All citations for The Waters of Shelbyville, LLC

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to The Waters of Shelbyville, LLC

Last standard health inspection on record

February 27, 2026

Showing 1 to 25 of 38 citations

  1. Immediate jeopardy to resident health or safety

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

    Isolated (one or a few residents). CMS level J.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of November 6, 2019. Found during a standard inspection.

    Past non-compliance: already corrected by the time of the inspection (August 20, 2019).

  2. No harm, with potential for more than minimal harm

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of November 6, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 18, 2019).

  3. No harm, with potential for more than minimal harm

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of December 5, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 15, 2019).

  4. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of December 5, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 15, 2019).

  5. No harm, with potential for more than minimal harm

    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0354, Smoke Deficiencies. Inspection of December 5, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 15, 2019).

  6. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of November 6, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 9, 2019).

  7. No harm, with potential for more than minimal harm

    Ensure proper usage of power strips and extension cords.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of November 6, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 18, 2019).

  8. No harm, with potential for more than minimal harm

    Develop and maintain an Emergency Preparedness Program (EP).

    Isolated (one or a few residents). CMS level D.

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of February 27, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 9, 2026).

  9. No harm, with potential for more than minimal harm

    Conduct risk assessment and an All-Hazards approach.

    Isolated (one or a few residents). CMS level D.

    Emergency preparedness citation E-0006, Emergency Preparedness Deficiencies. Inspection of February 27, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 9, 2026).

  10. No harm, with potential for more than minimal harm

    Address subsistence needs for staff and patients.

    Isolated (one or a few residents). CMS level D.

    Emergency preparedness citation E-0015, Emergency Preparedness Deficiencies. Inspection of February 27, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 9, 2026).

  11. No harm, with potential for more than minimal harm

    Establish policies and procedures including evacuation.

    Isolated (one or a few residents). CMS level D.

    Emergency preparedness citation E-0020, Emergency Preparedness Deficiencies. Inspection of February 27, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 9, 2026).

  12. No harm, with potential for more than minimal harm

    Create arrangements with other facilities to receive patients.

    Isolated (one or a few residents). CMS level D.

    Emergency preparedness citation E-0025, Emergency Preparedness Deficiencies. Inspection of February 27, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 9, 2026).

  13. No harm, with potential for more than minimal harm

    Establish roles under a Waiver declared by secretary.

    Isolated (one or a few residents). CMS level D.

    Emergency preparedness citation E-0026, Emergency Preparedness Deficiencies. Inspection of February 27, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 9, 2026).

  14. No harm, with potential for more than minimal harm

    List the names and contact information of those in the facility.

    Isolated (one or a few residents). CMS level D.

    Emergency preparedness citation E-0030, Emergency Preparedness Deficiencies. Inspection of February 27, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 9, 2026).

  15. No harm, with potential for more than minimal harm

    Conduct testing and exercise requirements.

    Isolated (one or a few residents). CMS level D.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of February 27, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 9, 2026).

  16. No harm, with potential for more than minimal harm

    Implement emergency and standby power systems.

    Isolated (one or a few residents). CMS level D.

    Emergency preparedness citation E-0041, Emergency Preparedness Deficiencies. Inspection of February 27, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 9, 2026).

  17. No harm, with potential for more than minimal harm

    Have stairways and smokeproof enclosures used as exits that meet safety requirements.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0225, Egress Deficiencies. Inspection of February 27, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 9, 2026).

  18. No harm, with potential for more than minimal harm

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of February 27, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 9, 2026).

  19. No harm, with potential for more than minimal harm

    Have approved installation, maintenance and testing program for fire alarm systems.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of February 27, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 9, 2026).

  20. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of February 27, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 9, 2026).

  21. No harm, with potential for more than minimal harm

    Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0361, Smoke Deficiencies. Inspection of February 27, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 9, 2026).

  22. No harm, with potential for more than minimal harm

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0521, Services Deficiencies. Inspection of February 27, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 9, 2026).

  23. No harm, with potential for more than minimal harm

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of February 27, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 9, 2026).

  24. No harm, with potential for more than minimal harm

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of February 27, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 9, 2026).

  25. No harm, with potential for more than minimal harm

    Ensure that testing and maintenance of electrical equipment is performed.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0921, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of February 27, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 9, 2026).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.