WILLOWS OF SHELBYVILLE

Government - City/county · 121 certified beds · CCN 155022 · MAJOR HOSPITAL · Shelby · IN


WILLOWS OF SHELBYVILLE is a 121-bed nursing home in SHELBYVILLE, Indiana. CMS has certified it for Medicare and Medicaid since 1967-01-01. It averages 84.4 residents a day.

What harm was found in the violations cited at WILLOWS OF SHELBYVILLE?

CMS lists 30 health-inspection deficiencies for WILLOWS OF SHELBYVILLE since 2023-07-26, 20 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2025-12-23.

Survey dateTagDeficiencySeverity
2025-12-23F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E
2025-12-23F0692, F0744, F0880Provide enough food/fluids to maintain a resident's health. / Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. / Provide and implement an infection prevention and control program.D
2025-03-06F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2024-10-01F0812, F0921Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.F
2024-10-01F0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.E
2024-10-01F0578, F0641, F0657, F0684Honor 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. / Ensure each resident receives an accurate assessment. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2024-05-02F0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.G
2024-05-02F0744, F0755Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2024-02-22F0676, F0695, F0697, F0761, F0880Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate pain management for a resident who requires such services. / 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. / Provide and implement an infection prevention and control program.D
2023-07-26F0584Honor 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.E
2023-07-26F0550, F0582, F0585, F0656, F0677, F0689, F0690, F0692, F0880Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / 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. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide enough food/fluids to maintain a resident's health. / Provide and implement an infection prevention and control program.D

How is WILLOWS OF SHELBYVILLE staffed?

MeasureThis facilityIN average
Total nurse staffing hours per resident per day3.851053.67961
Total nursing staff turnover (%)46.845.9
Average number of residents per day84.472.5

Who owns WILLOWS OF SHELBYVILLE?

WILLOWS OF SHELBYVILLE is registered with CMS as Government - City/county, operates under the legal business name MAJOR HOSPITAL.

RoleOwnerAssociation date
CORPORATE OFFICERCLAXTON, RYAN, HORNER, JOHNsince 01/01/2012
OPERATIONAL/MANAGERIAL CONTROLSHELBYVILLE IN OPCO LLC, CLAXTON, RYAN, FRANKEL, ISRAEL, PAUL, MANDI, RADADIYA, PRAGNESHKUMARsince 03/27/2025
ADP OF THE SNFSHELBYVILLE IN OPCO LLC, CLAXTON, RYAN, FRANKEL, ISRAEL, PAUL, MANDI, RADADIYA, PRAGNESHKUMARsince 03/27/2025

Were you or a family member harmed at WILLOWS OF SHELBYVILLE?