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 30 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

  5. 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).

  6. 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).

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

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

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

    Health citation F-0584, Resident Rights Deficiencies. Inspection of July 26, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 25, 2023).

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

    Provide enough food/fluids to maintain a resident's health.

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

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of December 23, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 21, 2026).

  9. 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.

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

    Health citation F-0744, Quality of Life and Care Deficiencies. Inspection of December 23, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 21, 2026).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of December 23, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 21, 2026).

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

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

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

    Health citation F-0578, Resident Rights Deficiencies. Inspection of October 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 25, 2024).

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

    Ensure each resident receives an accurate assessment.

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

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of October 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 25, 2024).

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

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

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

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of October 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 25, 2024).

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

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

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of October 1, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (October 25, 2024).

  15. 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.

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

    Health citation F-0744, 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).

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

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of May 2, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 20, 2024).

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

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

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

    Health citation F-0676, Quality of Life and Care Deficiencies. Inspection of February 22, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 20, 2024).

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

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

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

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of February 22, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 20, 2024).

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

    Provide safe, appropriate pain management for a resident who requires such services.

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

    Health citation F-0697, Quality of Life and Care Deficiencies. Inspection of February 22, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 20, 2024).

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

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of February 22, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 20, 2024).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of February 22, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 20, 2024).

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

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

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

    Health citation F-0550, Resident Rights Deficiencies. Inspection of July 26, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 25, 2023).

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

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

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

    Health citation F-0582, Resident Rights Deficiencies. Inspection of July 26, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 25, 2023).

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

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

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

    Health citation F-0585, Resident Rights Deficiencies. Inspection of July 26, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 25, 2023).

  25. 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.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of July 26, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 25, 2023).

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.