The nursing home failed to ensure residents received the behavioral health care and services they needed. Cited May 2024 — isolated incident, actual harm.
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F-Tag 740 — 42 CFR §483.40 — S/S: G
Nursing home report
WILLOWS OF SHELBYVILLE
SHELBYVILLE, IN · Medicare-certified · 121 beds
In good standing
Government-run
2 of 5 overall
WILLOWS OF SHELBYVILLE has a 2-star overall rating, with a 2-star health inspection rating and a 1-star staffing rating despite a 5-star quality measures rating. Reported nurse staffing is 4.01 hours per resident per day, slightly below the 4.1 federal benchmark, and there were $0 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.0108 hrs/resident/day
Quality measures
Last inspection: December 23, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.0108.
Staffing detail
- Registered nurses
- 0.42
- Licensed practical nurses
- 0.94
- Nurse aides
- 2.65
- Weekend nursing
- 3.52
Hours per resident per day.
Total staff turnover: 50%
Registered nurse turnover: 67%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
30.6%Improving
Residents with a fall causing major injury
13.2%Improving
Residents with pressure ulcers (bedsores)
1.5%Steady
Residents with a urinary tract infection
1.2%Improving
Residents who lost too much weight
3.9%Steady
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
13.1%Worsening
Residents whose ability to walk got worse
29.9%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
33.2%Worsening
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0.8%Improving
Residents with new or worsening incontinence
29.8%Worsening
Residents with depressive symptoms
63.7%Improving
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
98.6%Steady
Short-stay residents given the pneumonia vaccine
98.9%Worsening
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited March 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to keep its areas safe, easy to use, clean, and comfortable for residents, staff, and visitors. Cited October 2024 — widespread issue, potential for harm.
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F-Tag 921 — 42 CFR §483.90 — S/S: F
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited December 2025 — limited pattern, potential for harm.
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F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E
The home failed to provide the appropriate treatment and services for a resident with dementia. Cited October 2024 — limited pattern, potential for harm.
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F-Tag 744 — 42 CFR §483.40(b)(3) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- Government - City/county
- Occupancy
- 79.9 residents on an average day (66% of 121 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 59 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.