Willows of Shelbyville

Name: Willows of Shelbyville
Address: 2309 S MILLER ST, Shelbyville, IN, 46176, US
Telephone: 3173989781

2309 S Miller St, Shelbyville, IN 46176 · Shelby County · 121 certified beds · avg 84 residents/day · certified since Jan 1, 1967

2/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

2.93

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5

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)

▲ Actual harm, one-off · May 2, 2024 · F-0740 · triggered by a complaint

The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety.

Why it matters: A resident's untreated mental health needs can worsen and take a toll on their physical health too.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: May 20, 2024 (Deficient, Provider has date of correction)

All citations in the current public record (30)

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
Dec 23, 2025	E · Potential for harm, repeated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Dec 23, 2025	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Dec 23, 2025	D · Potential for harm, one-off	The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience.
Dec 23, 2025	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Mar 6, 2025	F · Potential for harm, facility-wide	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. · from a complaint
Oct 1, 2024	F · Potential for harm, facility-wide	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.
Oct 1, 2024	F · Potential for harm, facility-wide	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Oct 1, 2024	E · Potential for harm, repeated	The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience.
Oct 1, 2024	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Oct 1, 2024	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Oct 1, 2024	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.
Oct 1, 2024	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
May 2, 2024	▲ G · Actual harm, one-off	The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety. · from a complaint
May 2, 2024	D · Potential for harm, one-off	The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience. · from a complaint
May 2, 2024	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint
Feb 22, 2024	D · Potential for harm, one-off	The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have. · from a complaint
Feb 22, 2024	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
Feb 22, 2024	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint
Feb 22, 2024	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint
Feb 22, 2024	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
Jul 26, 2023	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Jul 26, 2023	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.
Jul 26, 2023	D · Potential for harm, one-off	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
Jul 26, 2023	D · Potential for harm, one-off	The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly.
Jul 26, 2023	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Jul 26, 2023	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Jul 26, 2023	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Jul 26, 2023	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Jul 26, 2023	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Jul 26, 2023	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (7 → 4).

Year	Citations	Serious (G–L)	Worst severity that year
2023	10	0	E
2024	15	1	G ▲
2025	5	0	F

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	Indiana avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	2.93	3.42	3.95	bottom 23% in Indiana; bottom 12% in the U.S.
Registered Nurse hours	0.28	0.62	0.69	bottom 5% in Indiana; bottom 8% in the U.S.
Weekend total nurse staffing	2.69	3.01	3.50	bottom 33% in Indiana; bottom 16% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.26	0.47	0.48	bottom 15% in Indiana; bottom 24% in the U.S.
Total nursing staff turnover (%)	46.8	45.9	45.8	bottom 46% in Indiana; bottom 45% in the U.S.
RN turnover (%)	44.4	40.4	42.9	bottom 43% in Indiana; bottom 45% 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 3.85, RN 0.37, weekend 3.53. 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: 4/5 · short-stay residents: 5/5

Who owns this facility

Government - City/county

Owner / manager	Type	Role	Stake	Since
Claxton, Ryan	Individual	Corporate Officer	NOT APPLICABLE	03/27/2025
Claxton, Ryan	Individual	Operational/Managerial Control	NOT APPLICABLE	03/27/2025
Claxton, Ryan	Individual	ADP of the SNF	NOT APPLICABLE	03/27/2025
Frankel, Israel	Individual	Operational/Managerial Control	NOT APPLICABLE	07/01/2023
Frankel, Israel	Individual	ADP of the SNF	NOT APPLICABLE	07/01/2023
Horner, John	Individual	Corporate Officer	NOT APPLICABLE	01/01/2012
Paul, Mandi	Individual	Operational/Managerial Control	NOT APPLICABLE	04/01/2024
Paul, Mandi	Individual	ADP of the SNF	NOT APPLICABLE	04/01/2024
Radadiya, Pragneshkumar	Individual	Operational/Managerial Control	NOT APPLICABLE	07/01/2023
Radadiya, Pragneshkumar	Individual	ADP of the SNF	NOT APPLICABLE	07/01/2023
Shelbyville in Opco LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	07/01/2023
Shelbyville in Opco LLC	Organization	ADP of the SNF	NOT APPLICABLE	07/02/2025

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 mental health services do you provide on-site, and who delivers them?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
"What specific dementia training do your staff receive, and how do you handle difficult moments without medication?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
"How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
"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
Especially Kidz Health & Rehab	0.0 mi	Shelbyville, IN	★★★☆☆	4/5
Ashford Place Health Campus	3.8 mi	Shelbyville, IN	★★★★☆	3/5
Waldron Rehabilitation and Healthcare Center	7.1 mi	Waldron, IN	★★★☆☆	2/5
Morristown Manor	12.1 mi	Morristown, IN	★★★★☆	3/5
Homeview Center of Franklin	13.9 mi	Franklin, IN	★★★★★	5/5
Compass Park	14.0 mi	Franklin, IN	★★★★★	5/5
Hickory Creek at Franklin	14.7 mi	Franklin, IN	★★★★★	5/5
Otterbein Franklin Seniorlife Comm Res & Com Care	15.3 mi	Franklin, IN	★★★☆☆	3/5
Miller's Merry Manor	15.7 mi	Hope, IN	★★★☆☆	3/5
Franklin Meadows	15.8 mi	Franklin, IN	★★★★☆	4/5
Greenwood Village South	18.2 mi	Greenwood, IN	★★★★★	5/5
Silver Oaks Health Campus	18.8 mi	Columbus, IN	★★★★☆	3/5

Compare this facility with the 3 closest →

All facilities in Shelbyville →

Facility data as of CMS processing date 2026-08-01. CCN 155022.

The Care File

Visit checklist — Willows of Shelbyville

2309 S Miller St, Shelbyville, IN 46176 · 3173989781

Health inspection rating 2/5 · CMS overall 2/5· Fines (3y): $0

Most serious findings on record:

▲ May 2, 2024 (F-0740, Actual harm, one-off): The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety.

Questions for the administrator:

☐ "What mental health services do you provide on-site, and who delivers them?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
☐ "What specific dementia training do your staff receive, and how do you handle difficult moments without medication?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
☐ "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
☐ "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 155022 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)