The Waters of Shelbyville, LLC is a nursing home approved by U.S Centers for Medicare & Medicaid Services (CMS). The federal provider number is #445171. The provider type is Medicare and Medicaid. The ownership type is for profit - corporation. The address is 835 Union Street, Shelbyville, TN 37160. The overall rating is 2.
| Federal Provider Number | 445171 |
| Provider Name | THE WATERS OF SHELBYVILLE, LLC |
| Legal Business Name | THE WATERS OF SHELBYVILLE, LLC |
| Address |
835 Union Street Shelbyville TN 37160 |
| County | Bedford |
| Telephone | 9316802300 |
| Ownership Type | For profit - Corporation |
| Provider Type | Medicare and Medicaid |
| Date Approved | 1985-01-11 |
| Number of Certified Beds | 96 |
| Average Number of Residents per Day | 65.2 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Abuse Icon |
N Cited for abuse or neglect at harm level or above on survey cycle 1 (Scope/severity G or greater) or cited for abuse or neglect at potential harm level (Scope/Severity D or above) on both survey cycles 1 and 2. |
| Most Recent Health Inspection More Than 2 Years Ago | N |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Overall Rating | 2 |
| Health Inspection Rating | 2 |
| Quality Measure Rating | 5 |
| Long Stay Quality Measure Rating | 5 |
| Short Stay Quality Measure Rating | 4 |
| Staffing Rating | 1 |
| Registered Nurses Staffing Rating | 1 |
| Reported CNA Staffing Hours per Resident per Day | 2.07516 |
| Reported LPN Staffing Hours per Resident per Day | 1.25339 |
| Reported RN Staffing Hours per Resident per Day | 0.35590 |
| Reported Licensed Staffing Hours per Resident per Day | 1.60929 |
| Reported Total Nurse Staffing Hours per Resident per Day | 3.68445 |
| Reported Physical Therapist Staffing Hours per Resident Per Day | 0.07216 |
| Expected CNA Staffing Hours per Resident per Day | 2.32486 |
| Expected LPN Staffing Hours per Resident per Day | 0.86272 |
| Expected RN Staffing Hours per Resident per Day | 0.60072 |
| Expected Total Nurse Staffing Hours per Resident per Day | 3.78830 |
| Adjusted CNA Staffing Hours per Resident per Day | 1.83767 |
| Adjusted LPN Staffing Hours per Resident per Day | 1.07642 |
| Adjusted RN Staffing Hours per Resident per Day | 0.23710 |
| Adjusted Total Nurse Staffing Hours per Resident per Day | 3.11218 |
| Rating Cycle 1 Standard Survey Health Date | 2019-11-06 |
| Rating Cycle 1 Total Number of Health Deficiencies | 5 |
| Rating Cycle 1 Number of Standard Health Deficiencies | 4 |
| Rating Cycle 1 Number of Complavarchar Health Deficiencies | 2 |
| Rating Cycle 1 Health Deficiency Score | 44 |
| Rating Cycle 1 Number of Health Revisits | 1 |
| Rating Cycle 1 Health Revisit Score | 0 |
| Rating Cycle 1 Total Health Score | 44 |
| Rating Cycle 2 Standard Health Survey Date | 2018-12-05 |
| Rating Cycle 2 Total Number of Health Deficiencies | 5 |
| Rating Cycle 2 Number of Standard Health Deficiencies | 3 |
| Rating Cycle 2 Number of Complavarchar Health Deficiencies | 2 |
| Rating Cycle 2 Health Deficiency Score | 20 |
| Rating Cycle 2 Number of Health Revisits | 1 |
| Rating Cycle 2 Health Revisit Score | 0 |
| Rating Cycle 2 Total Health Score | 20 |
| Rating Cycle 3 Standard Health Survey Date | 2017-12-06 |
| Rating Cycle 3 Total Number of Health Deficiencies | 8 |
| Rating Cycle 3 Number of Standard Health Deficiencies | 6 |
| Rating Cycle 3 Number of Complavarchar Health Deficiencies | 2 |
| Rating Cycle 3 Health Deficiency Score | 64 |
| Rating Cycle 3 Number of Health Revisits | 1 |
| Rating Cycle 3 Health Revisit Score | 0 |
| Rating Cycle 3 Total Health Score | 64 |
| Total Weighted Health Survey Score | 39.333 |
| Number of Facility Reported Incidents | 5 |
| Number of Substantiated Complavarchars | 4 |
| Number of Citations from Infection Control Inspections | 0 |
| Number of Fines | 1 |
| Total Amount of Fines in Dollars | 10400.00 |
| Number of Payment Denials | 1 |
| Total Number of Penalties | 2 |
| Processing Date | 2021-05-01 |
| Notes |
CMS: Centers for Medicare & Medicaid Services CNA: Certified Nursing Assistant LPN: Licensed Practical Nurse RN: Registered Nurse |
| Role Played | Owner Name | Owner Type | Ownership Percentage | Association Date |
|---|---|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | A&F REALTY LLC | Organization | 20% | since 08/01/2016 |
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | BLISKO, MICHAEL | Individual | 40% | since 08/01/2016 |
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | GUBIN ENTERPRISES LIMITED PARTNERSHIP | Organization | 40% | since 08/01/2016 |
