nursing home in Shelbyville, IN
Willows of Shelbyville
2309 S Miller St, Shelbyville, IN 46176 · (317) 398-9781
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★1
- Quality measures★★★★★5
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Willows of Shelbyville at a glance
Willows of Shelbyville is a 121-bed government nursing home in Shelbyville, Indiana (Shelby County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Indiana average of 3.1.
Residents receive about 3.9 hours of nursing care per day (0.4 of them from registered nurses), close to the state average of 3.7 hours.
Its most recent standard health inspection (December 23, 2025) found 4 health citations. The Indiana average is 7.2.
It has not received a federal fine in the past three years.
Nursing staff turnover is 46.8% per year (state average 45.9%).
Facility details
- Type
- Nursing home
- Ownership
- Government - City/County
- Beds
- 121
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- January 1, 1967
- Resident/family council
- Resident
- County
- Shelby County
- CMS Certification Number
- 155022
Ratings
| Measure | This facility | Indiana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 3.1 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 2.5 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 4.1 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 4 / 5 | 4.3 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 5 / 5 | 3.8 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Indiana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.85 hrs | 3.69 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 0.37 hrs | 0.67 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.50 hrs | 2.24 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.53 hrs | 3.25 hrs | 3.42 hrs | Average |
| Nursing staff turnover (yearly) (lower is better) | 46.8% | 45.9% | 45.8% | Average |
| Registered nurse turnover (yearly) (lower is better) | 44.4% | 40.3% | 42.9% | Average |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | Indiana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 4 | 7 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 2 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 45 | 49.2 | 80.6 | Better |
Penalties
| Measure | This facility | Indiana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 0 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $8,742 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 0 | 1 | Better |
Size
| Measure | This facility | Indiana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 121 | 96 | 107 | |
| Average residents per day | 84 | 73 | 86 | |
| Occupancy | 69.8% | 76.2% | 80.9% |
Long-stay residents
| Measure | This facility | Indiana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 12% | 3.9% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 1.7% | 3.6% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 27% | 13.6% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0.4% | 1.1% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.3% | 0.4% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 13.5% | 11% | 13.9% | Average |
| Long-stay residents whose walking worsened (lower is better) | 21.5% | 11.9% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 3.8% | 5.5% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 62.5% | 25.2% | 12.8% | Worse |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 34.8% | 23.5% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 28.3% | 23.3% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 95.4% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 93.6% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Indiana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 1.2% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 98.6% | 79% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 97.5% | 81.8% | 82% | Better |
Inspection citations
State inspectors cited this home for 30 health deficiencies and 37 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| December 23, 2025 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected April 1, 2026 |
| December 23, 2025 Fire safety | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Tag E0041 | F Potential harm, widespread | Corrected April 1, 2026 |
| December 23, 2025 Fire safety | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Tag K0711 | F Potential harm, widespread | Corrected April 1, 2026 |
| December 23, 2025 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | E Potential harm, pattern | Corrected April 1, 2026 |
| December 23, 2025 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | E Potential harm, pattern | Corrected April 1, 2026 |
| December 23, 2025 Fire safety | Have an externally vented heating system. Services Deficiencies · Tag K0522 | E Potential harm, pattern | Corrected April 1, 2026 |
| December 23, 2025 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | E Potential harm, pattern | No revisit needed |
| December 23, 2025 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | E Potential harm, pattern | Corrected April 1, 2026 |
| December 23, 2025 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | E Potential harm, pattern | Corrected April 1, 2026 |
| December 23, 2025 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | E Potential harm, pattern | Corrected April 1, 2026 |
| December 23, 2025 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected April 1, 2026 |
| December 23, 2025 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | C No harm, widespread | Corrected April 1, 2026 |
| December 23, 2025 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | E Potential harm, pattern | Corrected January 21, 2026 |
| December 23, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected January 21, 2026 |
| December 23, 2025 Standard | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of Life and Care Deficiencies · Tag F0744 | D Potential harm, isolated | Corrected January 21, 2026 |
| December 23, 2025 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected January 21, 2026 |
| March 6, 2025 Complaint | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected March 20, 2025 |
| October 1, 2024 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | F Potential harm, widespread | Corrected November 8, 2024 |
| October 1, 2024 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | E Potential harm, pattern | Corrected November 8, 2024 |
| October 1, 2024 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected November 8, 2024 |
| October 1, 2024 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | E Potential harm, pattern | Corrected November 8, 2024 |
| October 1, 2024 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | E Potential harm, pattern | Corrected November 8, 2024 |
| October 1, 2024 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | E Potential harm, pattern | Corrected November 8, 2024 |
| October 1, 2024 Fire safety | Have exits that are accessible at all times. Egress Deficiencies · Tag K0271 | E Potential harm, pattern | Corrected November 8, 2024 |
| October 1, 2024 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | E Potential harm, pattern | Corrected November 8, 2024 |
