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The Waters of Shelbyville, LLC
835 Union Street, Shelbyville, TN 37160 (opens Google Maps) · Bedford County · (931) 680-2300· 96 certified beds · avg 75 residents/day · certified since Jan 11, 1985 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: INFINITY HEALTHCARE CONSULTING (69 facilities, chain avg rating 2.0★)
4/5
Health inspection rating (on-site)
inspected Feb 27, 2026
1
Serious findings on record
most recent Nov 6, 2019
$0
Fines, last 3 years
2.41
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5 · how star ratings work →
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, isolated · Nov 6, 2019 · F-0689
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
▲ Immediate jeopardy, isolated · Nov 6, 2019 · F-0689
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Aug 20, 2019 (Past Non-Compliance)
Inspection findings in the public record
Showing the latest 3 of 9 inspection findings. Open the full record below to read every finding.
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint F-0684
The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · from a complaint F-0695
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. F-0689
View all 9 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Nov 29, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684 |
| Nov 29, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · from a complaint · F-0695 |
| Nov 6, 2019 | ▲ J · Immediate jeopardy, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Nov 6, 2019 | E · Potential for more than minimal harm, pattern | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
| Nov 6, 2019 | D · Potential for more than minimal harm, isolated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · F-0550 |
| Nov 6, 2019 | D · Potential for more than minimal harm, isolated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658 |
| Dec 5, 2018 | D · Potential for more than minimal harm, isolated | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · F-0657 |
| Dec 5, 2018 | D · Potential for more than minimal harm, isolated | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. · F-0693 |
| Dec 5, 2018 | D · Potential for more than minimal harm, isolated | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · F-0758 |
Inspection trend by year
All citationsSerious citations (G–L)
2018
All citations: 3
Serious citations (G–L): 0
2019
All citations: 4
Serious citations (G–L): 1
2023
All citations: 2
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2018 | 3 | 0 | D |
| 2019 | 4 | 1 | J ▲ |
| 2023 | 2 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityTennessee averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 2.41
Tennessee average: 3.62
U.S. average: 3.95
Registered Nurse hours
This facility: 0.25
Tennessee average: 0.57
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.06
Tennessee average: 3.15
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Tennessee avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 2.41 | 3.62 | 3.95 | bottom 1% in Tennessee; bottom 3% in the U.S. |
| Registered Nurse hours | 0.25 | 0.57 | 0.69 | bottom 4% in Tennessee; bottom 5% in the U.S. |
| Weekend total nurse staffing | 2.06 | 3.15 | 3.50 | bottom 1% in Tennessee; bottom 2% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.20 | 0.39 | 0.48 | bottom 11% in Tennessee; bottom 11% in the U.S. |
| Total nursing staff turnover (%) | 52.5 | 48.9 | 45.8 | bottom 42% in Tennessee; bottom 31% in the U.S. |
| RN turnover (%) | 80.0 | 43.2 | 42.9 | bottom 5% in Tennessee; bottom 6% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.14, RN 0.32, weekend 2.67.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.14 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 1/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for The Waters of Shelbyville, LLC. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| A&f Realty LLC | Organization | 5% or Greater Direct Ownership Interest | 20% | 08/01/2016 |
| Gubin Enterprises Limited Partnership | Organization | 5% or Greater Direct Ownership Interest | 40% | 08/01/2016 |
| Tackett, Thomas | Individual | W-2 Managing Employee | NOT APPLICABLE | 05/16/2019 |
All 3 owning or managing parties CMS has on file are shown — none excluded.
Other facilities in the same chain
CMS lists this facility under the chain Infinity Healthcare Consulting — 69 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- The Waters of Smyrna, LLC — Smyrna, TN · overall 1/5
- The Waters of Springfield LLC — Springfield, TN · overall 1/5
- The Waters of Union City , LLC — Union City, TN · overall 5/5
- Waters of Bristol a Rehabilitation and Nursing — Blountville, TN · overall 4/5
- Waters of McKenzie a Rehabilitation & Nursing Ctr — MC Kenzie, TN · overall 2/5
- Waters of Memphis a Rehabilitation & Nursing Ctr — Memphis, TN · overall 1/5
- Waters of Sweetwater a Rehabilitation & Nursing — Sweetwater, TN · overall 2/5
- Ambassador Nursing & Rehab Center — Chicago, IL · overall 2/5abuse
Listed by state, then facility name — not a ranking. Showing 8 of the 68 others, continuing from this facility's own place in that list.
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
Also worth asking anywhere
- "Your weekend nurse staffing is reported below the Tennessee midpoint — how does the weekend schedule differ from a weekday?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 53% total nursing staff turnover here — who on the care team has been with you longest?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Lynchburg Nursing Center | 14.8 mi | Lynchburg, TN | ★★★★★ | 4/5 | |
| Life Care Center of Tullahoma | 15.8 mi | Tullahoma, TN | ★★☆☆☆ | 3/5 | |
| NHC Healthcare, Tullahoma | 15.8 mi | Tullahoma, TN | ★★★☆☆ | 3/5 | |
| NHC Healthcare, Oakwood | 19.2 mi | Lewisburg, TN | ★★★★☆ | 3/5 | |
| Community Care of Rutherford | 19.4 mi | Murfreesboro, TN | ★☆☆☆☆ | 1/5 | |
| NHC Healthcare, Lewisburg | 19.6 mi | Lewisburg, TN | ★★★☆☆ | 2/5 |
Facility data as of CMS processing date 2026-08-01. CCN 445171.