| MANAGING EMPLOYEE | TACKETT, THOMAS | Individual | since 05/16/2019 |
| Street Address |
835 UNION STREET |
| City | SHELBYVILLE |
| State | TN |
| Zip Code | 37160 |
| Nursing Home Name | Address | Telephone | Date Approved | Overall Rating |
|---|---|---|---|---|
| Glen Oaks Health and Rehabilitation · Glen Oaks Healthcare. LLC | 1101 Glen Oaks Road, Shelbyville, TN 37160 | 9316848340 | 1989-10-06 | 3 |
| Nursing Home Name | Address | Telephone | Date Approved | Overall Rating |
|---|---|---|---|---|
| Crestview Center · Crestview Nursing, LLC | 1871 Midland Trail, Shelbyville, KY 40065 | 5026332454 | 1995-05-05 | 4 |
| Ashford Place Health Campus · Hancock Regional Hospital | 2200 N Riley Hwy, Shelbyville, IN 46176 | 3173988422 | 2004-12-16 | 3 |
| Shelbyville Rehab & Hlth C Ctr · Shelbyville Hco, LLC | 2116 South 3rd Dacey Drive, Shelbyville, IL 62565 | 2177742128 | 1995-06-01 | 1 |
| Heritage House of Shelbyville · Major Hospital | 2309 S Miller St, Shelbyville, IN 46176 | 3173989781 | 1967-01-01 | 2 |
| Especially Kidz Health & Rehab | 2325 S Miller St, Shelbyville, IN 46176 | 3173923287 | 1974-03-31 | 2 |
| Masonic Home of Shelbyville · Masonic Homes of Kentucky Inc. | 711 Frankfort Road, Shelbyville, KY 40066 | 5026333486 | 1993-04-28 | 5 |
| Shelbyville Manor · Unlimited Development, Inc | 1111 West North 12th Street, Shelbyville, IL 62565 | 2177742111 | 1982-01-01 | 1 |
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| Lakeshore Heartland · Lakeshore Estates, Inc. | 3025 Fernbrook Lane, Nashville, TN 37214 | 6158852320 | 2016-09-13 | 2 |
| Nashville Center for Rehabilitation and Healing LLC | 832 Wedgewood Avenue, Nashville, TN 37203 | 6158068800 | 2013-05-21 | 1 |
| Life Care Center of Blount County · Blount Medical Investors Inc. | 1965 Stewart Lane, Louisville, TN 37777 | 8659843146 | 2016-01-14 | 3 |
| The Meadows · Lakeshore Estates, Inc. | 8044 Coley Davis Road, Nashville, TN 37221 | 6156464466 | 2010-04-16 | 5 |
| Brigadier General Wendell H Gilbert Tn State Veter · Tennessee State Veterans Home Board | 250 Arrowood Drive, Clarksville, TN 37042 | 9312454700 | 2016-05-10 | 4 |
| The Reserve At Spring Hill · Emerald Spring Hill, Inc. | 2000 Reserve Boulevard, Spring Hill, TN 37174 | 9314864200 | 2018-06-07 | 4 |
| Grace Healthcare of Decatur · Decatur Operating Group LLC | 332 River Road, Decatur, TN 37322 | 4233343002 | 2017-11-29 | 2 |
| Regional One Health Subacute Care · Shelby County Health Care Corporation | 877 Jefferson Avenue Adams Pavilion 3rd Floor, Memphis, TN 38103 | 9015154300 | 2016-02-16 | 4 |
| Find all nursing homes in the state of TN | ||||
| Nursing Home Name | Address | Telephone | Date Approved | Overall Rating |
|---|---|---|---|---|
| The Waters of Springfield LLC · The Waters of Springfield, LLC | 704 5th Avenue East, Springfield, TN 37172 | 6153847977 | 2005-10-07 | 2 |
| Masonic Home of Shelbyville · Masonic Homes of Kentucky Inc. | 711 Frankfort Road, Shelbyville, KY 40066 | 5026333486 | 1993-04-28 | 5 |
| The Waters of Cumberland, LLC · The Waters of Cumberland LLC | 1516 Cumberland St, Little Rock, AR 72202 | 5013747565 | 2000-09-27 | 1 |
| The Waters of Johnson City, LLC | 140 Technology Lane, Johnson City, TN 37604 | 4234342016 | 2007-11-20 | 3 |
| The Waters of Gallatin, LLC · The Waters of Gallatin LLC | 555 East Bledsoe Street, Gallatin, TN 37066 | 6154527132 | 1978-05-25 | 5 |
| The Waters of Rogers, LLC | 1513 South Dixieland Rd, Rogers, AR 72758 | 4796365841 | 1993-06-02 | 1 |
| The Waters of Robertson, LLC · The Waters of Robertson LLC | 104 Watson Road, Springfield, TN 37172 | 6153849565 | 1980-10-01 | |
| The Waters of Newport, LLC · Waters of Newport LLC | 326 Lindley Lane, Newport, AR 72112 | 8705236539 | 1997-10-01 | 2 |
| Heritage House of Shelbyville · Major Hospital | 2309 S Miller St, Shelbyville, IN 46176 | 3173989781 | 1967-01-01 | 2 |
| The Waters of Clinton, LLC · The Waters of Clinton LLC | 220 Longmire Rd, Clinton, TN 37716 | 8654576925 | 1980-10-20 | 3 |
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This dataset includes 15 thousand nursing homes approved by U.S Centers for Medicare & Medicaid Services (CMS) to provide Medicare & Medicaid services. CMS created Care Compare, a healthcare compare tool, for consumers to understand information about doctors, hospitals, and skilled nursing facilities. The information on nursing homes include number of certified beds, quality measure scores, staffing and other information used in the Five-Star Rating System.