| October 1, 2024 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | E Potential harm, pattern | Corrected November 8, 2024 |
| October 1, 2024 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | E Potential harm, pattern | Corrected November 8, 2024 |
| October 1, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected October 25, 2024 |
| October 1, 2024 Standard | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | F Potential harm, widespread | Corrected October 25, 2024 |
| October 1, 2024 Standard | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of Life and Care Deficiencies · Tag F0744 | E Potential harm, pattern | Corrected October 25, 2024 |
| October 1, 2024 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected October 25, 2024 |
| October 1, 2024 Standard | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Tag F0578 | D Potential harm, isolated | Corrected October 25, 2024 |
| October 1, 2024 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected October 25, 2024 |
| October 1, 2024 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected October 25, 2024 |
| May 2, 2024 Complaint | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · Tag F0740 | G Actual harm, isolated | Corrected May 20, 2024 |
| May 2, 2024 Complaint | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of Life and Care Deficiencies · Tag F0744 | D Potential harm, isolated | Corrected May 20, 2024 |
| May 2, 2024 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected May 20, 2024 |
| February 22, 2024 Complaint | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · Tag F0676 | D Potential harm, isolated | Corrected March 20, 2024 |
| February 22, 2024 Complaint | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected March 20, 2024 |
| February 22, 2024 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected March 20, 2024 |
| February 22, 2024 Complaint | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected March 20, 2024 |
| February 22, 2024 Complaint | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0697 | D Potential harm, isolated | Corrected March 20, 2024 |
| July 26, 2023 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | F Potential harm, widespread | Corrected October 31, 2023 |
| July 26, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected October 31, 2023 |
| July 26, 2023 Fire safety | Provide emergency officials' contact information. Emergency Preparedness Deficiencies · Tag E0031 | F Potential harm, widespread | Corrected October 31, 2023 |
| July 26, 2023 Fire safety | Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Tag E0037 | F Potential harm, widespread | Corrected October 31, 2023 |
| July 26, 2023 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | F Potential harm, widespread | Corrected October 31, 2023 |
| July 26, 2023 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected October 31, 2023 |
| July 26, 2023 Fire safety | Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected. Smoke Deficiencies · Tag K0361 | E Potential harm, pattern | Corrected October 31, 2023 |
| July 26, 2023 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | E Potential harm, pattern | Corrected October 31, 2023 |
| July 26, 2023 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | E Potential harm, pattern | Corrected October 31, 2023 |
| July 26, 2023 Fire safety | Meet other general requirements. Egress Deficiencies · Tag K0200 | E Potential harm, pattern | Corrected October 31, 2023 |
| July 26, 2023 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | E Potential harm, pattern | Corrected October 31, 2023 |
| July 26, 2023 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | E Potential harm, pattern | Corrected October 31, 2023 |
| July 26, 2023 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected October 31, 2023 |
| July 26, 2023 Fire safety | Create arrangements with other facilities to receive patients. Emergency Preparedness Deficiencies · Tag E0025 | C No harm, widespread | Corrected October 31, 2023 |
| July 26, 2023 Fire safety | List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Tag E0030 | C No harm, widespread | Corrected October 31, 2023 |
| July 26, 2023 Standard | 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. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected August 25, 2023 |
| July 26, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected August 25, 2023 |
| July 26, 2023 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected August 25, 2023 |
| July 26, 2023 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected August 25, 2023 |
| July 26, 2023 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected August 25, 2023 |
| July 26, 2023 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected August 25, 2023 |
| July 26, 2023 Standard | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Tag F0585 | D Potential harm, isolated | Corrected August 25, 2023 |
| July 26, 2023 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected August 25, 2023 |
| July 26, 2023 Standard | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Tag F0582 | D Potential harm, isolated | Corrected August 25, 2023 |
| July 26, 2023 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected August 25, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| CLAXTON, RYAN Individual | adp of the snf | NOT APPLICABLE | 03/27/2025 |
| FRANKEL, ISRAEL Individual | adp of the snf | NOT APPLICABLE | 07/01/2023 |
| PAUL, MANDI Individual | adp of the snf | NOT APPLICABLE | 04/01/2024 |
| RADADIYA, PRAGNESHKUMAR Individual | adp of the snf | NOT APPLICABLE | 07/01/2023 |
| SHELBYVILLE IN OPCO LLC Organization | adp of the snf | NOT APPLICABLE | 07/02/2025 |
| CLAXTON, RYAN Individual | corporate officer | NOT APPLICABLE | 03/27/2025 |
| HORNER, JOHN Individual | corporate officer | NOT APPLICABLE | 01/01/2012 |
| CLAXTON, RYAN Individual | operational/managerial control | NOT APPLICABLE | 03/27/2025 |
| FRANKEL, ISRAEL Individual | operational/managerial control | NOT APPLICABLE | 07/01/2023 |
| PAUL, MANDI Individual | operational/managerial control | NOT APPLICABLE | 04/01/2024 |
| RADADIYA, PRAGNESHKUMAR Individual | operational/managerial control | NOT APPLICABLE | 07/01/2023 |
| SHELBYVILLE IN OPCO LLC Organization | operational/managerial control | NOT APPLICABLE | 07/01/2023 |
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Frequently asked questions
What is Willows of Shelbyville's rating?
Willows of Shelbyville has 2 out of 5 stars on the CMS overall star rating. The average for Indiana nursing homes is 3.1 stars.
How many inspection citations did Willows of Shelbyville receive?
Its most recent standard health inspection found 4 citations, compared with a Indiana average of 7.2. Every citation is listed on this page with its severity.
Does Willows of Shelbyville accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Willows of Shelbyville?
It is government - city/county. The ownership section on this page lists the owners and managers reported to CMS.
Where is Willows of Shelbyville and how do I contact it?
Willows of Shelbyville is at 2309 S Miller St, Shelbyville, IN 46176. Phone: (317) 398-9781.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.