Claru Deville Nursing Center
105 SPRUCE STREET, Fredericktown, MO 63645
Fredericktown, Missouri · CMS verdict
Claru Deville Nursing Center's CMS overall star rating stands at 2 of 5, below the Missouri state average (2.5) and reflecting below-average quality by the federal five-star measure.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Claru Deville Nursing Center in Fredericktown, Missouri holds a CMS overall rating of 2 of 5 stars and a PlainElderCare Quality & Compliance Index of 33 of 100 (grade F). The 90-bed facility operates where a semi-private nursing-home room in Missouri runs a median of $6,741 per month. Figures are from CMS Nursing Home Compare.
PlainElderCare Quality & Compliance Index
A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall rating of 2 of 5 stars. How this is calculated.
How the 33 is built
Each segment is a dimension's weighted points toward the score, summing to 33.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Data insights
Quality ratings
On Care Compare (data as of April 2026), Claru Deville Nursing Center carries an overall CMS quality rating of 2 out of 5 stars. That figure rolls up three sub-ratings tracked separately: health inspection (1/5), staffing (1/5), and quality measures (5/5).
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Fredericktown, Missouri, this facility operates 90 certified beds with an average daily census of roughly 71 residents - an occupancy rate of about 79%. The facility is classified under for profit - corporation ownership, a designation that can influence staffing patterns, reinvestment decisions, and admissions policy. At roughly 79% occupancy, this facility has meaningful open capacity relative to its certified bed count.
Same-ownership peers
Within Missouri, Claru Deville Nursing Center is one of 169 for profit - corporation nursing homes CMS rates. Its 2-star overall rating sits below the for profit - corporation-segment average of 2.5 stars, ahead of roughly 33% of same-ownership peers in the state. Peer comparisons within the same ownership type are more apples-to-apples than a state-wide average, since for-profit, non-profit, and government operators tend to differ systematically in staffing and reinvestment.
Inspection record
On the regulatory side, federal and state surveyors have documented multiple deficiencies at this facility (28 total). CMS has levied 2 enforcement penalties - civil money penalties or denials of payment, during the same window. This is a high deficiency count relative to most facilities; requesting the full survey report directly is the only way to see whether these are concentrated in one area or spread across the facility's operations.
Where these figures come from
The figures above come directly from the U.S. Centers for Medicare \& Medicaid Services Nursing Home Compare dataset for federal quality ratings, combined with the CareScout 2025 Cost of Care Survey of more than 15,000 elder-care providers nationwide and U.S. Census American Community Survey income data. Cost figures are monthly medians, refreshed annually with each new CareScout release; quality ratings are refreshed quarterly from the CMS Provider Information File. Read these state and county medians as benchmarks, then verify current rates with individual providers and consult care managers before making placement decisions. See our methodology for source vintage.
How Claru Deville Nursing Center compares to Missouri
CMS five-star sub-ratings (0–5) for this facility against the Missouri facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = Missouri state average. Higher is better on all four CMS measures.
Where Claru Deville Nursing Center ranks in Missouri
Among the 479 CMS-rated nursing homes in Missouri, Claru Deville Nursing Center’s 2-star overall rating is higher than 33% of them. The bars show how all Missouri homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
101 Missouri homes share this 2-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 90 |
| Residents | 71 |
| Ownership | For profit - Corporation |
| County | Madison |
| Penalties | 2 |
| Deficiencies | 28 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What do families ask most?
What is the quality rating for Claru Deville Nursing Center? ▾
Claru Deville Nursing Center has an overall CMS quality rating of 2 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 1/5, and quality measures rating of 5/5.
How much does a nursing home cost per month in Missouri? ▾
CareScout's 2025 survey puts Missouri's median semi-private nursing home rate at $6,741 per month ($80,893 per year), with private rooms averaging $7,604 per month.
What services does Claru Deville Nursing Center offer? ▾
With 90 beds with approximately 71 current residents, Claru Deville Nursing Center is a skilled nursing facility. It operates under for profit - corporation ownership, and CMS's inspection record shows 28 deficiencies and 2 penalties.
Does Claru Deville Nursing Center have any deficiencies or penalties? ▾
Claru Deville Nursing Center has multiple deficiencies (28 total) and 2 penalties recorded by CMS. A count this high is above what most facilities post; ask the facility directly for its plan of correction on the largest findings.
What are the alternatives to a nursing home in Missouri? ▾
In Missouri, alternatives include assisted living ($5,400/mo), home health aides ($6,292/mo), and adult day care ($2,058/mo).
Elder Care Guides
Explore PlainElderCare
Related Resources
Compare cost and CMS quality across the state on the Missouri elder-care overview, or see how facilities rank nationwide in our highest-rated states ranking.
Weigh nursing care against assisted living, home health, and adult day care, with national median costs, on our care types comparison, and learn how to fund it in our paying for elder care guide.
Source: CMS Nursing Home Compare. Provider ID: 265514.
Read our methodology - how this data is sourced, computed, and verified.