What is The Waters of Shelbyville, LLC's Medicare star rating?

CMS rates The Waters of Shelbyville, LLC 4 out of 5 stars overall, with 4 for health inspections, 1 for staffing and 5 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did The Waters of Shelbyville, LLC get at its last inspection?

0 health deficiencies at the standard inspection on February 27, 2026. The Tennessee average is 4.4.

Has The Waters of Shelbyville, LLC been fined?

CMS lists no fines in the last three years.

Does The Waters of Shelbyville, LLC accept Medicaid?

It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.

Who owns The Waters of Shelbyville, LLC?

CMS lists 2 owners and managers, and links the home to Infinity Healthcare Consulting. Legal business name: THE WATERS OF SHELBYVILLE, LLC.

The Waters of Shelbyville, LLC: Inspections & Ratings

The record in brief

At its most recent standard inspection, on February 27, 2026, inspectors cited 0 health deficiencies (the Tennessee average is 4.4, the national average 9.2).

Of 9 health citations since December 2018, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.14 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.32 of those hours.

52.5% of nursing staff left within the year CMS measured (Tennessee average 48.9%).

CMS links it to Infinity Healthcare Consulting, an affiliated group of 70 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

312/18

411/19

211/23

002/26

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 9 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

Potential for minimal harm

February 27, 2026Standard inspection · 0 citations

November 29, 2023Complaint inspection · 2 citations

D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 11, 2024

Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to follow MD (Medical Doctor's) orders for 1 of 17 (Resident #3) residents reviewed.
D

Provide safe and appropriate respiratory care for a resident when needed.

F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 11, 2024

Inspectors wroteBased on facility procedure review, medical record review, observations, and interviews, the facility failed to ensure that a resident who needs respiratory care is provided such care, consistent with professional standards of practice, for 2 of 2 (Residents #3 and #4) residents reviewed.

November 6, 2019Standard inspection · 4 citations

J

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F689 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · Past noncompliance: already fixed when inspectors found it

Inspectors wroteBased on facility policy review, facility documentation review, medical record review, observation and interview the facility failed to provide adequate supervision to prevent elopement for 1 resident (#68) of 5 residents reviewed who were wander/elopement (Residents who have a history of leaving or trying to leave the facility, or have wandered or have the potential to wander into unsafe areas) risks resulting in Immediate Jeopardy (IJ) (a situation in which the provider's noncompliance with one or more requirements of participation has caused, or is likely to cause serious injury, harm, impairment, or death to a resident). The Administrator was informed of the Immediate Jeopardy (IJ) on 11/5/19 at 6:50 PM in his office. An extended survey was conducted from 11/5/19 to 11/6/19. F-689 was cited at a scope and severity of J. F-689 J is Substandard Quality of Care. [...]
E

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 9, 2019

Inspectors wroteBased on facility policy review, observation and interview, the facility failed to ensure food was served under sanitary conditions when a male dietary employee with visible facial hair was observed working on the tray line without wearing a beard guard on 1 of 4 observations having plated the first 22 trays of the noon meal. The facility also failed to store foods in a safe and sanitary manner as evidenced by expired foods brought in by family in 2 of 2 nourishment rooms observed.
D

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 9, 2019

Inspectors wroteBased on facility policy review, medical record review, observation and interview the facility failed to ensure dignity for 1 resident (#54) of 7 residents reviewed with urinary catheters.
D

Ensure services provided by the nursing facility meet professional standards of quality.

F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 9, 2019

Inspectors wroteBased on facility policy review, medical record review and interview, the facility failed to meet professional standards of practice when the facility failed to obtain a lab that was ordered for 1 resident (#11) of 28 residents reviewed.

December 5, 2018Standard inspection · 3 citations

D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 15, 2019

Inspectors wroteBased on facility policy review, review of facility documents, medical record review and interview, the facility failed to revise care plans for 2 Residents (#26 and #44) of 31 residents reviewed.
D

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.

F693 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 15, 2019

Inspectors wroteBased on facility policy review, medical record review, observation and interview, the facility failed to administer the rate of a tube feeding as ordered and failed to administer the tube feeding as ordered for 1 Resident (#26) of 5 residents receiving tube feeding.
D

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.

F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 15, 2019

Inspectors wroteBased on medical record review and interview, the facility failed to provide monitoring related to performing Abnormal Involuntary Movement Scale (AIMS) assessments in a timely manner for 1 Resident (#4) of 27 residents receiving Anti-Psychotic medications.

Fire safety inspections

29 fire safety citations on file: 18 on February 27, 2026, 7 on November 6, 2019, 4 on December 5, 2018.

