The Waters of Shelbyville, LLC

Name: The Waters of Shelbyville, LLC
Address: 835 UNION STREET, Shelbyville, TN, 37160, US
Telephone: 9316802300

835 Union Street, Shelbyville, TN 37160 · Bedford County · 96 certified beds · avg 75 residents/day · certified since Jan 11, 1985

Part of chain: INFINITY HEALTHCARE CONSULTING (69 facilities, chain avg rating 2.0★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

2.41

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

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 self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, one-off · 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): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.

Corrected: Aug 20, 2019 (Past Non-Compliance)

All citations in the current public record (9)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Nov 29, 2023	D · Potential for harm, one-off	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
Nov 29, 2023	D · Potential for harm, one-off	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
Nov 6, 2019	▲ J · Immediate jeopardy, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Nov 6, 2019	E · Potential for harm, repeated	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.
Nov 6, 2019	D · Potential for harm, one-off	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.
Nov 6, 2019	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Dec 5, 2018	D · Potential for harm, one-off	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.
Dec 5, 2018	D · Potential for harm, one-off	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.
Dec 5, 2018	D · Potential for harm, one-off	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.

Inspection trend by year

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)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

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, 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. Staffing rating: 1/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5

Who owns this facility

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

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?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Lynchburg Nursing Center	14.7 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

Compare this facility with the 3 closest →

All facilities in Shelbyville →

Facility data as of CMS processing date 2026-08-01. CCN 445171.

The Care File

Visit checklist — The Waters of Shelbyville, LLC

835 Union Street, Shelbyville, TN 37160 · 9316802300

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Most serious findings on record:

▲ Nov 6, 2019 (F-0689, Immediate jeopardy, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Questions for the administrator:

☐ "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?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 445171 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)