Contact Information

THE WATERS OF SHELBYVILLE, LLC
835 UNION STREET
SHELBYVILLE, TN 37160
(931) 680-2300
For profit - Corporation
Medicare certification date2: January 11, 1985
The is the date the nursing home was certified to participate in the Medicare program.

1 Nursing homes can be run by private for-profit corporations, non-profit corporations, religious affiliated organizations or government entities.

2 Agencies that are Medicare Certified are able to participate in Medicare related programs.


Nursing Home Information

  84 residents

  96 certified beds

  Participates in Medicare and Medicaid

  Continuing Care Retirement Community

  In hospital

  Resident Council only

  Automatic sprinklers in all required areas

Quality rating
Health inspection rating
Staffing rating
Substantiated complaints 2
Facility reported incidents 6
Number of fines 1
Number of penalties 1
Number of payment denials None

Staffing

Staffing for 84 residents Tennessee Average National Average
Hours by Registered Nurse (RN) per resident per day 31 minutes 35 minutes 41 minutes
Hours by Licensed Practial Nurse (LPN & LVN) per resident per day 46 minutes 1 hour, 7 minutes 53 minutes
Hours by Certified Nursing Assistant (CNA) per resident per day 1 hour, 36 minutes 2 hours, 8 minutes 2 hours, 20 minutes
Physical therapy (PT) staff hours per resident per day 4 minutes 7 minutes 7 minutes

Staffing hours per resident is the total number of hours worked by the staff divided by the total number of residents. It doesn't necessarily show the number of nursing staff present at any given time or the amount of care given to any one resident.

Ownership

5% OR GREATER DIRECT OWNERSHIP INTEREST

  • A & F REALTY LLC
  • GUBIN ENTERPRISES LIMITED PARTNERSHIP
  • BLISKO, MICHAEL

OPERATIONAL/MANAGERIAL CONTROL

  • RAY, CHRISTOPHER

Nursing Home Report

In 2016, THE WATERS OF SHELBYVILLE, LLC charged a total of $1,963,764 for 95 Medicare Beneficiaries. The average age of residents at this skilled nursing facility is about 76.

The report covers only calendar year 2016.

Chronic Condition of Residents
Atrial Fibrillation 17% Alzheimer's 54%
Asthma 51% Cancer 13%
Congestive Heart Failure 44% Kidney Disease 62%
COPD 54% Depression 59%
Diabetes 41% Hyperlipidemia 57%
Hypertension n/a Ischemic Heart Disease 48%
Osteoporosis 21% RA / OA 61%
Schizophrenia 21% Stroke 6%
Demographics
Medicare Beneficiaries 95 Average Age 76
Male 37 Female 58
White 90
Black n/a
Asian 0
Hispanic 0
American Indian 0
Other n/a

Health & Fire Inspection

Most recent health inspection: Dec 06, 2017; fire safety inspection: Dec 04, 2017

Health Deficiencies as of 12/06/2017
Freedom from Abuse, Neglect, and Exploitation None
Quality of Life and Care 1
Resident Assessment and Care Planning 1
Nursing and Physician Services 1
Resident Rights 1
Nutrition and Dietary Deficiencies 1
Pharmacy Service 1
Environmental Deficiencies None
Administration Deficiencies None
Fire Deficiencies as of 12/04/2017
Emergency Preparedness None
Automatic Sprinkler Systems None
Construction Deficiencies None
Services Deficiencies 2
Corridor Walls and Doors None
Egress Deficiencies 1
Electrical Deficiencies None
Emergency Plans and Fire Drills None
Fire Alarm Systems None
Smoke Deficiencies 5
Interior Deficiencies None
Gas, Vacuum, and Electrical Systems 1
Hazardous Area None
Illumination and Emergency Power None
Laboratories Deficiencies None
Medical Gases and Anesthetizing Areas None
Smoking Regulations None
Miscellaneous Regulations None

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See also