Every fire safety citation29 citations

D
Develop and maintain an Emergency Preparedness Program (EP).

E 4 · February 27, 2026 · Corrected (the home has a date of correction)
D
Conduct risk assessment and an All-Hazards approach.

E 6 · February 27, 2026 · Corrected (the home has a date of correction)
D
Address subsistence needs for staff and patients.

E 15 · February 27, 2026 · Corrected (the home has a date of correction)
D
Establish policies and procedures including evacuation.

E 20 · February 27, 2026 · Corrected (the home has a date of correction)
D
Create arrangements with other facilities to receive patients.

E 25 · February 27, 2026 · Corrected (the home has a date of correction)
D
Establish roles under a Waiver declared by secretary.

E 26 · February 27, 2026 · Corrected (the home has a date of correction)
D
List the names and contact information of those in the facility.

E 30 · February 27, 2026 · Corrected (the home has a date of correction)
D
Conduct testing and exercise requirements.

E 39 · February 27, 2026 · Corrected (the home has a date of correction)
D
Implement emergency and standby power systems.

E 41 · February 27, 2026 · Corrected (the home has a date of correction)
D
Have stairways and smokeproof enclosures used as exits that meet safety requirements.

K 225 · February 27, 2026 · Corrected (the home has a date of correction)
D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

K 321 · February 27, 2026 · Corrected (the home has a date of correction)
D
Have approved installation, maintenance and testing program for fire alarm systems.

K 345 · February 27, 2026 · Corrected (the home has a date of correction)
D
Inspect, test, and maintain automatic sprinkler systems.

K 353 · February 27, 2026 · Corrected (the home has a date of correction)
D
Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.

K 361 · February 27, 2026 · Corrected (the home has a date of correction)
D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

K 521 · February 27, 2026 · Corrected (the home has a date of correction)
D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

K 741 · February 27, 2026 · Corrected (the home has a date of correction)
D
To conduct inspection, testing and maintenance of fire doors by qualified individuals.

K 761 · February 27, 2026 · Corrected (the home has a date of correction)
D
Ensure that testing and maintenance of electrical equipment is performed.

K 921 · February 27, 2026 · Corrected (the home has a date of correction)
F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.

K 761 · November 6, 2019 · Corrected (the home has a date of correction)
E
Ensure proper usage of power strips and extension cords.

K 920 · November 6, 2019 · Corrected (the home has a date of correction)
D
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

K 222 · November 6, 2019 · Corrected (the home has a date of correction)
D
Install proper backup exit lighting.

K 281 · November 6, 2019 · Corrected (the home has a date of correction)
D
Have properly located and lighted "Exit" signs.

K 293 · November 6, 2019 · Corrected (the home has a date of correction)
D
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

K 343 · November 6, 2019 · Corrected (the home has a date of correction)
D
Meet requirements for the use of electrical equipment.

K 919 · November 6, 2019 · Corrected (the home has a date of correction)
F
Have approved installation, maintenance and testing program for fire alarm systems.

K 345 · December 5, 2018 · Corrected (the home has a date of correction)
F
Inspect, test, and maintain automatic sprinkler systems.

K 353 · December 5, 2018 · Corrected (the home has a date of correction)
F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

K 354 · December 5, 2018 · Corrected (the home has a date of correction)
D
Provide properly protected cooking facilities.

K 324 · December 5, 2018 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

Measure	This home	Tennessee	United States
All nursing staff (RN, LPN and aides)	3.14	3.80	3.86
Registered nurses	0.32	0.60	0.69
All nursing staff on weekends	2.67	3.31	3.42
Nurse aides	1.57
Licensed practical nurses	1.25
Nursing staff turnover (share who left in a year)	52.5%	48.9%	45.8%
Registered nurse turnover	80.0%	43.2%	42.9%
Administrators who left	0

CMS expects 4.98 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.33 on weekdays and 2.67 on weekends, 20% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 7.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.14 in April to June 2025 to 3.14 in January to March 2026.

Quarter	All nursing staff	Registered nurses	Weekdays	Weekends	Contract staff share	Days with no RN hours	Residents a day
Jan to Mar 2026	3.14	0.32	3.33	2.67	7.6%	0 of 90	75
Oct to Dec 2025	3.13	0.29	3.29	2.74	2.8%	2 of 92	75
Jul to Sep 2025	3.23	0.32	3.38	2.87	1.5%	0 of 92	72
Apr to Jun 2025	3.14	0.29	3.29	2.76	0.3%	1 of 91	75
United States, Jan to Mar 2026	3.75	0.62	3.92	3.33	5.3%	0.5% of days
Tennessee, Jan to Mar 2026	3.75	0.56	3.95	3.27	4.0%	0.7% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.

