The Waters of Shelbyville, LLC
835 Union Street, Shelbyville, TN 37160
The Waters of Shelbyville, LLC, a 96-bed for profit - limited liability company nursing facility in Shelbyville, TN, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #86 of 300 rated homes in TN on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 9316802300
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- 4 / 5
- Above average · CMS overall · nat'l 3.0
- #86 of 300
- In-state rank among rated TN homes
- 3.14
- Well below average · nurse hrs/day · nat'l 3.86
- 9
- Inspection findings · 1 serious
If a nursing-home resident is in immediate danger, call 911.
For elder abuse or neglect concerns, contact your state's Adult Protective Services (search "APS" + your state) or call the Eldercare Locator at 1-800-677-1116. For facility advocacy, reach your Long-Term Care Ombudsman. CMS ratings and inspection data below are a research screen, not an emergency channel.
The verdict
The Waters of Shelbyville, LLC, a 96-bed for profit - limited liability company nursing facility in Shelbyville, TN, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #86 of 300 rated homes in TN on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.
- 4 / 5
- CMS overall · national 3.0
- #86 of 300
- In-state rank among rated TN homes
- 3.14
- Nurse hrs/resident-day · national 3.86
- 9
- Inspection findings · 1 serious
CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.
In-state ownership mix · peer inventory
How 303 TN nursing homes split by ownership sector
This facility is recorded as For profit - Limited Liability company. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 445171
- Ownership
- For profit - Limited Liability company
- Provider Type
- Medicare and Medicaid
- Beds
- 96
- Residents
- 75
- In Hospital
- No
- County
- Bedford
- Last Inspection
- Feb 27, 2026
Staffing Data
How the 3.14 total nursing hours per resident-day are staffed:
- RN Hours
- 0.32 (nat'l avg: 0.69)
- LPN Hours
- 1.25
- CNA Hours
- 1.57
- Total Nursing Hours
- 3.14 (nat'l avg: 3.86)
- PT Hours
- 0.09
- Nursing Turnover
- 52.5%
- RN Turnover
- 80.0%
What the CMS Record Reveals About The Waters of Shelbyville, LLC
According to CMS Nursing Home Compare, The Waters of Shelbyville, LLC ranks #86 of 300 rated nursing homes in TN on overall stars (tie-broken by health+staffing+quality, then fewer fines). The Waters of Shelbyville, LLC operates 96 certified beds in Shelbyville, TN with approximately 75 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars (health inspection 4★ · staffing 1★ · quality 5★).
The inspection file contains 9 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider. Reported nurse staffing runs 3.14 total hours per resident day (national average 3.86); RN hours specifically are 0.32 per resident day.
Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, The Waters of Shelbyville, LLC falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 52.5% (CMS payroll-based measure).
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.
Deficiency History (9 most recent)
Provide safe and appropriate respiratory care for a resident when needed.
Category: Quality of Life and Care Deficiencies
Corrected: Jan 11, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Jan 11, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Dec 9, 2019
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Category: Resident Rights Deficiencies
Corrected: Dec 9, 2019
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Dec 9, 2019
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Aug 20, 2019
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.
Category: Pharmacy Service Deficiencies
Corrected: Jan 15, 2019
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.
Category: Quality of Life and Care Deficiencies
Corrected: Jan 15, 2019
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jan 15, 2019
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 2.5% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.3% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 3.9% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.0% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 5.3% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.1% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 8.8% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 73.3% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 100.0% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 37.0% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 100.0% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 17.1% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 95.4% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 93.2% | No |
Penalty History
No penalties on record.
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for The Waters of Shelbyville, LLC, both outside TN so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside TN (96 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside TN (2.41 here).
Nearby Nursing Homes in TN
302 other nursing homes are on record in TN; 6 are shown here.
Abundant Christian Living Community Rehabilitation
Johnson City, TN
Adamsplace, LLC
Murfreesboro, TN
Adamsville Healthcare and Rehabilitation Center
Adamsville, TN
Advanced Health Care of Nashville
Nashville, TN
Agape Rehabilitation & Nursing Center, a Waters Cm
Johnson City, TN
Ahava Healthcare of Clarksville
Clarksville, TN
Understanding Nursing Home Data
What the CMS records show for The Waters of Shelbyville, LLC
The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.
- The TN registry aggregates state averages and the highest-rated homes in this cohort. View TN registry
- Peer homes near 96 beds show how CMS stars vary at a similar scale in TN. Compare a similar-size peer
- CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work
CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.
Frequently Asked Questions
What is the overall CMS rating for The Waters of Shelbyville, LLC?
Where does The Waters of Shelbyville, LLC rank among nursing homes in TN?
What are the staffing levels at The Waters of Shelbyville, LLC?
How many beds does The Waters of Shelbyville, LLC have?
Does The Waters of Shelbyville, LLC have any deficiencies on record?
Has The Waters of Shelbyville, LLC received any fines or penalties?
Who owns The Waters of Shelbyville, LLC?
When was The Waters of Shelbyville, LLC last inspected?
What quality measures are tracked for The Waters of Shelbyville, LLC?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
