nursing home in Shelbyville, TN
The Waters of Shelbyville, LLC
835 Union Street, Shelbyville, TN 37160 · (931) 680-2300
CMS overall star rating
- Health inspections★★★★★4
- 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
The Waters of Shelbyville, LLC at a glance
The Waters of Shelbyville, LLC is a 96-bed for-profit nursing home in Shelbyville, Tennessee (Bedford County).
CMS gives it 4 out of 5 stars on its overall star rating, better than the Tennessee average of 3.
Residents receive about 3.1 hours of nursing care per day (0.3 of them from registered nurses), worse than the state average of 3.8 hours.
Its most recent standard health inspection (February 27, 2026) found 0 health citations. The Tennessee average is 4.4.
It has not received a federal fine in the past three years.
Nursing staff turnover is 52.5% per year (state average 48.9%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 96
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Infinity Healthcare Consulting
- Medicare-certified since
- January 11, 1985
- Resident/family council
- Resident
- County
- Bedford County
- CMS Certification Number
- 445171
Ratings
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 4 / 5 | 3 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 4 / 5 | 3 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 2.5 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 3.6 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 3.6 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 4 / 5 | 3.4 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.14 hrs | 3.80 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.32 hrs | 0.60 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.57 hrs | 2.12 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.67 hrs | 3.31 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 52.5% | 48.9% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 80% | 43.2% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 0 | 4 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 1 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 11 | 47.9 | 80.6 | Better |
Penalties
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $22,907 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 96 | 114 | 107 | |
| Average residents per day | 75 | 84 | 86 | |
| Occupancy | 78.4% | 74.8% | 80.9% |
Long-stay residents
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 2.3% | 3.4% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 3% | 5% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 5.3% | 16.8% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 1.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.7% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 2.5% | 14% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 3.9% | 17.2% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 8.8% | 6.1% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 73.3% | 13.8% | 12.8% | Worse |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 37% | 31.7% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 17.1% | 20% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 94.5% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 89.4% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 1.1% | 1.7% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 93.2% | 79.8% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 95.4% | 79.3% | 82% | Better |
Inspection citations
State inspectors cited this home for 9 health deficiencies and 29 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| February 27, 2026 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | D Potential harm, isolated | Corrected April 9, 2026 |
| February 27, 2026 Fire safety | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0921 | D Potential harm, isolated | Corrected April 9, 2026 |
| February 27, 2026 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | D Potential harm, isolated | Corrected April 9, 2026 |
| February 27, 2026 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 | D Potential harm, isolated | Corrected April 9, 2026 |
| February 27, 2026 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | D Potential harm, isolated | Corrected April 9, 2026 |
| February 27, 2026 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 | D Potential harm, isolated | Corrected April 9, 2026 |
| February 27, 2026 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected April 9, 2026 |
| February 27, 2026 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | D Potential harm, isolated | Corrected April 9, 2026 |
| February 27, 2026 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 | D Potential harm, isolated | Corrected April 9, 2026 |
| February 27, 2026 Fire safety | Have stairways and smokeproof enclosures used as exits that meet safety requirements. Egress Deficiencies · Tag K0225 | D Potential harm, isolated | Corrected April 9, 2026 |
| February 27, 2026 Fire safety | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Tag E0041 | D Potential harm, isolated | Corrected April 9, 2026 |
| February 27, 2026 Fire safety | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Tag E0004 | D Potential harm, isolated | Corrected April 9, 2026 |
| February 27, 2026 Fire safety | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Tag E0006 | D Potential harm, isolated | Corrected April 9, 2026 |
| February 27, 2026 Fire safety | Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Tag E0015 | D Potential harm, isolated | Corrected April 9, 2026 |
| February 27, 2026 Fire safety | Establish policies and procedures including evacuation. Emergency Preparedness Deficiencies · Tag E0020 | D Potential harm, isolated | Corrected April 9, 2026 |
| February 27, 2026 Fire safety | Create arrangements with other facilities to receive patients. Emergency Preparedness Deficiencies · Tag E0025 | D Potential harm, isolated | Corrected April 9, 2026 |
| February 27, 2026 Fire safety | Establish roles under a Waiver declared by secretary. Emergency Preparedness Deficiencies · Tag E0026 | D Potential harm, isolated | Corrected April 9, 2026 |
| February 27, 2026 Fire safety | List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Tag E0030 | D Potential harm, isolated | Corrected April 9, 2026 |
| November 29, 2023 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 January 11, 2024 |
| November 29, 2023 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 January 11, 2024 |
| November 6, 2019 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | F Potential harm, widespread | Corrected December 18, 2019 |
| November 6, 2019 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | E Potential harm, pattern | Corrected December 18, 2019 |
| November 6, 2019 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | D Potential harm, isolated | Corrected December 18, 2019 |
| November 6, 2019 Fire safety | Install proper backup exit lighting. Egress Deficiencies · Tag K0281 | D Potential harm, isolated | Corrected December 18, 2019 |
| November 6, 2019 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 | D Potential harm, isolated | Corrected December 18, 2019 |
| November 6, 2019 Fire safety | Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0919 | D Potential harm, isolated | Corrected December 18, 2019 |
| November 6, 2019 Fire safety | Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. Smoke Deficiencies · Tag K0343 | D Potential harm, isolated | Corrected December 18, 2019 |
| November 6, 2019 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 | J Immediate jeopardy, isolated | Corrected August 20, 2019 |
| November 6, 2019 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 | E Potential harm, pattern | Corrected December 9, 2019 |
| November 6, 2019 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected December 9, 2019 |
| November 6, 2019 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 December 9, 2019 |
| December 5, 2018 Fire safety | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Tag K0354 | F Potential harm, widespread | Corrected January 15, 2019 |
| December 5, 2018 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected January 15, 2019 |
| December 5, 2018 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected January 15, 2019 |
| December 5, 2018 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected January 15, 2019 |
| December 5, 2018 Standard | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · Tag F0693 | D Potential harm, isolated | Corrected January 15, 2019 |
| December 5, 2018 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 January 15, 2019 |
| December 5, 2018 Standard | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected January 15, 2019 |
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 |
|---|---|---|---|
| A&F REALTY LLC Organization | 5% or greater direct ownership interest | 20% | 08/01/2016 |
| TACKETT, THOMAS Individual | w-2 managing employee | NOT APPLICABLE | 05/16/2019 |
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★★★★★4Above averageCommunity Care of Rutherford
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Frequently asked questions
What is The Waters of Shelbyville, LLC's rating?
The Waters of Shelbyville, LLC has 4 out of 5 stars on the CMS overall star rating. The average for Tennessee nursing homes is 3 stars.
How many inspection citations did The Waters of Shelbyville, LLC receive?
Its most recent standard health inspection found 0 citations, compared with a Tennessee average of 4.4. Every citation is listed on this page with its severity.
Does The Waters of Shelbyville, LLC 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 The Waters of Shelbyville, LLC?
It is for profit - limited liability company and part of Infinity Healthcare Consulting. The ownership section on this page lists the owners and managers reported to CMS.
Where is The Waters of Shelbyville, LLC and how do I contact it?
The Waters of Shelbyville, LLC is at 835 Union Street, Shelbyville, TN 37160. Phone: (931) 680-2300.
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.