 74.4% ↑ 6.0pp vs 2022

Net Patient Income -$1.1M ↓ ~$212.2K vs 2022

Payroll Costs $1.6M ↓ ~$156.4K vs 2022

Operating Margin -23.5% ↓ 1.0pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	40.4%	44.3%	52.9%	70.1%	77.1%	83.1%	83.2%	78.2%	76.5%	75.5%	71.4%	68.4%	74.4%
Beds	90	90	90	90	90	90	90	90	90	90	90	90	90
Net Income	-$545,614	-$230,198	$87,620	$446,161	$232,685	$299,087	$431,545	$390,430	$458,757	$662,017	$758,570	-$776,709	-$931,773
Gross Revenue	$2,634,710	$3,299,280	$4,002,001	$4,713,172	$4,654,371	$4,957,278	$4,836,541	$4,512,038	$4,334,582	$4,253,546	$4,059,282	$3,876,799	$4,420,157
Operating Expenses	$2,680,628	$2,751,903	$3,027,864	$3,594,488	$3,861,179	$4,141,934	$3,904,011	$3,752,027	$3,773,391	$4,222,817	$3,661,927	$4,771,650	$5,726,681
Net Patient Income	-$549,548	-$233,470	$85,931	$444,666	$228,179	$289,156	$420,618	$379,805	$441,821	-$134,349	$438,878	-$876,218	-$1,088,422
Net Patient Revenue	$2,131,080	$2,518,433	$3,113,795	$4,039,154	$4,089,358	$4,431,090	$4,324,629	$4,131,832	$4,215,212	$4,088,468	$4,100,805	$3,895,432	$4,638,259
Payroll Costs	$1,079,709	$1,098,915	$1,198,410	$1,533,746	$1,762,607	$1,861,758	$1,747,922	$1,697,779	$1,804,125	$2,156,969	$1,691,658	$1,755,922	$1,599,522
Operating Margin %	-25.8%	-9.3%	2.8%	11.0%	5.6%	6.5%	9.7%	9.2%	10.5%	-3.3%	10.7%	-22.5%	-23.5%
Medicare %	10.7%	15.4%	13.9%	7.3%	4.7%	4.4%	3.4%	3.4%	2.2%	1.8%	0.8%	0.7%	0.8%
Medicaid %	44.2%	47.7%	62.8%	69.6%	79.1%	76.4%	71.6%	73.7%	79.1%	79.3%	77.5%	89.1%	89.8%
Private %	45.1%	36.9%	23.3%	23.1%	16.2%	19.2%	25.1%	22.9%	18.7%	18.9%	21.7%	10.2%	9.4%
Net Patient Revenue/Day	$161	$173	$179	$175	$161	$162	$158	$161	$168	$164	$175	$173	$190
Cost/Day	$202	$189	$174	$156	$152	$151	$143	$146	$150	$170	$156	$212	$234
Avg Length of Stay	86.1 days	131.5 days	143.6 days	156.6 days	139.9 days	210.6 days	146.1 days	504.0 days	161.1 days	153.6 days	143.9 days	182.7 days	214.3 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$4.6M

Net patient income

-$1.1M

For-profit Corporation

Net patient revenue

$4.6M

Net patient income

-$1.1M

Other income

$156.6K

Payroll costs

$1.6M 34.5% of net patient revenue

Other operating costs

$4.1M

Total costs

$5.7M

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

Most new residents arrive under Medicaid (77% of admissions), and a typical Medicaid stay runs around 11 - 12 months.

Coverage residents most often arrive under.

Medicare 11%

Private pay 12%

Medicaid 77%

Coverage residents most often leave under.

Medicare 4%

Private pay 14%

Medicaid 82%

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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The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.


Laclede Groves	NH AL IL MC	St. Louis	-	251	-	35	-
Republic Nursing and Rehab	NH	Republic	-	127	-	48	Private / Semi-Private Rooms
Chaffee Nursing Center	NH HOS SNF	Chaffee	-	71	-	25	Studio
Heisinger Bluffs	NH AL IL MC RC SNF	Jefferson City	-	111	-	32	1 Bed / 2 Bed / 3 Bed
Claru Deville Nursing Center	NH RC SNF	Fredericktown	-	90	-	55	-

Nursing Home Explorer

Who is the owner of Claru Deville Nursing Center?

Claru Deville Nursing Center is legally operated by N & R Of Fredericktown, Inc, and administered by Linda Shuh.

Is Claru Deville Nursing Center in a walkable area?

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.

What is the license number of Claru Deville Nursing Center?

According to MO state health department records, Claru Deville Nursing Center's license number is 053057.

When does Claru Deville Nursing Center's license expire?

According to MO state health department records, Claru Deville Nursing Center's license expires on October 1, 2027.

What is the occupancy rate at Claru Deville Nursing Center?

Claru Deville Nursing Center's occupancy is 82%.

Are pets allowed at Claru Deville Nursing Center?

No, Claru Deville Nursing Center has a no-pet policy.

Does Claru Deville Nursing Center operate as a for-profit or non-profit?

Claru Deville Nursing Center is registered as a for-profit in MO.

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Claru Deville Nursing Center

Overview of Claru Deville Nursing Center

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Type Of Units

Payment & Insurance

Therapy & Rehabilitation

Staffing & Medical

Memory & Specialized Care

Additional Services

Additional Policies & Features

Amenities & Lifestyle

Contact Claru Deville Nursing Center

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2021

Breakdown of citation severity (last 5 years)

Citations history (last 5 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

33 Certified Nursing Assistant

16 Nurse Aide in Training

11 Medication Aide/Technician

21 Licensed Practical Nurse

5 Registered Nurse

3 Dental Services Staff

2 RN Director of Nursing

1 Administrator

1 Dietitian

1 Nurse Practitioner

1 Physical Therapy Assistant

1 Occupational Therapy Aide

1 Qualified Social Worker

2 Respiratory Therapy Technician

1 Occupational Therapy Assistant

1 Speech Language Pathologist

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Nurse Aide Training

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly long-term care residents

Admissions

Discharges

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