Official wage estimates for Tennessee

Job	Median	Middle half	Employed
Tennessee, all employers
CNAs (nursing assistants)	$18.27	$17.09 to $19.66	27,040
LPNs and LVNs	$28.31	$23.64 to $30.12	20,830
Registered nurses	$39.18	$36.28 to $45.79	72,200
United States, nursing care facilities
CNAs (nursing assistants)	$20.67	$17.91 to $22.55	534,270
LPNs and LVNs	$33.86	$30.05 to $37.40	188,210
Registered nurses	$41.11	$37.85 to $47.68	142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

Measure	This home	Tennessee	US
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1	2.5	14.0	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	0.0	0.7	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	0.0	1.8	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	2.3	3.4	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	1.1	1.7	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	3.9	17.2	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	3.0	5.0	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	5.3	16.9	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	14.0	22.6	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	12.8	11.2	12.0
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	1.7	1.7	1.9
Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231	1.2	1.6	1.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for The Waters of Shelbyville, LLC's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (57.4% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

57.4% this home

No different from the national rate

US median of homes 51.5% · Tennessee: 62 better, 16 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 43 eligible stays.

Potentially preventable readmissions

11.7% this home

No different from the national rate

US median of homes 10.7% · Tennessee: 1 better, 7 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 62 eligible stays.

Infections that led to a hospital stay

8.9% this home

No different from the national rate

US median of homes 7.1% · Tennessee: 2 better, 1 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 51 eligible stays.

Self-care and mobility at discharge

55.8% this home

Median of homes: Tennessee58.3% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 43 residents counted.

Falls with major injury

0.0% this home

Median of homes: Tennessee0.8% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 55 residents counted.

New or worsened pressure ulcers

2.5% this home

Median of homes: Tennessee1.6% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 55 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Tennessee98.7% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 15 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: THE WATERS OF SHELBYVILLE, LLC. CMS links this home to Infinity Healthcare Consulting, a group of 70 nursing homes averaging 2.1 stars overall.

Name	Role	Type	Share	Since
A&f Realty LLC	5% or greater direct ownership interest	Organization	20%	08/01/2016
Tackett, Thomas	W-2 managing employee	Individual		05/16/2019

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on November 29, 2023: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on November 6, 2019: "Ensure services provided by the nursing facility meet professional standards of quality."
Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on November 6, 2019: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on November 6, 2019: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.67 hours per resident per day, below the Tennessee average of 3.31.

Other nursing homes nearby

Lynchburg Nursing Center
Lynchburg, 14.7 mi · 5 of 5 stars · 6 citations
Life Care Center of Tullahoma
Tullahoma, 15.8 mi · 2 of 5 stars · 7 citations
NHC Healthcare, Tullahoma
Tullahoma, 15.8 mi · 3 of 5 stars · 13 citations
NHC Healthcare, Oakwood
Lewisburg, 19.2 mi · 4 of 5 stars · 12 citations
Community Care of Rutherford
Murfreesboro, 19.4 mi · 1 of 5 stars · 21 citations
NHC Healthcare, Lewisburg
Lewisburg, 19.6 mi · 3 of 5 stars · 20 citations
Legacy Health and Rehab
Manchester, 21.9 mi · 2 of 5 stars · 24 citations
Manchester Center for Rehabilitation and Healing L
Manchester, 22.2 mi · 4 of 5 stars · 12 citations

Tennessee contacts for a concern about a nursing home

These are the official offices in Tennessee. NursingHomeClear cannot take or act on complaints.

Inspections and complaints: Tennessee Health Facilities Commission, Division of Licensure and Regulation, the state agency that inspects nursing homes for CMS and takes complaints about care.
Resident advocate: Tennessee Long-Term Care Ombudsman, Department of Disability and Aging, 877-236-0013. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.

Common questions

What is The Waters of Shelbyville, LLC's Medicare star rating?: CMS rates The Waters of Shelbyville, LLC 4 out of 5 stars overall, with 4 for health inspections, 1 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did The Waters of Shelbyville, LLC get at its last inspection?: 0 health deficiencies at the standard inspection on February 27, 2026. The Tennessee average is 4.4.
Has The Waters of Shelbyville, LLC been fined?: CMS lists no fines in the last three years.
Does The Waters of Shelbyville, LLC accept Medicaid?: It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns The Waters of Shelbyville, LLC?: CMS lists 2 owners and managers, and links the home to Infinity Healthcare Consulting. Legal business name: THE WATERS OF SHELBYVILLE, LLC.

Sources

Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
Owners: CMS Ownership. Penalties: CMS Penalties.
Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.