All citations for Willows of Shelbyville

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 Willows of Shelbyville

Last standard health inspection on record

December 23, 2025

Showing 1 to 25 of 67 citations

Harm to a resident
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Isolated (one or a few residents). CMS level G.
Health citation F-0740, Quality of Life and Care Deficiencies. Inspection of May 2, 2024. Found during a complaint inspection.
The home gave a date the problem would be corrected (May 20, 2024).
No harm, with potential for more than minimal harm
Implement emergency and standby power systems.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0041, Emergency Preparedness Deficiencies. Inspection of December 23, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 1, 2026).
No harm, with potential for more than minimal harm
Provide a written emergency evacuation plan.
Widespread (many residents). CMS level F.
Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of December 23, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 1, 2026).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
Widespread (many residents). CMS level F.
Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of December 23, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 1, 2026).
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.
Widespread (many residents). CMS level F.
Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of March 6, 2025. Found during a complaint inspection.
The home gave a date the problem would be corrected (March 20, 2025).
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.
Widespread (many residents). CMS level F.
Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of October 1, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (October 25, 2024).
No harm, with potential for more than minimal harm
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Widespread (many residents). CMS level F.
Health citation F-0921, Environmental Deficiencies. Inspection of October 1, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (October 25, 2024).
No harm, with potential for more than minimal harm
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.
Widespread (many residents). CMS level F.
Fire safety citation K-0222, Egress Deficiencies. Inspection of October 1, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 8, 2024).
No harm, with potential for more than minimal harm
Provide emergency officials' contact information.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0031, Emergency Preparedness Deficiencies. Inspection of July 26, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (October 31, 2023).
No harm, with potential for more than minimal harm
Establish staff and initial training requirements.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0037, Emergency Preparedness Deficiencies. Inspection of July 26, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (October 31, 2023).
No harm, with potential for more than minimal harm
Install emergency lighting that can last at least 1 1/2 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0291, Egress Deficiencies. Inspection of July 26, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (October 31, 2023).
No harm, with potential for more than minimal harm
Install an approved automatic sprinkler system.
Widespread (many residents). CMS level F.
Fire safety citation K-0351, Smoke Deficiencies. Inspection of July 26, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (October 31, 2023).
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 July 26, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (October 31, 2023).
No harm, with potential for more than minimal harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Pattern (more than a few residents). CMS level E.
Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of December 23, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (January 21, 2026).
No harm, with potential for more than minimal harm
Have properly located and lighted "Exit" signs.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0293, Egress Deficiencies. Inspection of December 23, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 1, 2026).
No harm, with potential for more than minimal harm
Provide properly protected cooking facilities.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0324, Smoke Deficiencies. Inspection of December 23, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 1, 2026).
No harm, with potential for more than minimal harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0372, Smoke Deficiencies. Inspection of December 23, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 1, 2026).
No harm, with potential for more than minimal harm
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0374, Smoke Deficiencies. Inspection of December 23, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 1, 2026).
No harm, with potential for more than minimal harm
Have properly installed electrical wiring and gas equipment.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0511, Services Deficiencies. Inspection of December 23, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 1, 2026).
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.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0521, Services Deficiencies. Inspection of December 23, 2025. Found during a standard inspection.
No follow-up visit needed.
No harm, with potential for more than minimal harm
Have an externally vented heating system.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0522, Services Deficiencies. Inspection of December 23, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 1, 2026).
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.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of December 23, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 1, 2026).
No harm, with potential for more than minimal harm
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Pattern (more than a few residents). CMS level E.
Health citation F-0744, Quality of Life and Care Deficiencies. Inspection of October 1, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (October 25, 2024).
No harm, with potential for more than minimal harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0211, Egress Deficiencies. Inspection of October 1, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 8, 2024).
No harm, with potential for more than minimal harm
Have exits that are accessible at all times.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0271, Egress Deficiencies. Inspection of October 1, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 8, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.