Madison Medical Center
Cost data not yet available
Nursing Homes · Medicare certified
105 Spruce Street · Fredericktown, MO 63645 · 90 certified beds
License number not yet on file. We only publish license numbers we can source from an official registry.
NPI 1366438731. Look this up in the CMS NPPES registry (opens in a new tab)
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Claru Deville Nursing Center is a nursing home in Fredericktown, Missouri, in Madison County. Its reported capacity is 90 beds. It is recorded as a for-profit operator, part of James & Judy Lincoln. Federal records list it as Medicare certified. Our copy of the inspection record holds 26 citations, the newest dated 28 February 2025. Federal enforcement records add 2 fine or payment denial actions. Staffing reports put it at 3.36 nurse hours per resident per day. Every fact above comes from the public records listed in the sources section on this page. The newest source file we hold for this listing is dated August 2026.
CMS Care Compare · Source data August 2026
Staffing rating
2.0Quality-measure rating
5.0Inspections on record
2
Cited deficiencies
20
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
2.0Quality-measure rating
5.0Inspections on record
2
Cited deficiencies
20
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
2.0Quality-measure rating
5.0Inspections on record
2
Cited deficiencies
29
Records from June 2021 to February 2025.
June 11, 2021 · D
Citation F0624Federal surveyors cited this nursing home on 2021-06-11 under CMS tag F0624 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Prepare residents for a safe transfer or discharge from the nursing home. The deficiency was recorded as corrected on 2021-07-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
June 11, 2021 · D
Citation F0689Federal surveyors cited this nursing home on 2021-06-11 under CMS tag F0689 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2021-07-23. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
June 11, 2021 · D
Citation F0756Federal surveyors cited this nursing home on 2021-06-11 under CMS tag F0756 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. The deficiency was recorded as corrected on 2021-07-23. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
June 11, 2021 · D
Citation F0623Federal surveyors cited this nursing home on 2021-06-11 under CMS tag F0623 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. The deficiency was recorded as corrected on 2021-07-23. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
June 11, 2021 · D
Citation F0625Federal surveyors cited this nursing home on 2021-06-11 under CMS tag F0625 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2021-07-23. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
June 11, 2021 · D
Citation F0607Federal surveyors cited this nursing home on 2021-06-11 under CMS tag F0607 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement policies and procedures to prevent abuse, neglect, and theft. The deficiency was recorded as corrected on 2021-07-23. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
Total fines on file: $81,964
January 17, 2025 · Fine
Citation FINE-90695CMS recorded a civil money penalty of $81,964 against this nursing home on 2025-01-17 (Fine ID: 90695). Source: CMS Care Compare Penalties (as of 2026-07-01).
January 17, 2025 · Payment Denial
Citation PAYDEN-2025-02-25CMS recorded a Medicare/Medicaid payment denial for new admissions starting 2025-02-25, lasting 48 days (triggered by inspection on 2025-01-17). Source: CMS Care Compare Penalties (as of 2026-07-01).
Latest: 3.36 nurse staffing hours per resident per day (2026Q1)
Staffing trend (5 periods)
Most recent period is lower than 2025Q4 (-0.08 hrs/resident/day). Figures are CMS-reported nurse staffing hours, not our estimate.
For profit - Corporation
CMS Care Compare chain: James & Judy Lincoln
Chain ID 290 · 56 facilities in chain (CMS)
Chain averages are CMS-published figures for facilities sharing this Chain ID (formerly Affiliated Entity). They are not ElderCareCosts scores.
A separate ownership filing names a different organization for this listing. We are not publishing that name while the two government records disagree.
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Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.
Sep 1, 2026Ownership changed
The source now records ownership as "For profit - Corporation".
Reported by CMS nursing homes (provider info)
Aug 6, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Jul 24, 2026Ownership changed
The source now records ownership as "For profit - Corporation".
Reported by CMS nursing homes (provider info)
Jul 24, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Jul 23, 2026First appeared in our data
This listing first appeared in the government file we read. That is usually when it entered the file, not the day it opened.
Reported by CMS nursing homes (provider info)
Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.
Genworth CareScout Cost of Care Survey · 2025
This provider doesn't publish a specific price to us. Below is the typical MO range for the care type(s) it offers. Use it as context, not a quote.
Nursing Homes
Median · MO$6,741/moOther licensed providers in Fredericktown, with their own public records.
Cost data not yet available
A comparison puts both public records in one view and marks any measure the two are not held to alike, so a blank never reads as a bad score.
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